The prophylactic omentectomy procedure in reducing the complication rate of continuous ambulatory peritoneal dialysis in pediatric: A systematic review and meta-analysis
Introduction: The role of the omentectomy procedure on Continuous Ambulatory Peritoneal Dialysis (CAPD) catheter placement in pediatric patients has been differently evaluated in the literature, with some studies showing improvement while others showing no difference. Our study aims to define the a...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
PAGEPress Publications
2023-12-01
|
| Series: | Archivio Italiano di Urologia e Andrologia |
| Subjects: | |
| Online Access: | https://www.pagepressjournals.org/index.php/aiua/article/view/12049 |
| _version_ | 1797403783726104576 |
|---|---|
| author | Gede Wirya Kusuma Duarsa Ronald Sugianto Pande Made Wisnu Tirtayasa Ni Made Apriliani Saniti Komang Harsa Abhinaya Duarsa |
| author_facet | Gede Wirya Kusuma Duarsa Ronald Sugianto Pande Made Wisnu Tirtayasa Ni Made Apriliani Saniti Komang Harsa Abhinaya Duarsa |
| author_sort | Gede Wirya Kusuma Duarsa |
| collection | DOAJ |
| description |
Introduction: The role of the omentectomy procedure on Continuous Ambulatory Peritoneal Dialysis (CAPD) catheter placement in pediatric patients has been differently evaluated in the literature, with some studies showing improvement while others showing no difference. Our study aims to define the advantages of omentectomy compared to a procedure without omentectomy. Methods: The literature searching in online databases (PubMed/MEDLINE, Cochrane Library, EMBASE, Scopus, and ClinicalTrial.gov) following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, has been registered on PROSPERO (CRD42023412846). The protocol was performed through April 2023 and focused on pediatric patients treated with an omentectomy procedure and related complications. The risk of bias in each study was assessed using the risk of bias for the non-randomized control trials (ROBINS-I). The effect estimates were extracted as risk ratios with 95% confidence intervals (CI). The heterogeneity of the studies was considered as high heterogeneity if I2 values above 50% or p < 0.05. Results: In the total of 676 articles identified in the database searching for screening, nine studies with 775 patients met the criteria for inclusion. The omentectomy procedure significantly showed a lower incidence of catheter obstruction compared to the control group, (OR 0.24 [95% CI, 0.12-0.49], p < 0.0001, I2 = 0%). Moreover, omentectomy demonstrated a similar trend in the rate of removal or reinsertion of the catheter with high heterogeneity, OR 0.25 [95% CI, 0.12-0.51), p = 0.0002, I2 = 70%). Conclusions: The omentectomy procedure showed a lower incidence of catheter obstruction and complications leading to removal or reinsertion of the catheter.
|
| first_indexed | 2024-03-09T02:43:22Z |
| format | Article |
| id | doaj.art-7f9a3fe0a1f64d17a1fa4d23d1a92a87 |
| institution | Directory Open Access Journal |
| issn | 1124-3562 2282-4197 |
| language | English |
| last_indexed | 2024-03-09T02:43:22Z |
| publishDate | 2023-12-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-7f9a3fe0a1f64d17a1fa4d23d1a92a872023-12-05T23:05:42ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972023-12-0110.4081/aiua.2023.12049The prophylactic omentectomy procedure in reducing the complication rate of continuous ambulatory peritoneal dialysis in pediatric: A systematic review and meta-analysisGede Wirya Kusuma Duarsa0Ronald Sugianto1Pande Made Wisnu Tirtayasa2Ni Made Apriliani Saniti3Komang Harsa Abhinaya Duarsa4Department of Urology, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G Ngoerah General Hospital, BaliMedical Doctor Study Program, Faculty of Medicine, Universitas Udayana, BaliDepartment of Urology, Faculty of Medicine, Universitas Udayana, Universitas Udayana Teaching Hospital, BaliDepartment of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G Ngoerah General Hospital, BaliUndergraduate Medical Doctor Study Program, Faculty of Medicine, Universitas Udayana, Bali Introduction: The role of the omentectomy procedure on Continuous Ambulatory Peritoneal Dialysis (CAPD) catheter placement in pediatric patients has been differently evaluated in the literature, with some studies showing improvement while others showing no difference. Our study aims to define the advantages of omentectomy compared to a procedure without omentectomy. Methods: The literature searching in online databases (PubMed/MEDLINE, Cochrane Library, EMBASE, Scopus, and ClinicalTrial.gov) following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, has been registered on PROSPERO (CRD42023412846). The protocol was performed through April 2023 and focused on pediatric patients treated with an omentectomy procedure and related complications. The risk of bias in each study was assessed using the risk of bias for the non-randomized control trials (ROBINS-I). The effect estimates were extracted as risk ratios with 95% confidence intervals (CI). The heterogeneity of the studies was considered as high heterogeneity if I2 values above 50% or p < 0.05. Results: In the total of 676 articles identified in the database searching for screening, nine studies with 775 patients met the criteria for inclusion. The omentectomy procedure significantly showed a lower incidence of catheter obstruction compared to the control group, (OR 0.24 [95% CI, 0.12-0.49], p < 0.0001, I2 = 0%). Moreover, omentectomy demonstrated a similar trend in the rate of removal or reinsertion of the catheter with high heterogeneity, OR 0.25 [95% CI, 0.12-0.51), p = 0.0002, I2 = 70%). Conclusions: The omentectomy procedure showed a lower incidence of catheter obstruction and complications leading to removal or reinsertion of the catheter. https://www.pagepressjournals.org/index.php/aiua/article/view/12049Continuous ambulatory peritoneal dialysisOmentectomyOmental procedurePediatricRenal failureComplication |
| spellingShingle | Gede Wirya Kusuma Duarsa Ronald Sugianto Pande Made Wisnu Tirtayasa Ni Made Apriliani Saniti Komang Harsa Abhinaya Duarsa The prophylactic omentectomy procedure in reducing the complication rate of continuous ambulatory peritoneal dialysis in pediatric: A systematic review and meta-analysis Archivio Italiano di Urologia e Andrologia Continuous ambulatory peritoneal dialysis Omentectomy Omental procedure Pediatric Renal failure Complication |
| title | The prophylactic omentectomy procedure in reducing the complication rate of continuous ambulatory peritoneal dialysis in pediatric: A systematic review and meta-analysis |
| title_full | The prophylactic omentectomy procedure in reducing the complication rate of continuous ambulatory peritoneal dialysis in pediatric: A systematic review and meta-analysis |
| title_fullStr | The prophylactic omentectomy procedure in reducing the complication rate of continuous ambulatory peritoneal dialysis in pediatric: A systematic review and meta-analysis |
| title_full_unstemmed | The prophylactic omentectomy procedure in reducing the complication rate of continuous ambulatory peritoneal dialysis in pediatric: A systematic review and meta-analysis |
| title_short | The prophylactic omentectomy procedure in reducing the complication rate of continuous ambulatory peritoneal dialysis in pediatric: A systematic review and meta-analysis |
| title_sort | prophylactic omentectomy procedure in reducing the complication rate of continuous ambulatory peritoneal dialysis in pediatric a systematic review and meta analysis |
| topic | Continuous ambulatory peritoneal dialysis Omentectomy Omental procedure Pediatric Renal failure Complication |
| url | https://www.pagepressjournals.org/index.php/aiua/article/view/12049 |
| work_keys_str_mv | AT gedewiryakusumaduarsa theprophylacticomentectomyprocedureinreducingthecomplicationrateofcontinuousambulatoryperitonealdialysisinpediatricasystematicreviewandmetaanalysis AT ronaldsugianto theprophylacticomentectomyprocedureinreducingthecomplicationrateofcontinuousambulatoryperitonealdialysisinpediatricasystematicreviewandmetaanalysis AT pandemadewisnutirtayasa theprophylacticomentectomyprocedureinreducingthecomplicationrateofcontinuousambulatoryperitonealdialysisinpediatricasystematicreviewandmetaanalysis AT nimadeaprilianisaniti theprophylacticomentectomyprocedureinreducingthecomplicationrateofcontinuousambulatoryperitonealdialysisinpediatricasystematicreviewandmetaanalysis AT komangharsaabhinayaduarsa theprophylacticomentectomyprocedureinreducingthecomplicationrateofcontinuousambulatoryperitonealdialysisinpediatricasystematicreviewandmetaanalysis AT gedewiryakusumaduarsa prophylacticomentectomyprocedureinreducingthecomplicationrateofcontinuousambulatoryperitonealdialysisinpediatricasystematicreviewandmetaanalysis AT ronaldsugianto prophylacticomentectomyprocedureinreducingthecomplicationrateofcontinuousambulatoryperitonealdialysisinpediatricasystematicreviewandmetaanalysis AT pandemadewisnutirtayasa prophylacticomentectomyprocedureinreducingthecomplicationrateofcontinuousambulatoryperitonealdialysisinpediatricasystematicreviewandmetaanalysis AT nimadeaprilianisaniti prophylacticomentectomyprocedureinreducingthecomplicationrateofcontinuousambulatoryperitonealdialysisinpediatricasystematicreviewandmetaanalysis AT komangharsaabhinayaduarsa prophylacticomentectomyprocedureinreducingthecomplicationrateofcontinuousambulatoryperitonealdialysisinpediatricasystematicreviewandmetaanalysis |