Journal Watch - Peritoneal Dialysis

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  1. Metaanalysis of PD for Kidney Failure due to PKD

    Polycystic kidneys may displace room for PD fluid, so can PD be a viable treatment option? A metaanalysis of 12 studies and more than 17,000 patients found…maybe. PD outcomes were about the same for those with PKD as with other primary kidney diseases, and some can do PD. More research is needed to determine who is suitable. Read the abstract.

    Read the abstract » | (added 10/12/2018)

    Tags: Dialysis Adequacy, Pd Associated Complications, Peritoneal Dialysis, Polycystic Kidney Disease

  2. Biocompatible PD Solutions Maintain Membranes Longer

    Independently of inflammation, biocompatible PD solutions helped 71 patients keep a steady level of solute transport over 7.5 years, compared to 295 patients who used standard solutions. Read the abstract.

    Read the abstract » | (added 09/10/2018)

    Tags: Dialysis Solutions, Glucans, Glucose, Il6 Protein, Human, Inflammation, Interleukin 6, Peritoneal Fibrosis, Peritoneum, Peritonitis, Creatinine, Hospitalization, Icodextrin, Peritoneal Dialysis, Peritoneal Membrane

  3. Gender and Malnutrition in PD

    Do hypoalbumineumia, overhydration, inflammation, and cardiovascular risk affect men and women on PD differently? A small study (N=26 men and 28 women) with comparable BMI found more fluid overload, inflammation, and heart risk in women with low serum albumin than in men. Read the abstract.

    Read the abstract » | (added 09/10/2018)

    Tags: Gender, Malnutrition, Cardiovascular Risk, Hypoalbuminemia, Inflammation, Overhydration, Peritoneal Dialysis

  4. Regional Variation in PD Infection Prevention

    A PDOPPS analysis of surveys from medical directors caring for more than 11,000 patients from 170 clinics in seven countries (Australia, New Zealand, Canada, Thailand, Japan, the UK, and the US) found variation from 63% to 100% in use of antibiotic prophylaxis for PD exit sites, with mupirocin used most often.

    Read the abstract » | (added 08/13/2018)

    Tags: Peritoneal Dialysis Related Infections, Peritoneal Dialysis, Infections, Peritoneal Dialysis Outcomes

  5. PD vs. In-Center HD for Stroke Risk

    A systematic review of 15 cohort studies totaling nearly 1.3M ESRD patients concludes that PD had a significantly lower (16%) risk of hemorrhagic stroke, though the risks of other types of strokes were comparable.

    Read the abstract » | (added 08/13/2018)

    Tags: Dialysis, Hemodialysis, Meta Analysis, Peritoneal Dialysis, Stroke

  6. Color of Used PD Dialysate Gives Diagnostic Clues

    A review article proposes a differential diagnosis of various conditions based on a change in the color of PD effluent from clear to red, orange, cloudy, milky white, green, yellow, purple or black.

    Read the abstract » | (added 08/13/2018)

    Tags: Bloody Effluent, Chyloperitoneum, Peritoneal Dialysis, Peritonitis, Rhabdomyolysis

  7. New Model Could Help Screen PD Patients for CeVD Risk

    A new risk score could predict how likely new PD patients are to develop cerebrovascular disease down the road. The strongest predictors of CeVD were blood pressure, total cholesterol, and serum phosphate and sodium levels.

    Read the abstract » | (added 08/13/2018)

    Tags: Cerebrovascular Diseases, Mortality, Peritoneal Dialysis, Risk Prediction

  8. Residual Kidney Function and Sleep Apnea Severity in PD

    A small (n=15), exploratory study of 15 APD patients with home apnea monitors found obstructive sleep apnea in 33%, which correlated with having less residual renal function.

    Read the abstract » | (added 06/12/2018)

    Tags: Obstructive Sleep Apnea, Peritoneal Dialysis

  9. New Ideas for Incremental PD

    Starting incremental PD without the exclusive focus on residual plus peritoneal clearances may ease transitions of new patients onto dialysis—and reduce our “obsession” with small moleule kinetics.

    Read the abstract » | (added 06/12/2018)

    Tags: Incremental Pd, Peritoneal Dialysis

  10. Whey Protein for PD Malnutrition

    A 6-month multicenter, randomized controlled trial tested protein powder plus dietary counseling vs. counseling only for CAPD patients with low serum albumin and BMI. Significantly more of the protein powder group were able to take in enough protein, and they also had significant increases in serum urea and a normalized protein catabolic rate.

    Read the abstract » | (added 06/12/2018)

    Tags: Malnutrition, Peritoneal Dialysis, Protein Supplementation, Whey Protein