Radiological Tenckhoff catheter insertion for peritoneal dialysis: A cost-effective approach
Author(s)
Lee, James
Mott, Nigel
Mahmood, Usman
Clouston, John
Summers, Kara
Nicholas, Pauline
Gois, Pedro Henrique Franca
Ranganathan, Dwarakanathan
Griffith University Author(s)
Year published
2018
Metadata
Show full item recordAbstract
Introduction: Radiological insertion of Tenckhoff catheters can be an alternative
option for peritoneal dialysis access creation, as compared to surgical catheter
insertion. This study will review the outcomes and complications of radiological
Tenckhoff catheter insertion in a metropolitan renal service and compare
costs between surgical and radiological insertion.
Methods: Data were collected prospectively for all patients who had a Tenckhoff
catheter insertion for peritoneal dialysis (PD) under radiological guidance
at our hospital from May 2014 to November 2016. The type of catheter used
and complications, including ...
View more >Introduction: Radiological insertion of Tenckhoff catheters can be an alternative option for peritoneal dialysis access creation, as compared to surgical catheter insertion. This study will review the outcomes and complications of radiological Tenckhoff catheter insertion in a metropolitan renal service and compare costs between surgical and radiological insertion. Methods: Data were collected prospectively for all patients who had a Tenckhoff catheter insertion for peritoneal dialysis (PD) under radiological guidance at our hospital from May 2014 to November 2016. The type of catheter used and complications, including peri-catheter leak, exit site infection and peritonitis were reviewed. Follow-up data were also collected at points 3, 6 and 12 months from catheter insertion. Costing data were obtained from Queensland Health Electronic Reporting System (QHERS) data, average staff salaries and consumable contract price lists. Results: In the 30-month evaluation period, 70 catheters were inserted. Two patients had an unsuccessful procedure due to the presence of abdominal adhesions. Seven patients had an episode of peri-catheter leak, and four patients had an exit site infection following catheter insertion. Peritonitis was observed in nine patients during the study period. The majority of patients (90%) remained on peritoneal dialysis at 3-month follow-up. The average costs of surgical and radiological insertion were noted to be AUD$7788.34 and AUD$1597.35, respectively. Conclusion: Radiological Tenckhoff catheter insertion for peritoneal dialysis appears to be an attractive and cost-effective option given less waiting periods for the procedure, the relatively low cost of insertion and comparable rates of complications.
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View more >Introduction: Radiological insertion of Tenckhoff catheters can be an alternative option for peritoneal dialysis access creation, as compared to surgical catheter insertion. This study will review the outcomes and complications of radiological Tenckhoff catheter insertion in a metropolitan renal service and compare costs between surgical and radiological insertion. Methods: Data were collected prospectively for all patients who had a Tenckhoff catheter insertion for peritoneal dialysis (PD) under radiological guidance at our hospital from May 2014 to November 2016. The type of catheter used and complications, including peri-catheter leak, exit site infection and peritonitis were reviewed. Follow-up data were also collected at points 3, 6 and 12 months from catheter insertion. Costing data were obtained from Queensland Health Electronic Reporting System (QHERS) data, average staff salaries and consumable contract price lists. Results: In the 30-month evaluation period, 70 catheters were inserted. Two patients had an unsuccessful procedure due to the presence of abdominal adhesions. Seven patients had an episode of peri-catheter leak, and four patients had an exit site infection following catheter insertion. Peritonitis was observed in nine patients during the study period. The majority of patients (90%) remained on peritoneal dialysis at 3-month follow-up. The average costs of surgical and radiological insertion were noted to be AUD$7788.34 and AUD$1597.35, respectively. Conclusion: Radiological Tenckhoff catheter insertion for peritoneal dialysis appears to be an attractive and cost-effective option given less waiting periods for the procedure, the relatively low cost of insertion and comparable rates of complications.
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Journal Title
Journal of Medical Imaging and Radiation Oncology
Note
This publication has been entered into Griffith Research Online as an Advanced Online Version.
Subject
Clinical sciences
Nursing
Oncology and carcinogenesis
Oncology and carcinogenesis not elsewhere classified