Remote Monitoring in PD May Catch Problems Early and Reduce Costs

A simulation study using 12 patient profiles has determined that the ability to obtain clinical treatment information from PD could avoid the use of home and ER visits and hospital stays by identifying problems early, saving an estimated $7,088 to $23,364 across Italy, Germany, and the U.S. Read the abstract.

Read the abstract » | (added 2017-11-13)

Tags: Chronic Kidney Disease, Economics, End stage Renal Disease, Peritoneal Dialysis, Remote Therapy Management, Telemedicine

Which PD Exit Site Dressing is Better?

Is an occlusive dressing better to reduce exit site or tunnel infections? A semi-occlusive one? It made no difference, found a new analysis of 2,460 incident PD patients. Read the abstract.

Read the abstract » | (added 2017-11-13)

Tags: Chronic Kidney Disease, Dressing, Nursing, Peritoneal Dialysis

Patients Prefer Home Therapies

Researchers from New Zealand asked 143 CKD patients expected to need dialysis within a year about their preferences. Patients significantly preferred home treatments, due to flexible schedule, better well-being, and longer survival—and were even willing to pay as much as $400 per month out-of-pocket for extra nursing support. Read the abstract.

Read the abstract » | (added 2017-11-13)

Tags: Confidence Intervals, Health Expenditures, Humans, Life Expectancy, Odds Ratio, Patient Preference, Adult, Choice Behavior

Urgent-start PD in Brazil

In a prospective study, 51 patients who needed dialysis urgently began peritoneal dialysis instead of hemodialysis. Even with high-volume dialysate used less than 72 hours after catheter placement (on alternate days in the dialysis clinic), the option was feasible and safe. Read the abstract.

Read the abstract » | (added 2017-11-13)

Tags: Acute Peritoneal Dialysis, Unplanned Peritoneal Dialysis, Urgent start Dialysis, Urgent start Peritoneal Dialysis

Iron-based Binder Safe and Effective in PD

A study conducted with 84 PD patients compared sucroferric oxyhydroxide (n=56) to sevelamer (n=28). After a year, both groups had serum phosphate levels within the target range. The iron-based binder required fewer pills per day and resulted in fewer adverse events. Read the abstract.

Read the abstract » | (added 2017-11-13)

Tags: Chronic Kidney Disease, Hemodialysis, Peritoneal Dialysis; Phosphate Binder, Sevelamer Carbonate, Sucroferric Oxyhydroxide

Colonoscopy Antibiotic Protocols in PD

A study comparing 46 PD patients who received prophylactic antibiotics prior to colonoscopy to 47 patients who did not found no difference in the risk of peritonitis between groups, even when polyps were removed during the procedure. Patients with diabetes did benefit from antibiotics, however. Read the abstract.

Read the abstract » | (added 2017-11-13)

Tags: Peritoneal Dialysis, Prophylactic Antibiotics, Colonoscopy

Barriers to Intensive HD in Pediatrics

Why don’t more people choose intensive hemodialysis? Responses to a survey by 134 of the 221 pediatric dialysis centers in the International Pediatric Dialysis Network found that more than 2/3 were aware of evidence supporting the benefits of intensive HD and half believed it produced the best outcomes (just 2% favored conventional HD). Key barriers included lack of funding and staff, with lack of expertise and motivation as minor factors. Read the abstract.

Read the abstract » | (added 2017-11-13)

Tags: Children, Financial Barriers, Home Dialysis, Intensified Hemodialysis, Nocturnal Hemodialysis

Nocturnal Home HD Boosts Patient Employment Compared to PD

A year-long study comparing 20 alternate-night nocturnal home hemodialysis patients to matched 81 CAPD patients in Hong Kong found 80% employment among the nocturnal HD patients (who were 5 years younger) and just 33.3% among PD patients. The nocturnal patients also used fewer phosphate binders. Read the abstract.

Read the abstract » | (added 2017-11-13)

Tags: Chinese, Nocturnal Hemodialysis, Employment Rate, Incident, Peritoneal Dialysis

Risk Factors for Encapsulating Peritoneal Sclerosis

EPS is a rare but devastating complication of PD. Among a series of 703 PD patients in Japan between 1980 and 2015, 6.3% developed EPS. Identified risk factors included a history of longer-duration peritonitis and longer time on PD, while use of biocompatible PD fluid reduced the risk. Read the abstract.

Read the abstract » | (added 2017-11-13)

Tags: Biocompatible Peritoneal Dialysis Fluid, Dialysate To Plasma Creatinine (D/P Cr) Ratio By Peritoneal Equilibration (PET), Peritoneal Dialysis, Peritoneal Dialysis Duration, Peritonitis

The Impact of AGEs on the Gut Microbiome in PD

The Impact of AGEs on the Gut Microbiome in PD Advanced glycation endpoints (AGEs) cause inflammation and are linked with heart disease. A new PLoS One paper reports on a pilot trial of 20 PD patients who routinely ate a high-AGE diet. Ten were randomized to eat as usual, while 10 had their meals AGE-restricted for a month. Gut bacteria analysis found major shifts in the experimental group that could have clinical importance.

Read the abstract » | (added 2017-10-13)

Tags: Education Issues: For Patients And Professionals, Fistulas, Grafts And Catheters (including PD)