{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T08:11:59Z","timestamp":1772957519720,"version":"3.50.1"},"reference-count":16,"publisher":"Registre de Dialyse Peritoneale de Langue Francaise (RDPLF)","issue":"1","license":[{"start":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T00:00:00Z","timestamp":1772928000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bull Dial Domic"],"abstract":"<jats:p>Introduction:\u00a0Peritoneal dialysis is a kidney replacement therapy with outcomes comparable to hemodialysis, although kidney transplantation remains the optimal treatment. The appropriate timing for removing the peritoneal dialysis catheter after transplantation is uncertain, as it may affect patient recovery and graft performance. This study aimed to evaluate infectious complications associated with retained peritoneal dialysis catheters after transplantation and to identify a suitable moment for their removal.\r\nMethods:\u00a0A retrospective review of all patients who underwent kidney transplantation between January 2013 and June 2023 was performed. Descriptive and inferential analyses were used to assess the timing of catheter removal, catheter-related infections, and post-transplant dialysis needs. Continuous variables were analyzed with the Mann-Whitney U test, while nominal variables were evaluated using Chi-square or Fisher\u2019s exact tests.\r\nResults:\u00a0The median time to catheter removal was 4.5 months. Infectious complications occurred in 21 patients, representing 17.2% of the cohort, with exit-site infections being the most frequent event. Donor type and prior infections did not significantly influence infection rates. In living-donor transplantations, only 4.5% of catheters were removed during the transplant surgery.\r\nDiscussion:\u00a0These findings support individualized decisions regarding peritoneal dialysis catheter removal, particularly for patients with a low risk of delayed graft function. A risk-based decision algorithm is proposed to assist clinicians. Although current practice aligns with existing guidance, the infectious risks linked to maintaining the catheter suggest that earlier removal should be considered. A tailored approach may improve clinical outcomes and facilitate a safer transition from peritoneal dialysis to kidney transplantation.<\/jats:p>","DOI":"10.25796\/bdd.v9i1.87097","type":"journal-article","created":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T23:11:36Z","timestamp":1772925096000},"page":"1-11","source":"Crossref","is-referenced-by-count":0,"title":["Managing peritoneal dialysis catheter after kidney transplant"],"prefix":"10.25796","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8924-0810","authenticated-orcid":false,"given":"Beatriz","family":"Gil Braga","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9923-5973","authenticated-orcid":false,"given":"Sofia","family":"Leit\u00e3o e Sousa","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7755-128X","authenticated-orcid":false,"given":"Ana","family":"Cunha","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8984-1751","authenticated-orcid":false,"given":"Isabel","family":"Fonseca","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4374-2867","authenticated-orcid":false,"given":"Maria Jo\u00e3o","family":"Carvalho","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8818-2141","authenticated-orcid":false,"given":"Anabela","family":"Rodrigues","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3776-4923","authenticated-orcid":false,"given":"Joana","family":"Tavares","sequence":"additional","affiliation":[]}],"member":"28262","published-online":{"date-parts":[[2026,3,8]]},"reference":[{"key":"88897","doi-asserted-by":"crossref","unstructured":"Gardezi AI, Muth B, Ghaffar A, Aziz F, Garg N, Mohamed M, Foley D, Kaufman D, Djamali A, Mandelbrot D, Parajuli S. Continuation of peritoneal dialysis in adult kidney transplant recipients with delayed graft function. Kidney Int Rep 2021;6(6):1634-41. https:\/\/doi.org\/10.1016\/j.ekir.2021.03.899.","DOI":"10.1016\/j.ekir.2021.03.899"},{"key":"88898","doi-asserted-by":"crossref","unstructured":"Rizzi AM, Riutta SD, Peterson JM, Gagin G, Fritze DM, Barrett M, Sung RS, Woodside KJ, Lu Y. Risk of peritoneal dialysis catheter-associated peritonitis following kidney transplant. Clin Transplant 2018;32(3):e13189. https:\/\/doi.org\/10.1111\/ctr.13189.","DOI":"10.1111\/ctr.13189"},{"key":"88899","doi-asserted-by":"crossref","unstructured":"D\u0119bska-\u015alizie\u0144 A, Bobkowska-Macuk A, Bzoma B, Moszkowska G, Milecka A, Zadro\u017cny D, Wo\u0142yniec W, Chamienia A, Lichodziejewska-Niemierko M, Kr\u00f3l E, \u015aledzi\u0144ski Z, Rutkowski B. Paired analysis of outcomes after kidney transplantation in peritoneal and hemodialysis patients. Transplant Proc 2018;50(6):1646-53. https:\/\/doi.org\/10.1016\/j.transproceed.2018.02.104.","DOI":"10.1016\/j.transproceed.2018.02.104"},{"key":"88900","doi-asserted-by":"crossref","unstructured":"Dombros N, Dratwa M, Feriani M, Gokal R, Heimb\u00fcrger O, Krediet R, Plum J, Rodrigues A, Selgas R, Struijk D, Verger C; EBPG Expert Group on Peritoneal Dialysis. European best practice guidelines for peritoneal dialysis. 9 PD and transplantation. Nephrol Dial Transplant 2005;20 Suppl 9:ix34-ix35. https:\/\/doi.org\/10.1093\/ndt\/gfi1123.","DOI":"10.1093\/ndt\/gfi1123"},{"key":"88901","doi-asserted-by":"crossref","unstructured":"Kwong JCC, Kroczak T, Dahm P, Stewart RJ, Pace KT, Ordon M, Lee Y, Cagiannos I, Lavall\u00e9e LT, Mallick R, Wallis CJD. Peritoneal dialysis catheter removal at the time of renal transplantation: choosing the optimal candidate. Can Urol Assoc J 2020;14(1):E13-E19. https:\/\/doi.org\/10.5489\/cuaj.6066.","DOI":"10.5489\/cuaj.5825"},{"key":"88902","doi-asserted-by":"crossref","unstructured":"Peluso G, Incollingo P, Carlomagno N, D\u2019Alessandro V, Tammaro V, Caggiano M, Barone M, Auriemma R, Amato B, Compagna R. Our timing to remove peritoneal catheter dialysis after kidney transplant. Transplant Proc 2019;51(1):160-3. httpsdoi.org\/10.1016\/j.transproceed.2018.03.048.","DOI":"10.1016\/j.transproceed.2018.04.075"},{"key":"88903","doi-asserted-by":"crossref","unstructured":"Warren J, Jones E, Sener A, Drage M, Taqi A, Griffin S, Luke PPW. Should peritoneal dialysis catheters be removed at the time of kidney transplantation? Can Urol Assoc J 2012;6(5):376-8. https:\/\/doi.org\/10.5489\/cuaj.11265.","DOI":"10.5489\/cuaj.12112"},{"key":"88904","doi-asserted-by":"crossref","unstructured":"Bakir N, Surachno S, Sluiter WJ, Struijk DG. Peritonitis in peritoneal dialysis patients after renal transplantation. Nephrol Dial Transplant 1998;13(12):3178-83. https:\/\/doi.org\/10.1093\/ndt\/13.12.3178.","DOI":"10.1093\/ndt\/13.12.3178"},{"key":"88905","doi-asserted-by":"crossref","unstructured":"Pampa-Saico S, Caravaca-Font\u00e1n F, Burguera-Vion V, de Nicol\u00e1s VD, Yerovi-Le\u00f3n E, Jimenez-\u00c1lvaro S, Cerrillo de la Iglesia M, D\u00edaz-Crespo F, Praga M, Fern\u00e1ndez-Ju\u00e1rez G. Outcomes of peritoneal dialysis catheter left in place after kidney transplantation. Perit Dial Int 2017;37(6):651-4. https:\/\/doi.org\/10.3747\/pdi.2016.00203.","DOI":"10.3747\/pdi.2017.00031"},{"key":"88906","unstructured":"Burkart JM. Patient education: Peritoneal dialysis (Beyond the Basics) [Internet]. UpToDate; 2025 [cited 2025 Feb 10]. Available from: https:\/\/www.uptodate.com\/contents\/peritoneal-dialysis-beyond-the-basics"},{"key":"88907","doi-asserted-by":"crossref","unstructured":"Redfield RR, Scalea JR, Zens TJ, Muth B, Kaufman DB, Djamali A, Astor BC, Mohamed M. 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