Nurse education after unplanned dialysis starts increases home treatments

Each year, about half of those who start dialysis had little or no time to prepare. In a new study of 176 Canadians, assigning a nurse to teach new dialyzors increased the use of PD, home HD, and even transplant.

Read more | (added Feb 24, 2011)

NSF from gadolinium contrast dye is very rare

Nephrogenic systemic fibrosis (NSF) is a life-threatening problem that has been linked to gadolinium MRI contrast dye in people with kidney problems. The good news is that the rate of NSF is very low—just 1.6% even among those who did receive gadolinium.

Read more | (added Feb 24, 2011)

Kidney pros would choose home dialysis

A survey of kidney professionals done by Satellite Healthcare found that more than 90% would choose a home treatment if their kidneys failed—about half choosing PD and half choosing some type of home HD.

Read more | (added Feb 24, 2011)

High transporters live just as long on cycler PD

In a study that followed 117 people who started PD in Korea, those who were older, or had diabetes or heart disease had poorer survival. But being a high transporter (wastes move quickly through the peritoneum but water removal is poor) did not reduce survival.

Read more | (added Feb 24, 2011)

Do surgeons get enough PD catheter training?

A new study suggests that the answer is "no." A survey of surgery programs found that 18% gave no training in PD catheters, though 48% felt it was important. Most put in 2 to 5 catheters. The good news: 62% of programs were willing to give fledgling surgeons more PD training.

Read more | (added Feb 24, 2011)

Low GDP PD fluid protects residual kidney function

Researchers think GDPs—caramel formed when sugar is heated up during PD fluid production—harm the peritoneum. Now, a randomized study proves it. Those using low GDP fluid had 3x as much kidney function after 18 months.

Read more | (added Feb 24, 2011)

NAC appears to improve residual kidney function in people on PD

A supplement called N-acetylcysteine improved residual kidney function by about 50% in people on PD. (ALWAYS talk to your doctor before taking ANY over the counter meds.)

Read more | (added Feb 24, 2011)

Green dialysis: Saving the planet

Dialysis uses a lot of power and a lot of water. Reusing those resources saves water, energy, and money. Our own Dr. John Agar has a new paper out about his solar dialysis and water reuse practices in Australia.

Read more | (added Feb 24, 2011)

Toronto: 61% of dialysis patients went home

Imagine what US dialysis would look like if we could do what our neighbors do! A study of 486 people with CKD from 2001-2007 found that, of the 153 who started dialysis, most went home (79 on PD, 15 on home HD). Why (or why not)?

Read more | (added Feb 24, 2011)

Breast cancer drug offers hope for encapsulating peritoneal sclerosis (EPS)

Tamoxifen has been shown to improve survival in EPS--a rare, but sometimes deadly PD complication that can lead to bowel obstruction. In a study of 63 people with severe EPS, those treated with the drug had significantly better survival.

Read more | (added Feb 24, 2011)

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