Journal Watch
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Short daily HD survival 13% better than than standard in-center HD
When 1,873 short daily home HD patients were matched with 9,365 standard in-center HD patients, those who did more frequent HD had a better chance of living longer.
Read the abstract » | (added 2012-08-16)
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How to do urgent-start PD
Researchers developed an urgent-start PD plan to address the needs of people who needed dialysis right away and had not chosen a treatment option. The outcomes of urgent-start PD patients were very similar to those of regular-start patients, though the urgent-start group had more minor leaks.
Read the abstract » | (added 2012-08-16)
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Nocturnal in-center HD survival about 50% better than standard in-center HD
A Fresenius study followed 946 patients doing 3x/week nocturnal in-center HD with 2,062 matched patients doing standard in-center treatments. After 2 years, 27% of those doing standard treatments had died, vs. 19% of those who did the longer, nocturnal treatments.
Read the abstract » | (added 2012-08-16)
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Metaanalysis: More HD boosts heart health
A metaanalysis of 46 studies concluded that switching from standard in-center HD to longer and/or more frequent HD significantly reduced left ventricular mass and improved blood pressure and the cardiac ejection fraction.
Read the abstract » | (added 2012-08-16)
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Metaanalysis: Later dialysis start is better for HD
Starting dialysis at a lower GFR allows more time for access placement and options education. But the U.S. trend has been to start earlier. A new metaanalysis of 17 studies found that starting dialysis at a higher GFR was linked with a significantly higher risk of all-cause mortality—in HD, but not PD. The mortality risk was lower when GFR was calculated than when it was estimated.
Read the abstract » | (added 2012-08-16)
Tags: Chronic kidney disease
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Buttonhole needle technique causes less bleeding, pain
A small study in Thailand (21 patients') has found that stopping bleeding after removing dialysis needles takes less than half as long with the Buttonhole technique (4.19 +/- 1.66 mins) than with the rope ladder technique (9.12 +/- 2.36 mins), and causes significantly less pain.
Read the abstract » | (added 2012-08-16)
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Thrice-weekly nocturnal HD reduces arterial stiffness
A Turkish study compared 60 people on standard in-center HD to 60 on nocturnal in-center HD. After a year, those who did nocturnal HD needed fewer blood pressure meds, had lower serum calcium and calcium-phosphorus product, reduced left ventricular mass, and their arteries were less stiff.
Read the abstract » | (added 2012-08-16)
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Green dialysis: using solar power for HD
Our own Dr. John Agar and other researchers from Australia report on their experience using the sun to power a dialysis clinic and reduce electricity costs by 76.5% In the second and third decades, the new system will pay for itself and contribute power to the grid.
Read the abstract » | (added 2012-01-26)
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Coiled vs. straight PD catheters—is one better than the other?
Researchers in China randomly assigned 80 people doing PD to a straight or a coiled catheter and looked at results from an 493 more people on PD. No differences were found in migration of the catheter tips, catheter failure, infection, stopping PD, or death between the two types of catheters. In the larger analysis, coiled catheters had far more problems than straight ones.
Read the abstract » | (added 2012-01-26)
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Pregnancy and HD: More is better (Review)
It is harder for women with ESRD to become pregnant and to carry healthy babies to term. Careful team follow up and more intensive dialysis have been shown to improve pregnancy outcomes. This article reviews fertility issues in young women with ESRD, pregnancy outcomes, and management suggestions.
Read the abstract » | (added 2012-01-26)
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