Journal Watch - 2017

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  1. Who Matters Most for Modality Choice: Clinicians or Patients?

    New Zealand has one of the highest rates of home dialysis use in the world—and they still believe there is room for improvement. An online study of all NZ dialysis clinics coupled with a measure of “decisional power” aimed to see who had the most influence on modality choice. While respondents believed that predialysis nurses were most influential, nephrologists still held the most decisional power—and a one point increase in nephrologist decisional power drove a 6.1% rise in home dialysis use.

    Read the abstract » | (added 12/14/2017)

    Tags: Home Dialysis, Patients, New Zealand, Modality Choice

  2. Survival in Those Eligible for BOTH PD or Standard In-center HD

    Yes, this is yet another survival comparison. A study of almost a decade of people (N=2,032) starting dialysis at seven Ontario clinics looked at mortality only among those who were judged to be suitable for either PD or standard in-center HD by a multidisciplinary team. Both options offered similar survival.

    Read the abstract » | (added 12/14/2017)

    Tags: Dialysis Survival Comparison, Pd Hd Mortality

  3. New UK PD Guidelines

    Download a free, full-length PDF if you want to learn how PD equipment, training, dose, infection control, and management of complications are done in the UK.

    Read the abstract » | (added 12/14/2017)

    Tags: Pd Equipment, Pd Training, Infection Control, Pd Dose, Pd Complications Management, Uk

  4. Mycophenolate Mofetil (MMF) and Residual Kidney Function in PD

    A small randomized controlled trial of people on PD (N=60) looked at whether the immune-suppressing drug mycophenolate mofetil could help protect residual kidney function. After a year, those who received MMF had significantly higher urine volume and urine Kt/V than controls, with no serious complications.

    Read the abstract » | (added 12/14/2017)

    Tags: Mycophenolate Mofetil, Residual Kidney Function, Mmf

  5. Olive Oil Polyphenols and Peritoneal Fibrosis

    It’s not just for cooking any more. Researchers have studied the ability of components of extra virgin olive oil to prevent or treat fibrosis and thickening of the peritoneal membrane, both in vivo and in vitro. The polyphenols were not able to reverse fibrosis, but did help to prevent it, and the authors suggest further research.

    Read the abstract » | (added 12/14/2017)

    Tags: Extra Virgin Olive Oil, Fibrosis, Peritoneal Membrane, Polyphenols

  6. In-hospital Patient Education Helps “Crash” Dialysis Starts to Consider PD

    As many as half of people who start dialysis in the U.S. each year “crash” into a need for treatment with an urgent, unplanned start—and most receive HD with a catheter. The same is true in Germany, but a new structured education program changed the pattern. Compared to patients who started dialysis urgently before the program, those who were educated were significantly more likely to choose PD.

    Read the abstract » | (added 12/14/2017)

    Tags: Dialysis, Choose Pd, Pd Education

  7. Barriers to Intensive HD in Pediatrics

    Why don’t more people choose intensive hemodialysis? Responses to a survey by 134 of the 221 pediatric dialysis centers in the International Pediatric Dialysis Network found that more than 2/3 were aware of evidence supporting the benefits of intensive HD and half believed it produced the best outcomes (just 2% favored conventional HD). Key barriers included lack of funding and staff, with lack of expertise and motivation as minor factors. Read the abstract.

    Read the abstract » | (added 11/13/2017)

    Tags: Home Dialysis, Nocturnal Hemodialysis, Children, Financial Barriers, Intensified Hemodialysis

  8. Nocturnal Home HD Boosts Patient Employment Compared to PD

    A year-long study comparing 20 alternate-night nocturnal home hemodialysis patients to matched 81 CAPD patients in Hong Kong found 80% employment among the nocturnal HD patients (who were 5 years younger) and just 33.3% among PD patients. The nocturnal patients also used fewer phosphate binders. Read the abstract.

    Read the abstract » | (added 11/13/2017)

    Tags: Nocturnal Hemodialysis, Peritoneal Dialysis, Chinese, Employment Rate, Incident

  9. Patients Prefer Home Therapies

    Researchers from New Zealand asked 143 CKD patients expected to need dialysis within a year about their preferences. Patients significantly preferred home treatments, due to flexible schedule, better well-being, and longer survival—and were even willing to pay as much as $400 per month out-of-pocket for extra nursing support. Read the abstract.

    Read the abstract » | (added 11/13/2017)

    Tags: Confidence Intervals, Health Expenditures, Humans, Life Expectancy, Odds Ratio, Patient Preference, Adult, Choice Behavior

  10. Colonoscopy Antibiotic Protocols in PD

    A study comparing 46 PD patients who received prophylactic antibiotics prior to colonoscopy to 47 patients who did not found no difference in the risk of peritonitis between groups, even when polyps were removed during the procedure. Patients with diabetes did benefit from antibiotics, however. Read the abstract.

    Read the abstract » | (added 11/13/2017)

    Tags: Peritoneal Dialysis, Prophylactic Antibiotics, Colonoscopy