Journal Watch - PD
PD and Home HD in the U.S. vs. Canada
PD and home HD offer well-documented advantages and lower total costs in high-income countries. Both have seen growth in the US during the last decade, driven by payment changes and COVID-19—but US numbers still lag behind Canada and other countries.
Read the abstract » | (added 2022-01-14)
Tags: Peritoneal Dialysis, PD, Home Haemodialysis, HHD
Health-related Quality of Life Better on PD than Standard HD in Morocco City
Compared to 71 people using standard HD, 20 doing PD had significantly better physical and mental component scores and staff encouragement, and significantly lower burden of kidney disease scores.
Read the abstract » | (added 2021-11-12)
Tags: Standard HD, PD, Component Scores, Burden Of Kidney Disease Scores
Some Antihypertensive Meds Reduce GI Bleeds in PD
GI bleeding is more likely in people with CKD. A study of 734 people on PD were followed to see if use of an ACE-inhitor or angiotensin receptor blocker (ARB) would reduce the incidence. After an 8-year follow-up, those who were taking these meds had a significantly lower rate of GI bleeding.
Read the abstract » | (added 2021-11-12)
Tags: GI Bleeding, CKD, PD, ACE inhitor, Angiotensin Receptor Blocker
Outcomes of Incremental PD
A retrospective cohort study looked at 175 PD patients followed for about 2 years. Starting PD with a lower vs. higher dose was associated with better survival.
Read the abstract » | (added 2021-08-12)
Tags: Peritoneal Dialysis , PD, End stage Kidney Disease, Dialysate Volume, Survival
Healthcare System Change Increased PD and Home HD in Australia
A lean-thinking framework and commitment of top leadership to change the system of care were used in a “Home before Hospital” approach to increase use of home therapies. Multidisciplinary Pathway, Outreach, and Hybrid working groups were established, and goals were set. A target of >30% for PD and home HD was achieved in 2 years, 35% within 3 years—and was still being maintained at 8 years.
Read the abstract » | (added 2021-08-12)
Tags: Peritoneal Dialysis, PD, Home Haemodialysis
PD Adequacy and Itching
Among 80 people on CAPD, blood levels of the pain marker “substance P” and total urea clearance both independently predicted itching. Inadequate PD seems to be a reason for people using PD to itch.
Read the abstract » | (added 2021-07-12)
Tags: Pruritus , Peritoneal Dialysis, CAPD, Substance P, Total Urea Clearance, Itching, PD
The impact of low magnesium levels on heart disease deaths on PD
Hypomagnesemia is linked with all-cause mortality in HD—but, what about PD? A study classed 1,004 blood tests from PD patients measuring magnesium into one of three groups: <0.7 mmol/L, 0.7-1.2 mmol/L, and >1.2 mmol/L. Those in the lowest magnesium group did have a higher risk of death from both heart and non-heart causes.
Read the abstract » | (added 2021-05-14)
Better Technique Survival with Assisted PD
A study of 384 PD patients in China compared the outcomes of 274 who did self-care PD with 110 who had assisted PD. Older age, diabetes, low residual kidney function and low serum albumin predicted higher mortality, as did assisted PD, since this group had more comorbidities. Technique failure was also significantly lower in the assisted PD group.
Read the abstract » | (added 2021-04-16)
Functional Iron Deficiency and Survival on PD
A 10-year retrospective look at survival examined records from 1,173 PD patients who had normal iron levels, absolute iron deficiency, functional iron deficiency (FID), or high iron levels. Among the group, 77.5% had iron deficiency, and FID, in particular, was linked with an increased risk of all-cause—but not cardiovascular—mortality.
Read the abstract » | (added 2021-03-09)
Tags: Mortality, Peritoneal Dialysis, PD
Shared decision-making (SDM) About Modality: PD vs. HD Experiences
A cross-sectional survey of 300 dialysis patients (82 on PD and 218 on HD) revealed that those on PD were significantly more likely to report having received an SDM conversation than those on HD. The authors conclude that SDM should take place in the early stages of CKD.
Read the abstract » | (added 2021-03-09)
Tags: Hemodialysis, Peritoneal Dialysis, PD