Journal Watch - Education Issues: For Patients And Professionals

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  1. Bone Mineral Balance in Short Daily HD: A Cautionary Tale

    A new case report suggests that bone mineral balance may need extra attention for those doing short daily HD. A patient who had multiple fractures and bone pain severe enough to require a wheelchair for more than a year was found on biopsy to have osteomalacia, likely due to chronically low levels of serum phosphorus and calcium. Increasing these minerals in the dialysate enabled the patient to leave the wheelchair and walk pain-free.

    Read the abstract » | (added 09/15/2017)

    Tags: Education Issues: For Patients And Professionals

  2. Predicting Cardiovascular Risk in PD

    What are the cardiovascular risk factors in PD? In a small (N=112) retrospective study among incident PD patients followed for more than a year, traditional risk factors did not predict heart problems—however, excess blood volume, low serum albumin levels, and mitral valve calcification did.

    Read the abstract » | (added 09/15/2017)

    Tags: Education Issues: For Patients And Professionals

  3. PD in PKD?

    There is yet more evidence that people with PDK can successfully do PD. Researchers in Peking analyzed survival data from people with PKD between1993 and 2015 on PD vs. HD. Additionally, they matched PD patients who did and did not have PKD. Neither PD nor PKD independently predicted mortality.

    Read the abstract » | (added 09/15/2017)

    Tags: Education Issues: For Patients And Professionals

  4. Hydrogels as Scaffolding for Kidney Regeneration

    This review article discusses the potential for hydrogels to be used as a structure and cell carrier for regenerating kidneys. Cutting-edge biofabrication approaches such as micromolding, microfluidics, and stem cells are also covered.

    Read the abstract » | (added 08/17/2017)

    Tags: Education Issues: For Patients And Professionals

  5. How Best to Disinfect PD Bag Ports

    Which is better to clean PD bag ports: 70% alcohol or 2% chlorhexidine—and how long should each product be used? Among 300 PD bags inoculated with five microbes, a scrub with 2% chlorhexidine for at least 5 seconds had the best results, followed by an alcohol scrub for at least 10 seconds.

    Read the abstract » | (added 08/17/2017)

    Tags: Education Issues: For Patients And Professionals

  6. Can PD Treat Alzheimer’s Disease?

    A build up of amyloid beta (Aβ) is believed to cause dementia in Alzheimer’s disease, and the organs and tissues can help clear Aβ from the blood. Plasma Aβ levels were measured before and after PD in 30 new PD patients. Daily PD was also done in mice for one month, with Aβ levels measured. In both groups, PD significantly reduced Aβ levels.

    Read the abstract » | (added 08/17/2017)

    Tags: Education Issues: For Patients And Professionals

  7. Video Telemedicine for Home HD in the UK

    The UK Lancashire Teaching Hospitals NHS Trust began offering video based telemedicine to home HD patients in 2013. Interviews with ten members of the renal care team using the service revealed more efficient use of staff time, reduced travel, peace of mind, and higher job satisfaction. The team members believed the video communications boosted patients’ confidence.

    Read the abstract » | (added 07/14/2017)

    Tags: Education Issues: For Patients And Professionals, Making Dialysis Better

  8. PD for People with PKD—It’s Possible

    Many believe that large, polycystic kidneys make PD impossible. A review has concluded that PD is well-tolerated in those with autosomal dominant PKD, with outcomes that are equivalent—or better—than in other patient groups.

    Read the abstract » | (added 07/14/2017)

    Tags: Education Issues: For Patients And Professionals

  9. New PD Strategies Using Icodextrin

    A new article reports that icodextrin can be used in new ways, such as twice-daily exchanges and a single nocturnal PD exchange for treatment of congestive heart failure.

    Read the abstract » | (added 07/14/2017)

    Tags: Education Issues: For Patients And Professionals

  10. The Impact of ESRD Treatment Modality on Sleep Quality

    A metaanalysis looked at whether changing from one treatment type to another (HD, daily HD, nocturnal HD, CAPD, CCPD, or transplant) would affect sleep. Sixteen studies with 670 patients and 191 controls were examined. Restless leg syndrome resolved in 60+% of patients who switched to CCPD, intensive HD, or transplant. Sleep apnea improved with these options as well. Overall sleep quality improved as the intensity of treatment increased.

    Read the abstract » | (added 06/12/2017)

    Tags: What Is The Best Dialysis Option For Me, Education Issues: For Patients And Professionals