Nocturnal HD vs. Transplant: Health-related Quality of Life Compared

In a small study, transplant candidates using nocturnal HD (n=41) and transplant patients (n=31) took the KDQOL-short-form survey of health-related quality of life (HRQOL). Those with transplants had significantly higher “effects” of kidney disease scores than those on nocturnal HD. The other domains were not significant. Read the abstract.

Read the abstract » | (added 2018-10-12)

Tags: Transplant, Nocturnal HD, Kdqol, HRQOL, Effects Of Kidney Disease

Metaanalysis of PD for Kidney Failure due to PKD

Polycystic kidneys may displace room for PD fluid, so can PD be a viable treatment option? A metaanalysis of 12 studies and more than 17,000 patients found…maybe. PD outcomes were about the same for those with PKD as with other primary kidney diseases, and some can do PD. More research is needed to determine who is suitable. Read the abstract.

Read the abstract » | (added 2018-10-12)

Tags: Dialysis Adequacy, PD associated Complications, Peritoneal Dialysis, Polycystic Kidney Disease

PD and Dialysis Patient Employment

In a Swedish study, 4,734 working-age (20-60 years old) patients who survived at least one year on in-center HD or PD were compared. Patients using PD had a 4% increased probability of employment over in-center HD—as well as a 6% lower disability pension and higher work income. Read the abstract

Read the abstract » | (added 2018-10-12)

Tags: PD, HD, Employment, Disability Pension, Work Income

5-year study: Predialysis PD Education Saves Lives on PD

Among 398 patients who started PD from 2007-2016, 169 had received predialysis education. After 5 years, this group had a significantly lower rate of peritonitis, a longer median time to a first peritonitis episode, and less risk of death from peritonitis than patients who did not get CKD education. Read the abstract.

Read the abstract » | (added 2018-09-10)

Tags: PD, Predialysis, Peritonitis, Mortality, CKD Education

Gender and Malnutrition in PD

Do hypoalbumineumia, overhydration, inflammation, and cardiovascular risk affect men and women on PD differently? A small study (N=26 men and 28 women) with comparable BMI found more fluid overload, inflammation, and heart risk in women with low serum albumin than in men. Read the abstract.

Read the abstract » | (added 2018-09-10)

Tags: Gender, Malnutrition, Cardiovascular Risk, Hypoalbuminemia, Inflammation, Overhydration, Peritoneal Dialysis

PD Catheter Outcomes in Low vs. High-Volume Centers

Not surprisingly, patients whose PD catheters were placed at high-volume centers (in Japan) had fewer adverse events, needed feer blood transfusions, and had shorter hospital stays than those from low-volume centers. Read the abstract.

Read the abstract » | (added 2018-09-10)

Tags: PD, Catheter, Hospital volume

Nocturnal HD is Underused

A new review suggests that the improved outcomes associated with more hours of HD in-center or at home mean that these options should be used more. Read the abstract.

Read the abstract » | (added 2018-09-10)

Tags: Extended Hours, Improved Outcomes, HD, Nocturnal Dialysis, Quality Of Life

Biocompatible PD Solutions Maintain Membranes Longer

Independently of inflammation, biocompatible PD solutions helped 71 patients keep a steady level of solute transport over 7.5 years, compared to 295 patients who used standard solutions. Read the abstract.

Read the abstract » | (added 2018-09-10)

Tags: Dialysis Solutions, Glucans, Glucose, IL6 Protein, Human, Inflammation, Interleukin 6, Peritoneal Fibrosis, Peritoneum, Peritonitis, Creatinine, Hospitalization, Icodextrin, Peritoneal Dialysis, Peritoneal Membrane

Left Atrial Remodeling Not Found After 1 Year of Nocturnal HD

While left ventricular mass has been shown to regress with intensive HD, the same does not seem to hold true for the left atrium, nor did the ejection fraction improve, finds a new study of 37 patients switched from conventional HD. Read the abstract.

Read the abstract » | (added 2018-09-10)

Tags: Cardiac MRI, End stage Renal Disease, Hemodialysis, Left Atrium

New Model Could Help Screen PD Patients for CeVD Risk

A new risk score could predict how likely new PD patients are to develop cerebrovascular disease down the road. The strongest predictors of CeVD were blood pressure, total cholesterol, and serum phosphate and sodium levels.

Read the abstract » | (added 2018-08-13)

Tags: Cerebrovascular Diseases, Mortality, Peritoneal Dialysis, Risk Prediction