Journal Watch

  1. Barriers to Intensive HD in Pediatrics

    Why don’t more people choose intensive hemodialysis? Responses to a survey by 134 of the 221 pediatric dialysis centers in the International Pediatric Dialysis Network found that more than 2/3 were aware of evidence supporting the benefits of intensive HD and half believed it produced the best outcomes (just 2% favored conventional HD). Key barriers included lack of funding and staff, with lack of expertise and motivation as minor factors. Read the abstract.

    Read the abstract » | (added 11/13/2017)

    Tags: Home Dialysis, Nocturnal Hemodialysis, Children, Financial Barriers, Intensified Hemodialysis

  2. Nocturnal Home HD Boosts Patient Employment Compared to PD

    A year-long study comparing 20 alternate-night nocturnal home hemodialysis patients to matched 81 CAPD patients in Hong Kong found 80% employment among the nocturnal HD patients (who were 5 years younger) and just 33.3% among PD patients. The nocturnal patients also used fewer phosphate binders. Read the abstract.

    Read the abstract » | (added 11/13/2017)

    Tags: Nocturnal Hemodialysis, Peritoneal Dialysis, Chinese, Employment Rate, Incident

  3. Patients Prefer Home Therapies

    Researchers from New Zealand asked 143 CKD patients expected to need dialysis within a year about their preferences. Patients significantly preferred home treatments, due to flexible schedule, better well-being, and longer survival—and were even willing to pay as much as $400 per month out-of-pocket for extra nursing support. Read the abstract.

    Read the abstract » | (added 11/13/2017)

    Tags: Confidence Intervals, Health Expenditures, Humans, Life Expectancy, Odds Ratio, Patient Preference, Adult, Choice Behavior

  4. Colonoscopy Antibiotic Protocols in PD

    A study comparing 46 PD patients who received prophylactic antibiotics prior to colonoscopy to 47 patients who did not found no difference in the risk of peritonitis between groups, even when polyps were removed during the procedure. Patients with diabetes did benefit from antibiotics, however. Read the abstract.

    Read the abstract » | (added 11/13/2017)

    Tags: Peritoneal Dialysis, Prophylactic Antibiotics, Colonoscopy

  5. Which PD Exit Site Dressing is Better?

    Is an occlusive dressing better to reduce exit site or tunnel infections? A semi-occlusive one? It made no difference, found a new analysis of 2,460 incident PD patients. Read the abstract.

    Read the abstract » | (added 11/13/2017)

    Tags: Chronic Kidney Disease, Peritoneal Dialysis, Dressing, Nursing

  6. Remote Monitoring in PD May Catch Problems Early and Reduce Costs

    A simulation study using 12 patient profiles has determined that the ability to obtain clinical treatment information from PD could avoid the use of home and ER visits and hospital stays by identifying problems early, saving an estimated $7,088 to $23,364 across Italy, Germany, and the U.S. Read the abstract.

    Read the abstract » | (added 11/13/2017)

    Tags: Chronic Kidney Disease, Peritoneal Dialysis, Economics, End Stage Renal Disease, Remote Therapy Management, Telemedicine

  7. Risk Factors for Encapsulating Peritoneal Sclerosis

    EPS is a rare but devastating complication of PD. Among a series of 703 PD patients in Japan between 1980 and 2015, 6.3% developed EPS. Identified risk factors included a history of longer-duration peritonitis and longer time on PD, while use of biocompatible PD fluid reduced the risk. Read the abstract.

    Read the abstract » | (added 11/13/2017)

    Tags: Peritoneal Dialysis, Biocompatible Peritoneal Dialysis Fluid, Dialysate To Plasma Creatinine (D/P Cr) Ratio By Peritoneal Equilibration (Pet), Peritoneal Dialysis Duration, Peritonitis

  8. Urgent-start PD in Brazil

    In a prospective study, 51 patients who needed dialysis urgently began peritoneal dialysis instead of hemodialysis. Even with high-volume dialysate used less than 72 hours after catheter placement (on alternate days in the dialysis clinic), the option was feasible and safe. Read the abstract.

    Read the abstract » | (added 11/13/2017)

    Tags: Acute Peritoneal Dialysis, Unplanned Peritoneal Dialysis, Urgent Start Dialysis, Urgent Start Peritoneal Dialysis

  9. Iron-based Binder Safe and Effective in PD

    A study conducted with 84 PD patients compared sucroferric oxyhydroxide (n=56) to sevelamer (n=28). After a year, both groups had serum phosphate levels within the target range. The iron-based binder required fewer pills per day and resulted in fewer adverse events. Read the abstract.

    Read the abstract » | (added 11/13/2017)

    Tags: Chronic Kidney Disease, Peritoneal Dialysis; Phosphate Binder, Sevelamer Carbonate, Sucroferric Oxyhydroxide, Hemodialysis

  10. Views of Patients vs. MDs Re: Important Dialysis Outcomes

    An international 3-round Delphi survey that started with 202 patients and care partners and 979 renal professionals aimed to generate a consensus-based prioritized list of core outcomes for HD trials. Not surprisingly, patient/care partner priorities differed dramatically from those of professionals: patients largely valued quality of life outcomes, while professionals focused on clinical ones.

    Read the abstract » | (added 10/13/2017)

    Tags: What Is The Best Dialysis Option For Me, Making Dialysis Better