Prospective studies on applications of a two-cuff Swan neck catheter and a Tenckhoff catheter to Chinese CAPD patients.
OBJECTIVE
To compare the difference of clinical curative effects of continuous ambulant peritoneal dialysis (CAPD) patients in China by using a two-cuff Swan neck catheter and a Tenckhoff catheter.


METHODS
110 patients with end-stage renal disease (ESRD) were enrolled. They were divided into Group A (Swan neck catheter group, n = 55) and Group B (Tenckhoff catheter group, n = 55). One-year follow-up visits were made and information was recorded. Survival analysis was made by adopting the Kaplan-Meier method.


RESULTS
After 12 month follow-up visits, 17 patients had died, 3 had been transferred to renal transplantation, 8 had been transferred to hemodialysis, 3 were transferred to other hospitals, and the remaining 79 patients (71.8%) continued their peritoneal dialysis therapy in our hospital. 26 patients in both groups had peritonitis, with a total of 35 occurrences taking place. The total incidence of peritonitis was 0.32 times/patient year, with the detailed figure of 0.35 times/patient year for Group A and 0.29 times/patient year for Group B respectively (p > 0.05). Regarding mechanical complications of the 2 groups concerned, including catheter tip migration, Omental enwrapment, peritoneal dialysate leakage, skid of outer cuff, incidence of inguinal hernia and bellyache, etc, no significant difference existed between two groups (p > 0.05). The two groups had the same 12-month technical survival rate of 92.73%. The 12-month survival rate for Group A was 86.34% while the corresponding figure for Group B was 80.68% (p > 0.05).


CONCLUSIONS
Infections, mechanical complications, technical survival rate and patients' survival rate were quite similar, when a Swan neck catheter and a Tenckhoff catheter were used in Chinese CAPD patients.
Xie
J Y
JY
Department of Nephrology, Shanghai Ruijin Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, P.R. China.
Chen
N
N
Ren
H
H
Huang
X M
XM
Zhu
P
P
D055499:Catheter-Related Infections / Q000209:etiology; D002408:Catheters, Indwelling / Q000009:adverse effects; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000401:mortality / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000295:instrumentation* / Q000401:mortality; D010538:Peritonitis / Q000209:etiology; D016019:Survival Analysis; D015996:Survival Rate