The Peritoneal Dialysis Transfer Set Replacement Procedure

Nephrol Nurs J. 2020 Jul-Aug;47(4):343-346.


Peritoneal dialysis transfer sets (extension lines) are replaced every six to nine months to minimize peritoneal dialysis catheter complications. The aim of this study was to compare a revised non-bag transfer set exchange procedure with the standard bag exchange procedure on nursing time, costs, and safety. Thirty-three people were randomized to two groups - a standard bag exchange procedure group (n = 16) and a non-bag transfer set exchange procedure group (n = 17). The standard bag exchange procedure took a median of 32 minutes (interquartile range [IQR] 25 to 38 minutes) compared to the non-bag transfer set exchange procedure of 6 minutes (IQR 4 to 8 minutes) (p Ò 0.0001). There was one episode of peritonitis in each group within the 72-hour follow-up period. The average cost of the non-bag transfer set exchange procedure was $24.54 lower, a 37% cost reduction. This study has shown the revised non-bag transfer set replacement procedure appears to be safe, consume less participant and staff time, and decreases costs.

Keywords: end stage kidney disease; home dialysis; nephrology nursing; peritoneal dialysis; transfer set.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Catheterization / adverse effects
  • Costs and Cost Analysis
  • Humans
  • Nursing Evaluation Research
  • Peritoneal Dialysis / adverse effects
  • Peritoneal Dialysis / economics
  • Peritoneal Dialysis / methods*
  • Peritoneal Dialysis / nursing*
  • Peritonitis / etiology
  • Peritonitis / prevention & control
  • Treatment Outcome
  • Workload / statistics & numerical data