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Peritoneal dialysis (PD) remains underused especially because the unavailability of surgeons skilled to insert catheters. The aim of our study was to evaluate the impact of catheter placement by the nephrologist on the incidence of peritoneal dialysis patients and compare complications between surgical and nephrologist placements.
etrospective study of 69 patients with PD from January 2008 to December 2022.
28 patients received PD catheter placement by nephrologists (group A), while 41 placed by surgeons (group B).The incidence of patients placed on PD has shown a significant increase since the initiation of catheter placement by nephrologists (over 100% every two years). No significant difference was observed in the incidence of short-term mechanical and infectious complications between the two groups. However, the group B experienced a higher occurrence of long-term mechanical and infectious complications compared to the group A. The waiting time before catheter placement was significantly shorter in group A (5 vs 20 days; p<0.001). The success rate of catheter placement was similar in both groups and there was no significant difference in catheter survival at 1 year. However, the mean catheter survival was significantly longer in group B (17 vs 11 months, p=0.026).
The placement of the PD catheter by nephrologists is effective and safe as surgical placement. However, it is crucial to investigate and address the factors contributing to the shorter mean catheter survival to improve the longevity of catheters and enhance the overall success of PD procedures.