UK Target: 20+% on Home Dialysis

Despite the many benefits of home therapies, PD and home HD remain underused. The UK now recommends a minimum 20% prevalence rate for home dialysis.

Read the abstract » | (added 2023-06-14)

Tags: PD, Home HD, Peritonitis

Daily HD and Cardiovascular Risk factors

In a 4-year study of 26 people using daily hemodialysis and 51 matched controls doing standard hemodiaysis, the daily treatments significantly improved blood pressure, calcium-phosphorus product, and hemoglobin levels. There was also a non-significant trend toward lower left ventricular mass index.

Read the abstract » | (added 2023-06-14)

Tags: Daily HD, Cardiovascular Risk Factors, Blood Pressure, Calcium phosphorus Product, Hemoglobin Levels

Hope Matters in PD

Among 134 patients receiving PD in Hong Kong, those who were working, had a higher income, and were using a cycler for PD had higher hope scores, and there were correlations with age and social support. Higher hope scores were linked with better mental well-being and less severe depression.

Read the abstract » | (added 2023-06-14)

Tags: PD, PD Cycler, Work, Hope Score, Social Support, Mental Well being, Depression

2023 ISPD Catheter Infection Recommendations

The updated recommendations have new definitions and classifications of exit site infection and tunnel infection, and new targets.

Read the abstract » | (added 2023-06-14)

Tags: Catheter, Infection, Exit Site Infection, Tunnel Infection, Antibiotic Treatment

Pathophysiology of Encapsulating Peritoneal Sclerosis (EPS)

EPS is a rare but often fatal complication of PD. Biopsy findings from Japan suggest that EPS is not sclerosis, but formation of a neo-membrane in response to a peritoneal injury.

Read the abstract » | (added 2023-06-14)

Tags: EPS, Sclerosis, Neo membrane

Meta-analysis of PD Remote Patient Monitoring

Analysis of data from 22 studies revealed that remote monitoring for PD reduced technique failure, hospitalization, and mortality vs. traditional PD monitoring.

Read the abstract » | (added 2023-04-19)

Tags: Remote Monitoring, PD, Technique Failure, Hospitalization, Mortality, Traditional PD Monitoring

How Kidney Patients Define Health

Among people with kidney failure who used three or more treatment options, “health” was linked to the ability to take part in meaningful activities and maintain life balance. Social and treatment environments that supported autonomy also helped people to consider themselves healthy.

Read the abstract » | (added 2023-04-19)

Tags: CKD, Treatment Options, Health, Treatment Experience, Shared Decision making

Nephrologist Attitudes Toward Home Therapies Drive Practice

A survey of 327 nephrologists assessed their knowledge, attitudes, and practice around the choices for renal replacement therapy. Attitudes toward PD, HD, and transplant were independently linked to participants’ consideration of these options for patients.

Read the abstract » | (added 2023-04-19)

Tags: Nephrologists Modality Knowledge, Modality Bias, Choices For Renal Replacement Therapy, Modality Choice, Patient Education, Shared Decision making

Factors Linked with Time to First Peritonitis on PD

In a 5-year, 57 clinic, prospective randomized controlled trial in Europe, 33% of 671 participants had a bout of peritonitis. The factors independently linked with time to first peritonitis included older age, higher number of PD bags, low serum albumin, and higher body weight.

Read the abstract » | (added 2023-04-19)

Tags: Peritonitis, Age, PD Bags, Serum Albumin, Body Weight

The Impact of Patient Empowerment on PD Self-management

A controlled trial investigated use of a problem-based learning (PBL) model to empower people on PD to self-manage. Among 94 participants, 47 patients were randomized to PBL learning, while the control group got usual care. PBL participants were divided into five study groups that each had six lessons. After 9-11.5 months, the PBL group had significantly more basic PD knowledge, higher self-management scores, better quality of life, increased satisfaction, and less depression and anxiety.

Read the abstract » | (added 2023-04-19)

Tags: Problem based Learning Model, PBL, Self management, PD Knowledge, Quality Of Life, Depression, Anxiety