Journal Watch
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Arterial stiffness is equally high in PD and standard in-center HD
Arteries are supposed to be flexible. In a study of 35 people on PD and 26 doing standard HD, both groups had equally stiff arteries that were more rigid than those of the general public.
Read the abstract » | (added 2012-01-26)
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Switch from standard to nocturnal in-center HD reduces left ventricular mass
Among 37 people in the UK who switched from standard in-center HD to 3x/week nocturnal in-center HD, echocardiograms showed significant drops in left ventricular mass after 12 months. This is a good sign that their hearts are healthier and they may live longer.
Read the abstract » | (added 2012-01-26)
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Antibiotic ointment reduces PD exit site infections, but not peritonitis
Researchers studied 1,270 people who used mupirocin ointment on their PD catheters, 502 used gentamycin, and 1,203 did not use an antibiotic ointment. While the ointments helped prevent exit site infections, they did not reduce the rate of peritonitis.
Read the abstract » | (added 2012-01-26)
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Mupirocin beats polysporin triple ointment (P3) for preventing PD catheter infections
In an 18-month long randomized, controlled study, twice as many patients had redness at the PD catheter exit site and more fungal infections occurred in those using P3 than mupirocin.
Read the abstract » | (added 2011-12-22)
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Longer life on PD with statins
A study from Korea has found that people on PD who were prescribed statin drugs (used for high cholesterol) had a 41% lower risk of death than those who were not given statins. The effect held true for people who had diabetes as well. Future randomized, controlled studies are suggested.
Read the abstract » | (added 2011-12-22)
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Cycler PD done longer than manual PD
Among 179 people doing CAPD and 441 using cyclers, survival and the rates of loss of residual kidney function and peritonitis were about the same. But technique survival was significantly better among those who used a cycler.
Read the abstract » | (added 2011-12-22)
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International practice patterns for "non-conventional" HD
311 nephrologists from around the world took part in an online survey about use of HD options other than standard in-center. Among the respondents, 62.4% used "non-conventional" options: 26.7% used nocturnal HD, 34.4% used short daily HD, and 26% used long standard treatments.
Read the abstract » | (added 2011-12-22)
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Pregnancy and more dialysis
In general, pregnancy is uncommon in women with ESRD. But more dialysis seems to improve pregnancy outcomes. This review article addresses fertility issues, pregnancy, and suggestions for how to manage dialysis in pregnant women.
Read the abstract » | (added 2011-12-22)
Tags: Chronic kidney disease
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Home HD costs in Canada
Learn the costs of standard in-center HD vs. short daily and nocturnal in this new review article. (Home costs less!)
Read the abstract » | (added 2011-12-22)
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Normalizing "unphysiology" with longer and/or more frequent HD
Studies of intensified HD regimens have found superior results to standard in-center HD, including better cardiac outcomes. This review article surveys the evidence that supports the hypothesis that more physiologic dialysis leads to better outcomes.
Read the abstract » | (added 2011-12-22)
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