Journal Watch
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Clues to Home HD Retention
Why do people drop out of home HD? A new interview study of 15 current and 10 former patients sheds some light. The study identified five themes, each with a positive and a negative aspect: degree of independence, support, technical aspects, home environment, and attitudes and expectations.
Read the abstract » | (added 2019-03-12)
Tags: HHD, Modality, Discontinuation
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To Screen or Not to Screen PD Patients for Bacteria: That is the Question
Does the ISPD guideline for routine use of mupirocin ointment at PD exit sites risk creating mupirocin-resistant organisms? No, finds a surveillance study of 1,175 swabs from 240 patients.
Read the abstract » | (added 2019-02-14)
Tags: Mupirocin, PD, Catheter, Peritonitis, Pseudomonas, Hygiene
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Most Cost Effective Dialysis Options: Metaanalysis
An analysis of 16 economic studies from both high- and low-income countries determined that home dialysis options are less costly and offer comparable—or better—health outcomes than in-center HD. Quality of life concerns were rarely investigated, however.
Read the abstract » | (added 2019-02-14)
Tags: Economic Studies, HD, Cost, Dialysis Options, Health Outcomes
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Urgent-start PD Catheter Placement - Surgical vs. Percutaneous
PD catheter placement does NOT have to be limited to just minimally-invasive percutaneous procedures, suggests a literature review. But, minimizing intraperitoneal pressure for the first 2 weeks IS important.
Read the abstract » | (added 2019-02-14)
Tags: PD, Catheter, Urgent start, Complications
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Lower Dementia Risk with PD than Standard In-Center HD: Metaanalysis
An analysis of 15 studies concludes that PD is associated with a lower risk of cognitive decline and dementia than HD--but calls for well-conducted prospective studies.
Read the abstract » | (added 2019-02-14)
Tags: Dementia, PD, In center HD, Cognitive Functions
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Longitudinal Experience with Remote PD Monitoring
Patients whose PD was monitored remotely had almost twice the number of APD prescription changes--and significantly fewer nighttime alarms and less need for in-person visits than control subjects, saving both time and money.
Read the abstract » | (added 2019-02-14)
Tags: PD, Remote Monitoring, APD, Nighttime Alarm, In person Visit
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Fewer Hip Fractures with PD than Standard In-Center HD: Metaanalysis
Analysis of five cohort studies totalling more than 1.2 million ESRD patients found that those doing HD had a 61% higher risk of hip fracture than those doing PD.
Read the abstract » | (added 2019-02-14)
Tags: Hip Fractures, PD, In center HD
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Impact of High Protein Diets on Residual Kidney Function in PD
Does a high-protein diet cause a faster loss of residual kidney function for PD patients? An observational study of 336 patients for at least 6 months suggests that it may.
Read the abstract » | (added 2019-01-11)
Tags: Protein Intake, Residual Kidney, Peritoneal Dialysis, PD
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PD Technique Survival by Equipment Manufacturer
An Australia/New Zealand study of all 16,575 new PD patients between 1995 and 2014 compared PD cyclers made by Baxter, Fresenius, or Gambro. Gambro users had the fewest days to technique failure among the 72% who had it, followed by Fresenius, and then Baxter.
Read the abstract » | (added 2019-01-11)
Tags: Peritoneal Dialysis Systems, Comparison, Technique Failure, Patient Survival
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Low-volume Tidal PD for Urgent Starts
A randomized, prospective trial was done to see if tidal PD (TPD) would improve outcomes among 27 urgent start PD patients, vs. 22 who did low-volume intermittent PD. After follow up for up to 2 years, the TPD group did have significantly fewer catheter complications. Both options had about the same technique survival.
Read the abstract » | (added 2019-01-11)
Tags: Automated Peritoneal Dialysis, Tidal Peritoneal Dialysis, Intermittent Peritoneal Dialysis, Complications