Journal Watch - Peritoneal Dialysis

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  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Home Dialysis Care Experience instrument

    A new patient-reported experience measure for PD and home HD has been developed, based on a structured literature review, focus groups, interviews, and then cognitive testing. The 26-item measure covers 16 domains in six areas: communication and patient education, care team concern and helpfulness, care team proficiency, patient-centered care, care coordination, and personalized care.

    Read the abstract » | (added 2021-04-16)

    Tags: Hemodialysis, Hd, Peritoneal Dialysis, Pd

  • Outcomes and Costs of Assisted PD

    As many as half of those who could use PD need assistance to do so, and many countries outside the U.S. offer this. A narrative review found no differences in quality of life, hospitalization, or mortality between PD and in-center HD patients after adjusting for age and frailty. Nurse assistance may result in better technique survival than family assistance. Assisted PD was still significantly less costly than in-center HD in Canada and Western Europe.

    Read the abstract » | (added 2021-03-09)

    Tags: Assisted Peritoneal Dialysis, Barriers, Cost, Hemodialysis, Peritoneal Dialysis, Pd

  • Missed Opportunities to Help Patients to Home Dialysis

    Even strong home dialysis programs do not always successfully get everyone who is interested in a home therapy to go home. In British Columbia, of the 1,845 patients who started dialysis between 2015 and 2017, 34% started on their preferred home therapy—while 8.9% did not, and 8.4% had remained undecided and started in-center. A significant factor was that those who chose and started a home treatment had more home therapy-specific (vs. “general modality orientation”) education

    Read the abstract » | (added 2021-03-09)

    Tags: Home Hemodialysis, Peritoneal Dialysis, Pd

  • Exercise May Improve Residual Kidney Function in PD

    A post-hoc study of a 12-week randomized controlled trial of home exercise for PD patients eliminated those with anuria (n=18) and analyzed 13 patients in the usual care group and 16 in the exercise group. Two RKF markers, liver-type fatty acid-binding protein (L-FABP) and the microalbumin-to-creatinine ratio, were significantly lower in the exercise group.

    Read the abstract » | (added 2020-12-10)

    Tags: Microalbumin to creatinine Ratio, Peritoneal Dialysis