Journal Watch

  1. Patient Education Boosted Use of Home Therapies

    In a 22-month period 108 people were enrolled in a comprehensive predialysis education program—and 70% chose a home treatment (55% PD; 15% home HD). Three sessions of education appeared optimal for helping patients reach a decision.

    Read the abstract » | (added 06/12/2017)

    Tags: Patient Education

  2. In-center nocturnal HD boosts lean body mass

    Among 56 adults followed for a year, those who were randomly assigned to nocturnal in-center HD vs. standard treatments had higher, more stable interdialytic weights. The pattern of toxin removal suggests that the result is due to increases in lean body mass.

    Read the abstract » | (added 05/09/2017)

    Tags: Hemodialysis

  3. HD frequency and protein-bound solutes

    Does more frequent HD do a better job of removing protein-bound solutes from the gut that are more toxic than urea? No, finds a new analysis of results from the Frequent Hemodialysis Network (FHN) trials.

    Read the abstract » | (added 05/09/2017)

    Tags: Hemodialysis

  4. Short daily HD in pediatrics

    Dividing 12 hours of in-center HD into 5 weekly treatments instead of 3 was feasible and beneficial to blood pressure control in adolescents in a new crossover study. However, not surprisingly, reimbursement and time demands were challenging. (Editorial note: home treatments would allow more flexibility for school.)

    Read the abstract » | (added 05/09/2017)

    Tags: Hemodialysis

  5. Why and how to change the dialysis default to PD

    PD is comparable to standard HD in outcomes, but costs less, is more convenient, does a better job of preserving residual kidney function, and delivers better quality of life, argues a new editorial.

    Read the abstract » | (added 05/09/2017)

    Tags: Peritoneal Dialysis

  6. How dialysis clinics can help prevent peritonitis

    What can dialysis clinics do to reduce the risk of peritonitis in PD patients? In an analysis of 127 PD clinics and 5,017 new PD patients, having a nurse who specialized in PD or conducting home visits prior to the PD start had the biggest impact.

    Read the abstract » | (added 05/09/2017)

    Tags: Peritoneal Dialysis

  7. When to start PD after catheter placement

    A new randomized controlled trial included 122 new PD starts at two Queensland, Australia hospitals for 5 years. Participants were randomized to three groups, who started PD at either 1 week, 2 weeks, or 4 weeks after PD catheter placement. Leaks were higher in the 1-week group, while PD technique failure was higher in the 4-week group.

    Read the abstract » | (added 05/09/2017)

    Tags: Catheter, Peritoneal Dialysis

  8. Ultrafiltration: Speed Kills

    Among 190 people on HD, those whose ultrafiltration (fluid removal) rate was higher than the median (just 6.8 mL/Kg/h) were less likely to survive than those who were at or below the median. Most participants did not have residual kidney function.

    Read the abstract » | (added 04/12/2017)

    Tags: Hemodialysis

  9. In-center Nocturnal HD Beats Standard HD

    An analysis of 21 published studies (n=1,165 in-center nocturnal patients and 15,865 standard in-center HD patients) found better BP, higher Hgb, and lower serum phosphate levels in those who dialyzed longer.

    Read the abstract » | (added 04/12/2017)

    Tags: Hemodialysis

  10. Frequent HD in Children

    Does 5x/week in-center HD benefit children more than 3x/week treatments? A multicenter pilot followed 8 children with a median age of 16.7 years. Among the 6 patients who completed two study periods, 5 had a sustained 10% or more decrease in systolic BP or antihypertensives during the more frequent treatments. Reimbursement and time burdens are challenges.

    Read the abstract » | (added 04/12/2017)

    Tags: Hemodialysis