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  • Spiritual Well-being and PD Outcomes

    The Peritoneal Dialysis Outcomes and Practice Patterns (PDOPPS) study has looked at whether spiritual well-being (SWB) affects PD outcomes, using a survey of SWB and SF-12 results. Among 529 people on PD who completed the surveys, 70% had moderate or higher SWB scores, which were positively correlated with higher physical and mental functioning and burden of kidney disease scores, and linked with less likelihood of depression.

    Read the abstract » | (added 2022-07-13)

    Tags: Peritoneal Dialysis Outcomes, PDOPPS, Spiritual Well being, SWB

  • Home Dialysis Associated with Higher Patient Activation

    Increased patient activation is linked with better health outcomes. Among 182 people starting dialysis who took the Patient Activation Measure (PAM) survey at month 1 and month 4, those who did home dialysis tended to have higher PAM scores than those who did in-center treatments.

    Read the abstract » | (added 2022-07-13)

    Tags: Patient Activation, Health Outcomes, Dialysis, Patient Activation Measure, PAM, Home Dialysis

  • In Which Countries Do People Stay on PD Longer?

    The Peritoneal Dialysis Outcomes and Practice Patterns Study (PDOPPS) analyzed time on PD among 218 randomly chosen clinics and 7,121 patients in seven countries including the U.S. Median time on PD ranged from 1.7 years in the UK to 3.2 years in Japan and Thailand. PD mortality risk was higher in Thailand and the U.S., and infection was the leading cause of transfers to HD.

    Read the abstract » | (added 2022-06-10)

    Tags: Peritoneal Dialysis Outcomes And Practice Patterns Study, PDOPPS, PD, Mortality, Hemodialysis Transfer, Kidney Transplantation

  • Platelet-to-Albumin Ratio Predicts PD Technique Success and Survival

    Dividing patients’ absolute platelet counts by their serum albumin levels creates a protein-to-albumin ratio (PAR) that predicts PD outcomes, finds a new study of 405 people over a median of 2 years. Patients with lower PAR levels had higher rates of PD success and better survival.

    Read the abstract » | (added 2021-12-16)

    Tags: Platelet to albumin Ratio, Technique Failure, Mortality, Peritoneal Dialysis

  • New Clinical Practice Guidelines for Exercise on PD

    The International Society for Peritoneal Dialysis and the Global Renal Exercise Network have teamed up to grade and review the literature and clinical experience to help people on PD stay physically active safely. With sparse quality evidence available, the new guidelines are largely opinion based, and cover timing of exercise relative to PD (i.e., empty or full); impact of exercise on mental health, weight, frailty, etc.; exercise nutrition, and potential adverse PD outcomes.

    Read the abstract » | (added 2021-11-12)

    Tags: Peritoneal Dialysis, Exercise, Physical Activity, PD Outcomes

  • NxStage Outcomes in Spain

    The first 86 NxStage users in 12 Spanish dialysis clinics received an adequate dialysis dose, optimal ultrafiltration, improved biochemical markers, and reduced need for antihypertensive drugs, binders, and erythropoietin. Patient and technique survival were both good.

    Read the abstract » | (added 2021-09-14)

    Tags: Adequate Dialysis Dose, Optimal Ultrafiltration, Biochemical Markers, Antihypertensive Drugs, Binders, Erythropoietin. Patient Survival, Technique Survival

  • Outcomes of Incremental PD

    A retrospective cohort study looked at 175 PD patients followed for about 2 years. Starting PD with a lower vs. higher dose was associated with better survival.

    Read the abstract » | (added 2021-08-12)

    Tags: Peritoneal Dialysis , PD, End stage Kidney Disease, Dialysate Volume, Survival

  • PD vs. Standard In-Center HD for Stroke Risk: A 14-year Study

    Of 7,916 ESRD patients with atrial fibrillation between 2001 and 2013, data from 363 PD and 5,302 HD patients were analyzed. At 1 year, 3 years, and 5 years, the participants who used PD had significantly lower risks for outcomes including stroke, major bleeding, and intracranial hemorrhage than those using HD.

    Read the abstract » | (added 2021-06-15)

    Tags: ESRD, End Stage Renal Disease, Atrial Fibrillation, Peritoneal Dialysis, Hemodialysis, Patient Outcomes

  • PDOPPS Findings of Factors Important to Peritonitis Outcomes

    The Peritoneal Dialysis Outcomes and Practice Patterns Study analyzed factors in the outcomes variations among 1,631 peritonitis episodes in 1,190 patients in seven countries. About 2/3 of the bouts were successfully cured, which was more likely with Gram-positive organisms, automated PD, and use of icodextrin (facility level), aminoglycosides, and ciprofloxacin vs. ceftazidime for Gram-negative organisms.

    Read the abstract » | (added 2021-06-15)

    Tags: Peritoneal Dialysis, Peritonitis, Peritoneal Dialysis And Outcomes Practice Patterns Study

  • Home vs. In-center HD Outcomes from a Matched Cohort

    After adjusting for BMI, smoking, race, and comorbidities, home HD came out ahead of in-center HD when 181 home HD patients were matched to 413 using in-center HD. With home HD, the risk of death was significantly less, and phosphate levels were significantly lower. There were no major differences in transplant rates, graft survival, hemoglobin, calcium, or PTH levels.

    Read the abstract » | (added 2021-06-15)

    Tags: Dialysis Modality; End stage Kidney Disease; Haemodialysis, Hemodialysis, Home Haemodialysis, Home Hemodialysis, Mortality