Can Urgent PD Starts Use Incremental PD?

In a retrospective study of 169 people who began PD, 111 started with incremental PD, while the remaining 58 began full-dose PD. Both groups were similar at the start. After 1 year, the full-dose group was on a higher PD prescription and had significantly higher PD adequacy numbers. Residual kidney function, blood pressure, anemia, and bone mineral correction were similar in both groups.

Read the abstract » | (added 2022-01-14)

Tags: Incremental PD, Full dose PD, PD Prescription, PD Adequacy, Urgent start Peritoneal Dialysis, Residual Kidney Function

Cost of the Quanta SC+ in the UK

In the United Kingdom, in-center hemodialysis costs more than £36,350 per year, which includes patient transport. Annual costs for use of the SC+ were estimated to be less: £26,642 for thrice weekly HD as home self-care, £30,235 for standard in-center HD; and £29,866 for 5x/weekly HD as home self-care.

Read the abstract » | (added 2022-01-14)

Tags: Quanta SC+, Hemodialysis Costs

Plastic vs. Metal Hemodialysis Needles: An International Nurse Survey

Plastic HD needles help prevent infiltration and hematomas, especially in elbow-located, new, or fragile fistulae—yet most countries continue to use cheaper metal needles. A nurse survey found strong resistance to plastic cannulae among respondents. Reduction in adverse access events may reduce costs, staff time, and patient distress.

Read the abstract » | (added 2022-01-14)

Tags: Plastic HD Needles, Plastic Cannulae, Infiltration, Hematomas

PD and Home HD in the U.S. vs. Canada

PD and home HD offer well-documented advantages and lower total costs in high-income countries. Both have seen growth in the US during the last decade, driven by payment changes and COVID-19—but US numbers still lag behind Canada and other countries.

Read the abstract » | (added 2022-01-14)

Tags: Peritoneal Dialysis, PD, Home Haemodialysis, HHD

Wound Vac Use Helpful for 7 Days After PD Catheter Placement

A new PD catheter is surrounded by an open wound. Among 30 people who had PD catheters placed, half were randomly assigned to receive negative pressure wound therapy (wound vac) for 7 days. The other half received conventional dressings. The exit site scores were significantly better in the wound vac group, and their exit sites remained significantly better for the next 6 months, though peritonitis rates were the same.

Read the abstract » | (added 2022-01-14)

Tags: PD Catheter, Catheter Exit site Care, Infection, Wound Vac