Journal Watch
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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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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
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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
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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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Basing dialysis dose on REAL toxins
Dialysis "adequacy" is based on removing urea—a waste that is not all that toxic. A new article points out that finding and choosing wastes that truly are toxic could change the way we measure dialysis for the better.
Read the abstract » | (added 2011-09-29)
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Patients educated about options are more likely to choose home
A new UK study surveyed 118 people with CKD who were not yet on dialysis. Those who were educated about their options were much more likely to plan for home treatment. The most important factor in their choice: fit of a treatment option with the preferred lifestyle.
Read the abstract » | (added 2011-09-29)
Tags: Chronic kidney disease
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U.S. barriers to home dialysis treatments
Home dialysis is underused in the U.S., and a committee of the International Society for Peritoneal Dialysis has looked at why that may be. The group organized the barriers into three groups: educational, government/regulatory, and dialysis practice, and is looking at strategies to address each.
Read the abstract » | (added 2011-09-29)
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PD as a treatment for severe heart failure
In a small study, people whose CKD had not yet caused kidney failure were helped by peritoneal dialysis. After 2 months, the 19 study participants lost water weight, breathed easier, could sleep lying flat, and had no hospital stays for fluid overload.
Read the abstract » | (added 2011-09-29)
Tags: Chronic kidney disease