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  • Urgent Start PD Takes on Urgent Start HD—Which One Wins?

    A new meta-analysis examines survival vs. urgent start HD (which is experienced by an estimated 50%-60% of U.S. dialyzors). Pooled data from seven studies identified “a statistically significant reduced risk of all-cause mortality in patients undergoing urgent-start PD as compared to urgent-start HD.” While infectious complications did not differ, there was a significantly reduced risk of mechanical complications with PD.

    Read the abstract » | (added 2022-05-12)

    Tags: Urgent Start PD, Urgent Start HD, Survival, All cause Mortality, Mechanical Complications

  • Home-to-Home Dialysis Transition

    When PD or home HD do not work out, people tend to end up in-center. In one clinic, of 911 home dialysis patients with technique failure, just 28 made a home-to-home transition over a 24-year period. Technique and patient survival were comparable, though hospitalizations and temporary in-center HD were common.

    Read the abstract » | (added 2022-05-12)

    Tags: Home Dialysis, In center, Technique Failure, Home to home Transition

  • Early Data from the Physidia Home HD Machine

    The Physicia S3 is a new home HD machine in France that uses bagged fluid. A new proof-of-concept study enrolled 13 training centers and analyzed data from 80 patients and 249 treatment sessions. Dialysis dose, anemia, nutrition, and electrolytes were all adequately controlled.

    Read the abstract » | (added 2022-05-12)

    Tags: Physicia S3, Bagged Fluid, End stage Kidney Disease, Portable Artificial Kidney

  • Meta-analysis of Omental Procedures with PD Catheter Placement

    Should removal (omentectomy) or fixation in place (omentopexy) of the curtain of omentum tissue be routine when a PD catheter is placed? In 15 studies (with low-to-moderate evidence), omental procedures reduced the risk of a need to remove the PD catheter. There were no differences in catheter malposition, migration, or peritonitis.

    Read the abstract » | (added 2022-05-12)

    Tags: Omentectomy, Omentopexy, Omentum Tissue, PD Catheter, Catheter Malposition, Migration, Peritonitis

  • Frequent HD Reduces Recovery Time in SNF Patients

    Getting at least 14 hours of HD per week and more frequent HD reduced recovery time in skilled nursing facility residents between 2019 and 2021. Among 2,309 people, 92% of those who had a mean of 4.3 weekly HD treatments recovered in 2 hours or less. The odds of short recovery time were even better with 5 treatments per week—and rapid recovery was linked with less risk of hospitalization or death.

    Read the abstract » | (added 2022-04-18)

    Tags: Recovery Time, HD, Frequent HD

  • The Impact of Vitamin D Levels on Quality of Life in PD

    Fifty people on PD were divided into a normal vitamin D (>20 ng/mL) and a deficient vitamin D group (<20 ng/mL), and both groups took the KDQOL-36 quality of life questionnaire. All subscales of the KDQOL-36 were significantly lower in the vitamin D deficient group.

    Read the abstract » | (added 2022-04-18)

    Tags: PD, Vitamin D, KDQOL 36

  • PD Reduced Hospitalization 24% vs. In-center HD with a Catheter

    In an 18-month retrospective study, 717 PD patients were matched 1:1 with in-center HD patients using central venous catheters. The matching also included cause of ESKD, race, diabetes status, and insurance. The hospitalization rate was 24% lower for those on PD, and mortality was 15% lower.

    Read the abstract » | (added 2022-04-18)

    Tags: PD, In center HD, Catheters, Cause Of ESKD, Race, Diabetes Status, Insurance, Hospitalization Rate, Mortality

  • Can People do Urgent Start PD and Intermittent PD?

    Yes. Among 169 people starting PD urgently, 111 had fewer than four exchanges per day (intermittent) and 58 received full-dose PD. A year later, both groups had adequate PD and similar peritoneal transport, residual kidney function, blood pressure control, anemia management, and correction of bone minerals. Infections, complications, and technique survival were similar as well.

    Read the abstract » | (added 2022-04-18)

    Tags: Urgent Start PD, Incremental Peritoneal Dialysis, USPD, IPD

  • Meta-analysis of Risk Factors for Encapsulating Peritoneal Sclerosis

    In data from 10 studies of 12,595 people, risk factors for EPS included younger age for starting PD, higher transport rates, longer PD duration, longer peritonitis duration, and history of glomerulonephritis.

    Read the abstract » | (added 2022-04-18)

    Tags: EPS, PD, Higher Transport Rates, Duration, Glomerulonephritis, EPS Risk Factors

  • What Didn’t Work to Grow Home Dialysis

    Nine provinces in Canada and 55 CKD clinic clusters tried an intervention in 2014-2015 to increase use of home therapies. The 4-part intervention included phone surveys, a 1-year center-specific audit with feedback on home dialysis use, an educational package with tools for patients and providers, and an academic detailing visit. Using two different analyses, there were no differences between the clinics that did and did not use the intervention.

    Read the abstract » | (added 2022-04-18)

    Tags: Home Therapies, CKD Educational Tools