Journal Watch

  • Extended HD and Nutrition

    An attempt to do a metaanalysis of the literature on the impact of daily and nocturnal HD (15+ hours per week) on nutritional status failed due to lack of sufficient high quality papers. In five studies of nocturnal and/or daily HD—three in-center and two at home—lean body mass improved significantly and one study found deficiency in water-soluble vitamins.

    Read the abstract » | (added 2022-11-16)

    Tags: Extended Hemodialysis, Nutrition, Lean Body Mass

  • Impact of a 1-hour Discussion on Choice of a Home Dialysis Option

    Of 620 incident dialysis patients in Japan from 2013 to 2021, 128 received a 1-hour discussion of treatment options. The discussion group had a tendency for fewer urgent hospitalizations—and had a significantly higher chance of choosing PD (30.7% vs. 9.4%).

    Read the abstract » | (added 2022-11-16)

    Tags: Patient Education, Dialysis Modality, Treatment Options

  • Nephrologist-owned Dialysis Clinics and Home Therapies

    A study of the USRDS data set looked at ownership of adult dialysis clinics in 2017 caring for 251,651 patients. Those in nephrologist-owned clinics had a 2.4% higher probably of home dialysis, a 2.2% lower probability of receiving an ESA, and no significant difference in anemia treatment.

    Read the abstract » | (added 2022-11-16)

    Tags: Nephrologist owned Clinics, Clinical Outcomes

  • Urine Output on PD Predicts Solute Removal

    In an observational study of 93 people on CAPD (n=34) or APD (n=59) who still made urine, 24-hour urine collection correlated positively with removal of wastes + residual clearance. There was no significant difference between CAPD and APD.

    Read the abstract » | (added 2022-11-16)

    Tags: CAPD, APD, Urine

  • The Predictive Value of Early, Non-infectious PD Complications

    A prospective, multicenter cohort study of 1,596 people starting PD in New Zealand from 2014 to 2018 (inclusive) looked at survival and time on PD of those who had catheter-related exit site dialysate leaks or other leaks within 30 days of PD start. Peritonitis-free survival, first PD catheter survival, and tunnel infection free survival were secondary outcomes. Among the 102 with an early complication, overall mortality, the rate of stopping PD, and first catheter failure were all higher.

    Read the abstract » | (added 2022-11-16)

    Tags: PD, Survival, Peritonitis free Survival, First PD Catheter Survival, Tunnel Infection Free Survival, Early Catheter related Complication

  • A New PET Resource

    How and why are peritoneal equilibrium tests (PETs) done? What are the various iterations? What can be learned from the results? Find out in this new review.

    Read the abstract » | (added 2022-11-16)

    Tags: Peritoneal Equilibrium Tests, PETs

  • Which Modality is Better Between Transplants: PD or HD?

    Among 776 people in a registry who received a second kidney transplant, 656 did standard in-center hemodialysis (HD) between transplants, 72 did PD, and 48 went immediately to a second transplant. Those who did PD or went directly to a second transplant had better adjusted survival than those on HD.

    Read the abstract » | (added 2022-11-16)

    Tags: Second Kidney Transplant, Transitional Care

  • Better COVID Survival with PD and Home HD

    Among 1,336 people whose kidneys failed between March, 2020 and January, 2021, 13.12% (n=178) contracted COVID-19. Of these, most (n=139) did standard in-center HD, and 33 (3.87%) died. On PD, 39 people developed COVID, and 1 (0.81%) died. On home HD, there were zero cases of COVID and no deaths. Five transplant patients developed COVID, with a mortality rate of 1.47%.

    Read the abstract » | (added 2022-10-17)

    Tags: Covid, Standard In center HD, PD, Mortality, Home HD, Home Hd And Covid, Transplant

  • Remote vs. In-person PD Training: Which is Better?

    It’s a tie, finds a small, retrospective Italian study comparing 21 in-home, in-person PD trainings from 2014 through 2016 to 25 video-based training from 2016 through 2018. After a home visit, PD training done by telemedicine. Actually, there were 5 episodes of peritonitis in the home training group—and 0 in the telemedicine group. And, 2-year technique survival with in-person training was 56.3%—while for telemedicine training, it was 76.9%.

    Read the abstract » | (added 2022-10-17)

    Tags: Remote Training, PD Training, Telemedicine

  • The Varied Uses of Assisted PD in Spain

    In a retrospective look from 1997 through 2020, a Spanish clinic identified four groups who used assisted PD at some point. Group 1 was totally dependent at PD start, group 2 was self-care and then became totally dependent, group 3 needed short-term PD help, and group 4, the controls, remained on self-care. Of those who required assistance, 73% did so during follow up, not initially. Up to 44% of autonomous patients became dependent for various reasons over time, including loss of a care partner. Assisted PD—even when paying care partners—was less costly than switching to standard HD.

    Read the abstract » | (added 2022-10-17)

    Tags: Assisted PD, Dependency