What does this research mean for the field?

While routine peritoneal dialysis catheter flushing is nearly universal in U.S. pediatric centers, specific practices regarding timing, frequency, solution type, and heparin use vary considerably. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To characterize institutional practice patterns and protocol variation for peritoneal dialysis catheter flushing between surgical placement and dialysis initiation across U.S. pediatric centers.

August 29, 2026Peritoneal Dialysis InternationalOpen Access

Peritoneal dialysis catheter flushing in children: A national survey of practice patterns

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Authors

ELEva Maria Glenn Lecea ABAlexandra Bicki MFMeghan Finn

Discussion

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Overview

Cross-sectional survey reveals wide variation in peritoneal dialysis catheter flushing protocols among pediatric centers, highlighting the need for standardized, evidence-based guidelines.

Key Points

To characterize institutional practice patterns and protocol variation for peritoneal dialysis catheter flushing between surgical placement and dialysis initiation across U.S. pediatric centers.
Distributed a 17-item cross-sectional survey evaluating catheter flushing protocols to SCOPE-affiliated pediatric peritoneal dialysis centers via an in-person meeting and email follow-up.
Analyzed center-level descriptive data from 43 responding pediatric programs out of 60 invited centers (72% response rate).
Routine catheter flushing was reported by 98% of centers, with 83% maintaining a formal institutional protocol, most commonly initiated on postoperative days 0–1 or around 1 week post-placement at weekly intervals.
Flushing solutions consisted primarily of Dianeal 1.5% (49%) or normal saline (39%) at a typical volume of 10 mL/kg; heparin was utilized routinely in 34%, selectively in 27%, and never in 39% of centers.

Cite This Study

Lecea et al. (2026) studied this question.

synapsesocial.com/papers/6a9299ac8e5d7d1fc0c11ca4 https://doi.org/10.1177/08968608261480219

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August 29, 2026Peritoneal Dialysis InternationalOpen Access

Peritoneal dialysis catheter flushing in children: A national survey of practice patterns

View Full Paper

Ask AI

Bookmark

Authors

ELEva Maria Glenn Lecea ABAlexandra Bicki MFMeghan Finn

Discussion

Member takes

Overview

Cross-sectional survey reveals wide variation in peritoneal dialysis catheter flushing protocols among pediatric centers, highlighting the need for standardized, evidence-based guidelines.

Key Points

To characterize institutional practice patterns and protocol variation for peritoneal dialysis catheter flushing between surgical placement and dialysis initiation across U.S. pediatric centers.
Distributed a 17-item cross-sectional survey evaluating catheter flushing protocols to SCOPE-affiliated pediatric peritoneal dialysis centers via an in-person meeting and email follow-up.
Analyzed center-level descriptive data from 43 responding pediatric programs out of 60 invited centers (72% response rate).
Routine catheter flushing was reported by 98% of centers, with 83% maintaining a formal institutional protocol, most commonly initiated on postoperative days 0–1 or around 1 week post-placement at weekly intervals.
Flushing solutions consisted primarily of Dianeal 1.5% (49%) or normal saline (39%) at a typical volume of 10 mL/kg; heparin was utilized routinely in 34%, selectively in 27%, and never in 39% of centers.

Cite This Study

Lecea et al. (2026) studied this question.

synapsesocial.com/papers/6a9299ac8e5d7d1fc0c11ca4 https://doi.org/10.1177/08968608261480219

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