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  • 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)
    Ranganathan, Dwarakanathan
    Year published
    2018
    Metadata
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    Abstract
    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 ...
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    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
    DOI
    https://doi.org/10.1111/1754-9485.12643
    Note
    This publication has been entered into Griffith Research Online as an Advanced Online Version.
    Subject
    Oncology and Carcinogenesis not elsewhere classified
    Clinical Sciences
    Nursing
    Oncology and Carcinogenesis
    Publication URI
    http://hdl.handle.net/10072/371603
    Collection
    • Journal articles

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