Journal Watch
-
Peer Support + Nurse-led Modality Education Increases Patient Choice of PD
Of 238 patients from 500 outpatient clinics in 2018 to 2020, 112 received both nursing education (NE) and peer support to make an ESKD modality choice. The combination helped patients make informed choices that aligned with their values and preferences.
Read the abstract » | (added 2025-01-13)
Tags: Peer Support, Nursing Education, Modality Choice, Modality Education
-
Predicting Sarcopenia on PD using Handgrip Strength and BMI
Identifying patients at risk of sarcopenia without costly assessment tools would allow for earlier treatment. Analysis of data from 699 PD patients in China found a sarcopenia prevalence of 13.92% and nomogram models identified handgrip strength and BMI as independent predictors.
Read the abstract » | (added 2025-01-13)
Tags: Body Mass Index, Handgrip Strength, Nomogram, Peritoneal Dialysis, Risk Factors, Sarcopenia
-
Survival on HD vs. Immediate-start PD
After reviewing medical records from 911 incident dialysis patients from 2005 to 2023, 140 HD and 140 immediate start PD patients were selected for 1:1 propensity score matching. While long-term survival was comparable between the two modalities, non-diabetic patients had significantly higher survival on immediate start PD than HD.
Read the abstract » | (added 2025-01-13)
Tags: HD, Immediate start PD, Survival, Propensity Score
-
Early Icodextrin (ICO) Use Reduced PD-associated Peritonitis Risk
A group of 82 patients who did PD between 2011 and 2020 were divided into a group (n=21) who received ICO at PD initiation and a group (n=61) who received it later or not at all. Patients were followed until they stopped PD, died, or 3 years passed. PD-associated peritonitis and tunnel infection-free survival rates were significantly better with early ICO use.
Read the abstract » | (added 2024-12-11)
Tags: PD, ICO, Early Icodextrin, Peritonitis, Tunnel Infection free Survival Rates
-
Impact of PD Exchange Volume/Day on Outcomes
A DOPPS cohort study in Japan divided patients into two groups by daily PD dialysate volume (<4L/day; n=98 or >4L/day; n=244). Despite demographic differences between the groups, there were no significant differences in transfers to HD, mortality, hospitalization, peritonitis, or patient-reported outcomes based on volume—thus less volume may be more cost effective.
Read the abstract » | (added 2024-12-11)
Tags: Dialysate Volume, Peritoneal Dialysis Outcomes, Mortality, Patient reported Outcomes
-
Long-term PD vs. HD on Left Ventricular Function
In a small echocardiogram study of long-term dialysis patients (mean of 125.1+35.2 months), 24 CAPD patients and 23 HD patients were assessed for LV function, LVH, and LV geometry. Left ventricle dysfunction, LVH, and deterioration in LV geometry were significantly worse in the PD group.
Read the abstract » | (added 2024-12-11)
Tags: Echocardiogram, LVH, Left Ventricular Hypertrophy, Left Ventricle Dysfunction, CAPD, HD
-
Do Ketoanalogue (KA) Supplements Preserve Residual Kidney Function in PD?
A 1-year, six center, randomized, double-blind trial investigated the impact of KA supplements on RKF in 153 CAPD patients vs. placebo. For patients with early PD initiation, the KA group had a significantly lower decline in RKF. No differences were found in RKF decline in those with late PD starts or in PD adequacy, peritoneal function, nutritional status, or quality of life scores between groups.
Read the abstract » | (added 2024-12-11)
Tags: KA Supplements, Residual Kidney Function, CAPD, Ketoanalogues
-
Pet Cats and Peritonitis—a Non-starter for PD?
The answer might surprise you. In a retrospective registry study in France, 52 PD patients who developed cat-related peritonitis were matched with 208 controls whose PD peritonitis was due to other causes. After analysis, pet-related peritonitis had lower risks of death or transfer to HD and a higher rate of transplant than other-cause peritonitis. The authors concluded that, while cats may cause peritonitis, having pets at home should not be considered a reason to refuse patients PD.
Read the abstract » | (added 2024-11-21)
Tags: Pets, Cats, Peritonitis, Pet related Peritonitis, PD, Technique Survival
-
Staying Infection-free with PD and Home HD
While home treatments tend to be better treatments, infection is still a risk—and prevention a necessity. Education and inclusion of infection-prevention in training are important, as are managing modifiable risk factors, such as constipation, gastric acid blockers, and hypokalemia in PD. For home HD, reducing CVC use and duration and using the rope ladder technique for cannulation can reduce risk.
Read the abstract » | (added 2024-11-21)
Tags: Infection prevention, Modifiable Risk Factors, PD, HHD, Central Venous Catheters, CVC
-
An Integrated Home Approach: PD to Home HD
Even in Canada, it is rare (2-6%) that patients who stop PD transfer to home HD. A new review article shares data and describes an integrated home dialysis model that covers patient identification, timely transition planning, and challenges.
Read the abstract » | (added 2024-11-21)
Tags: PD Transfer To Home HD, Transition, Integrated Home Dialysis Model