{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T12:29:11Z","timestamp":1765974551242,"version":"3.48.0"},"reference-count":16,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T00:00:00Z","timestamp":1755907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["JP21K11199"],"award-info":[{"award-number":["JP21K11199"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ther Apher Dial"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Accurate patient self\u2010assessment of catheter exit\u2010site conditions is vital to prevent catheter\u2010related infections (CRI) and ensure effective treatment in patients with peritoneal dialysis (PD). This study aimed to evaluate the concordance between PD patients' self\u2010assessment of their catheter exit\u2010site conditions and that of healthcare professionals and to analyze the trend in concordance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective observational study was conducted on 44 patients who started PD. The patients were assessed monthly using an exit\u2010site scoring system. Questionnaires were used for patients' self\u2010assessments. The concordance between both evaluations was analyzed over 12\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean concordance rate between patient self\u2010assessments and healthcare professional evaluations was 88%. The concordance rate was higher when no abnormalities were detected (93.8%) and lower when abnormalities were detected (63.2%), decreasing over time in both cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Overall, a high concordance was observed between patient and healthcare professional assessments of PD catheter exit sites. However, the concordance was lower when abnormalities were present and tended to decrease over time, highlighting the potential need for continuous patient education to maintain accurate self\u2010assessment.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      UMIN000037871 and 000039224.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1744-9987.70076","type":"journal-article","created":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T10:14:26Z","timestamp":1755944066000},"page":"898-904","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Examination of the Concordance Between Healthcare Professionals' and the Patient's Own Assessment of the Peritoneal Dialysis Catheter Exit Site"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4132-2060","authenticated-orcid":false,"given":"Junichiro","family":"Nakata","sequence":"first","affiliation":[{"name":"Department of Nephrology Juntendo University Faculty of Medicine  Tokyo Japan"},{"name":"Department of Nephrology and Hypertension Juntendo Tokyo Koto Geriatric Medical Center  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haruna","family":"Fukuzaki","sequence":"additional","affiliation":[{"name":"Department of Nephrology Juntendo University Faculty of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2627-2851","authenticated-orcid":false,"given":"Takuya","family":"Maeda","sequence":"additional","affiliation":[{"name":"Department of Nephrology Juntendo University Faculty of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Nephrology Juntendo University Faculty of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3041-0416","authenticated-orcid":false,"given":"Toshiki","family":"Kano","sequence":"additional","affiliation":[{"name":"Department of Nephrology Juntendo University Faculty of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nao","family":"Nohara","sequence":"additional","affiliation":[{"name":"Department of Nephrology Juntendo University Faculty of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9446-2390","authenticated-orcid":false,"given":"Hiroaki","family":"Io","sequence":"additional","affiliation":[{"name":"Department of Nephrology Juntendo University Faculty of Medicine  Tokyo Japan"},{"name":"Department of Nephrology Juntendo University Nerima Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Nephrology Juntendo University Faculty of Medicine  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/08968608231172740"},{"key":"e_1_2_11_3_1","first-page":"313","article-title":"ISPD Peritonitis Guideline Recommendations: 2022 Update on Prevention and Treatment","volume":"38","author":"Li P. K.","year":"2022","journal-title":"Peritoneal Dialysis International"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2010.00185"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2011121135"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.00980112"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2018.00232"},{"key":"e_1_2_11_8_1","first-page":"8","article-title":"European Best Practice Guidelines for Peritoneal Dialysis. 3 Peritoneal Access","volume":"20","author":"Dombros N.","year":"2005","journal-title":"Nephrology, Dialysis, Transplantation"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/089686089601603S05"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-03878-5"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2015.00277"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2016.00120"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.V101136"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2010.00287"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.883299"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-30785-z"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfu403"}],"container-title":["Therapeutic Apheresis and Dialysis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1744-9987.70076","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T12:21:44Z","timestamp":1765974104000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1744-9987.70076"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,23]]},"references-count":16,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1111\/1744-9987.70076"],"URL":"https:\/\/doi.org\/10.1111\/1744-9987.70076","archive":["Portico"],"relation":{},"ISSN":["1744-9979","1744-9987"],"issn-type":[{"type":"print","value":"1744-9979"},{"type":"electronic","value":"1744-9987"}],"subject":[],"published":{"date-parts":[[2025,8,23]]},"assertion":[{"value":"2025-05-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}