Journal Watch
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Can PD Patients Safely Exercise?
A systematic review and meta-analysis founc nine randomized controlled trials of 398 patients, of whom 199 were randomized to a physical activity group. After 3-6 months of follow up, the exercise group had significant improvements in such diverse measures as social support, social interaction, pain, sitting and standing, and insulin-resistance. However, C-reactive protein levels increased significantly.
Read the abstract » | (added 2025-03-13)
Tags: Physical Activity, Exercise, C reactive Protein Levels
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Home Dialysis + Person-centered Care
A scoping review identified 9,443 articles about the intersection of person-centered interventions (PCI) and home dialysis. The 16 that met the inclusion criteria included 13 PCIs; eight to involve patients in modality choice, six to involve them in their treatment, and one to involve patients in post-treatment-choice decisions. Five found a correlation between a PCI and the number of patients using home dialysis.
Read the abstract » | (added 2025-03-13)
Tags: Home Dialysis, Person centered Interventions, Modality Choice
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The Impact of Rural Outreach in West Virginia on Home Dialysis
Of 22,408 WV patients who started dialysis between 1965 and 2020, 13% overall started with a home modality—but this figure was 18% in counties that had a rural outreach kidney care clinic.
Read the abstract » | (added 2025-03-13)
Tags: Dialysis, Home Modality, Rural Outreach
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Laparoscopic vs. Open PD Catheter Placement
Analysis of 11,731 PD catheter insertions from 2013 to 2018 examined the association between type of placement, complications, length of hospital stay, and mortality. During the 5-year period there was a significant increase in laparoscopic PD insertions. Complications were similar between groups, with slightly longer hospital stays for open placements.
Read the abstract » | (added 2025-03-13)
Tags: PD Catheter, Complications, Laparoscopic PD Insertions
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Predicting UF Failure in PD
A study in two Spanish hospitals tested a software approach to predicting PD UF failure in 183 PD patients. Using biomarkers and clinical data, the MAUXI program was able to predict UF failure and cardiovascular events.
Read the abstract » | (added 2025-03-13)
Tags: Software Predicting, PD UF Failure, MAUXI
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Uptake of Home Dialysis After Kidney Transplant Failure by Sex
An ANZDATA registry study analyzed dialysis after transplant failure of 3,521 patients from 2000 to 2020. While 38% of the patients were female, 12 months after transplant failure, 14% were using PD and 12% were using home HD. Males were 55% less likely to choose PD after transplant failure and 66% more likely to choose home HD. These disparities were greater in low SES regions.
Read the abstract » | (added 2025-03-13)
Tags: Gender, PD, Home HD, Transplant Failure
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Home Dialysis in Finland
Prevalence of home dialysis has dropped in the past decade in Finland, despite its better survival compared to in-center HD. Semi-structured surveys for nephrologists, nephrology nurses, and patient associations endeavored to understand why. Nursing shortages and patient comorbidities received wide agreement as barriers, and clinicians believed that starting in-center reduces the odds of switching to home treatments later. For patients, financial burdens and impact on care partners were critical, as was “bringing hospitals home” or living in small spaces.
Read the abstract » | (added 2025-03-13)
Tags: Home Dialysis, Survival, Modality, Barriers
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Reasons for Switching from PD to HD
A retrospective analysis of 15,974 French PD patients between 2002 and 2018 found 6,835 deaths, 5,108 transfers to HD, and 3,094 transplants. Nurse-assisted PD reduced the risk of transfer to HD due to infection in the first 18 months as well as adequacy after 6 months. Surprisingly, CAPD had a higher risk of transfers to HD for mechanical issues than APD in the first 6 months—but a lower risk of issues after 18 months. Suboptimal starts had more psychosocial issues.
Read the abstract » | (added 2025-02-14)
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Anxiety, Symptom Burden, and Quality of Life (QOL) on PD
Survey responses from 305 PD patients measured anxiety levels, symptom burden, and QOL. Participants had an average of 5.9 to 10.5 symptoms that negatively correlated with QOL. Anxiety explained 38.9% of the symptom number and 33.3% of the symptom-related distress.
Read the abstract » | (added 2025-02-14)
Tags: Anxiety Levels, Symptom Burden, QOL
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Home Sweet Home Dialysis
Home Sweet Home (HSH) is a new Canadian program where current home dialysis patients share their lived experiences with prospective patients in a home-like setting. Of 291 participants between 2015 and 2019, 92% were interested in a home modality, noting that they valued patients’ real-life perspective and felt less anxious. At follow-up, 25% were doing home dialysis, 24% had a transplant, and the remaining survivors were dialyzing in-center.
Read the abstract » | (added 2025-02-14)