Journal Watch
-
The Impact of Obesity on Outcomes of Percutaneous PD Catheter Placement
Among 125 patients who had percutaneous PD catheter placement, nearly half (n=61) had normal BMI (<25 kg/m2), about one third (n=40) were overweight (BMI 25-29.9), and the remaining 24 were obese (BMI>30). One year later, 36 (28.8%) of the catheters failed, 3 patients died, and 7 received transplants. BMI was not significantly associated with catheter failure or other adverse events.
Read the abstract » | (added 2026-01-16)
Tags: Obesity, Outcomes, Percutaneous PD, Catheter Placement
-
Women May Fare Better on PD Than Men
The International observational PDOPPS has turned its attention to the examination of sex differences in PD outcomes like mortality, transfer to HD, peritonitis, and transplant rates. PD patients from eight countries (n=25,292) were 43% female on average, and females had lower mortality rates, fewer transfers to HD, and lower rates of peritonitis. In South Korea, for example, median time on PD was 6.4 years for females, but just 4.9 years for males.
Read the abstract » | (added 2025-12-17)
Tags: PDOPPS, Gender, PD Outcomes, Mortality, Transfer To HD, Peritonitis, Transplant Rates
-
Pregnancy in Women on Home Dialysis
Home therapies offer advantages for women who are able to become pregnant, including flexibility, improved hemodynamic stability, and better fetal outcomes. Pregnancy management requires close obstetric monitoring, multidisciplimnary care, and optimized nutrition and anemia management.
Read the abstract » | (added 2025-11-11)
Tags: Home Dialysis, Pregnancy, Outcomes
-
PDOPPS on Incremental PD Starts and Clinical Outcomes
What dose should be offered at the start of incremental PD? An international prospective cohort study assessed 1,365 patients from 128 clinics in seven countries who began standard (63%) or incremental (37%) PD within3 months of January 1, 2014 until December 31, 2017. There was no significant difference in transfer to HD between the standard PD (15%/year) and incremental PD (14%/year), nor were there differences between groups in peritonitis or mortality.
Read the abstract » | (added 2025-11-11)
-
ISPD Position Paper: Teaching PD
The International Society for Peritoneal Dialysis adds a new 2025 Position Paper that builds on two prior works to help clinicians teach patients/care partners. Key areas include education, knowledge, skills, and attributes for PD nurse trainers; preparation for training; methods/interventions; post-training; and outcomes measures.
Read the abstract » | (added 2025-10-14)
Tags: ISPD, Teaching PD, Care Partners, Post Training, Outcome Measures
-
PD Outcomes Predicted by the Triglyceride-Glucose (TyG) Index
An index based on low-cost blood tests may help predict mortality, peritonitis, and technical failure on PD. Among 354 CAPD patients stratified into TyG tertiles, the highest tertile experienced significantly higher all-cause and cardiovascular death over a median of 72 months of follow-up than the lowest tertile.
Read the abstract » | (added 2025-07-16)
Tags: PD Outcomes, Triglyceride Glucose Index, Mortality, Peritonitis, CAPD
-
Impact of Embedded PD Catheters on Peritonitis and Mortality
Moncrief and Popovich pioneered a buried PD catheter technique (inexplicably abbreviated as SMAP). In a study, outcomes of 285 consecutive patients who had PD catheters implanted either directly (n=96) or via SMAP (n=189) were analyzed retrospectively. Both the risks of peritonitis and mortality were significantly lower in the SMAP group.
Read the abstract » | (added 2025-07-16)
Tags: Embedded PD Catheters, Peritonitis, Mortality, Moncrief And Popovich Technique
-
Probiotics in PD
While the gut microbiome can be key to challenges PD patients often face, there have been little specific data on the use of probiotics by PD patients. A review article summarizes current knowledge, explores how interventions could improve PD outcomes, outlines clinical effectiveness data, and suggests future research directions.
Read the abstract » | (added 2025-01-13)
Tags: Gut Microbiome, PD Outcomes, Probiotics
-
Impact of PD Exchange Volume/Day on Outcomes
A DOPPS cohort study in Japan divided patients into two groups by daily PD dialysate volume (<4L/day; n=98 or >4L/day; n=244). Despite demographic differences between the groups, there were no significant differences in transfers to HD, mortality, hospitalization, peritonitis, or patient-reported outcomes based on volume—thus less volume may be more cost effective.
Read the abstract » | (added 2024-12-11)
Tags: Dialysate Volume, Peritoneal Dialysis Outcomes, Mortality, Patient reported Outcomes
-
CAPD vs. APD: Meta-analysis Sheds No New Light
A Cochrane Kidney and Transplant Register of Studies update identified two new randomized controlled trials (n=131) to include, one with 6-month follow-up and one with 24-month follow-up. Both studies had mostly low risk of bias. Conclusions about differences in CAPD and APD outcomes for death, hospitalizations, peritonitis, modality change, residual kidney function, health-related quality of life, overhydration, blood pressure, and a host of other outcomes were all based on low to very low certainty evidence.
Read the abstract » | (added 2024-10-15)
Tags: CAPD, APD, Modality Outcomes