{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:40:47Z","timestamp":1777927247929,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T00:00:00Z","timestamp":1761350400000},"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":["Perit Dial Int"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The clinical outcomes of starting peritoneal dialysis (PD) in kidney failure patients according to different break-in periods are not well established. Our aim was to assess whether the strategy of PD initiation interferes with clinical outcomes over the initial 180 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included incident kidney failure patients starting PD at a single center (November 2016\u2013July 2022). Patients were divided into three groups: (1) Urgent-start (US-PD), initiated within 3 days after catheter insertion without prior hemodialysis (HD); (2) Early-start (ES-PD), initiated between 3\u201314 days, including those with \u226430 days of prior HD; (3) Planned-start (Plan-PD), initiated after 15 days without prior HD. Mechanical and infectious complications, hospitalizations, mortality, and time on PD were compared at 180 days. Patient dropout was defined as the discontinuation of PD due to death or transfer to HD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 211 patients were included: 118 (55.9%) US-PD, 46 (21.9%) ES-PD, and 47 (22.2%) Plan-PD. Among ES-PD patients, 15 (32.6%) had prior HD (&lt;30 days \u2013 median time 19 days). Catheter insertion was mostly performed by nephrologists (60.6%) using the modified Seldinger technique (59.2%). Early complications included catheter dysfunction, which occurred in 12.7% of the overall cohort (17.8% in US-PD vs. 4.3% in ES-PD vs. 8.5% in Plan-PD; p\u2009=\u20090.04), and leakage, observed in 7.1% of the overall cohort (9.3% in US-PD vs. 6.5% in ES-PD vs. 2.1% in Plan-PD; p\u2009=\u20090.26). Later complications, hospitalizations, mortality, and time on PD did not differ significantly between groups. Peritonitis, poor education, and hospitalization were associated with dropout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although initiating PD within 72\u2005h of catheter insertion was associated with more mechanical complications in our study, it resulted in similar clinical outcomes to Planned-start PD patients within the first 6 months of therapy, making it a viable option for urgent dialysis initiation in kidney failure patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08968608251383017","type":"journal-article","created":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T19:36:28Z","timestamp":1761420988000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of three strategies (urgent vs. early vs. planned-start) of peritoneal dialysis initiation in kidney failure patients requiring dialysis"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5239-8984","authenticated-orcid":false,"given":"Gabriela","family":"Sevignani","sequence":"first","affiliation":[{"name":"Internal Medicine Department, Postgraduate Program in Internal Medicine and Health Sciences of the Federal University of Paran\u00e1, Curitiba, Brazil"},{"name":"Research Department, Pro-Rim Foundation, Joinville, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9696-0529","authenticated-orcid":false,"given":"Viviane","family":"Calice-Silva","sequence":"additional","affiliation":[{"name":"Research Department, Pro-Rim Foundation, Joinville, Brazil"},{"name":"School of Medicine, University of Joinville's Region, Joinville, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanna Cyrillo","family":"Bagio","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Joinville's Region, Joinville, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4507-9564","authenticated-orcid":false,"given":"Camila","family":"Tosin","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Joinville's Region, Joinville, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milena Veiga","family":"Wiggers","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Joinville's Region, Joinville, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1187-9247","authenticated-orcid":false,"given":"Murilo","family":"Pilatti","sequence":"additional","affiliation":[{"name":"Research Department, Pro-Rim Foundation, Joinville, Brazil"},{"name":"School of Medicine, University of Joinville's Region, Joinville, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2876-2923","authenticated-orcid":false,"given":"Marcelo Mazza","family":"do Nascimento","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Postgraduate Program in Internal Medicine and Health Sciences of the Federal University of Paran\u00e1, Curitiba, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gft487"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2011.08.034"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1159\/000529133"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2014.190"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.09.003"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2010111155"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0300060520940435"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2012070643"},{"key":"e_1_3_3_10_2","article-title":"Urgent-start peritoneal dialysis versus haemodialysis for people with chronic kidney disease","volume":"2021","author":"Htay H","year":"2021","unstructured":"Htay H, Johnson DW, Craig JC, et al. Urgent-start peritoneal dialysis versus haemodialysis for people with chronic kidney disease. Cochrane Database Syst Rev 2021; 2021: CD012899.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfr262"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0166181"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.02820318"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2018.00232"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/08968608231172740"},{"key":"e_1_3_3_16_2","article-title":"Urgent-start peritoneal dialysis versus conventional-start peritoneal dialysis for people with chronic kidney disease","volume":"12","author":"Htay H","year":"2020","unstructured":"Htay H, Johnson DW, Craig JC, et al. Urgent-start peritoneal dialysis versus conventional-start peritoneal dialysis for people with chronic kidney disease. Cochrane Database Syst Rev 2020; 12: CD012913.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_3_17_2","first-page":"2158","article-title":"Urgent-start peritoneal dialysis and patient outcomes: a systematic review and meta-analysis","volume":"23","author":"Zang XJ","year":"2019","unstructured":"Zang XJ, Yang B, Du X, et al. Urgent-start peritoneal dialysis and patient outcomes: a systematic review and meta-analysis. Eur Rev Med Pharmacol Sci 2019; 23: 2158\u20132166.","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/0896860820918710"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1159\/000486543"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1590\/2175-8239-jbn-2021-0287en"},{"key":"e_1_3_3_21_2","article-title":"Early technical complications and long-term survival of urgent peritoneal dialysis according to break-in periods","volume":"13","author":"Kim K","year":"2018","unstructured":"Kim K, Son YK, Lee SM, et al. Early technical complications and long-term survival of urgent peritoneal dialysis according to break-in periods. 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