Journal Watch - Hemodialysis

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  1. PD vs. Standard In-center HD for Quality of Life

    A 24-month observational study compared 45 standard HD and 30 PD patients, and assessed their quality of life, cognitive function, and depression at study start and every 12 months. Over the 24 months, PD patients had significant improvement in physical and social well-being—while HD patients stayed the same. Cognitive function held steady in PD patients—but declined in HD patients. Depression increased among those on standard HD—but not those on PD.

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

    Tags: Peritoneal Dialysis, Hemodialysis, Cognitive Function, Emotional Distress, Quality Of Life

  2. 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

  3. Left Atrial Remodeling Not Found After 1 Year of Nocturnal HD

    While left ventricular mass has been shown to regress with intensive HD, the same does not seem to hold true for the left atrium, nor did the ejection fraction improve, finds a new study of 37 patients switched from conventional HD. Read the abstract.

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

    Tags: Cardiac Mri, End Stage Renal Disease, Hemodialysis, Left Atrium

  4. 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

  5. Iron-based Binder Safe and Effective in PD

    A study conducted with 84 PD patients compared sucroferric oxyhydroxide (n=56) to sevelamer (n=28). After a year, both groups had serum phosphate levels within the target range. The iron-based binder required fewer pills per day and resulted in fewer adverse events. Read the abstract.

    Read the abstract » | (added 11/13/2017)

    Tags: Chronic Kidney Disease, Hemodialysis, Peritoneal Dialysis; Phosphate Binder, Sevelamer Carbonate, Sucroferric Oxyhydroxide

  6. In-center nocturnal HD boosts lean body mass

    Among 56 adults followed for a year, those who were randomly assigned to nocturnal in-center HD vs. standard treatments had higher, more stable interdialytic weights. The pattern of toxin removal suggests that the result is due to increases in lean body mass.

    Read the abstract » | (added 05/09/2017)

    Tags: Hemodialysis

  7. HD frequency and protein-bound solutes

    Does more frequent HD do a better job of removing protein-bound solutes from the gut that are more toxic than urea? No, finds a new analysis of results from the Frequent Hemodialysis Network (FHN) trials.

    Read the abstract » | (added 05/09/2017)

    Tags: Hemodialysis

  8. Short daily HD in pediatrics

    Dividing 12 hours of in-center HD into 5 weekly treatments instead of 3 was feasible and beneficial to blood pressure control in adolescents in a new crossover study. However, not surprisingly, reimbursement and time demands were challenging. (Editorial note: home treatments would allow more flexibility for school.)

    Read the abstract » | (added 05/09/2017)

    Tags: Hemodialysis

  9. Ultrafiltration: Speed Kills

    Among 190 people on HD, those whose ultrafiltration (fluid removal) rate was higher than the median (just 6.8 mL/Kg/h) were less likely to survive than those who were at or below the median. Most participants did not have residual kidney function.

    Read the abstract » | (added 04/12/2017)

    Tags: Hemodialysis

  10. In-center Nocturnal HD Beats Standard HD

    An analysis of 21 published studies (n=1,165 in-center nocturnal patients and 15,865 standard in-center HD patients) found better BP, higher Hgb, and lower serum phosphate levels in those who dialyzed longer.

    Read the abstract » | (added 04/12/2017)

    Tags: Hemodialysis