Journal Watch
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Meta-analysis of Factors in PD Catheter-related Infections
Thirteen studies were included in a meta-analysis that found PD catheter-infection factors included diabetes, insecure catheter fixation, >2 years on dialysis, BMI >20 kg/m2, mechanical strain, lack of proper care, irregular caregivers, and a history of catheter pulling.
Read the abstract » | (added 2025-10-14)
Tags: PD, Catheter related Infections, Risk Factors, Meta analysis
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ISPD Position Paper: Teaching PD
The International Society for Peritoneal Dialysis adds a new 2025 Position Paper that builds on two prior works to help clinicians teach patients/care partners. Key areas include education, knowledge, skills, and attributes for PD nurse trainers; preparation for training; methods/interventions; post-training; and outcomes measures.
Read the abstract » | (added 2025-10-14)
Tags: ISPD, Teaching PD, Care Partners, Post Training, Outcome Measures
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First-in-human Trial of Sorbent-assisted Continuous Flow PD
One downside of peritoneal dialysis (PD) is the need to truck bags of sterile fluid to patients. A new sorbent-assisted PD (SAPD) device regenerates spent dialysate. SAPD may improve uremic solute clearance by maintaining a high concentration gradient and increasing the mass transfer area coefficient. It may help preserve peritoneal membranes longer by avoiding high glucose concentrations. And, fewer connections may mean less peritonitis. Short-term safety and performance of SAPD will be evaluated in a group of 12 stable adulte PD patients.
Read the abstract » | (added 2025-10-14)
Tags: First in human Trial, Continuous Flow Peritoneal Dialysis, Sorbent assisted Peritoneal Dialysis, Sapd, Peritonitis
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Vascular Access Survival in Thrice-weekly In-center Nocturnal HD
In a retrospective cohort study, data on vascular access complications were collected from 145 adults using in-center nocturnal HD (INHD) who acted as their own controls. No increase was found in vascular access events for INHD vs. the control period. Grafts had a lower survival than arteriovenous fistulas, and anticoagulation with vitamin K antagonists increased the risk of vascular access events.
Read the abstract » | (added 2025-10-14)
Tags: Vascular Access Complications, In center Nocturnal HD, Survival Rate, Grafts, Vitamin K
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Challenges and Opportunities in Managing Individuals with Obesity on Peritoneal Dialysis
Some view obesity as a contraindication to PD, which limits treatment options for many patients. However, PD can be successfully utilized by people with obesity! Careful planning of the exit site can help.
Read the abstract » | (added 2025-09-15)
Tags: Obesity, Peritoneal Dialysis, Exit Site
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Amino acid and protein losses in adult patients receiving maintenance dialysis: a literature review
Patients on dialysis lose amino acids/protein on HD, hemodiafiltration (HDF). home HD, peritoneal dialysis (PD) and nocturnal HD (NHD). Protein losses were greater with HDF compared to HD. Patients on daily PD lose more amino acids/protein than those on HD.
Read the abstract » | (added 2025-09-15)
Tags: Amino Acids, Protein Loss, Dialysis
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Black and Latino Patients: Staying on PD
Black and Latino patients are disproportionately affected by ESKD, less likely to use PD, and more likely to switch to in-center HD if they do start PD. In-depth, semistructured interviews with twelve Black and eight Latino patients who were currently or previously receiving PD found that poor mental health, medicalization of the home, and language and cultural barriers were factors in PD dropout.
Read the abstract » | (added 2025-08-21)
Tags: Ethnicity, ESKD, PD, PD Dropout
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Diabetes + PD + Self-management: Theory of Planned Behavior (TPB)
Semi-structured interviews formulated with TPB were conducted with 16 diabetic kidney disease (DKD) PD patients. Analysis identified 3 themes and 7 sub-themes related to physical and mental perception, emotions, subjective norm, continuity of care, social feedback, perceived behavioral control, and limitations on external resources. Strengthening positive feedback and social support can improve active patient participation in decision-making.
Read the abstract » | (added 2025-08-21)
Tags: Diabetic Kidney Disease, Diabetes, PD, Self management, Theory Of Planned Behavior
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No Benefit to Postponing PD Catheter Removal After Transplant
Data collected from 324 patients at five centers matched patients who had PD catheters removed during transplant with those who had them removed after a transplant. Metrics included need for dialysis within 2 months after transplant, catheter-related infection/peritonitis/surgical site infection, and length of hospitalization. Analysis revealed that 14% of patients needed postoperative dialysis (no statistically significant difference between groups. There were no differences in the composite infection endpoint—but hospitalization was significantly higher in the post-transplant removal group.
Read the abstract » | (added 2025-08-21)
Tags: Catheter related Infections, Delayed Graft Function, Kidney Transplantation, Peritoneal Dialysis
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Chlorhexidine vs. Ethanol for Buttonhole AVF Disinfection
A randomized, cross-over trial compared 5mg/mL chlorhexidine in 70% ethanol vs. 70% ethanol alone in four dialysis treatments. Factors considered were arm washing, serial sampling of normal skin flora immediately before/after disinfection, and 2 and 4 hours after disinfection. Buttonhole scabs were collected and compared to each patient’s normal skin flora. Chlorhexidine was more effective than ethanol alone.
Read the abstract » | (added 2025-08-21)
Tags: Chlorhexidine, Ethanol, Skin Flora, Disinfection, AV Fistula, Buttonhole