Wearable and implantable artificial kidneys

Thrice weekly in-center HD for 4 hours or less is a paradigm that must change to improve patient outcomes. But longer and/or more frequent treatments are not practically available to the total dialysis population. Thus, radical new approaches are needed—like wearable devices or implantable ones.

Read the abstract » | (added 2013-08-22)

Tags: Chronic kidney disease

Nocturnal home HD – no change in outcomes if a partner is needed

Do Canadian nocturnal home HD patients do worse if they need a partner to help them? No, says a study of 152 people, 47 who needed partners and 105 who could do their treatments unaided. Partner dependent patients were older, more likely to have diabetes, and had more comorbidities. But, there were no significant differences between groups in time to first hospitalization, technique failure, or survival.

Read the abstract » | (added 2013-04-29)

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New from Australia: Outcomes of extended HD (mainly done at home)

In a series of 286 people doing extended HD, 96% received their treatments at home, and 77% did them at night. Survival was 98% at 1 year, 92% at 3 years, and 83% at 5 years.

Read the abstract » | (added 2013-02-27)

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Wearable and implantable kidney devices

The current standard in-center paradigm needs to change, say the authors of this review. Radically new approaches are needed to improve patient outcomes and quality of life. Two such approaches on the horizon are wearable and implantable devices.

Read the abstract » | (added 2013-02-27)

Tags: Chronic kidney disease

CAPD improved outcomes in hard to treat CHF

In a study in Spain, 28 people with advanced congestive heart failure were treated with PD, while 34 controls were not. Sixteen months later, those who did PD were 40% more likely to survive.

Read the abstract » | (added 2012-11-27)

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Home HD for obese patients

In Australia, a 215 Kg man has successfully dialyzed at home for 8 years, after training by a program that has trained 23 obese (BMI >30) people to date. Home HD is a cost effective option with good outcomes in this group.

Read the abstract » | (added 2012-11-27)

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Outcomes of extended-hours HD (mainly at home)

Among 286 people in Australia who did 24 hours or more of HD per week (96% at home), survival was 98% for 1 year, 92% for 3 years, and 83% for 5 years. Technique survival was 90% for 1 year, 77% for 3 years, and 68% for 5 years. This study did find higher rates of access problems with more frequent HD, but there was no control group.

Read the abstract » | (added 2012-10-25)

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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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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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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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