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  • The effect of urgent-start peritoneal dialysis and urgent-start hemodialysis on clinical outcomes in patients with chronic kidney disease: an updated systematic review and meta-analysis

    Recently, urgent-start peritoneal dialysis (PD) has been suggested in place of urgent-start hemodialysis (HD) in cases of chronic kidney disease (CKD). However, the comparative effectiveness of these methods is still unclear. This study compared the outcomes of urgent-start PD and urgent-start HD in CKD patients.

    Read the abstract » | (added 2024-03-15)

    Tags: Dialysis related Complications, Hemodialysis, Kidney Disease, Mechanical Complications, Mortality, Peritoneal Dialysis, Renal Replacement Therapy

  • Impact of Prior Abdominal Procedures on Peritoneal Dialysis Catheter Outcomes: Findings From the North American Peritoneal Dialysis Catheter Registry

    A history of prior abdominal procedures may influence the likelihood of referral for peritoneal dialysis (PD) catheter insertion. To guide clinical decision making in this population, this study examined the association between prior abdominal procedures and outcomes in patients undergoing PD catheter insertion.

    Read the abstract » | (added 2024-03-15)

    Tags: Dialysis, PD, PD Catheter Outcomes, End Stage Kidney Disease, Peritoneal Dialysis, Prior Abdominal Surgery

  • Cardiovascular Outcomes Compared in PD vs. Home HD

    Data from almost 69,000 patients in the USRDS who started PD or home HD to assess for rates of hospitalizations due to incident cardiovascular events (acute coronary syndrome, heart failure, stroke). While the unadjusted rate of cardiovascular events was higher in home HD than PD patients, the adjusted rates were lower for stroke and acute coronary syndrome. There was no difference in heart failure risk, but home HD was linked with a 22% lower adjusted risk of cardiovascular death.

    Read the abstract » | (added 2024-02-07)

    Tags: USRDS, PD, Home HD, Hospitalization Rate, Incident Cardiovascular Events

  • Outcomes with PD to HHD Compared to Direct HHD

    Analysis of data from all patients who started PD or HHD in the first 90 days of kidney replacement therapy in Canada matched PD+HHD patients (n=163) 1:1 to incident HHD patients (n=711). Interestingly, while hospitalization risk was similar, clinical outcomes were better in the PD+HHD group.

    Read the abstract » | (added 2023-09-13)

    Tags: PD, HHD, Kidney Replacement Therapy, Clinical Outcomes

  • Incremental PD and Patient Outcomes: Registry Data

    Between 2007 and 2017, incremental PD use increased by 2.7% in the ANZDATA database. Most (67%) used the approach for one year or less. After controlling for patient and center variables, starting PD with incremental treatments reduced peritonitis risk and transfers to in-center HD, with no increase in mortality.

    Read the abstract » | (added 2023-09-13)

    Tags: Incremental PD, Incremental Treatments, Peritonitis, Mortality Rate

  • Meta-analysis of Quality of Life by ESRD Treatment Modality

    Analysis of 111 papers with more than 50,000 patients compared transplant, PD, home HD, and in-center HD for health-related quality of life outcomes. The rankings? Transplant, PD, home HD, in-center HD.

    Read the abstract » | (added 2023-08-16)

    Tags: Quality Of Life, ESRD, Treatment Modality

  • GI Outcomes in PD Trials

    A meta-analysis of 61 trials looking at patient-reported GI outcomes of PD mainly found nausea (43% of trials), diarrhea (43%), constipation (34%), abdominal pain (31%) and PD peritonitis (40%). But, only 19% of the available trials reported GI outcomes at all.

    Read the abstract » | (added 2023-07-17)

    Tags: GI Outcomes, PD, Nausea, Diarrhea, Constipation, Abdominal Pain, Peritonitis

  • 5-year Assisted PD Program Outcomes

    Not everyone can do solo PD—or has a partner. In BC, Canada, a pilot staff-assisted PD program began in 2016. Analysis of 5 years of data from 322 patients found growth to 11.2% of the total PD population, with a median time of 13.6 months on PD. More than 1/3 were able to use the service until they died.

    Read the abstract » | (added 2023-02-13)

    Tags: Assisted Peritoneal Dialysis

  • Serum albumin at 1 Year Predicts Long-term CAPD Outcomes

    Among 436 patients using CAPD and followed for at least a year (48.25 + 24.05 months), each 1 g/dL increase in serum albumin at 1 year after PD start reduced the risk of death by 8.7%.

    Read the abstract » | (added 2022-12-19)

    Tags: Peritoneal Dialysis , Serum Albumin, CAPD, Mortality

  • The Predictive Value of Early, Non-infectious PD Complications

    A prospective, multicenter cohort study of 1,596 people starting PD in New Zealand from 2014 to 2018 (inclusive) looked at survival and time on PD of those who had catheter-related exit site dialysate leaks or other leaks within 30 days of PD start. Peritonitis-free survival, first PD catheter survival, and tunnel infection free survival were secondary outcomes. Among the 102 with an early complication, overall mortality, the rate of stopping PD, and first catheter failure were all higher.

    Read the abstract » | (added 2022-11-16)

    Tags: PD, Survival, Peritonitis free Survival, First PD Catheter Survival, Tunnel Infection Free Survival, Early Catheter related Complication