Journal Watch - 2011

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  1. More people are being told about PD

    In 1997, the DMMS Wave 2 study found that fewer than 25% of people with kidney failure were told about PD. A new survey of people surveyed from 2005–2007 found that 61% were told—though just 10.9% of them chose PD. Still—major progress!

    Read the abstract » | (added 02/24/2011)

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  2. Buttonholes made easier with BioHole™ device

    A polycarbonate peg placed in the needle track after dialysis can form buttonholes more quickly and accurately than using cannulation alone. The BioHole peg may help more people use the buttonhole technique—so they can take their treatments home.

    Read the abstract » | (added 02/24/2011)

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  3. Electrolyte management with more-frequent HD

    How do you adjust short daily or nocturnal HD treatments to keep electrolytes in balance? This abstract isn't all that helpful—but you may want to get hold of the whole article.

    Read the abstract » | (added 02/24/2011)

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  4. Does dialysis time matter? YES!

    Perhaps if in-center folks got more HD, they would see that they feel better—and think about home. Per Drs. Lacson and Lazarus from Fresenius, "Compelling rationale and recent outcome data support use of longer Td [dialysis time]...Until such time that results from prospective randomized trials are available, we believe that physicians should prescribe and exert all efforts to convince thrice-weekly hemodialysis patients to accept 4 h as minimum Td."

    Read the abstract » | (added 02/24/2011)

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  5. It's never too late to educate

    Each year, many people need dialysis within just a few weeks or months of learning that their kidneys have failed. A new Canadian study found that among 228 such people who were educated by a nurse while in the hospital, 49 (21.4%) chose PD, and 22 (9.6%) chose home HD. (In the US, fewer than 8% are home.)

    Read the abstract » | (added 02/24/2011)

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  6. Dialysis at a crossroads: 50 years later

    The well-known and highly respected nephrologists who sent a letter to CMS about how to improve dialysis care—with longer and/or more-frequent treatments—have written an article summing up their thoughts.

    Read the abstract » | (added 02/24/2011)

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  7. Yet another call for PD first

    Doctors at the University of Missouri have written an article noting that PD is under-used, and suggest ways to promote PD as a first dialysis option. Good idea!

    Read the abstract » | (added 02/24/2011)

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  8. Meta-analysis: Icodextrin PD fluid really does have advantages

    In a study of 9 randomized controlled trials, icodextrin removed much more water from the blood of people who did PD than standard glucose-based PD fluid without causing any more health problems for them.

    Read the abstract » | (added 02/24/2011)

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  9. Vitamin D deficiency linked with EPO resistance

    What if resistance to EPO is related to low levels of vitamin D that tend to occur in people on dialysis? A new study looks at just that, and found a link. While more rigorous studies are needed, it's an intriguing thought...

    Read the abstract » | (added 02/24/2011)

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  10. Nocturnal in-center treatments save lives

    A new study from Turkey matched 247 people on 8-hour nocturnal in-center HD 3 times a week with 247 doing standard 4-hour HD by age, sex, diabetes, and length of time on dialysis. After a year, those doing nocturnal had 72% better survival—a significant improvement.

    Read the abstract » | (added 02/24/2011)

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