Journal Watch - PD
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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
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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
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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
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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
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Urgent Start PD + Diabetes
A retrospective study compared the first 30-day outcomes and survival trends of 80 urgent start dialysis patients, 50 of whom (62.5%) did PD. Compared to those who started standard in-center HD, the dialysis-related complications were significantly lower for those on PD, and PD survival was higher as well. Read the abstract.
Read the abstract » | (added 2018-10-12)
Tags: Diabetes, Survival Trends, Urgent Start Dialysis, PD, In center HD, Dialysis related Complications
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PD and Dialysis Patient Employment
In a Swedish study, 4,734 working-age (20-60 years old) patients who survived at least one year on in-center HD or PD were compared. Patients using PD had a 4% increased probability of employment over in-center HD—as well as a 6% lower disability pension and higher work income. Read the abstract
Read the abstract » | (added 2018-10-12)
Tags: PD, HD, Employment, Disability Pension, Work Income
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PD Catheter Outcomes in Low vs. High-Volume Centers
Not surprisingly, patients whose PD catheters were placed at high-volume centers (in Japan) had fewer adverse events, needed feer blood transfusions, and had shorter hospital stays than those from low-volume centers. Read the abstract.
Read the abstract » | (added 2018-09-10)
Tags: PD, Catheter, Hospital volume
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5-year study: Predialysis PD Education Saves Lives on PD
Among 398 patients who started PD from 2007-2016, 169 had received predialysis education. After 5 years, this group had a significantly lower rate of peritonitis, a longer median time to a first peritonitis episode, and less risk of death from peritonitis than patients who did not get CKD education. Read the abstract.
Read the abstract » | (added 2018-09-10)
Tags: PD, Predialysis, Peritonitis, Mortality, CKD Education
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Lower B2M levels linked with WORSE survival on PD
Unlike HD, a new study of 725 incident PD patients divided into three beta-2 microglobulin tertiles found that the lowest third of B2m levels was associated with a higher risk of death. The increased risk was especially seen in females; older patients; and those with comorbidities, low BMI, low serum albumin, and less residual kidney function. Read the abstract.
Read the abstract » | (added 2018-07-13)
Tags: PD, B2m, Morbidity Rate
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Vascular access for high-risk PD patients
Which PD patients are at risk for technique failure and should proactively have a vascular access placed for HD? A case-control study compared 72 patients who were transferred from PD to HD to 111 controls who stayed on PD, received a transplant, recovered kidney function, or passed away. Low adequacy or serum albumin, hospitalizations, and peritonitis were predictors of a transfer to HD. Read the abstract.
Read the abstract » | (added 2018-07-13)
Tags: PD, Technique, Vascular Access, HD