Journal Watch - Hemodialysis

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  1. Glycated Albumin More Accurate in PD than Glycated Hemoglobin

    Using hemoglobin A1c levels to assess glycemic control in people with diabetes using PD is risky, because anemia causes false negative results. In a 6-month study, 20 people with diabetes using HD were matched for age, sex, and post-meal glucose levels with people with diabetes using PD. In a multiple regression analysis, glycated albumin was the only independent predictor of plasma glucose levels.

    Read the abstract » | (added 05/12/2016)

    Tags: Hemodialysis

  2. Urea Alone is Not a Good Index of Dialysis Dose

    All-cause mortality in the HEMO study was not significantly related to removal of small solutes in short, intermittent, standard HD. “Failure to achieve greater reductions in solute levels may explain the failure of high Kt/V urea treatment to improve outcomes,” the authors note. (Yet another reanalysis of the HEMO study data has confirmed the obvious…)

    Read the abstract » | (added 04/12/2016)

    Tags: Hemodialysis

  3. Survival on PD vs. Daily Home HD

    A USRDS study matched 3,142 people starting daily home HD with 2,688 starting PD and compared survival. Those who were doing short daily HD had 12.7 deaths per 100 patient years, vs. 16.7 in the PD group.

    Read the abstract » | (added 04/12/2016)

    Tags: Hemodialysis

  4. Kidney to Kidney: 2008K@Home and NxStage System One

    Among home HD patients followed for a year, there were a few differences between users of the 2008K@Home and the NxStage System One. 2008K@Home users did not do treatments as often—but their mean standardized Kt/Vs were significantly higher (2.75 vs. 1.99). System One users tended to use less EPO. Other outcomes and lab test values were largely similar.

    Read the abstract » | (added 03/10/2016)

    Tags: Hemodialysis

  5. Update on Implantable and Bioengineered Kidneys

    A new review focuses on two implantable innovations that may reduce the need for dialysis. An artificial kidney is a biohybrid system that will mimic renal structure and function. A bioengineered kidney will be based on native kidneys.

    Read the abstract » | (added 03/10/2016)

    Tags: Hemodialysis

  6. Sleep Problems With Automated PD

    Compared to people with stage 3b-5 CKD (n=89), those using a cycler for PD (n=22) had about the same, higher level of sleep problems as those on standard HD (n=75). In-home sleep measures and surveys found low levels of oxygen during sleep, and disrupted sleep cycles.

    Read the abstract » | (added 03/10/2016)

    Tags: Hemodialysis

  7. CKD Case Management Boosts PD Use

    A Fresenius program of renal care coordinators (RCCs) in late-stage CKD helped ease the transition onto dialysis. Compared to non-participants (693), the 738 patients with RCC case managers were more likely to start PD or have a permanent vascular access for HD, and have a serum albumin level >4.0g/dL.

    Read the abstract » | (added 03/10/2016)

    Tags: Hemodialysis

  8. Less Severe Itching With PD Than In-center HD

    Among 380 people on PD or in-center HD, fewer on PD had uremic pruritus (itching) (28.6% vs. 38.2%). And, the itching was less severe in those who did PD, and affected less of the body. Those with higher levels of active vitamin D had less intense itching. Those with higher blood levels of phosphorus, triglycerides, and AST had more itching problems.

    Read the abstract » | (added 03/10/2016)

    Tags: Hemodialysis

  9. Transplant Beat Nocturnal HD for Boosting Cognitive Function

    Among 28 patients who got a kidney transplant, cognitive testing found better learning and memory compared to 18 who did frequent nocturnal HD or 31 on standard HD. Read the abstract.

    Read the abstract » | (added 02/09/2016)

    Tags: Hemodialysis

  10. Patient Attitude and Motivation Matters for Long-term Survival

    Long-term dialysis survivor Judy Weintraub shares her personal experience and the importance of relating to patients as people, individualizing treatment, and tapping into motivation.

    Read the abstract » | (added 02/09/2016)

    Tags: Hemodialysis