Journal Watch
Waist Circumference Linked to Survival on PD
A prospective study of 109 people on PD measured waist circumference (WC) at baseline and at 6 months, then followed them for 4 years. At baseline, 55% of women had a high WC (>88cm) and 23% of men did (>102cm). After 6 months, The WC of 61% of participants had increased. High baseline WC and an increase were both associated with a higher risk of death.
Read the abstract » | (added 2017-06-12)
The Impact of ESRD Treatment Modality on Sleep Quality
A metaanalysis looked at whether changing from one treatment type to another (HD, daily HD, nocturnal HD, CAPD, CCPD, or transplant) would affect sleep. Sixteen studies with 670 patients and 191 controls were examined. Restless leg syndrome resolved in 60+% of patients who switched to CCPD, intensive HD, or transplant. Sleep apnea improved with these options as well. Overall sleep quality improved as the intensity of treatment increased.
Read the abstract » | (added 2017-06-12)
Tags: What Is The Best Dialysis Option For Me, Education Issues: For Patients And Professionals
Both UF Rate AND UF Amount Matter
Using data from 152,196 US dialysis patients, researchers looked at what would happen if UF rates were capped at 13mL/h/kg without reducing weight gain or offering longer treatments. On average, 18-36% of patients left treatment > 1 Kg above their prescribed target weights. Without adding time or reducing the gains between treatments, patients may have fluid-related weight gain.
Read the abstract » | (added 2017-06-12)
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 2017-06-12)
Tags: Patient Education
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 2017-05-09)
Tags: Hemodialysis
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 2017-05-09)
Tags: Hemodialysis
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 2017-05-09)
Tags: Peritoneal dialysis
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 2017-05-09)
Tags: Hemodialysis
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 2017-05-09)
Tags: Peritoneal dialysis, Catheter
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 2017-05-09)
Tags: Peritoneal dialysis