Journal Watch

  • Late CKD Options Education Affects PD Selection

    Analysis of data from 355 people at one center found that those who received CKD options education while their eGFRs were higher were more likely to choose PD. Other factors such as gender, poverty, or living alone were not associated with PD choice.

    Read the abstract » | (added 2022-08-11)

    Tags: CKD Options, RRT Education Timing, Patient Education PD, Peritoneal Dialysis, Dialysis Choice

  • Too-high OR Too-low LDL Cholesterol and Survival on PD

    A retrospective study in China looked at data from 3,565 people starting PD from 2005 to 2020. Both higher and lower levels of LDL-C were linked with higher all-cause and cardiovascular mortality. Malnutrition and low LDL-C was especially risky.

    Read the abstract » | (added 2022-08-11)

    Tags: PD, LDL C, Cardiovascular Mortality, All cause Mortality, Malnutrition

  • Meta-analysis: Buttonhole vs. Rope Ladder Cannulation

    Buttonhole cannulation with blunt needles can make home hemodialysis more appealing. A new systematic review and meta-analysis of 15 well-designed studies found that Buttonhole cannulation significantly reduced aneurysms, stenosis, blood clots, and bruising—with no difference in infection.

    Read the abstract » | (added 2022-08-11)

    Tags: Buttonhole Cannulation, Blunt Needles, Rope ladder Cannulation, Arteriovenous Fistula Puncture Techniques

  • Healthcare System Factors in Home Modality Choice

    A Midwest interview study was conducted with 40 people, half doing standard in-center HD. Access to and engagement in healthcare prior to nephrology care and after dialysis start had an impact on patients’ awareness of their CKD, its progression, and dialysis options—and most had been passive during decision-making. Level of fatigue, treatment schedule, and access problems affected satisfaction.

    Read the abstract » | (added 2022-08-11)

    Tags: Standard In center HD, CKD Progression, Dialysis Options, Shared Decision making

  • Safety and Efficacy of Wearable PD

    The automated wearable artificial kidney (AWAK) uses sorbent technology. In a pilot study done in Singapore, patients used the AWAK for 72 hours and were followed up for a month. Among the 15 patients who took part, the AWAK had to be altered to fix blocked flows, but no serious adverse events occurred. Abdominal pain (60%) and bloating (47%) were reported.

    Read the abstract » | (added 2022-07-13)

    Tags: Peritoneal Dialysis, Automated Wearable Artificial Kidney, AWAK, Sorbent Technology

  • Home Dialysis Associated with Higher Patient Activation

    Increased patient activation is linked with better health outcomes. Among 182 people starting dialysis who took the Patient Activation Measure (PAM) survey at month 1 and month 4, those who did home dialysis tended to have higher PAM scores than those who did in-center treatments.

    Read the abstract » | (added 2022-07-13)

    Tags: Patient Activation, Health Outcomes, Dialysis, Patient Activation Measure, PAM, Home Dialysis

  • Structured CKD Education More Than Tripled Uptake of Home Therapies

    In a matched retrospective cohort study, 2,398 CKD patients who attended a single 90-minute education program were pair-matched with others who did not. Compared to controls, those who attended the session were significantly more likely to be doing home dialysis (38.5% vs. 12.6%) and to be using a permanent access (57.9% vs. 33.8%). Hospitalization rates were 38% lower as well, and education-attendees had lower first-year mortality.

    Read the abstract » | (added 2022-07-13)

    Tags: CKD, Education Program, Home Dialysis, Permanent Access, Hospitalization Rates, First year Mortality

  • Prospective Cohort Study of Urgent-start APD

    Can automated PD be used for urgent-start dialysis? A study from China enrolled 68 people who needed to start treatment urgently and did either APD (52.9%) or HD. After following for an average of 20.1 months, the APD group had “significantly fewer short-term dialysis-related complications,” and lower hospital costs. Both groups had similar technique survival, infection rates, and patient survival.

    Read the abstract » | (added 2022-07-13)

    Tags: Automated Peritoneal Dialysis, Cost effectiveness, End stage Renal Disease, Esrd, Urgent start

  • Spiritual Well-being and PD Outcomes

    The Peritoneal Dialysis Outcomes and Practice Patterns (PDOPPS) study has looked at whether spiritual well-being (SWB) affects PD outcomes, using a survey of SWB and SF-12 results. Among 529 people on PD who completed the surveys, 70% had moderate or higher SWB scores, which were positively correlated with higher physical and mental functioning and burden of kidney disease scores, and linked with less likelihood of depression.

    Read the abstract » | (added 2022-07-13)

    Tags: Peritoneal Dialysis Outcomes, PDOPPS, Spiritual Well being, SWB

  • Fatigue at PD Start Linked with Higher Mortality

    A PLOS One study compared 4,285 incident PD patients who completed a KDQOL-SF vitality scale from Brazil (1,388) and the U.S. (2,897) from 2004 to 2011. Lower vitality scores after 90 days of PD were linked with a higher risk of mortality in both countries

    Read the abstract » | (added 2022-07-13)

    Tags: Fatigue, Incident Peritoneal Dialysis, Vitality, Mortality