Journal Watch
Adsorptive column removes B2m
Too-high levels of B2m cause amyloidosis in people on dialysis, with joint and bone pain. In Japan, people dialyzed using the Lixelle S-15 adsorptive column had significantly less B2m in their blood after a year of 3x/week treatments. They were also stronger and had less joint pain.
Read the abstract » | (added 2011-11-28)
Tags: Chronic kidney disease
Eating more protein linked with longer life on PD
In a study of 305 people on PD, those who ate the most protein (≥0.94 g/kg/day) were stronger and at less risk for heart disease, peritonitis, and death than those who ate the less.
Read the abstract » | (added 2011-11-28)
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Yes, PD can be done with diabetes
PD is gentle on the blood vessels. With use of icodextrin and other steps to optimize glucose and volume control, it can be a good option for those with diabetes.
Read the abstract » | (added 2011-11-28)
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Working fistula rate doubled with procedures
Are repeated fistula procedures worth it? Yes, says a new study of 294 people who had 347 fistulas made, with 736 procedures between them. While only 36.8% of fistulas were working on their own after 2 years, 77.8% were working 2 years later after procedures to fix them. (One patient had 11 interventions.)
Read the abstract » | (added 2011-11-28)
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Urgent-start PD is feasible with a plan
In this small study, 9 people who had an urgent start for PD were compared to 9 people who started PD with more time. A standard protocol was written to support urgent start PD. After 90 days, both groups were doing equally well.
Read the abstract » | (added 2011-11-28)
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Alternate-night HD improves bone minerals & blood pressure
Among 63 people in Australia who switched from standard HD to alternate-night HD, bone mineral balance and blood pressure improved after 18–24 months. Left ventricular mass did not improve, but remained stable.
Read the abstract » | (added 2011-11-28)
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Antioxidant improves residual kidney function in PD
Four weeks of twice-daily oral N-acetylcysteine, an antioxidant, significantly increased residual kidney function of people on PD in a small study (n=10).
Read the abstract » | (added 2011-10-27)
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Home dialysis boosts patient employment in Finland
A new study looked at employment results among 2,637 people ages 15 to 64 on dialysis or with kidney transplants in Finland. While just 19% of those on standard in-center HD were working, 39% of those on home HD, 40% of those with working transplants, and 44% on cycler PD were employed.
Read the abstract » | (added 2011-10-27)
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Implantable artificial kidney—progress
Three key bits of technology are needed to make an implantable artificial kidney possible: high efficiency membranes to remove water, a way to keep blood from clotting, and a way to mimic the selective action of kidney cells for removing wastes. Progress is occurring in each area.
Read the abstract » | (added 2011-10-27)
Tags: Chronic kidney disease
A new look at dialysis treatment length
There is increasing proof that dialysis treatments shorter than 4 hours are not long enough. A new paper reviews the literature knowing what we know now—and concludes that most people should get at least 4 hours per treatment.
Read the abstract » | (added 2011-09-29)
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