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  • ISPD Proposes to Remove PD Toxin Clearance Targets

    New ISPD Guidelines suggest that the focus of PD should be patient well-being—not lab values. This change would allow more people to do PD, and focusing on relieving uremic symptoms could help determine which solutes really do matter to quality of life.

    Read the abstract » | (added 2023-08-16)

    Tags: PD, Patient Well being, Lab Values, Uremic Symptoms, Quality Of Life

  • Meta-analysis of Quality of Life by ESRD Treatment Modality

    Analysis of 111 papers with more than 50,000 patients compared transplant, PD, home HD, and in-center HD for health-related quality of life outcomes. The rankings? Transplant, PD, home HD, in-center HD.

    Read the abstract » | (added 2023-08-16)

    Tags: Quality Of Life, ESRD, Treatment Modality

  • 2023 AJKD Core Curriculum in Nephrology

    Acute PD, more use of home treatments, and better peritoneal solute transfer models are part of the content of the new Core, which emphasizes the latest data for prevention and management of infectious and noninfectious complications of PD.

    Read the abstract » | (added 2023-08-16)

    Tags: Acute PD, Core Curriculum, Complications Of PD, Home Dialysis

  • Disparities in Access to PD

    Per logistic regression of USRDS data from 2009 to 2019, the incident PD population more than doubled, with increases in PD use by seniors. There was a 5% increase in PD use by Hispanic people, but no difference in other races. Urban PD use also increased by 5%, and 7% for those in socioeconomically disadvantaged areas.

    Read the abstract » | (added 2023-08-16)

    Tags: Incident PD, PD Access, Disparity, PD Demographics

  • Home Dialyzor Telehealth Preferences

    A small study (n=34) that included surveys and 21 interviews found that 70% of home dialysis patients preferred face-to-face home visits, while 68% had previously had telehealth visits. Knowledge of telehealth was the main perceived barrier, while convenience and flexibility were the main benefits. Non-English speaking patients were at a disadvantage for telehealth.

    Read the abstract » | (added 2023-07-17)

    Tags: Home Dialysis, Home Visits, Telehealth

  • Value of an Integrated Home Dialysis Model in the United Kingdom: A Cost-Effectiveness Analysis

    This study aimed to determine the lifetime cost-effectiveness of increasing home hemodialysis as a treatment option for patients experiencing peritoneal dialysis technique failure compared with the current standard of care.

    Read the abstract » | (added 2023-07-17)

    Tags: Cost effective, Home Hemodialysis, Treatment Option, Peritoneal Dialysis Technique Failure

  • GI Outcomes in PD Trials

    A meta-analysis of 61 trials looking at patient-reported GI outcomes of PD mainly found nausea (43% of trials), diarrhea (43%), constipation (34%), abdominal pain (31%) and PD peritonitis (40%). But, only 19% of the available trials reported GI outcomes at all.

    Read the abstract » | (added 2023-07-17)

    Tags: GI Outcomes, PD, Nausea, Diarrhea, Constipation, Abdominal Pain, Peritonitis

  • PD vs. Home HD for Severe Infections

    In a Finnish study of 536 patients using home dialysis, the risk of a severe infection (C-reactive protein of 100mg/L or higher) in year 1 of CAPD was 35%, APD was 25% and home HD was 11%. Over a 5-year period, compared to home HD, the hazard ratio of severe infection for APD was 2.2 and for CAPD, 2.8. PD peritonitis accounted for the difference.

    Read the abstract » | (added 2023-07-17)

    Tags: Home Dialysis, Severe Infection, C reactive Protein, CAPD, APD, HD, Home HD, PD Peritonitis

  • Paradoxical Finding in PD Peritonitis

    The common wisdom is that larger patients are at greater risk for PD-associated peritonitis (PDAP). But, a new single-center study of 483 peritonitis episodes in 285 patients suggests that the opposite may be true. A lower value of body surface area was an independent risk factor for peritonitis episodes. (p=0.015).

    Read the abstract » | (added 2023-07-17)

    Tags: Body Surface Area, PDAP, Metabolism, Nutrition, PD, Peritoneal Dialysis, Peritonitis

  • UK Target: 20+% on Home Dialysis

    Despite the many benefits of home therapies, PD and home HD remain underused. The UK now recommends a minimum 20% prevalence rate for home dialysis.

    Read the abstract » | (added 2023-06-14)

    Tags: PD, Home HD, Peritonitis