Journal Watch
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PD Comparable to HD for Patients with AKI
The choice of kidney replacement therapy (KRT) for AKI requiring dialysis is a modifiable factor that can impact outcomes. The comparative effectiveness of PD vs. HD in AKI is controversial. A systematic review and meta-analysis of seven studies compared mortality outcomes, recovery of kidney function, and infectious complications between PD and HD in patients with AKI. No significant mortality differences were found and kidney function recovery was similar between groups, though PD led to a significantly shorter time to kidney function recovery. Infection rates were also similar.
Read the abstract » | (added 2026-05-15)
Tags: Kidney Replacement Therapy, KRT, PD, AKI
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Chronic Inflammation and PD Outcomes
Among 111 PD patients stratified by C-reactive protein (CRP) into “normal” (<3mg/L) and “inflammation” (>3mg/dL) groups, the inflammation group had significant differences, including lower urine volume, hemoglobin, prealbumin, potassium, magnesium, and TSAT—but higher serum ferritin and WBC counts (p < 0.05). Systemic inflammation can interfere with nutrition, anemia treatment, and is linked with reduced residual kidney function.
Read the abstract » | (added 2026-04-14)
Tags: PD, C reactive Protein
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Diabetes, Incremental PD, and Residual Kidney Function
A retrospective study analyzed 76 patients with diabetes, of whom 57.9% (44) started PD incrementally. Incremental PD significantly slowed the loss of residual kidney function (~60%) vs. full-dose PD and did not increase risk of transfer to hemodialysis or death. Overall, iPD appears safe and RRF-preserving, with glycemic control critical for outcomes.
Read the abstract » | (added 2026-04-14)
Tags: Diabetes, Incremental PD, Residual Kidney Function, Mortality
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Ultrasound-Guided Percutaneous PD Cather Insertion Technique to Reduce Migration
PD catheter migration can interrupt treatment and compromise outcomes, but it is challenging to prevent. In a two-center study, researchers examined whether adding musculofascial tunnelling during catheter insertion improves catheter stability.
Read the abstract » | (added 2026-03-12)
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Latent Demand for Home Therapies in China
A national survey of in-center HD patients (n=2,847; 3+ months) in China assessed HHD adoption intent. One quarter (n=717) reported high adoption intent; these patients tended to be younger, male, employed, and university educated. They had higher AVF use, Kt/V, knowledge, prior HHD discussion, fewer ER visits, better adherence, and lower total dialysis costs. With better outcomes, helping this group of patients reach HHD could improve health equity, reduce health system burden, and strengthen financial protection for vulnerable populations.
Read the abstract » | (added 2026-02-17)
Tags: China, HHD Adoption Intent, Outcomes
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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
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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
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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
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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)
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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