Journal Watch
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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
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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
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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
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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
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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
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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
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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
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Frequent HD in Children
Does 5x/week in-center HD benefit children more than 3x/week treatments? A multicenter pilot followed 8 children with a median age of 16.7 years. Among the 6 patients who completed two study periods, 5 had a sustained 10% or more decrease in systolic BP or antihypertensives during the more frequent treatments. Reimbursement and time burdens are challenges.
Read the abstract » | (added 2017-04-12)
Tags: Hemodialysis
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In-center Nocturnal HD Beats Standard HD
An analysis of 21 published studies (n=1,165 in-center nocturnal patients and 15,865 standard in-center HD patients) found better BP, higher Hgb, and lower serum phosphate levels in those who dialyzed longer.
Read the abstract » | (added 2017-04-12)
Tags: Hemodialysis
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Serum Uric Acid Levels and PD Technique Failure
Among 371 people using CAPD in Taiwan , those with higher levels of uric acid in their blood were significantly more likely to have PD technique failure and peritonitis than those with lower levels.
Read the abstract » | (added 2017-04-12)
Tags: Peritoneal dialysis