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This research compares the effectiveness of Tenckhoff catheters to rigid catheters for peritoneal dialysis in children from low and middle-income countries.

March 28, 2026Open Access

Wcn26-7733 a Comparative Study of Percutaneously Placed Tenckhoff Catheter Vresus Rigid Catheter for Acute Peritoneal Dialysis in Children From Low & Middle-Income Country

Key Points

This research compares the effectiveness of Tenckhoff catheters to rigid catheters for peritoneal dialysis in children from low and middle-income countries.
Assessments made on acute peritoneal dialysis duration and related events over time.
Involvement of 2,477 patients with adjustments for factors like age and gender.
Comparison of outcomes including all-cause death, hospitalization rates, and peritonitis incidence.
RPM-APD linked to lower all-cause death rates (HR 0.82) and reduced hospital transfers (SHR 0.86).
Fewer annual hospitalizations for RPM-APD patients with a rate ratio of 0.70.
No significant differences in peritonitis and major adverse cardiac events between groups.

Abstract

hemodialysis (HD).Secondary outcomes included peritonitis, major adverse cardiac events (MACE), and hospitalization burden.Outcomes were assessed throughout the PD duration, from the index date until event occurrence, death, HD transfer, kidney transplantation, or the end of follow-up (December 31, 2020 for APD; December 31, 2023 for RPM-APD).Results: Among 2,477 patients, the mean age was 53.6 years, 54.5% were male, and the mean follow-up was 2.0 years.In the IPTWadjusted cohort, RPM-APD was associated with lower risks of all-cause death (hazard ratio HR 0.82, 95% CI 0.69-0.99;P = 0.037) and HD transfer (subdistribution hazard ratio SHR 0.86, 95% CI 0.77-0.96;P = 0.007).These findings were consistent in the PSM cohort.The risks of peritonitis and MACE were similar between groups, but RPM-APD patients had fewer annual hospitalizations (rate ratio 0.70, 95% CI 0.68-0.73;P < 0.001). Conclusion:In this population-based real-world study, RPM-APD was associated with improved survival, reduced HD transfer, and fewer hospitalizations compared with conventional APD.These findings support the clinical value of remote patient management as an effective strategy to enhance peritoneal dialysis care.I have no potential conflict of interest to disclose.I did not use generative AI and AI-assisted technologies in the writing process.

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Cite This Study

Kanav Anand (Wed,) studied this question.

synapsesocial.com/papers/69c770888bbfbc51511e0906 https://doi.org/https://doi.org/10.1016/j.ekir.2026.105917

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