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      A Prospective Study to Compare Subcutaneously Buried Peritoneal Dialysis Catheter Technique with Conventional Technique

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          Aims: To reduce peritoneal dialysis-related infections, Moncrief-Popovich (MP) designed a special catheter and implantation technique. Herein we report our experience of patients treated with the MP and conventional approach. Methods: A total of 214 patients were divided into three groups according to catheter type and implantation technique: group A received a MP catheter (MPC) via MP technique (n = 27); group B received Tenckhoff catheters via MP technique (n = 32), and group C received Tenckhoff catheters via conventional technique (n = 155). Data were collected for infection and catheter survival. Results: The catheter survival and peritonitis rate was similar in our study groups. Age was found to be the significant factor associated with peritonitis rate. Conclusions: Although the MP technique was not associated with a lower peritonitis rate in our practice, the possible benefit of less healthcare costs is still considerable.

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          Most cited references 7

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          Initial subcutaneous embedding of the peritoneal dialysis catheter-a critical appraisal of this new implantation technique

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            Modelling peritonitis rates and associated risk factors for individuals on continuous ambulatory peritoneal dialysis.

             E F Vonesh (1990)
            A mixed effects Poisson regression model is proposed for analysing potential risk factors associated with peritonitis, a bacterial infection of the peritoneum which is common among individuals on continuous ambulatory peritoneal dialysis (CAPD). The model incorporates a set of fixed effects corresponding to concomitant information collected across individuals as well as a random effect due to individuals. The method of maximum likelihood is used to estimate the unknown parameters. When applied to clinical data obtained on 81 CAPD patients from four centres, the mixed effects model demonstrated a much better fit than the corresponding fixed effects Poisson regression model.
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              The Moncrief-Popovich Catheter


                Author and article information

                Blood Purif
                Blood Purification
                S. Karger AG
                July 2007
                23 March 2007
                : 25
                : 3
                : 229-232
                aDepartment of Nephrology, E-Da Hospital, Kaohsiung, bDepartment of Statistics, National Cheng-Kung University, and cDepartment of Nephrology, Wu Ho-Su Memorial Hospital, Taipei, Taiwan
                101027 Blood Purif 2007;25:229–232
                © 2007 S. Karger AG, Basel

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                Figures: 1, Tables: 4, References: 13, Pages: 4
                Original Paper


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