Journal Watch
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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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Why Do People Stop Doing Home HD?
Among 2,840 people who started home HD between 2007 and 2009, nearly one in four stopped within a year, while 1-year mortality was 7.6%. The risks of stopping home HD were higher among those with diabetes, and substance use (alcohol, tobacco, drugs). Those who were listed for transplant or lived in rural areas were less likely to stop home HD.
Read the abstract » | (added 2016-01-10)
Tags: Hemodialysis
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Nanomembranes for Miniature HD
Dialyzors with membranes that are more permeable could be much smaller—in fact, small enough for wearable dialysis. Ultra-thin silicon may be a candidate, and a prototype miniature membrane is predicted to clear toxins at “near-ideal levels.”
Read the abstract » | (added 2016-01-10)
Tags: Hemodialysis
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NxStage and 2008K@Home Head-to-Head
Compared to NxStage users, those who dialyzed on a 2008K@Home did fewer treatments per week but had significantly higher standardized weekly Kt/V’s. NxStage users tended to use less ESA medication. No differences were found in other parameters, including levels of albumin, calcium, phosphorus, PTH, or in hospital stays.
Read the abstract » | (added 2016-01-10)
Tags: Hemodialysis
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Cost Effectiveness: Conventional vs. High Dose HD
An analysis of seven studies of high dose HD found that it is cost effective when delivered at home.
Read the abstract » | (added 2016-01-10)
Tags: Hemodialysis
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Anxiety, Depression, and PD Technique Survival
Among 201 PD patients, those whose testing revealed higher levels of anxiety were more likely to die or to switch to another option than those with lower levels. Other predictors included needing help from a care partner, comorbidities, and low albumin levels.
Read the abstract » | (added 2016-01-10)
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Using Plant-Protectant Resveratrol to Preserve the Peritoneum
Resveratrol is a phenol found in the skins of grapes and some berries that can help keep blood vessels from growing to support tumors. A new prospective, randomized, controlled, double blind study looked at its use to keep blood vessels from growing in the peritoneum, which can cause PD technique failure. Participants (n=72) were given 12 weeks of low- or high-dose resveratrol or placebo. Those who received a high dose of resveratrol had significantly better ultrafiltration.
Read the abstract » | (added 2016-01-10)
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CT Scans Can Help Find Encapsulating Peritoneal Sclerosis
Finding EPS early can make treatment of this devastating problem more successful. This study had experienced radiologists look at CT scan results from 18 people with confirmed EPS and 26 matched controls with it. The radiologists were blinded to who had the disorder. Peritoneal thickening, calcification, and other findings were more common in the EPS group. Some radiologists were better than others at detecting the differences that suggested EPS.
Read the abstract » | (added 2016-01-10)
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PD After Loss of Residual Kidney Failure
Once residual kidney function is gone, it is vital to address fluid volume, finds a new study that followed 183 people. During the 10.5-36 months of follow up, 65% either switched to HD or died. Their inflammation rates (measured by C-reactive protein levels) were high, as were their extracellular water levels (measured by bioelectrical impedance analysis).
Read the abstract » | (added 2016-01-10)
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Buttonhole Cannulation Does NOT Raise Infection Risk—at Satellite
AVF infection rates were examined among 162 patients from 1990 through 2012, which represents a changeover from rope ladder cannulation (1990-1998) to the Buttonhole technique (1998 onward). The difference in infection rates between the two techniques was not significant. Recurrence of AVF-infection was found only during time 2.
Read the abstract » | (added 2015-12-10)
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