Journal Watch - Peritoneal Dialysis

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  • The PD Surprise Question Predicts Transfer to HD

    An observational study of 1,275 PD patients in 35 programs asking the RN and treating nephrologist, “Would you be surprised if this patient transferred to HD in the next 6 months?” identified 15% as high risk. After 6 months, the transfer to HD rate was nearly four times higher in the high risk group than the low risk group.

    Read the abstract » | (added 2023-12-15)

    Tags: PD, Home Dialysis, Peritoneal Dialysis, Surprise Question

  • Paradoxical Finding in PD Peritonitis

    The common wisdom is that larger patients are at greater risk for PD-associated peritonitis (PDAP). But, a new single-center study of 483 peritonitis episodes in 285 patients suggests that the opposite may be true. A lower value of body surface area was an independent risk factor for peritonitis episodes. (p=0.015).

    Read the abstract » | (added 2023-07-17)

    Tags: Body Surface Area, PDAP, Metabolism, Nutrition, PD, Peritoneal Dialysis, Peritonitis

  • 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

  • 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

  • Genes Help Predict Peritoneal Transport Rates

    Among 2,850 people on PD who had complete genetic data, 5 single nucleotide variants at four loci had suggestive associations with the peritoneal solute transfer rate (PSTR), in particular rs28644184 at the KDM2B locus.

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

    Tags: Genetic Variants, Peritoneal Solute Transfer Rates, Kidney Failure, Peritoneal Dialysis

  • Safety Study of the PD Automated Wearable Artificial Kidney

    In the AWAK pilot study, 15 participants used up to nine sessions over 72 hours and were then followed for one month. There were no serious adverse events, but 60% of participants had abdominal pain and 47% reported bloating. Median body weights were not significantly different before and after the study. Device enhancements will address ultrafiltration and pain.

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

    Tags: Wearable Kidney, Artificial Kidney, Chronic Kidney Disease, Peritoneal Dialysis

  • PD vs. Standard In-Center HD for Stroke Risk: A 14-year Study

    Of 7,916 ESRD patients with atrial fibrillation between 2001 and 2013, data from 363 PD and 5,302 HD patients were analyzed. At 1 year, 3 years, and 5 years, the participants who used PD had significantly lower risks for outcomes including stroke, major bleeding, and intracranial hemorrhage than those using HD.

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

    Tags: ESRD, End Stage Renal Disease, Atrial Fibrillation, Peritoneal Dialysis, Hemodialysis, Patient Outcomes

  • Measure needed for life participation in PD

    A literature review and metaanalysis of 301 studies identified 42 measures to assess life participation, but most were used in just one study or were not specific to PD. The authors conclude that a new measure is needed.

    Read the abstract » | (added 2021-05-14)

    Tags: Life Participation, Peritoneal Dialysis, Pd

  • How the Ontario Renal Network (ORN) has been trying to grow home dialysis

    ORN started efforts to increase home dialysis use in Ontario in 2012, using a new funding formula based on modality, mandatory informatics, home dialysis coordinator and assisted PD funding, support for urgent start PD, targets for home dialysis rates, a network of clinics committed to home therapies, and frequent leadership meetings. Did they succeed?

    Read the abstract » | (added 2021-05-14)

    Tags: Home Dialysis, Home Haemodialysis, Peritoneal Dialysis, Hd, Pd

  • U.S. nephrology fellows’ perceptions of their home dialysis training

    To grow home therapies, we must have clinicians who are trained in PD and home HD. A survey of 110 nephrology trainees suggests that we are not there yet. Of the 76 respondents, most were moderately confident about PD principles—but not urgent start PD or catheter insertion. Confidence around home HD was low.

    Read the abstract » | (added 2021-05-14)

    Tags: Home Dialysis, Hd, Home Hemodialysis, Hdd, Peritoneal Dialysis, Pd