Journal Watch
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Successful PD Catheter Quality Improvement
A clinic in China that was experiencing PD catheter dysfunction describes a CQI process that that led to several preoperative, intraoperative, and postoperative approaches that markedly reduced the problem.
Read the abstract » | (added 2018-11-11)
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Uric Acid Levels and CAPD Mortality—an Unexpected Relationship
One might think that high uric (UA) levels would be harmful to those doing CAPD. But, a retrospective analysis of 492 PD patients found that all-cause, cardiovascular, and infection-related deaths dropped as UA levels rose.
Read the abstract » | (added 2018-11-11)
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Nocturnal Home HD in Australia: a 17-year Summary
A retrospective analysis of all 109 nocturnal home HD (NHHD) patients at the Barwon Health clinic in Geelong looked at technique failure (transfer to in-center HD or PD for 60+ days, or death). Of the 112 periods of NHHD, 33 patients (30%) had technique failure after 5.2+3.6 years or died after 4.7+3.8 years. Median technique survival for the full sample was 7.8 years and median patient survival was 14.6 years.
Read the abstract » | (added 2018-11-11)
Tags: Nocturnal Home HD, Patient Survival, Positive Outcomes, Technique Survival
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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
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Metaanalysis of Nocturnal HD and Sleep Quality
Nine studies of 286 patients found significantly less sleep apnea and better O2 saturation—but less total sleep time—after switching from conventional to nocturnal HD. Prospective pre-post studies found improved sleep quality, but randomized trials did not. Read the abstract.
Read the abstract » | (added 2018-10-12)
Tags: Sleep Apnea, CHD, NHD, O2 Saturation, Nocturnal HD, Conventional HD, Sleep Quality
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MXene Sorbents: A Step Toward a WAK
A sorbent tested for use in a wearable artificial kidney was able to adsorb urea with 99% efficiency in testing—twice the level removed with standard dialysate. The hemocompatible sorbent did not damage cells or reduce cell viability at the concentrations tested. A successful sorbent product will facilitate the design of a WAK. Read the abstract.
Read the abstract » | (added 2018-10-12)
Tags: Wearable Artificial Kidney, 2D Materials, Urea, MXene, Adsorption, Dialysate
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Peritonitis Symptoms in Older vs. Younger People
A single center study compared the time to first episode of peritonitis treated successfully with antibiotics in PD patients >65 (n=79)compared to those who were younger (n=168). Of 377 peritonitis episodes, 126 were in the older group and 251 in the younger group. Older patients were less likely to have fever or cloudy dialysate as symptoms than younger patients, but rates of transfer to hemodialysis, relapse, hospitalization, and mortality were similar. Read the abstract.
Read the abstract » | (added 2018-10-12)
Tags: Peritonitis, Outcomes Of Peritonitis, Elderly PD, Patient PD
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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
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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
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Urgent Start PD + Diabetes
A retrospective study compared the first 30-day outcomes and survival trends of 80 urgent start dialysis patients, 50 of whom (62.5%) did PD. Compared to those who started standard in-center HD, the dialysis-related complications were significantly lower for those on PD, and PD survival was higher as well. Read the abstract.
Read the abstract » | (added 2018-10-12)
Tags: Diabetes, Survival Trends, Urgent Start Dialysis, PD, In center HD, Dialysis related Complications