Journal Watch
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Alternative Quality Metrics for Kt/V-free PD
This article explores the historic origins of Kt/V and its adaptation to PD and the limitations of using urea removal as a surrogate for other uremic toxins. Are residual kidney and dialytic urea clearances equivalent? Is urea distribution volume accurate? The authors don’t think so! They propose a shift away from Kt/V and “adequacy” to person-centered care.
Read the abstract » | (added 2026-04-14)
Tags: Kt/V, PD, Urea Removal, Person centered Care
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PD for Frail Seniors
For the frail elderly in the UK, PD offers quality of life, cognitive, and treatment satisfaction benefits over HD. Assisted PD can support those with physical or cognitive impairments and alleviate some caregiver burden. Improved funding and access to assisted PD programs are needed going forward to ensure PD is a viable treatment option.
Read the abstract » | (added 2026-04-14)
Tags: Quality Of Life, PD, Impairments, Burden
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Diabetes, Incremental PD, and Residual Kidney Function
A retrospective study analyzed 76 patients with diabetes, of whom 57.9% (44) started PD incrementally. Incremental PD significantly slowed the loss of residual kidney function (~60%) vs. full-dose PD and did not increase risk of transfer to hemodialysis or death. Overall, iPD appears safe and RRF-preserving, with glycemic control critical for outcomes.
Read the abstract » | (added 2026-04-14)
Tags: Diabetes, Incremental PD, Residual Kidney Function, Mortality
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PD Patients Exhibit Cognitive Deficits but Not Ischemic Brain Injury
How does PD affect the brain? In this small imaging and cognitive study, researchers observed patterns of impairment and unexpected metabolic changes. The findings raise new questions about the neurological effects of PD that merit closer investigation.
Read the abstract » | (added 2026-03-12)
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The European Renal Calculator (EuReCa) App: Calculating Incremental HD Dose
Incremental HD can reduce treatment burden for patients with residual kidney function. Researchers have developed the EuReCa app to help nephrologists calculate the parameters needed to maintain adequate total clearance.
Read the abstract » | (added 2026-03-12)
Tags: Incremental HD, Treatment Burden, EuReCa App, Total Clearance
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Ultrasound-Guided Percutaneous PD Cather Insertion Technique to Reduce Migration
PD catheter migration can interrupt treatment and compromise outcomes, but it is challenging to prevent. In a two-center study, researchers examined whether adding musculofascial tunnelling during catheter insertion improves catheter stability.
Read the abstract » | (added 2026-03-12)
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Health Disparities in UK Kidney Replacement Therapy Modality Transitions
93,451 patients initiated KRT in England from 2005 to 2020. Compared with White patients, findings from Asian, Black, and patients in deprived areas demonstrated inequalities in the KRT pathway.
Read the abstract » | (added 2026-03-12)
Tags: KRT, Kidney Replacement Therapy, Modality Transitions, Ethnic Disparities
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Is Shower Water without Dressings Linked with Increased PD Infections?
No surprises here. Catheter-related infection and peritonitis are common and serious. Among 146 PD patients at one clinic from January 2019 to December 2022, showering without covering the exit site was an independent predictor of catheter associated infections.
Read the abstract » | (added 2026-03-12)
Tags: Catheter related Infection, Peritonitis, Exit Site Care
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Effect of Common Salt on Granulomas at Exit Sites of PD Catheters
Granulomas are a common and painful exit-site complication that can cause infection and discomfort. This study compared the effectiveness of common salt with a salt-vinegar solution—and salt was better, with no adverse reactions in either group.
Read the abstract » | (added 2026-03-12)
Tags: Granulomas, Salt, Exit site Complication
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Latent Demand for Home Therapies in China
A national survey of in-center HD patients (n=2,847; 3+ months) in China assessed HHD adoption intent. One quarter (n=717) reported high adoption intent; these patients tended to be younger, male, employed, and university educated. They had higher AVF use, Kt/V, knowledge, prior HHD discussion, fewer ER visits, better adherence, and lower total dialysis costs. With better outcomes, helping this group of patients reach HHD could improve health equity, reduce health system burden, and strengthen financial protection for vulnerable populations.
Read the abstract » | (added 2026-02-17)
Tags: China, HHD Adoption Intent, Outcomes