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  • How much dialysis improves nutritional status?

    Is short daily HD enough dialysis to appetite, food intake, and improve serum albumin levels? Maybe after a long time on dialysis, says a new study. But those who did nocturnal HD needed fewer binders.

    Read the abstract » | (added 2013-05-24)

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  • Icodextrin metaanalysis – no impact on patient survival

    Australian researchers analyzed 11 studies of icodextrin vs. glucose PD fluid (1222 patients). Icodextrin did help reduce fluid overload without harming residual kidney function. But, it did not help reduce peritonitis, technique failure, or other adverse events. And, patients who used icodextrin did not live any longer.

    Read the abstract » | (added 2013-04-29)

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  • Patients with diabetes & renters may need extra help for home HD

    Among 177 Canadian patients who started home HD training, 24 did not finish and 8 had technique failure in the first year. The strongest predictors of failure were diabetes or rented housing. These patients may need extra support to succeed.

    Read the abstract » | (added 2013-04-29)

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  • Nocturnal home HD – no change in outcomes if a partner is needed

    Do Canadian nocturnal home HD patients do worse if they need a partner to help them? No, says a study of 152 people, 47 who needed partners and 105 who could do their treatments unaided. Partner dependent patients were older, more likely to have diabetes, and had more comorbidities. But, there were no significant differences between groups in time to first hospitalization, technique failure, or survival.

    Read the abstract » | (added 2013-04-29)

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  • Starting more people on PD does not cause harm

    In Canada, a study looked at PD "attempt rates": how often each nephrologist would start new patients on PD. Between the highest and lowest attempt rates, there were no differences in PD success—or survival. The authors conclude that maximizing PD start rates can save money to help more people, with no harm to patients.

    Read the abstract » | (added 2013-04-29)

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  • Daily HD does not harm accesses – a prospective, controlled study

    A 4-year study was done of 51 on standard HD (3x4 hours) vs 23 on daily HD (6x3 hours). The standard HD group had 543.2 access procedures/1000 patient years; the daily group had 400.8. Adjusting for age, gender, diabetes, phosphorus level, and anemia, there were no significant differences in number of procedures or time to first access revision.

    Read the abstract » | (added 2013-04-29)

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  • Swedish patients who do home HD first have excellent survival

    In Sweden, 128 patients who chose home HD as their first treatment and were under age 60 had 10-year survival of 75%, 20-year survival of 47%, and 30-year survival of 23%. For patients in this age group, getting a transplant did not further improve survival.

    Read the abstract » | (added 2013-04-29)

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  • More HD lowers C-reactive protein and boosts nutritional status

    A study from Iran found that adding one standard HD treatment per week for 6 weeks significantly decreased C-reactive protein (a measure of inflammation), and increased serum albumin and BMI. The authors conclude that getting more HD may reduce the risk of cardiovascular events.

    Read the abstract » | (added 2013-04-29)

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  • New hope for stopping peritoneal fibrosis

    There are vitamin D receptors all over the body. Low levels of vitamin D have been linked with severe fibrosis. This study gave mice peritoneal fibrosis and then looked at the impact of treatment with a vitamin D analog (22-oxacalcitriol). The treatment significantly prevented fibrosis and thickening of the peritoneum.

    Read the abstract » | (added 2013-04-29)

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  • Mortality patterns in PD & home HD differ from standard in-center HD

    In the Australian dialysis database (ANZDATA), 4,298 deaths on PD and 10,338 on HD were analyzed for patterns. Patients who did PD, home HD, or in-center HD more than 3 days per week were equally likely to die on any day of the week. Not so for standard in-center HD patients: they were significantly more likely to die from heart-related reasons on Monday, after the 2-day no-treatment weekend.

    Read the abstract » | (added 2013-02-27)

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