Journal Watch

  1. PD First Comes to Brazil

    Since 2014, researchers in Brazil have made urgent-start PD an option for patients with little advance warning of kidney failure. After catheter placement, patients did in-center, alternate-day, intermittent PD until training could be done. Among 35 patients, survival was 80% and technique survival was 85.7%. The chronic PD program grew by 41.1%.

    Read the abstract » | (added 03/10/2016)

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  2. ISPD Releases Free PD Teaching Syllabus

    The Nursing Liaison Committee of the International Society for Peritoneal Dialysis (ISPD) has reviewed PD training programs from around the world. An expert group has developed a consensus document to help PD nurses train patients and care partners. The free curriculum is flexible, based on adult learning principles, and includes checklists.

    Read the abstract » | (added 03/10/2016)

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  3. Metaanalysis: Better PD Catheter Outcomes Via Laparoscope

    An analysis of five randomized trials and 11 cohort studies compared laparoscopic PD catheter placement to surgery. The laparoscopic approach had less catheter migration and the catheters lasted longer, though there was a slightly higher risk of bleeding.

    Read the abstract » | (added 03/10/2016)

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  4. Less Severe Itching With PD Than In-center HD

    Among 380 people on PD or in-center HD, fewer on PD had uremic pruritus (itching) (28.6% vs. 38.2%). And, the itching was less severe in those who did PD, and affected less of the body. Those with higher levels of active vitamin D had less intense itching. Those with higher blood levels of phosphorus, triglycerides, and AST had more itching problems.

    Read the abstract » | (added 03/10/2016)

    Tags: Hemodialysis

  5. Transplant Beat Nocturnal HD for Boosting Cognitive Function

    Among 28 patients who got a kidney transplant, cognitive testing found better learning and memory compared to 18 who did frequent nocturnal HD or 31 on standard HD. Read the abstract.

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

    Tags: Hemodialysis

  6. Patient Attitude and Motivation Matters for Long-term Survival

    Long-term dialysis survivor Judy Weintraub shares her personal experience and the importance of relating to patients as people, individualizing treatment, and tapping into motivation.

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

    Tags: Hemodialysis

  7. Upper Abdominal PD Exit Site May Reduce Infection

    A change in the exit site location may matter for PD. A non-randomized study of 147 catheter placements compared standard straight catheters to longer, swan-neck ones placed in the upper abdomen. Those with the upper abdominal catheters had far less exit site and tunnel infections. Peritonitis rates were similar.

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

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  8. 6-minute Walk Test Predicts PD Technique and Patient Survival

    Being able to walk for 6 full minutes in a row could predict who would be able to keep doing PD and who would live longer, in a study of 145 people. A poor score on the walk test was linked with poor heart function as well.

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

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  9. Well Nourished PD Patients Live Longer

    Among 106 PD patients, body weight and BMI did not predict survival. But, those who had low serum albumin levels, low lean body mass, and were in the lowest 25% for cholesterol levels were less likely to survive. Some overweight or obese patients did not have good nutrition.

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

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  10. 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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