However, in both analyses, there was a clear trend for an increased complication risk upon catheter replacement (second or third tunneled drainage) and when performed by less experienced physicians with the nominal Odd’s ratios reaching 10.7 and 11.3, respectively, for severe complications.
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Risk factors associated with complications of palliative drainage of ascites with tunneled peritoneal catheters.
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The sentences
Third, although only reaching borderline significance, the findings suggest that fewer complications are observed, when placement is performed by more experienced physicians, which indicates that a training curve exists.