Early Survival Advantage for Incremental PD

From 2008 to 2017, 1,315 patients from one hospital who started PD were enrolled in a study that propensity matched them 1 (incremental; n=285):2 (full dose; n=502) for age, sex, residual kidney function and urine volume, hemoglobin, serum albumin, and other variables. For the first 6 years, intermittent PD had significantly better survival than full dose PD, with a 39% lower risk of all-cause mortality and 41% less cardiovascular mortality. This advantage disappeared with longer time on PD.

Read the abstract » | (added 2023-09-13)

Tags: Intermittent PD, Full Dose PD, Mortality

Meta-analysis of PD Remote Patient Monitoring

Analysis of data from 22 studies revealed that remote monitoring for PD reduced technique failure, hospitalization, and mortality vs. traditional PD monitoring.

Read the abstract » | (added 2023-04-19)

Tags: Remote Monitoring, PD, Technique Failure, Hospitalization, Mortality, Traditional PD Monitoring

Serum albumin at 1 Year Predicts Long-term CAPD Outcomes

Among 436 patients using CAPD and followed for at least a year (48.25 + 24.05 months), each 1 g/dL increase in serum albumin at 1 year after PD start reduced the risk of death by 8.7%.

Read the abstract » | (added 2022-12-19)

Tags: Peritoneal Dialysis , Serum Albumin, CAPD, Mortality

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

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

Frequent HD Shortens Recovery Time—Even in Nursing Homes

In a study of 2,309 people receiving 14 hours of more frequent HD in skilled nursing facilities (SNFs), 92% reported recovery time of 2 hours or less. Those who received five treatments per week or had systolic blood pressure of 160-179 prior to treatment had greater odds of rapid recovery.

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

Tags: ESRD, Home Hemodialysis, More Frequent Dialysis, Mortality, Nursing Home, Post dialysis Recovery Time

In Which Countries Do People Stay on PD Longer?

The Peritoneal Dialysis Outcomes and Practice Patterns Study (PDOPPS) analyzed time on PD among 218 randomly chosen clinics and 7,121 patients in seven countries including the U.S. Median time on PD ranged from 1.7 years in the UK to 3.2 years in Japan and Thailand. PD mortality risk was higher in Thailand and the U.S., and infection was the leading cause of transfers to HD.

Read the abstract » | (added 2022-06-10)

Tags: Peritoneal Dialysis Outcomes And Practice Patterns Study, PDOPPS, PD, Mortality, Hemodialysis Transfer, Kidney Transplantation

PD Reduced Hospitalization 24% vs. In-center HD with a Catheter

In an 18-month retrospective study, 717 PD patients were matched 1:1 with in-center HD patients using central venous catheters. The matching also included cause of ESKD, race, diabetes status, and insurance. The hospitalization rate was 24% lower for those on PD, and mortality was 15% lower.

Read the abstract » | (added 2022-04-18)

Tags: PD, In center HD, Catheters, Cause Of ESKD, Race, Diabetes Status, Insurance, Hospitalization Rate, Mortality

Platelet-to-Albumin Ratio Predicts PD Technique Success and Survival

Dividing patients’ absolute platelet counts by their serum albumin levels creates a protein-to-albumin ratio (PAR) that predicts PD outcomes, finds a new study of 405 people over a median of 2 years. Patients with lower PAR levels had higher rates of PD success and better survival.

Read the abstract » | (added 2021-12-16)

Tags: Platelet to albumin Ratio, Technique Failure, Mortality, Peritoneal Dialysis

Poorer Survival for Those Who Switch from Home to In-center HD

Among 19,306 people who started HD in the ANZDATA registry from 2005 to 2015 and were treated for more than 90 days, those who started home HD and then went to in-center HD had significantly higher mortality than those who stayed at home. The reasons for this are not yet known.

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

Tags: HD, Home HD, In center HD, Mortality, Home Hemodialysis Treatment Failure