Journal Watch - 2011

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  1. International practice patterns for "non-conventional" HD

    311 nephrologists from around the world took part in an online survey about use of HD options other than standard in-center. Among the respondents, 62.4% used "non-conventional" options: 26.7% used nocturnal HD, 34.4% used short daily HD, and 26% used long standard treatments.

    Read the abstract » | (added 12/22/2011)

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  2. Pregnancy and more dialysis

    In general, pregnancy is uncommon in women with ESRD. But more dialysis seems to improve pregnancy outcomes. This review article addresses fertility issues, pregnancy, and suggestions for how to manage dialysis in pregnant women.

    Read the abstract » | (added 12/22/2011)

    Tags: Chronic Kidney Disease

  3. Normalizing "unphysiology" with longer and/or more frequent HD

    Studies of intensified HD regimens have found superior results to standard in-center HD, including better cardiac outcomes. This review article surveys the evidence that supports the hypothesis that more physiologic dialysis leads to better outcomes.

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  4. Home HD costs in Canada

    Learn the costs of standard in-center HD vs. short daily and nocturnal in this new review article. (Home costs less!)

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  5. Alternate night nocturnal HD in Australia

    Every other night nocturnal HD is a popular option in Australia. Patients who use this option have lower phosphorus levels and better volume control and well-being—at about the same cost as standard in-center HD.

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  6. More home HD in Australia and New Zealand—because doctors believe in it

    In contrast to the rest of the world, Australia and New Zealand have an average of 12.9% of patients using home HD. Why? Because nephrologists, nurses, and funding agencies hold strong beliefs in the clinical and economic benefits of this option.

    Read the abstract » | (added 12/22/2011)

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  7. Green dialysis – reducing energy use and landfill space

    Worldwide, dialysis uses an estimated 156 billion liters of water per year, 1.62 billion kilowatt hours of power, and generates 625,000 tons of plastic waste. Our own Dr. John Agar suggests ways to reduce the carbon footprint of dialysis through water conservation, solar power, and other ideas.

    Read the abstract » | (added 12/22/2011)

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  8. Nocturnal HD protects arteries

    In a year-long study, 60 people on standard in-center HD were compared to a similar group of 60 people on 8-hour nocturnal HD three nights per week. The nocturnal group needed fewer blood pressure medications and had lower serum phosphorus and calcium-phosphorus products. Their arteries were less stiff than those of people doing standard in-center HD.

    Read the abstract » | (added 12/22/2011)

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  9. HD offers better survival than PD for congestive heart failure

    A study of 933 people with CHF on PD and 3468 on HD in the French dialysis registry found that for people with congestive heart failure, HD is a safer choice. The risk of death with PD was 48% higher.

    Read the abstract » | (added 12/22/2011)

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  10. Mupirocin beats polysporin triple ointment (P3) for preventing PD catheter infections

    In an 18-month long randomized, controlled study, twice as many patients had redness at the PD catheter exit site and more fungal infections occurred in those using P3 than mupirocin.

    Read the abstract » | (added 12/22/2011)

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