{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T08:36:01Z","timestamp":1785227761757,"version":"3.55.0"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>End-stage kidney disease (ESKD) is a rising global health challenge. Despite superior quality of life and cost-effectiveness, only 11% of patients initiate renal replacement therapy with peritoneal dialysis (PD), primarily due to the traditional extended break-in period. Recent advancements in percutaneous catheter placement have facilitated urgent-start and early-start PD protocols. This study compared the break-in period [immediate-start PD (&amp;lt;24 h)] and catheter placement\u2013related complications between percutaneous and surgical techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective multicenter study analyzed 429 patients who underwent PD catheter insertion at three Mexican nephrology centers; 416 patients had confirmed ESKD. Techniques included mini-laparotomy and percutaneous methods (stylet or Seldinger). Data collection encompassed baseline characteristics, break-in periods and 30-day complications, classified as minor (mechanical and infectious) or major (bleeding, visceral perforation and death).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The majority of patients initiated PD within 24\u00a0h of catheter placement, and 49% within 6\u00a0h, 88% of patients using the Stylet technique and 58% of those using the Seldinger technique, compared with 3.8% using mini-laparotomy (P\u00a0&amp;lt;\u00a0.001). Percutaneous techniques represented 97% of the break-in periods within 6\u00a0h, whereas mini-laparotomy accounted for 91% of the break-in periods between 25 and 72\u00a0h. Complications affected 30% of the patients overall, with mechanical issues (23%) predominating, including outflow failure (19%) and catheter migration (9.1%), with no differences observed between techniques (P\u00a0=\u00a0.9, P\u00a0=\u00a0.8). The rate of repositioning was greater with the use of percutaneous methods (13%\u201314% vs 4%, P\u00a0=\u00a0.008). Infections were more common with mini-laparotomy (14% vs 7.4%\u20138.3%, P\u00a0=\u00a0.12), with exit-site infections (8.1% vs 1.4%\u20132.2%, P\u00a0=\u00a0.006) and tunnelitis (6.0% vs 0.7%\u20132.8%, P\u00a0=\u00a0.041) exhibiting significance. Mini-laparotomy increased the risk of infection (odds ratio 2.13, 95% confidence interval 1.02\u20134.44; P\u00a0=\u00a0.043).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Immediate-start PD, defined as initiation within 24\u00a0h of catheter placement, is safe and feasible. These findings support the expansion of nephrologist training in percutaneous placement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ckj\/sfag080","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T12:36:07Z","timestamp":1773837367000},"source":"Crossref","is-referenced-by-count":1,"title":["Safety and feasibility of initiating peritoneal dialysis within 24 h after percutaneous versus surgical catheter placement"],"prefix":"10.1093","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4749-8503","authenticated-orcid":false,"given":"Brenda Guadalupe","family":"Cortez-Flores","sequence":"first","affiliation":[{"name":"Instituto Nacional de Cardiolog\u00eda Ignacio Chavez Department of Nephrology, , Mexico City ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cesar R","family":"Barrientos","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n Department of Nephrology and Mineral Metabolism, , Mexico City ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Galindo","sequence":"additional","affiliation":[{"name":"Hospital General de M\u00e9xico Dr. Eduardo Liceaga Department of Nephrology, , Mexico City ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosario G","family":"Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Ciencias M\u00e9dicas y Nutrici\u00f3n Salvador Zubir\u00e1n Department of Nephrology and Mineral Metabolism, , Mexico City ,","place":["Mexico"]},{"name":"Instituto de Seguridad Social del Estado de M\u00e9xico y Municipios Department of Nephrology, , Ecatepec ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Reyna-Blanco","sequence":"additional","affiliation":[{"name":"Hospital General de M\u00e9xico Dr. Eduardo Liceaga Department of Nephrology, , Mexico City ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rub\u00e9n Garrido","family":"Rold\u00e1n","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Cardiolog\u00eda Ignacio Chavez Department of Nephrology, , Mexico City ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9ctor Benjam\u00edn Garc\u00eda","family":"Aguilar","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Cardiolog\u00eda Ignacio Chavez Department of Nephrology, , Mexico City ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J Sergio Barr\u00f3n","family":"Morales","sequence":"additional","affiliation":[{"name":"Instituto de Seguridad Social del Estado de M\u00e9xico y Municipios Department of Nephrology, , Ecatepec ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J Emilio","family":"Sanchez-Alvarez","sequence":"additional","affiliation":[{"name":"Hospital Universitario Central Asturias , Oviedo ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0028-7844","authenticated-orcid":false,"given":"Bernardo","family":"Moguel-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Cardiolog\u00eda Ignacio Chavez Department of Nephrology, , Mexico City ,","place":["Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"2026050110511535300_bib1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/bmjopen-2019-035285","article-title":"Overview of the burden of chronic kidney disease in Mexico: secondary data analysis based on the Global Burden of Disease Study 2017","volume":"10","author":"Agudelo-Botero","year":"2020","journal-title":"BMJ Open"},{"key":"2026050110511535300_bib2","doi-asserted-by":"publisher","first-page":"534","DOI":"10.34067\/KID.0000912020","article-title":"Global dialysis perspective: Mexico","volume-title":"Kidney360","author":"Vasquez-Jimenez","year":"2020"},{"key":"2026050110511535300_bib3","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1097\/MNH.0000000000000545","article-title":"Urgent-start peritoneal dialysis: is it ready for prime time?","volume":"28","author":"Tunbridge","year":"2019","journal-title":"Curr Opin Nephrol Hypertens"},{"key":"2026050110511535300_bib4","first-page":"15","article-title":"Urgent-start peritoneal dialysis: current state and future directions","volume-title":"Kidney Dial","author":"Vogt","year":"2024"},{"key":"2026050110511535300_bib5","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1016\/j.nefroe.2022.05.010","article-title":"Urgent-start peritoneal dialysis","volume":"43","author":"Yaxley","year":"2023","journal-title":"Nefrologia (Engl Ed)"},{"key":"2026050110511535300_bib6","doi-asserted-by":"publisher","first-page":"49","DOI":"10.3747\/pdi.2012.00293","article-title":"Impact of break-in period on the short-term outcomes of patients started on peritoneal dialysis","volume":"34","author":"Liu","year":"2014","journal-title":"Perit Dial Int"},{"key":"2026050110511535300_bib7","doi-asserted-by":"publisher","first-page":"1278","DOI":"10.2215\/CJN.02820318","article-title":"Urgent start peritoneal dialysis, defining what it is and why it matters","volume":"13","author":"Blake","year":"2018","journal-title":"Clin J Am Soc Nephrol"},{"key":"2026050110511535300_bib8","doi-asserted-by":"publisher","first-page":"414","DOI":"10.3747\/pdi.2018.00232","article-title":"Creating and maintaining optimal peritoneal dialysis access in the adult patient: 2019 update","volume":"39","author":"Crabtree","year":"2019","journal-title":"Perit Dial Int"},{"key":"2026050110511535300_bib9","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1111\/j.0894-0959.2004.17355.x","article-title":"Peritoneal dialysis access-related procedures by nephrologists","volume":"17","author":"Asif","year":"2004","journal-title":"Semin Dial"},{"key":"2026050110511535300_bib10","doi-asserted-by":"publisher","first-page":"142","DOI":"10.3747\/pdi.2009.00066","article-title":"Who should place peritoneal dialysis catheters?","volume":"30","author":"Crabtree","year":"2010","journal-title":"Perit Dial Int"},{"key":"2026050110511535300_bib11","doi-asserted-by":"publisher","first-page":"S27","DOI":"10.1038\/sj.ki.5001913","article-title":"Selected best demonstrated practices in peritoneal dialysis access","volume":"70","author":"Crabtree","year":"2006","journal-title":"Kidney Int"},{"key":"2026050110511535300_bib12","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1177\/08968608221080586","article-title":"ISPD peritonitis guideline recommendations: 2022 update on prevention and treatment","volume":"42","author":"Li","year":"2022","journal-title":"Perit Dial Int"},{"key":"2026050110511535300_bib13","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1053\/j.ajkd.2016.12.021","article-title":"Urgent-start peritoneal dialysis complications: prevalence and risk factors","volume":"70","author":"Xu","year":"2017","journal-title":"Am J Kidney Dis"},{"key":"2026050110511535300_bib14","doi-asserted-by":"publisher","first-page":"1722","DOI":"10.1016\/j.ekir.2020.07.025","article-title":"Factors associated with urgent-start peritoneal dialysis catheter complications in ESRD","volume":"5","author":"Hern\u00e1ndez-Castillo","year":"2020","journal-title":"Kidney Int Rep"},{"key":"2026050110511535300_bib15","doi-asserted-by":"publisher","first-page":"556","DOI":"10.1159\/000529133","article-title":"Urgent-start peritoneal dialysis: Brazilian experience","volume":"52","author":"Alves","year":"2023","journal-title":"Blood Purif"},{"key":"2026050110511535300_bib16","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1159\/000478970","article-title":"Urgent-start peritoneal dialysis: the first year of Brazilian experience","volume":"44","author":"Bitencourt\u00a0Dias","year":"2017","journal-title":"Blood Purif"},{"key":"2026050110511535300_bib17","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1681\/ASN.0000000000000250","article-title":"Peritoneal dialysis catheter complications after insertion by surgeons, Radiologists, or nephrologists","volume":"35","author":"Ku","year":"2024","journal-title":"J Am Soc Nephrol"},{"key":"2026050110511535300_bib18","doi-asserted-by":"publisher","first-page":"447","DOI":"10.2215\/CJN.07920910","article-title":"Peritoneal dialysis first: rationale","volume":"6","author":"Chaudhary","year":"2011","journal-title":"Clin J Am Soc Nephrol"},{"key":"2026050110511535300_bib19","doi-asserted-by":"publisher","first-page":"400","DOI":"10.1053\/j.ajkd.2011.08.034","article-title":"Urgent-start peritoneal dialysis: a quality improvement report","volume":"59","author":"Ghaffari","year":"2012","journal-title":"Am J Kidney Dis"},{"key":"2026050110511535300_bib20","doi-asserted-by":"publisher","first-page":"576","DOI":"10.3747\/pdi.2013.00003","article-title":"Comparison of percutaneous and open surgical techniques for first-time peritoneal dialysis catheter placement in the unbreached peritoneum","volume":"35","author":"Medani","year":"2015","journal-title":"Perit Dial Int"},{"key":"2026050110511535300_bib21","doi-asserted-by":"publisher","first-page":"3499","DOI":"10.1093\/ndt\/gfp312","article-title":"Safety and efficacy of percutaneous insertion of peritoneal dialysis catheters under sedation and local anaesthetic","volume":"24","author":"Henderson","year":"2009","journal-title":"Nephrol Dial Transplant"},{"key":"2026050110511535300_bib22","doi-asserted-by":"crossref","first-page":"1893","DOI":"10.1093\/ndt\/16.9.1893","article-title":"Technical survival of CAPD catheters: comparison between percutaneous and conventional surgical placement techniques","volume":"16","author":"\u00d6zener","year":"2001","journal-title":"Nephrol Dial Transplant"},{"key":"2026050110511535300_bib23","doi-asserted-by":"publisher","first-page":"1681","DOI":"10.1007\/s40620-020-00896-w","article-title":"Surgical versus percutaneous catheter placement for peritoneal dialysis: an updated systematic review and meta-analysis","volume":"34","author":"Esagian","year":"2021","journal-title":"J Nephrol"},{"key":"2026050110511535300_bib24","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1159\/000516145","article-title":"Comparison of outcomes between percutaneous and surgical placement of peritoneal dialysis catheters in uremic patients: a meta-analysis","volume":"51","author":"Huang","year":"2022","journal-title":"Blood Purif"},{"key":"2026050110511535300_bib25","doi-asserted-by":"publisher","first-page":"365","DOI":"10.23876\/j.krcp.20.006","article-title":"Percutaneous peritoneal dialysis catheter implantation with no break-in period: a viable option for patients requiring unplanned urgent-start peritoneal dialysis","volume":"39","author":"Kim","year":"2020","journal-title":"Kidney Res Clin Pract"},{"key":"2026050110511535300_bib26","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1159\/000486543","article-title":"Emergent start peritoneal dialysis for end-stage renal disease: outcomes and advantages","volume-title":"Blood Purif","author":"Nayak","year":"2018"}],"container-title":["Clinical Kidney Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ckj\/advance-article-pdf\/doi\/10.1093\/ckj\/sfag080\/67389913\/sfag080.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ckj\/article-pdf\/19\/5\/sfag080\/67389913\/sfag080.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ckj\/article-pdf\/19\/5\/sfag080\/67389913\/sfag080.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T14:51:26Z","timestamp":1777647086000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ckj\/article\/doi\/10.1093\/ckj\/sfag080\/8527597"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,18]]},"references-count":26,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ckj\/sfag080","relation":{},"ISSN":["2048-8505","2048-8513"],"issn-type":[{"value":"2048-8505","type":"print"},{"value":"2048-8513","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,5]]},"published":{"date-parts":[[2026,3,18]]},"article-number":"sfag080"}}