Journal Watch

  1. Surgery for EPS May Help in the Long Term

    Encapsulating peritoneal sclerosis is a rare but severe side effect of long-term PD. In a small case series, four patients who developed EPS after a kidney transplant had good results, and good kidney transplant function.

    Read the abstract » | (added 02/09/2016)

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  2. Some PD Patients at Risk for New Onset Diabetes

    Among 612 people who did not have diabetes, 32 were diagnosed with the disease after starting PD. The risk of new diabetes was higher in those who were older, had higher BMIs, and whose blood had more markers of inflammation.

    Read the abstract » | (added 02/09/2016)

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  3. Cost Effectiveness: Conventional vs. High Dose HD

    An analysis of seven studies of high dose HD found that it is cost effective when delivered at home.

    Read the abstract » | (added 01/10/2016)

    Tags: Hemodialysis

  4. NxStage and 2008K@Home Head-to-Head

    Compared to NxStage users, those who dialyzed on a 2008K@Home did fewer treatments per week but had significantly higher standardized weekly Kt/V’s. NxStage users tended to use less ESA medication. No differences were found in other parameters, including levels of albumin, calcium, phosphorus, PTH, or in hospital stays.

    Read the abstract » | (added 01/10/2016)

    Tags: Hemodialysis

  5. Why Do People Stop Doing Home HD?

    Among 2,840 people who started home HD between 2007 and 2009, nearly one in four stopped within a year, while 1-year mortality was 7.6%. The risks of stopping home HD were higher among those with diabetes, and substance use (alcohol, tobacco, drugs). Those who were listed for transplant or lived in rural areas were less likely to stop home HD.

    Read the abstract » | (added 01/10/2016)

    Tags: Hemodialysis

  6. Nanomembranes for Miniature HD

    Dialyzors with membranes that are more permeable could be much smaller—in fact, small enough for wearable dialysis. Ultra-thin silicon may be a candidate, and a prototype miniature membrane is predicted to clear toxins at “near-ideal levels.”

    Read the abstract » | (added 01/10/2016)

    Tags: Hemodialysis

  7. PD After Loss of Residual Kidney Failure

    Once residual kidney function is gone, it is vital to address fluid volume, finds a new study that followed 183 people. During the 10.5-36 months of follow up, 65% either switched to HD or died. Their inflammation rates (measured by C-reactive protein levels) were high, as were their extracellular water levels (measured by bioelectrical impedance analysis).

    Read the abstract » | (added 01/10/2016)

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  8. Anxiety, Depression, and PD Technique Survival

    Among 201 PD patients, those whose testing revealed higher levels of anxiety were more likely to die or to switch to another option than those with lower levels. Other predictors included needing help from a care partner, comorbidities, and low albumin levels.

    Read the abstract » | (added 01/10/2016)

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  9. Using Plant-Protectant Resveratrol to Preserve the Peritoneum

    Resveratrol is a phenol found in the skins of grapes and some berries that can help keep blood vessels from growing to support tumors. A new prospective, randomized, controlled, double blind study looked at its use to keep blood vessels from growing in the peritoneum, which can cause PD technique failure. Participants (n=72) were given 12 weeks of low- or high-dose resveratrol or placebo. Those who received a high dose of resveratrol had significantly better ultrafiltration.

    Read the abstract » | (added 01/10/2016)

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  10. CT Scans Can Help Find Encapsulating Peritoneal Sclerosis

    Finding EPS early can make treatment of this devastating problem more successful. This study had experienced radiologists look at CT scan results from 18 people with confirmed EPS and 26 matched controls with it. The radiologists were blinded to who had the disorder. Peritoneal thickening, calcification, and other findings were more common in the EPS group. Some radiologists were better than others at detecting the differences that suggested EPS.

    Read the abstract » | (added 01/10/2016)

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