Home Dialysis in the News
PD trash found in Michigan landfill
Disposal of dialysis waste is a challenge for many, but one PD consumer may find the police at his or her door. Boxes of PD solution, used bags, syringes, and other supplies were found illegally dumped in a landfill—with an address on the boxes.
Speak Your Truth artist on home dialysis does exhibit to raise awareness
Christina Thomas has MS and kidney failure, and dialyzes in her home four days a week. Instead of doing physical therapy, she paints during her treatments—and her new exhibit features works that will help raise awareness of kidney disease.
NHS opens in-center self-care unit in UK
Up to 72 people will be able to come in to a newly built dialysis clinic and run their own treatments on their own schedules in St. Pancras Hospital in London. One nurse with the program said, “You have patients who are struggling to come to terms with their condition, but by learning about their dialysis and doing it for themselves they get a buzz out of it and a sense of achievement.”
Canadian province sets ambitious goal for home dialysis
Not content to settle for just 24% of dialysis consumers at home (NOTE: This is more than double the US level), Northern Alberta has now set a goal of 40%.
PD has a 25% lower risk of dementia than standard in-center HD
Among 121,623 patients starting dialysis, those who began with PD had a 25% lower chance of developing dementia than those who started with HD—even after adjusting for age, gender, and other factors. Dr. Dawn Wolfgram and her team looked at USRDS data and claims data to rule out people who had dementia when they started treatment, though doctors may have steered cognitively impaired patients away from a self-care option like PD.
Which is safer for urgent start dialysis, PD or HD?
If dialysis must start right away, which option offers a better chance of avoiding infection and living longer—PD or HD? In Dr. Arshia Ghaffari’s study, reported in abstract form at the NKF Spring Clinicals, the clear winner was urgent start PD. Urgent start HD had a 43% higher rate of hospitalization and 4.3 times the number of catheter-related infections.
Even in nursing homes, daily HD is dramatically better than thrice weekly
Compared to 3,391 nursing home residents receiving standard in-center HD (ICHD), 528 residents who did short daily HD had markedly better survival. In fact, in the first 3 months of treatment, mortality among standard ICHD patients was 70%, 72%, and 64%—while for the same 3-months, mortality with daily HD was 50%, 24%, and 17%—with albumin and hemoglobin levels similar or higher and ferritin levels lower.
See what Mark Neumann learned about home HD at the ADC meeting
Regional training programs, telling patients about home options, and incentives for returning to work were some of the take aways from the full-day home HD workshop at this year’s Annual Dialysis Conference.
What will the new PD catheter placement study learn?
PD catheter placement practices are highly variable—but some are better than others. In a new study, 40 clinics from the US and Canada have taken a 29-item survey designed to identify factors in successful PD catheter placement and establish a framework for improvement.
Nocturnal HD has FINALLY been blessed by the FDA!
Americans on dialysis should now have far better access to gentle, overnight treatments that let them fill their days with what they value—while getting the most HD possible. What a great way to start 2015!