Home Dialysis Central
...everything you need to know about doing dialysis at home.
Journal watch: HD
Nocturnal in-center HD survival about 50% better than standard in-center HD
A Fresenius study followed 946 patients doing 3x/week nocturnal in-center HD with 2,062 matched patients doing standard in-center treatments. After 2 years, 27% of those doing standard treatments had died, vs. 19% of those who did the longer, nocturnal treatments.
Read more | (added Aug 16, 2012)
Short daily HD reduces left ventricular mass
The Frequent Hemodialysis Network trials found significant reductions in left ventricular mass (LVM)—with greater benefit for patients whose left ventricular mass was higher than normal at the start of the study.
Read more | (added Aug 16, 2012)
Buttonhole needle technique causes less bleeding, pain
A small study in Thailand (21 patients) has found that stopping bleeding after removing dialysis needles takes less than half as long with the Buttonhole technique (4.19 +/- 1.66 mins) than with the rope ladder technique (9.12 +/- 2.36 mins), and causes significantly less pain.
Read more | (added Aug 16, 2012)
Thrice-weekly nocturnal HD reduces arterial stiffness
A Turkish study compared 60 people on standard in-center HD to 60 on nocturnal in-center HD. After a year, those who did nocturnal HD needed fewer blood pressure meds, had lower serum calcium and calcium-phosphorus product, reduced left ventricular mass, and their arteries were less stiff.
Read more | (added Aug 16, 2012)
Switch from standard to nocturnal in-center HD reduces left ventricular mass
Among 37 people in the UK who switched from standard in-center HD to 3x/week nocturnal in-center HD, echocardiograms showed significant drops in left ventricular mass after 12 months. This is a good sign that their hearts are healthier and they may live longer.
Read more | (added Jan 26, 2012)
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 more | (added Jan 26, 2012)
Green dialysis: using solar power for HD
Our own Dr. John Agar and other researchers from Australia report on their experience using the sun to power a dialysis clinic and reduce electricity costs by 76.5% In the second and third decades, the new system will pay for itself and contribute power to the grid.
Read more | (added Jan 26, 2012)
Arterial stiffness is equally high in PD and standard in-center HD
Arteries are supposed to be flexible. In a study of 35 people on PD and 26 doing standard HD, both groups had equally stiff arteries that were more rigid than those of the general public.
Read more | (added Jan 26, 2012)
International practice patterns for “non-conventional” HD
311 nephrologists from around the world took part in an online survey about use of HD options other than standard in-center. Among the respondents, 62.4% used "non-conventional" options: 26.7% used nocturnal HD, 34.4% used short daily HD, and 26% used long standard treatments.
Read more | (added Dec 22, 2011)
Home HD costs in Canada
Learn the costs of standard in-center HD vs. short daily and nocturnal in this new review article. (Home costs less!)
Read more | (added Dec 22, 2011)
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