Journal Watch - Mortality

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  • 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

  • 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

  • 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

  • Higher HD Dose Linked with Better Survival

    A national registry of 32,283 standard HD patients found that “a higher dose of dialysis was consistently associated with better survival.” Kt was most discriminating, with survival highest in the upper Kt quartile. Arteriovenous access, hemodiafiltration, scheduled dialysis initiation, and long weekly HD hours predicted higher Kt.

    Read the abstract » | (added 2021-07-12)

    Tags: Dialysis Frequency, Survival, Kt, Mortality

  • Home vs. In-center HD Outcomes from a Matched Cohort

    After adjusting for BMI, smoking, race, and comorbidities, home HD came out ahead of in-center HD when 181 home HD patients were matched to 413 using in-center HD. With home HD, the risk of death was significantly less, and phosphate levels were significantly lower. There were no major differences in transplant rates, graft survival, hemoglobin, calcium, or PTH levels.

    Read the abstract » | (added 2021-06-15)

    Tags: Dialysis Modality; End stage Kidney Disease; Haemodialysis, Hemodialysis, Home Haemodialysis, Home Hemodialysis, Mortality

  • 10-year PD Survival

    In a group of 533 incident PD patients (mean starting age of 48 +16 years) followed from 2006 until 2018, survival at 1 year was 93%, at 3 years 81%, at 5 years 64%, and at 10 years 36%. Encapsulating peritoneal sclerosis (EPS) occurred in 1.3%.

    Read the abstract » | (added 2020-06-10)

    Tags: Peritoneal Dialysis, Mortality, Long Term Outcome