{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:40:48Z","timestamp":1777448448272,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,6,21]],"date-time":"2025-06-21T00:00:00Z","timestamp":1750464000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,6,21]],"date-time":"2025-06-21T00:00:00Z","timestamp":1750464000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Traditionally peritoneal dialysis (PD) is initiated &gt;3 weeks post-placement for tract maturation. The pandemic spurred a need for earlier initiation. We hypothesized that there is no significant difference between outcomes of early start (&lt;2 weeks) vs standard (&gt;2 weeks).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review was conducted between 2020 to 2022 at a safety-net hospital and included patients who received a PD catheter (\u201cPDC\u201d). Demographics, technique, dialysate volume, and outcomes were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      83 patients met criteria. 47\/83 (56.6%) were male, the average age was 49.9 [41-60] years, and average BMI was 30.7 [26-34.6]. Average dialysate volume was 2.13\u00a0L (\u00b11.31). There were no significant differences in readmissions, reoperations, or catheter issues between the two groups. Patients with higher BMI and catheter-related issues were more likely to be readmitted (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0003) and undergo reoperation (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0021).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early initiation of PD was not associated with significant differences in complications compared to standard start. Our study demonstrates the feasibility and safety of early PD initiation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348251350993","type":"journal-article","created":{"date-parts":[[2025,6,21]],"date-time":"2025-06-21T07:46:26Z","timestamp":1750491986000},"page":"75-81","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Safety and Feasibility of Early Initiation of Peritoneal Dialysis at a Safety-Net Hospital"],"prefix":"10.1177","volume":"92","author":[{"given":"Caleb","family":"Graham","sequence":"first","affiliation":[{"name":"University of Texas Southwestern Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelsey","family":"Melinosky","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bingchun","family":"Wan","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Lym","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"McConahey","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heba","family":"Zakaria","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Shoultz","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Shang-Yan Luk","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan Carol","family":"Hambrick","sequence":"additional","affiliation":[{"name":"Surgical Services, Parkland Memorial Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jalen","family":"Harvey","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3994-8125","authenticated-orcid":false,"given":"Caroline","family":"Park","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,21]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"American Kidney Fund. (2022). Annual report 2021. https:\/\/www.kidneyfund.org\/sites\/default\/files\/media\/documents\/AKF-2022-Annual_Report_Web.pdf"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.semnephrol.2012.10.003"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2013.09.018"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2016.12.021"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1159\/000478970"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2016.00308"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/089686080702700215"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfn213"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2022.05.032"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2017.00002"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2005.18215.x"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/1744-9987.13945"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.5414\/CN110619"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/0886022X.2024.2312533"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfr262"},{"key":"e_1_3_4_17_2","first-page":"64","article-title":"Early and late peritoneal dialysate leaks in patients on CAPD","volume":"6","author":"Tzamaloukas AH","year":"1990","unstructured":"Tzamaloukas AH, Gibel LJ, Eisenberg B, et al. Early and late peritoneal dialysate leaks in patients on CAPD. Adv Perit Dial. 1990;6:64-71. 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