The association between embedded catheter implantation and hospitalization costs for peritoneal dialysis initiation: a retrospective cohort study

Shinzawa, Maki; Matsumoto, Ayumi; Kitamura, Harumi; Sakaguchi, Yusuke; Takahashi, Atsushi; Matsui, Isao; Mizui, Masayuki; Yamamoto, Ryohei; Isaka, Yoshitaka

doi:https://doi.org/10.1007/s10157-023-02416-z

The association between embedded catheter implantation and hospitalization costs for peritoneal dialysis initiation: a retrospective cohort study

Shinzawa, Maki; Matsumoto, Ayumi; Kitamura, Harumi et al.

Clinical and Experimental Nephrology, 2023, 28, 245-253

アクセス数:1,631件（2025-09-07 20:57 集計）

固定URL: https://hdl.handle.net/11094/93367

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タイトル	The association between embedded catheter implantation and hospitalization costs for peritoneal dialysis initiation: a retrospective cohort study
著者	NRID 1000030704788 1000030704788 researchmap permalink 7000009447 7000009447 Scopus Author ID 47661817400 47661817400 著者名 Shinzawa, Maki
	NRID 1000040794053 1000040794053 著者名 Matsumoto, Ayumi
	NRID 1000060570356 1000060570356 researchmap permalink kitamura3857 kitamura3857 Scopus Author ID 24334934300 24334934300 著者名 Kitamura, Harumi
	NRID 1000080756817 1000080756817 著者名 Sakaguchi, Yusuke
	NRID 1000010704786 1000010704786 researchmap permalink takahashi-handai3857 takahashi-handai3857 Scopus Author ID 55728349700 55728349700 著者名 Takahashi, Atsushi
	NRID 1000060456986 1000060456986 ORCID 0000-0001-8378-6130 0000-0001-8378-6130 researchmap permalink matsui-handai3857 matsui-handai3857 Scopus Author ID 24488796300 24488796300 著者名 Matsui, Isao
	NRID 1000030423106 1000030423106 ORCID 0000-0003-2543-8108 0000-0003-2543-8108 researchmap permalink msmizui msmizui Scopus Author ID 8935909200 8935909200 著者名 Mizui, Masayuki
	NRID 1000000533853 1000000533853 著者名 Yamamoto, Ryohei
	NRID 1000000379166 1000000379166 researchmap permalink isaka-handai3857 isaka-handai3857 Scopus Author ID 16207611100 16207611100 ORCID 0000-0002-0820-7167 0000-0002-0820-7167 著者名 Isaka, Yoshitaka
キーワード等	Embedding catheter
	Hospitalization cost
	Initiation
	Length of hospitalization
	Peritoneal dialysis
	Stepwise initiation of PD using Moncrief and Popovich’s technique (SMAP)
内容	The version of record of this article, first published in Clinical and Experimental Nephrology, is available online at Publisher’s website: https://doi.org/10.1007/s10157-023-02416-z
抄録	Background: Compared with the conventional peritoneal dialysis (PD) catheter insertion, embedding PD catheter implantation is one of the procedures for planned PD initiation. However, facilities where embedded PD catheter implantation is available are limited, and the impact of embedded PD catheter implantation on hospitalization cost and length of hospitalization is unknown. Methods: This retrospective single-center cohort study included 132 patients with PD initiation between 2005 and 2020. The patients were divided into two groups: 64 patients in the embedding group and 68 patients in the conventional insertion group. We created a multivariable generalized linear model (GLM) with the gamma family and log-link function to evaluate the association among catheter embedding, the duration and medical costs of hospitalization for PD initiation. We also evaluated the effect modification between age and catheter embedding. Results: Catheter embedding (β coefficient − 0.13 [95% confidence interval − 0.21, − 0.05]) and age (per 10 years 0.08 [0.03, 0.14]) were significantly associated with hospitalization costs. Catheter embedding (− 0.21 [− 0.32, − 0.10]) and age (0.11 [0.03, 0.19]) were also identified as factors significantly associated with length of hospitalization. The difference between the embedding group and the conventional insertion group in hospitalization costs for PD initiation (P for interaction = 0.060) and the length of hospitalization (P for interaction = 0.027) was larger in young-to-middle-aged patients than in elderly patients. Conclusions: Catheter embedding was associated with lower hospitalization cost and shorter length of hospitalization for PD initiation than conventional PD catheter insertion, especially in young-to-middle-aged patients.
出版者	Springer
収録物名	Clinical and Experimental Nephrology
巻(号)	28
ページ	245-253
刊行年月	2023-11-14
言語	英語
ハンドルURL	https://hdl.handle.net/11094/93367
PISSN	13421751
eISSN	14377799
関連情報 (isIdenticalTo)	DOI (出版社版) https://doi.org/10.1007/s10157-023-02416-z
アクセス権	open access
権利情報	This article is licensed under a Creative Commons Attribution 4.0 International License.
出版タイプ	Version of Record
カテゴリ	学術雑誌論文 Journal Article

資源タイプ	学術雑誌論文
ローカル資源タイプ	学術雑誌論文
DCMI資源タイプ	text
DCTERMS.bibliographicCitation	Clinical and Experimental Nephrology. 2023, 28, p. 245-253
DC.title	The association between embedded catheter implantation and hospitalization costs for peritoneal dialysis initiation: a retrospective cohort study
DC.creator	Shinzawa, Maki
	Matsumoto, Ayumi
	Kitamura, Harumi
	Sakaguchi, Yusuke
	Takahashi, Atsushi
	Matsui, Isao
	Mizui, Masayuki
	Yamamoto, Ryohei
	Isaka, Yoshitaka
DC.publisher	Springer
DC.language' scheme='DCTERMS.RFC1766	英語
DC.type' scheme='DCTERMS.DCMIType	text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2023-11-14
DC.identifier	https://doi.org/10.1007/s10157-023-02416-z
DC.subject	Embedding catheter
	Hospitalization cost
	Initiation
	Length of hospitalization
	Peritoneal dialysis
	Stepwise initiation of PD using Moncrief and Popovich’s technique (SMAP)
DC.description	The version of record of this article, first published in Clinical and Experimental Nephrology, is available online at Publisher’s website: https://doi.org/10.1007/s10157-023-02416-z
DCTERMS.abstract	Background: Compared with the conventional peritoneal dialysis (PD) catheter insertion, embedding PD catheter implantation is one of the procedures for planned PD initiation. However, facilities where embedded PD catheter implantation is available are limited, and the impact of embedded PD catheter implantation on hospitalization cost and length of hospitalization is unknown. Methods: This retrospective single-center cohort study included 132 patients with PD initiation between 2005 and 2020. The patients were divided into two groups: 64 patients in the embedding group and 68 patients in the conventional insertion group. We created a multivariable generalized linear model (GLM) with the gamma family and log-link function to evaluate the association among catheter embedding, the duration and medical costs of hospitalization for PD initiation. We also evaluated the effect modification between age and catheter embedding. Results: Catheter embedding (β coefficient − 0.13 [95% confidence interval − 0.21, − 0.05]) and age (per 10 years 0.08 [0.03, 0.14]) were significantly associated with hospitalization costs. Catheter embedding (− 0.21 [− 0.32, − 0.10]) and age (0.11 [0.03, 0.19]) were also identified as factors significantly associated with length of hospitalization. The difference between the embedding group and the conventional insertion group in hospitalization costs for PD initiation (P for interaction = 0.060) and the length of hospitalization (P for interaction = 0.027) was larger in young-to-middle-aged patients than in elderly patients. Conclusions: Catheter embedding was associated with lower hospitalization cost and shorter length of hospitalization for PD initiation than conventional PD catheter insertion, especially in young-to-middle-aged patients.
DC.rights	This article is licensed under a Creative Commons Attribution 4.0 International License.
DC.format	93367
citation_title	The association between embedded catheter implantation and hospitalization costs for peritoneal dialysis initiation: a retrospective cohort study
citation_author	Shinzawa, Maki
	Matsumoto, Ayumi
	Kitamura, Harumi
	Sakaguchi, Yusuke
	Takahashi, Atsushi
	Matsui, Isao
	Mizui, Masayuki
	Yamamoto, Ryohei
	Isaka, Yoshitaka
citation_publisher	Springer
citation_language	英語
citation_date	2023-11-14
citation_journal_title	Clinical and Experimental Nephrology
citation_volume	28
citation_firstpage	245
citation_lastpage	253
citation_doi	https://doi.org/10.1007/s10157-023-02416-z
citation_public_url	https://hdl.handle.net/11094/93367

The association between embedded catheter implantation and hospitalization costs for peritoneal dialysis initiation: a retrospective cohort study

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