Training of surgeons in peritoneal dialysis catheter placement in the United States: a national survey

美国腹膜透析导管置入术外科医生培训情况:一项全国性调查

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Abstract

BACKGROUND AND OBJECTIVES: Peritoneal dialysis (PD) depends on timely and skilled placement of a PD catheter (PDC). Most PDCs are placed surgically, but little is known about the residency training of surgeons in this procedure. Inadequate residency training could limit surgical expertise in PDCs, resulting in high complication rates that discourage PD use. This study assessed surgical PDC training in the United States to explore this issue. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: A survey was sent to program directors of 248 U.S. surgery residency programs regarding the amount of PDC training, attitudes toward PDCs, and barriers to PDC training. Results were compared between academic and private centers. RESULTS: Ninety-three surgery programs (38%) responded: 82% provided training in PDC and 69% were academic centers. Most surgeons placed 2 to

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