Journal Watch - Peritoneal Dialysis

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  1. PD and Serum Vitamin D—A Vital Link

    People with no history of heart disease on PD for 3+ months were compared to age- and sex-matched healthy controls in a 24-month study of subclinical atherosclerosis. Those on PD had significantly more carotid and femoral plaques at baseline than controls. Lower levels of serum vitamin D predicted more plaque at baseline and at 24 months. The authors suggest that monitoring could help identify patients who are at higher risk.

    Read the abstract » | (added 03/09/2017)

    Tags: Peritoneal Dialysis

  2. The Impact of Telehealth on PD Satisfaction

    Per quarterly surveys completed by 200 people on PD, a system of telemedicine that included remote monitoring of blood pressure, weight, and glucose, and had educational videos boosted satisfaction with the option. Participants felt more autonomy and confidence in their health care, as well, and were less frustrated. Nearly half watched at least one video.

    Read the abstract » | (added 03/09/2017)

    Tags: Peritoneal Dialysis

  3. A New Approach for Treating Peritonitis in Patients Over Age 50

    Researchers tried a new, 3-step “Mero-PerRest” protocol when patients over age 50 developed peritonitis due to enteric (gut) microorganisms. 1). Temporary “peritoneal rest” with the catheter in place. 2). IV meropenem. 3). Meropenum as a catheter lock. Compared to 203 bouts of peritonitis treated with usual care, 217 bouts treated with the new protocol had a higher primary cure rate (90% vs. 65.3%), better PD survival (90% vs. 64.9%), and similar patient survival.

    Read the abstract » | (added 02/08/2017)

    Tags: Peritoneal Dialysis

  4. More Hospital Readmissions with PD Than In-Center HD

    Those on PD have fewer routine clinic visits than those on standard in-center HD. This may help explain why a 10-year study of hospital discharges among 28,026 dialyzors in Canada found that 30-day readmission rates in PD patients were higher (7.1) than for matched patients doing standard in-center HD (6.0). Better care transitions may help.

    Read the abstract » | (added 02/08/2017)

    Tags: Peritoneal Dialysis, Hemodialysis

  5. Heart Disease? PD is a Good Option

    In a single clinic study, 112 new patients starting PD with or without heart disease were followed for 5 years. More people with heart disease had diabetes (53.3% vs. 31.7%), and they tended to be older. But, there were no differences between groups in hospital admissions, peritonitis, or PD technique failure.

    Read the abstract » | (added 02/08/2017)

    Tags: Peritoneal Dialysis

  6. Autonomy is Key to Choice of PD

    French researchers interviewed 150 patients who began dialysis between 2010 and 2014 from four clinics, and their nephrologists, to see what factors influence the choice of PD. Of those who could do PD or HD, 46.7% preferred PD. The main reason for this preference was having or wanting to have autonomy.

    Read the abstract » | (added 02/08/2017)

    Tags: Peritoneal Dialysis