Journal Watch
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
Review: What do we know now about more-frequent HD?
Studies have shown since the 1960s that more-frequent dialysis improves outcomes. The recent Frequent Hemodialysis Network trials confirmed these findings. This article reviews the data.
Read the abstract » | (added 2011-07-26)
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Cycler PD has better outcomes than manual PD for those under age 65
Among 282 people on PD, younger people were much more likely to keep doing PD—and much more likely to survive—if they used a cycler.
Read the abstract » | (added 2011-05-23)
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Consistent aspirin use associated with improved AVF survival among incident HD patients in the DOPPS
A new paper from the Dialysis Outcomes & Practice Patterns Study (DOPPS) reports that people who took aspirin had significantly less fistula failure than those who didn't. (Talk to your doctor about whether a baby aspirin or an adult aspirin might benefit you.)
Read the abstract » | (added 2011-02-24)
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Travel time to HD predicts HRQOL, adherence, & death
A new paper from the Dialysis Outcomes and Practice Patterns (DOPPS) study of 20,994 patients reports that patents whose one-way travel to HD was longer than 60 minutes had significantly higher mortality and lower quality of life. Patients noted, "I feel as if it rules all my time." The authors suggest home dialysis as an option for those who live far from the nearest center.
Read the abstract » | (added 2011-02-24)
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Straight talk: Improve CKD outcomes by prescribing better dialysis
Longer or more-frequent treatments, better access choices, ultrapure water, and better removal of fluid and toxic middle molecules could improve survival on dialysis, say researchers.
Read the abstract » | (added 2011-02-24)
Tags: Chronic kidney disease
November 2006 Kidney International supplement focuses on PD
Is survival better on PD or HD? What factors predict PD success? What are best practices in PD catheter placement? Does use of biocompatible PD solution reduce peritonitis? Learn the answers to these and many other key PD questions in the November 2006 supplement of KI. (For kidney professionals who don't subscribe to Kidney International, we've compiled the links to all of the abstracts from the special supplement on PD (November 2006). You can find them below.
- Mortality studies comparing PD and HD: What do they tell us?
- French PD registry (RDPLF): Outline and main results
- PD in the US: Evaluation of outcomes in contemporary cohorts
- Selected best demonstrated practices in PD access
- Use of the embedded PD catheter: Experience and results from a North American Center
- Prevention of infectious complications in PD: Best demonstrated practices
- Microbiology and outcomes of peritonitis in North America
- Impact of new dialysis solutions on peritonitis rates
- Place of PD in the management of treatment-resistant congestive heart failure
- The role of PD in the management of treatment-resistant congestive heart failure: A European perspective
- Mitigating peritoneal membrane characteristics in modern PD therapy
- Profiles of automated PD prescriptions in the US 1997-2003
- Tidal PD: Its role in the current practice of PD
- The role of tidal PD in modern practice: A European perspective
- Glucose sparing in PD: Implications and metrics
- New insight of amino-acid based dialysis solutions
- Management of hyperlipidemia in patients on PD: Current approaches
- Structural requirements for a successful PD program
- Nosogogy: When the learner is a patient with chronic renal failure
- Patient retraining in PD: Why and when it is needed
- Patient and technique survival on peritoneal dialysis in patients with failed renal allograft: A case-control study
- Place of genotyping and phenotyping in understanding and potentially modifying outcomes in PD patients
Read the abstract » | (added 2011-02-24)
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More dialysis, longer life
In 2003, researchers from the 12-nation Dialysis Outcomes and Practice Patterns (DOPPS) study found that HD treatments shorter than 3.5 hours had a 33% higher risk of death. A new DOPPS paper reports that each extra 30 minutes of HD reduces the relative risk of death by 7%. Unfortunately, this study also documented mean US in-center treatment times of...3.5 hours.
Read the abstract » | (added 2011-02-24)
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Kids & dialysis: daily and nocturnal hd have benefits
Imagine being a child and having to limit sodium, phosphorus, and fluids. A new article about pediatric HD reports outcomes from a program in France. Children using daily HD needed no fluid or diet limits except potassium, while those on nocturnal HD had no limits at all.
Read the abstract » | (added 2011-02-24)
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