Journal Watch
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Barriers to and Facilitators of the Adoption of Peritoneal Dialysis: A Systematic Review of Qualitative Studies
A review of 7,390 records (595 participants) from 13 studies in 9 countries found PD utilization was affected by specific individual barriers, interpersonal factors, organizational barriers, community factors, and policy barriers. Facilitators for individuals included convenience and autonomy while structured support was a facilitator for organizations.
Read the abstract » | (added 2026-10-22)
Tags: PD, Barriers, Facilitators
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Global, Regional, and Country Incidence of Peritoneal Dialysis-Associated Peritonitis in the Contemporary Peritoneal Dialysis Practice: A Systematic Review and Meta-Analysis
This study of 132,000 PD patients from 37 countries found a statistically significant difference in peritonitis rates across countries and regions with the highest rate in South Africa and the lowest rate in South Korea. The researchers recommend sharing knowledge and innovations for continuous quality improvement and standardizing and harmonizing care to reduce inequities and improve patient well-being.
Read the abstract » | (added 2026-10-22)
Tags: PD, Peritonitis
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Sex-Specific Outcomes in the Peritoneal Dialysis Outcomes and Practice Patterns Study
Researchers conducted this international study of 26,292 patients (43% female) and examined sex differences in outcomes. Compared with men, women on PD had lower likelihood of getting peritonitis, transferring to HD, and dying.
Read the abstract » | (added 2026-10-22)
Tags: PD, Sex Differences In Outcomes, Peritonitis, Mortality
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Remote Monitoring in Automated Peritoneal Dialysis Improves Treatment Adherence and Reduces Hospitalization Burden: A Prospective Multicenter Cohort Study
This study of 73 PD patients compared CAPD, APD, and remote monitoring-assisted APD. Patients using remote monitoring had better treatment plan adherence, fewer hospital days, and lower inpatient costs than those using conventional APD. They also had better volume control than patients on CAPD.
Read the abstract » | (added 2026-09-18)
Tags: PD, CAPD, APD, Remote Monitoring assisted APD, Treatment Plan Adherence, Inpatient Costs, Volume Control
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Peritoneal Dialysis Catheter Flushing in Children: A National Survey of Practice Patterns
Researchers surveyed 60 U.S. pediatric PD programs for PD catheter flush protocols between placement and starting PD treatment. Of the 43 respondents, 83% had a protocol. However, variation in their protocols led the researchers to recommend multi-center studies to establish a standardized catheter flushing protocol based on evidence-based guidelines.
Read the abstract » | (added 2026-09-18)
Tags: Pediatric PD, PD Catheter Flush Protocols, Standardized Catheter Flushing Protocol
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Training Programs for Families of Children on Home Peritoneal Dialysis: A Scoping Review
This review looked at 12 studies of training programs for caregivers of children at home on PD. Training practices varied widely and often did not align with the ISPD pediatric guidelines. Few programs clearly defined training objectives or criteria, and none of the studies reported using tools to assess health literacy. The authors recommend more research into how caregiver training affects children and families in the setting of kidney failure.
Read the abstract » | (added 2026-09-18)
Tags: Caregiver Training Programs, Children, PD, ISPD Pediatric Guidelines
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Evaluating Patterns and Outcomes in the Prescription of Incremental Peritoneal Dialysis in Support of Shared Decision-Making
This study of 527 patients from 2012-2023 found that incremental PD was safe to prescribe. They found patients were still on their incremental PD prescription at one year (64%) and two years (36%). Those more likely to increment sooner were younger, male, and had lower albumin. Younger patients with diabetes were more likely to switch to HD. Mortality rates were low at .11 events/person year. A clinical score for shared decision-making and treatment expectations was constructed and tested, but needs validation.
Read the abstract » | (added 2026-09-18)
Tags: Incremental PD, Shared Decision making, Treatment Expectations
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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
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First-in-human Trial of Sorbent-assisted Continuous Flow PD
One downside of peritoneal dialysis (PD) is the need to truck bags of sterile fluid to patients. A new sorbent-assisted PD (SAPD) device regenerates spent dialysate. SAPD may improve uremic solute clearance by maintaining a high concentration gradient and increasing the mass transfer area coefficient. It may help preserve peritoneal membranes longer by avoiding high glucose concentrations. And, fewer connections may mean less peritonitis. Short-term safety and performance of SAPD will be evaluated in a group of 12 stable adulte PD patients.
Read the abstract » | (added 2025-10-14)
Tags: First in human Trial, Continuous Flow Peritoneal Dialysis, Sorbent assisted Peritoneal Dialysis, Sapd, Peritonitis
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Challenges and Opportunities in Managing Individuals with Obesity on Peritoneal Dialysis
Some view obesity as a contraindication to PD, which limits treatment options for many patients. However, PD can be successfully utilized by people with obesity! Careful planning of the exit site can help.
Read the abstract » | (added 2025-09-15)
Tags: Obesity, Peritoneal Dialysis, Exit Site