Journal Watch

  • NxStage Outcomes in Spain

    The first 86 NxStage users in 12 Spanish dialysis clinics received an adequate dialysis dose, optimal ultrafiltration, improved biochemical markers, and reduced need for antihypertensive drugs, binders, and erythropoietin. Patient and technique survival were both good.

    Read the abstract » | (added 2021-09-14)

    Tags: Adequate Dialysis Dose, Optimal Ultrafiltration, Biochemical Markers, Antihypertensive Drugs, Binders, Erythropoietin. Patient Survival, Technique Survival

  • A Home First Policy Helps Drive Home Therapy Choice

    In the multinational Peridialysis study, of 1,587 people starting dialysis, 32.5% were judged “unsuitable” for a home treatment due to contraindications—or a lack of assessment. Among the suitable 1,071, 65.4% chose PD and 3.6% chose home HD, and the remainder went in-center. Late referral, suboptimal dialysis initiation, acute illness—and no “home dialysis first” policy were factors linked to use of in-center HD.

    Read the abstract » | (added 2021-09-14)

    Tags: Lack Of Assessment, Glomerular Filtration Rate, Haemodialysis, Peritoneal Dialysis, Pre dialysis, Uraemia

  • Urgent Start PD: Better Survival, Fewer Complications than Urgent Start HD

    A metaanalysis pooling data from seven studies found that urgent start PD was linked with significantly better survival than urgent start HD, though infectious complications were comparable. Urgent start PD had significantly less risk of mechanical complications as well.

    Read the abstract » | (added 2021-09-14)

    Tags: Urgent start Peritoneal Dialysis, Survival, Urgent Start HD, Mechanical Complications, Infectious Complications

  • Learn About PD on YouTube

    People cannot choose PD if they do not know it exists. A study assessing 295 YouTube PD videos found that those targeted to professionals had higher information quality than those aimed at consumers. More easy-to-understand PD videos that describe benefits are needed, and could help to raise awareness of this option.

    Read the abstract » | (added 2021-09-14)

    Tags: PD Awareness, PD Videos, PD Benefits

  • PD After Transplant Failure

    We know that PD helps preserve residual kidney function longer: will this work after a failed transplant, too? An 8-year chart review study found no difference between technique survival, peritonitis-free survival, and residual urine in patients with transplant failure who returned to PD (n=18) vs. those who started PD for other reasons (n=163).

    Read the abstract » | (added 2021-09-14)

    Tags: PD, Residual Kidney Function, Failed Transplant, Technique Survival, Diuresis

  • Lessons from Europe: How to Grow PD

    Analysis of 575 survey responses to a hypothetical case study of an unplanned dialysis start found that about 1/3 would recommend emergent start PD. About another 1/3 would start unplanned HD—and plan to educate about PD later. Predialysis education about PD, dedicated PD catheter placement teams, and other initiatives were most helpful.

    Read the abstract » | (added 2021-09-14)

    Tags: Peritoneal Dialysis, Emergent Start PD, Unplanned HD, PD Incidence, PD Prevalence

  • Residual Kidney Function and Incremental PD

    A retrospective cohort study was done of 96 incident PD patients (54 on incremental PD; 42 on standard PD). The incremental PD patients had lower exchange volumes, less glucose load—and longer peritonitis-free survival.

    Read the abstract » | (added 2021-09-14)

    Tags: PD, Incremental Dialysis, Peritonitis, Residual Kidney Function, Technique Survival

  • Feel Low on PD? Could be Vitamin D

    In a study of 50 people on PD, those with vitamin D deficiency (< 20ng/mL) did more poorly than those with adequate vitamin D levels on all subscales of the KDQOL-36 survey to measure health-related quality of life. High blood pressure was also a factor in higher kidney disease burden.

    Read the abstract » | (added 2021-08-12)

    Tags: Serum Vitamin D Levels, Health related Quality Of Life, Peritoneal Dialysis

  • Encapsulating Peritoneal Sclerosis Linked to Vasculopathy

    EPS is a rare but devastating complication of PD. Tissue samples from 223 people with EPS who had surgery to remove adhesions were analyzed under a microscope. In the 174 samples that could be evaluated, the individuals who had used conventional PD fluid had more severe vasculopathy and longer PD durations than those who used pH neutral PD fluid.

    Read the abstract » | (added 2021-08-12)

    Tags: Https://pubmed.ncbi.nlm.nih.gov/32437531/

  • Healthcare System Change Increased PD and Home HD in Australia

    A lean-thinking framework and commitment of top leadership to change the system of care were used in a “Home before Hospital” approach to increase use of home therapies. Multidisciplinary Pathway, Outreach, and Hybrid working groups were established, and goals were set. A target of >30% for PD and home HD was achieved in 2 years, 35% within 3 years—and was still being maintained at 8 years.

    Read the abstract » | (added 2021-08-12)

    Tags: Peritoneal Dialysis, PD, Home Haemodialysis