Journal Watch - Peritoneal Dialysis
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Blood Pressure Variability: Is PD or Standard HD Better?
In a prospective cohort of 156 PD patients and 218 HD patients (n=374), clinical and lab data and 24-hour ambulatory BP were measured. After 4 years of follow-up, PD patients had significantly lower 24-hour systolic BP and a significantly lower (p = 0.039) incidence of cardiovascular events. BVP was higher in HD patients.
Read the abstract » | (added 2025-12-17)
Tags: Blood Pressure Variability, Cerebrovascular Risk, Hemodialysis, Peritoneal Dialysis
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No Benefit to Postponing PD Catheter Removal After Transplant
Data collected from 324 patients at five centers matched patients who had PD catheters removed during transplant with those who had them removed after a transplant. Metrics included need for dialysis within 2 months after transplant, catheter-related infection/peritonitis/surgical site infection, and length of hospitalization. Analysis revealed that 14% of patients needed postoperative dialysis (no statistically significant difference between groups. There were no differences in the composite infection endpoint—but hospitalization was significantly higher in the post-transplant removal group.
Read the abstract » | (added 2025-08-21)
Tags: Catheter related Infections, Delayed Graft Function, Kidney Transplantation, Peritoneal Dialysis
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Predicting Sarcopenia on PD using Handgrip Strength and BMI
Identifying patients at risk of sarcopenia without costly assessment tools would allow for earlier treatment. Analysis of data from 699 PD patients in China found a sarcopenia prevalence of 13.92% and nomogram models identified handgrip strength and BMI as independent predictors.
Read the abstract » | (added 2025-01-13)
Tags: Body Mass Index, Handgrip Strength, Nomogram, Peritoneal Dialysis, Risk Factors, Sarcopenia
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MEI’s MATCH-D Most-referenced Screening Tool for Home Therapies Screening
In a meta-analysis of 23 peer-reviewed studies of home dialysis adult screening criteria, the MATCH-D was the most-referenced tool.
Read the abstract » | (added 2024-08-16)
Tags: Dialysis Modality, Hemodialysis, Peritoneal Dialysis, Home Dialysis, MATCH D
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Startling Proportion of Patients Chose PD or Home HD After a Dialysis Start Unit
The University Health Network of Toronto examined the uptake of home dialysis between 2013 and 2021 among patients who started in a “Dialysis Start Unit” (equivalent to a transitional care unit in the U.S.). Of 122 patients, 68 (55.7%) chose either PD (57; 46.7%) or home HD (11; 9%).
Read the abstract » | (added 2024-07-12)
Tags: Home Hemodialysis, HHD, Peritoneal Dialysis, PD, Dialysis Start Unit
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The Impact of Comprehensive Nursing Interventions on PD Catheter Insertion Pain
Among 60 patients having a PD catheter implanted from January 2021 to 2023, a randomly-selected experimental group was given comprehensive nursing interventions—which significantly reduced anxiety and depression, and significantly improved satisfaction and scores on the visual analogue scale compared to controls receiving usual care.
Read the abstract » | (added 2024-04-12)
Tags: Comprehensive Nursing Interventions, Wound Pain, Catheter Insertion, Peritoneal Dialysis
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Meta-analysis of Urgent Start vs. Conventional Start PD
Analysis of data from 27 studies found comparable post-procedure infections, peritonitis, and exit site infections, technique survival, and transfer to HD for urgent and conventional start PD. Urgent start PD had a signficantly higher risk of mechanical complications such as leaks, and significantly higher mortality rates.
Read the abstract » | (added 2024-03-15)
Tags: Chronic Kidney Disease, Meta analysis, Peritoneal Dialysis
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Impact of Prior Abdominal Procedures on Peritoneal Dialysis Catheter Outcomes: Findings From the North American Peritoneal Dialysis Catheter Registry
A history of prior abdominal procedures may influence the likelihood of referral for peritoneal dialysis (PD) catheter insertion. To guide clinical decision making in this population, this study examined the association between prior abdominal procedures and outcomes in patients undergoing PD catheter insertion.
Read the abstract » | (added 2024-03-15)
Tags: Dialysis, PD, PD Catheter Outcomes, End Stage Kidney Disease, Peritoneal Dialysis, Prior Abdominal Surgery
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Impact of the START Project on PD in Canada
In Alberta, Canada, the Starting dialysis on Time, at home, on the Right Therapy (START) project enrolled 1,962 consecutive adult ESKD patients who started dialysis between April 1, 2015 and March 31, 2018 with the aim of increasing the proportion of patients who do PD within 6 months of dialysis start. At baseline, 27% of incident patients tarted PD. Immediately after implementation, there was a 5.4% increase in the use of PD. No changes were found in rates of hospitalization, death, or probability of switching to HD.
Read the abstract » | (added 2024-03-15)
Tags: Haemodialysis, Peritoneal Dialysis, Quality Improvement
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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