Journal Watch - Quality Of Life

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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. A Patient on Home HD for 45 Years

    A 62-year old Mississippi woman, one of the first home HD patients of Dr. John D. Bower, is reported to have been on home HD for 45 years now, a record.

    Read the abstract » | (added 09/11/2019)

    Tags: Home Hemodialysis, Quality Of Life, Long Term Survival

  3. Challenges in Assessing Survival of In-center vs. Home HD

    It’s treatment time that matters, not location—of course—suggests a new thorough review of the survival data. And, while it is challenging to prove a survival benefit when all home HD is so often conflated (short daily vs. nocturnal, for example), quality of life is demonstrably better—and matters more to patients.

    Read the abstract » | (added 08/14/2019)

    Tags: Treatment Time, Survival Data, Modality, Quality Of Life

  4. PD: Better Quality of Life than In-Center HD for 2 Years

    Among 989 patients starting PD or in-center HD, health-related quality of life (HRQOL) was measured at 3, 12, and 24 months after dialysis start. PD patients scored higher all along on several key dimensions than HD patients—and this effect lasted up to 2 years. Both PD and HD patients had about the same amount of decline in HRQOL over 2 years.

    Read the abstract » | (added 08/14/2019)

    Tags: Hrqol, Pd, In Center Hd, Quality Of Life

  5. Medicare Reimbursement Has Driven More PD

    Changes to the Medicare Prospective Payment System (PPS) in 2011 to create financial incentives for PD have worked, finds a new analysis of 6,433 dialysis clinics before and after the change. Since 2011, 6% more clinics offered PD, and program size increased from an average of 5.7 patients to 6.9. Non-urban, chain, and larger clinics were significantly more likely to have changed their PD practices in response to the PPS change.

    Read the abstract » | (added 12/14/2018)

    Tags: Medicare, Prospective Payment System, Peritoneal Dialysis, Quality Of Life

  6. Nocturnal HD is Underused

    A new review suggests that the improved outcomes associated with more hours of HD in-center or at home mean that these options should be used more. Read the abstract.

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

    Tags: Extended Hours, Improved Outcomes, Hd, Nocturnal Dialysis, Quality Of Life