PD First Comes to Brazil

Since 2014, researchers in Brazil have made urgent-start PD an option for patients with little advance warning of kidney failure. After catheter placement, patients did in-center, alternate-day, intermittent PD until training could be done. Among 35 patients, survival was 80% and technique survival was 85.7%. The chronic PD program grew by 41.1%.

Read the abstract » | (added 2016-03-10)

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ISPD Releases Free PD Teaching Syllabus

The Nursing Liaison Committee of the International Society for Peritoneal Dialysis (ISPD) has reviewed PD training programs from around the world. An expert group has developed a consensus document to help PD nurses train patients and care partners. The free curriculum is flexible, based on adult learning principles, and includes checklists.

Read the abstract » | (added 2016-03-10)

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Kidney to Kidney: 2008K@Home and NxStage System One

Among home HD patients followed for a year, there were a few differences between users of the 2008K@Home and the NxStage System One. 2008K@Home users did not do treatments as often—but their mean standardized Kt/Vs were significantly higher (2.75 vs. 1.99). System One users tended to use less EPO. Other outcomes and lab test values were largely similar.

Read the abstract » | (added 2016-03-10)

Tags: Hemodialysis

Metaanalysis: Better PD Catheter Outcomes Via Laparoscope

An analysis of five randomized trials and 11 cohort studies compared laparoscopic PD catheter placement to surgery. The laparoscopic approach had less catheter migration and the catheters lasted longer, though there was a slightly higher risk of bleeding.

Read the abstract » | (added 2016-03-10)

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Less Severe Itching With PD Than In-center HD

Among 380 people on PD or in-center HD, fewer on PD had uremic pruritus (itching) (28.6% vs. 38.2%). And, the itching was less severe in those who did PD, and affected less of the body. Those with higher levels of active vitamin D had less intense itching. Those with higher blood levels of phosphorus, triglycerides, and AST had more itching problems.

Read the abstract » | (added 2016-03-10)

Tags: Hemodialysis

Update on Implantable and Bioengineered Kidneys

A new review focuses on two implantable innovations that may reduce the need for dialysis. An artificial kidney is a biohybrid system that will mimic renal structure and function. A bioengineered kidney will be based on native kidneys.

Read the abstract » | (added 2016-03-10)

Tags: Hemodialysis

Sleep Problems With Automated PD

Compared to people with stage 3b-5 CKD (n=89), those using a cycler for PD (n=22) had about the same, higher level of sleep problems as those on standard HD (n=75). In-home sleep measures and surveys found low levels of oxygen during sleep, and disrupted sleep cycles.

Read the abstract » | (added 2016-03-10)

Tags: Hemodialysis

Surgery for EPS May Help in the Long Term

Encapsulating peritoneal sclerosis is a rare but severe side effect of long-term PD. In a small case series, four patients who developed EPS after a kidney transplant had good results, and good kidney transplant function.

Read the abstract » | (added 2016-02-09)

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6-minute Walk Test Predicts PD Technique and Patient Survival

Being able to walk for 6 full minutes in a row could predict who would be able to keep doing PD and who would live longer, in a study of 145 people. A poor score on the walk test was linked with poor heart function as well.

Read the abstract » | (added 2016-02-09)

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Some PD Patients at Risk for New Onset Diabetes

Among 612 people who did not have diabetes, 32 were diagnosed with the disease after starting PD. The risk of new diabetes was higher in those who were older, had higher BMIs, and whose blood had more markers of inflammation.

Read the abstract » | (added 2016-02-09)

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