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NDT Advance Access originally published online on September 10, 2009
Nephrology Dialysis Transplantation 2009 24(11):3274-3276; doi:10.1093/ndt/gfp447
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© The Author 2009. Published by Oxford University Press [on behalf of ERA-EDTA]. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org


Importance of peritoneal dialysis catheter insertion by nephrologists: practice makes perfect

Philip Kam-tao Li and Kai Ming Chow

Division of Nephrology, Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong, Hong Kong

Correspondence and offprint requests to: Philip KT Li; E-mail: philipli@cuhk.edu.hk

Keywords: nephrologists; peritoneal dialysis; Seldinger technique; Tenckhoff catheter

The first 10% of the full text of this article appears below.

‘Practice makes perfect’ is one of the most oft-heard aphorisms during our years of upbringing and education. Indeed, we believe that this rule makes perfect sense when applied to the practice of peritoneal dialysis.

To date, there have been no robust randomized trials qualified enough to stir the cauldron that determines superiority (if any) of one dialysis modality over another. Although everyone agrees that selection of peritoneal dialysis versus haemodialysis is an individualized choice, the optimal means of patient selection is hotly debated [1]. The key question is whether patients have shown better survival with one particular modality of dialysis versus another. Accumulating evidence shows an important role for the centre effect in determining treatment success. For example, data from population-based or nationwide cohorts show that increasing cumulative numbers of treated peritoneal dialysis patients . . . [Full Text of this Article]


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