Journal Watch
Yet Another Study Demonstrates the Superiority of Home HD over In-Center
A cohort registry study matched 181 home HD patients with 413 in-center HD patients in Australia and New Zealand by age, gender, and cause of ESKD. After adjusting for BMI, smoking, race, and comorbidities, home HD had almost half the death risk of in-center HD, as well as significantly lower phosphate levels. Both groups had similar rates of transplant and graft survival 6 months after a transplant.
Read the abstract » | (added 2021-01-12)
New Xylitol-based PD Fluid with L-Carnitine May be More Biocompatible
It is ironic that the glucose-based fluid that made PD possible can also harm the membrane so it stops working. A new PD fluid uses xylitol and l-carnitine to remove water instead of glucose. When tested on human cells, the new fluid kept more cells alive and reduced inflammation.
Read the abstract » | (added 2021-01-12)
Remote Monitoring May Reduce PD Technique Failure
In a study looking back at 558 adult APD patients, 148 who had used remote monitoring were matched to 148 patients from the 410 who had not. The researchers found a significantly lower rate of PD technique failure in the remote-monitored group. More studies are needed.
Read the abstract » | (added 2021-01-12)
Tags: Technique Failure, Telemedicine.
Mobile Health Readiness of Home vs. In-Center Dialysis Patients
Smartphones and other mobile devices can be used to deliver health messages. In a survey of 949 patients from 14 home and 21 in-center dialysis clinics, 81% had mobile devices to get online, and 72% used the Internet, some (18%) despite concerns about data privacy and security. Younger, non-Hispanic, and more educated patients were more likely to use mobile health, and working patients had the highest rates of proficiency. After adjustment, in-center and home patients were equally proficient with mobile health.
Read the abstract » | (added 2021-01-12)
Tags: Kidney Disease, Hemodialysis, Telehealth, Telemedicine
Chevron and Butterfly Taping Reduces Venous Needle Dislodgement in HD
Every clinic seems to have its own preferred method of taping HD needles to prevent dislodgement. This important new study tested Chevron, Butterfly and Overlapping tape patterns in a mechanical engineering laboratory to measure the adhesive force and ability to withstand dislodgement and lateral stress.
Read the abstract » | (added 2021-01-12)
Tags: Dialysis, Hemodialysis
Will Silicone Be the Future of HD Membranes?
Silicone nanoporous membranes (SNMs) have an average pore size of 8 nanometers. Tested with urea and creatinine, the new material was able to clear about 81% of high concentration uremic toxins in 45 minutes. This material could make more compact and portable dialysis systems possible.
Read the abstract » | (added 2021-01-12)
Tags: Silanization, Silicon Nanoporous