RCT: Which Works Best, Straight or Coiled PD Catheters?

A metaanalysis recently found that straight catheters were better, and an RCT of 308 CAPD patients randomly assigned to receive a straight (n=153) or coiled (n=155) catheter corroborates that finding. After a mean follow-up of 21 months, straight PD catheters caused almost 9 times less dysfunction or drainage failure (0.7% vs. 5.8%) with less pain than coiled catheters. Both catheters had a similar risk of peritonitis.

Read the abstract » | (added 2019-09-11)

Tags: Catheter, Randomized Controlled Trial (RCT), PD, CAPD

PD: Better Quality of Life than In-Center HD for 2 Years

Among 989 patients starting PD or in-center HD, health-related quality of life (HRQOL) was measured at 3, 12, and 24 months after dialysis start. PD patients scored higher all along on several key dimensions than HD patients—and this effect lasted up to 2 years. Both PD and HD patients had about the same amount of decline in HRQOL over 2 years.

Read the abstract » | (added 2019-08-14)

Tags: HRQOL, PD, In center HD, Quality Of Life

Half of PD patients may develop a new glucose disorder

A metaanalysis of nine studies with a total of 13,879 PD patients found that 8% had new-onset diabetes, 15% developed impaired glucose tolerance, and 32% had newly abnormal fasting blood sugar levels. No differences were found by ethnicity. The authors concluded that PD patients should receive glucose tolerance tests.

Read the abstract » | (added 2019-07-15)

Tags: PD, Diabetes, Glucose Tolerance, Blood Sugar Levels, Glucose Tolerance Test

Higher Serum Albumin May Protect Residual Kidney Function in PD

In a prospective study of 104 new PD patients, having low serum albumin levels was independently associated with complete RKF loss (<100 mL/day of urine).

Read the abstract » | (added 2019-06-13)

Tags: Serum Albumin, Residual Kidney Function, Urine Volume, Peritoneal Dialysis, PD

Lower Dementia Risk with PD than Standard In-Center HD: Metaanalysis

An analysis of 15 studies concludes that PD is associated with a lower risk of cognitive decline and dementia than HD--but calls for well-conducted prospective studies.

Read the abstract » | (added 2019-02-14)

Tags: Dementia, PD, In center HD, Cognitive Functions

Urgent-start PD Catheter Placement - Surgical vs. Percutaneous

PD catheter placement does NOT have to be limited to just minimally-invasive percutaneous procedures, suggests a literature review. But, minimizing intraperitoneal pressure for the first 2 weeks IS important.

Read the abstract » | (added 2019-02-14)

Tags: PD, Catheter, Urgent start, Complications

To Screen or Not to Screen PD Patients for Bacteria: That is the Question

Does the ISPD guideline for routine use of mupirocin ointment at PD exit sites risk creating mupirocin-resistant organisms? No, finds a surveillance study of 1,175 swabs from 240 patients.

Read the abstract » | (added 2019-02-14)

Tags: Mupirocin, PD, Catheter, Peritonitis, Pseudomonas, Hygiene

Longitudinal Experience with Remote PD Monitoring

Patients whose PD was monitored remotely had almost twice the number of APD prescription changes--and significantly fewer nighttime alarms and less need for in-person visits than control subjects, saving both time and money.

Read the abstract » | (added 2019-02-14)

Tags: PD, Remote Monitoring, APD, Nighttime Alarm, In person Visit

Fewer Hip Fractures with PD than Standard In-Center HD: Metaanalysis

Analysis of five cohort studies totalling more than 1.2 million ESRD patients found that those doing HD had a 61% higher risk of hip fracture than those doing PD.

Read the abstract » | (added 2019-02-14)

Tags: Hip Fractures, PD, In center HD

Impact of High Protein Diets on Residual Kidney Function in PD

Does a high-protein diet cause a faster loss of residual kidney function for PD patients? An observational study of 336 patients for at least 6 months suggests that it may.

Read the abstract » | (added 2019-01-11)

Tags: Protein Intake, Residual Kidney, Peritoneal Dialysis, PD