Journal Watch - Pd

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  1. Home HD: Hospitalizations and Technique Survival

    In a Swedish registry study, patients initiating PD (n=456), home HD (n=152), and in-center HD (IHD; n=608) were matched by age, sex, comorbidity, and start date. Patients using home HD had significantly lower hospital admissions and days than those doing PD or IHD (1.7, 12 days vs. 2.8, 20 days and 2.2, 14 days respectively). Home HD patients also had significantly fewer admissions for cardiovascular diagnoses or infectious disease, as well as significantly longer technique survival.

    Read the abstract » | (added 01/09/2020)

    Tags: Pd, Home Hd, In Center Hd, Hospital Admissions, Cardiovascular Diagnosis, Infectious Disease, Technique Survival

  2. Factors Associated with Fatigue in PD Patients

    Analysis of fatigue scale data from 108 PD patients in China revealed that 78.7% suffered from fatigue, a number significantly higher than in the community population. Associated factors included sleep quality, normalized protein nitrogen appearance, transferrin, alkaline phosphatase, and total cholesterol levels.

    Read the abstract » | (added 01/09/2020)

    Tags: Fatigue, Pd, Sleep Quality, Protein Nitrogen Appearance, Transferrin, Alkaline Phosphatase, Total Cholesterol Levels

  3. Diabetes and the Risk of Peritonitis on PD

    In contrast to earlier reports, a single-center study of PD patients between 1980 and 2012 (by era: 1980-’93, 1994-’04, 2005-12) found that while PD-associated peritonitis was higher among patients with diabetes in the earlier two eras, there were no differences in recent years.

    Read the abstract » | (added 01/09/2020)

    Tags: Pd, Peritonitis, Diabetes

  4. PD vs. In-center HD for Sudden Cardiac Death

    A Korean registry study of 132,083 PD and in-center HD patients followed between 1985 and 2017 analyzed 34,532 deaths. Sudden cardiac death (SCD) was responsible for 19.6% of deaths on PD and 22.2% of deaths on in-center HD. Even after adjusting for age and comorbidities, the risk of SCD was higher with HD.

    Read the abstract » | (added 01/09/2020)

    Tags: Pd, In Center Hd, Sudden Cardiac Death

  5. PD—Controlling Volume to Reach Normal Hydration Protects the Heart

    Reanalysis of data from a multicenter, prospective, randomized controlled trial looked at fluid control in PD in 151 patients followed for a year. While most (120) reached normal hydration levels as measured by bioimpedance analysis, those who did not had significantly higher left atrial diameter—and a lower left ventricular ejection fraction at the end of the study.

    Read the abstract » | (added 12/10/2019)

    Tags: Fluid Management, Cardiovascular Risk, Pd, Peritoneal Dialysis, Bioimpedance Spectroscopy

  6. Is PD Unwise for Patients with Lupus Nephritis?

    A small study found 92.4% (1 year), 84.7% (3 year) and 67.6% (5 year) patient survival among 28 non-diabetic lupus patients doing PD—compared to 100% (1 year), 93.5% (3 year), and 82.9% (5 year) among 56 controls. While the lupus was not directly associated with mortality, it was a risk factor for PD technique failure, infection, and hospitalizations.

    Read the abstract » | (added 11/16/2019)

    Tags: Patient Survival, Lupus, Pd, Mortality, Technique Failure, Infection, Hospitalization

  7. Proton Pump Inhibitors Increase Peritonitis Risk in PD

    In a single-center, 36-month retrospective look at 230 Japanese PD patients, those who took PPIs were 72% more likely to develop peritonitis than those who did not.

    Read the abstract » | (added 11/16/2019)

    Tags: Pd, Pp Is, Peritonitis, Proton Pump Inhibitors

  8. Transplant Survival Better After PD Than Standard In-center HD

    Is there an advantage to PD over standard in-center HD for transplant graft survival? YES, suggests a 15-year retrospective study of 2,277 transplant recipients. Those who did PD prior to transplant were 34.5% more likely to survive, and had less frequent rejection. Living donor kidneys did best among patients who received transplants before starting dialysis—or did PD.

    Read the abstract » | (added 11/16/2019)

    Tags: Kidney Transplant, Modality, Pd, Hd, Hemodialysis, Peritoneal Dialysis

  9. Is PD a Good Option for Patients with Liver Cirrhosis?

    A study matched patients with cirrhosis who did PD, patients with cirrhosis who did HD, and non-cirrhosis patients on PD by age, sex, catheter placement date, and diabetes status. PD technique failure and all-cause mortality were similar between patients with and without cirrhosis.

    Read the abstract » | (added 10/14/2019)

    Tags: Pd, Cirrhosis

  10. PD and Swimming

    Australian nurses in 39 PD clinics conducted phone surveys. While only 77% of the clinics advocated swimming, nearly all had patients who did swim, mainly in sea water or a private pool. Covering the exit site and catheter with a waterproof dressing or ostomy bag was recommended, along with routine exit-site care. Several infections were linked with swimming.

    Read the abstract » | (added 10/14/2019)

    Tags: Pd, Swimming, Exit Site, Waterproof, Infections