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

Number of Access:1,631（2025-09-08 18:39 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/93367

Link to primary information 

File Format Terms of use Size Views Date.Available Description information
ClinExpNephrol_02416 pdf None 702 KB 90 2024.01.05  
Creative Commons : Attribution

Item Information

Output File Export EndNote Basic Export Mendeley

Title
The association between embedded catheter implantation and hospitalization costs for peritoneal dialysis initiation: a retrospective cohort study
Creator
NRID
1000030704788 1000030704788
researchmap permalink
7000009447 7000009447
Scopus Author ID
47661817400 47661817400
CreatorName
Shinzawa, Maki
NRID
1000040794053 1000040794053
CreatorName
Matsumoto, Ayumi
NRID
1000060570356 1000060570356
researchmap permalink
kitamura3857 kitamura3857
Scopus Author ID
24334934300 24334934300
CreatorName
Kitamura, Harumi
NRID
1000080756817 1000080756817
CreatorName
Sakaguchi, Yusuke
NRID
1000010704786 1000010704786
researchmap permalink
takahashi-handai3857 takahashi-handai3857
Scopus Author ID
55728349700 55728349700
CreatorName
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
CreatorName
Matsui, Isao
NRID
1000030423106 1000030423106
ORCID
0000-0003-2543-8108 0000-0003-2543-8108
researchmap permalink
msmizui msmizui
Scopus Author ID
8935909200 8935909200
CreatorName
Mizui, Masayuki
NRID
1000000533853 1000000533853
CreatorName
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
CreatorName
Isaka, Yoshitaka
Subject
Embedding catheter
Hospitalization cost
Initiation
Length of hospitalization
Peritoneal dialysis
Stepwise initiation of PD using Moncrief and Popovich’s technique (SMAP)
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
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.
Publisher
Springer
Source Title
Clinical and Experimental Nephrology
Volume (Issue)
28
Page
245-253
Date of Issued
2023-11-14
Language
English
Handle URL
https://hdl.handle.net/11094/93367
PISSN
13421751
eISSN
14377799
Relation.isIdenticalTo
DOI (Publisher Version)
https://doi.org/10.1007/s10157-023-02416-z
Access Rights
open access
CopyRight
This article is licensed under a Creative Commons Attribution 4.0 International License.
oaire:version
Version of Record
Category
学術雑誌論文 Journal Article