Journal Watch
-
Anxiety, Symptom Burden, and Quality of Life (QOL) on PD
Survey responses from 305 PD patients measured anxiety levels, symptom burden, and QOL. Participants had an average of 5.9 to 10.5 symptoms that negatively correlated with QOL. Anxiety explained 38.9% of the symptom number and 33.3% of the symptom-related distress.
Read the abstract » | (added 2025-02-14)
Tags: Anxiety Levels, Symptom Burden, QOL
-
Psychosocial Concerns May Impact Minority Uptake of PD
Analysis of qualitative interview data from 113 patients in Bronx, NY who completed dialysis modality education found gaps in the areas of support for the emotional trauma of an ESKD diagnosis and lack of a program to reduce anxiety about PD responsibilities, along with failure to address structural barriers to PD.
Read the abstract » | (added 2025-02-14)
Tags: Qualitative Interview Data, Dialysis Modality Education, Patient Support, Emotional Trauma, ESKD
-
Impact of Extended HD with a Liberalized Diet on Protein Energy Wasting
An 8-year longitudinal study assessed BMI and creatinine generation rate for 402 patients who started extended-hours HD (>18 hours/week). Over time, treatment sessions got longer (70% received >21 hours/week). Participants maintained their BMIs and % creatinine generation over time, and the 5-year survival rate was 85%.
Read the abstract » | (added 2025-02-14)
Tags: Extended hours Hemodialysis, Liberalized Diet, Longitudinal Study, Protein energy Wasting
-
Probiotics in PD
While the gut microbiome can be key to challenges PD patients often face, there have been little specific data on the use of probiotics by PD patients. A review article summarizes current knowledge, explores how interventions could improve PD outcomes, outlines clinical effectiveness data, and suggests future research directions.
Read the abstract » | (added 2025-01-13)
Tags: Gut Microbiome, PD Outcomes, Probiotics
-
Advancing American Kidney Health Initiative Did Not Impact Public Awareness
In 2019, the AAKHI aimed to increase the use of home dialysis. Analysis of U.S. Google Trends data from 2013 to 2021 for home dialysis terms found an increase in searches when the AAKHI was first announced, followed by flat or declining searches. The authors concluded that the AAKHI did not impact public information-seeking and targeted education initiatives may be needed.
Read the abstract » | (added 2025-01-13)
Tags: Advancing American Kidney Health Initiative, AAKHI , Public Awareness
-
Organizational Culture and Home Dialysis Uptake
An ethnographic study of dialysis clinic culture was conducted at four clinics in England with average or high rates of home dialysis and maximal geographic, ethnic, and socioeconomic diversity. Three themes identified were encouraging the patient voice and providing individualized support, ensuring home dialysis access (minimalizing eligibility assumptions), and achieving sustained change based on benefits for patients.
Read the abstract » | (added 2025-01-13)
Tags: Dialysis Clinic Culture, Home Dialysis Access, Patient Benefits
-
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