Journal Watch - 2017

« Back to Most Recent

  1. Ultrafiltration: Speed Kills

    Among 190 people on HD, those whose ultrafiltration (fluid removal) rate was higher than the median (just 6.8 mL/Kg/h) were less likely to survive than those who were at or below the median. Most participants did not have residual kidney function.

    Read the abstract » | (added 04/12/2017)

    Tags: Hemodialysis

  2. In-center Nocturnal HD Beats Standard HD

    An analysis of 21 published studies (n=1,165 in-center nocturnal patients and 15,865 standard in-center HD patients) found better BP, higher Hgb, and lower serum phosphate levels in those who dialyzed longer.

    Read the abstract » | (added 04/12/2017)

    Tags: Hemodialysis

  3. Frequent HD in Children

    Does 5x/week in-center HD benefit children more than 3x/week treatments? A multicenter pilot followed 8 children with a median age of 16.7 years. Among the 6 patients who completed two study periods, 5 had a sustained 10% or more decrease in systolic BP or antihypertensives during the more frequent treatments. Reimbursement and time burdens are challenges.

    Read the abstract » | (added 04/12/2017)

    Tags: Hemodialysis

  4. Serum Uric Acid Levels and PD Technique Failure

    Among 371 people using CAPD in Taiwan , those with higher levels of uric acid in their blood were significantly more likely to have PD technique failure and peritonitis than those with lower levels.

    Read the abstract » | (added 04/12/2017)

    Tags: Peritoneal Dialysis

  5. Magnesium and Vascular Calcification in PD

    In vitro and in animals, serum magnesium inhibits vascular calcification. In a study of 80 people on PD, X-ray studies of the spine found that the lower the serum magnesium levels, the higher the rate of calcification in the blood vessels. Adjusting for age, serum phosphate, serum PTH, cholesterol levels, smoking history, and diabetes did not change the results.

    Read the abstract » | (added 04/12/2017)

    Tags: Https://Www.Ncbi.Nlm.Nih.Gov/Pubmed/28385153

  6. PD vs. Standard HD for People with Cirrhosis

    For cirrhotic people with kidney failure, data abstraction from the U.S. Nationwide Inpatient Study between 2005 and 2012 compared outcomes with PD and standard in-center HD. In-hospital mortality for those with ascites was significantly less with PD. In addition, PD hospital stays were shorter and costs were lower. Yet, just 1.7% of the sample was using PD.

    Read the abstract » | (added 04/12/2017)

    Tags: Peritoneal Dialysis, Hemodialysis

  7. Striking Lack of Data on Infection Prevention in PD

    A Cochrane database review of 59 randomized controlled studies revealed “striking” gaps in our knowledge about what really works to prevent infections in PD. Oral or topical antibiotics and topical disinfectants had uncertain benefits for exit site, tunnel infections, or peritonitis. Use of IV vancomycin prior to catheter placement may reduce the risk of early peritonitis. Antifungal treatments may reduce fungal peritonitis after antibiotics.

    Read the abstract » | (added 04/12/2017)

    Tags: Peritoneal Dialysis

  8. Pregnancy on PD—at 42: It’s Not Impossible

    While research shows that the chance for a pregnant woman on dialysis to have a healthy baby seems to be best with 36+ hours of HD per week, a 42-year old Malaysian woman had a full-term baby with no change to her CAPD prescription.

    Read the abstract » | (added 04/12/2017)

    Tags: Peritoneal Dialysis, Hemodialysis

  9. Results of a Metaanalysis of Nocturnal vs. Standard HD

    Researchers who looked at 28 studies of 22,508 patients found a mixed bag: comparable side effects and mortality between nocturnal and standard HD, less hospitalization with standard HD—but better heart health and physical quality of life with nocturnal HD, with fewer blood pressure medicines needed.

    Read the abstract » | (added 03/09/2017)

    Tags: Hemodialysis

  10. And, Again: More HD Improves Quality of Life

    Data from the Frequent Hemodialysis Network (FHN) trials found that those who were randomized to frequent or nocturnal HD reported outcomes that included better results on a “feeling thermometer,” better general health, and shorter recovery time than for standard in-center HD.

    Read the abstract » | (added 03/09/2017)

    Tags: Hemodialysis