Journal Watch
-
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)
Tags:
-
CKD Case Management Boosts PD Use
A Fresenius program of renal care coordinators (RCCs) in late-stage CKD helped ease the transition onto dialysis. Compared to non-participants (693), the 738 patients with RCC case managers were more likely to start PD or have a permanent vascular access for HD, and have a serum albumin level >4.0g/dL.
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
-
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
-
Well Nourished PD Patients Live Longer
Among 106 PD patients, body weight and BMI did not predict survival. But, those who had low serum albumin levels, low lean body mass, and were in the lowest 25% for cholesterol levels were less likely to survive. Some overweight or obese patients did not have good nutrition.
Read the abstract » | (added 2016-02-09)
Tags:
-
Upper Abdominal PD Exit Site May Reduce Infection
A change in the exit site location may matter for PD. A non-randomized study of 147 catheter placements compared standard straight catheters to longer, swan-neck ones placed in the upper abdomen. Those with the upper abdominal catheters had far less exit site and tunnel infections. Peritonitis rates were similar.
Read the abstract » | (added 2016-02-09)
Tags:
-
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)
Tags:
-
Transplant Beat Nocturnal HD for Boosting Cognitive Function
Among 28 patients who got a kidney transplant, cognitive testing found better learning and memory compared to 18 who did frequent nocturnal HD or 31 on standard HD. Read the abstract.
Read the abstract » | (added 2016-02-09)
Tags: Hemodialysis
-
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)
Tags:
-
Patient Attitude and Motivation Matters for Long-term Survival
Long-term dialysis survivor Judy Weintraub shares her personal experience and the importance of relating to patients as people, individualizing treatment, and tapping into motivation.
Read the abstract » | (added 2016-02-09)
Tags: Hemodialysis