Journal Watch
Value of Remote Monitoring of PD
A cluster-randomized trial assigned 21 hospitals with automated PD (APD) programs to either do remote monitored (RM-APD; 10 hospitals) or conventional APD (11 hospitals) for 398 adult patients initiating PD. In the conventional APD group, all-cause mortality, cardiovascular deaths, and hospitalizations were significantly higher, as were PD dropouts and adverse events and hospitalizations related to cardiovascular disease, fluid overload, or poor PD adequacy.
Read the abstract » | (added 2024-09-12)
Tags: Automated PD, APD, All cause Mortality, Cardiovascular Deaths, Hospitalizations, Cardiovascular Disease, Fluid Overload, PD Adequacy
Self-efficacy Support for Home Dialysis Patients
Data were extracted from 15 primarily quantitative studies of home dialysis training programs promoting self efficacy. Researchers identified that self-efficacy builds over time, with two themes that included gaining skills and building and maintaining knowledge. Multifaceted strategies and support from nurses, families, and peers helped patients develop self-efficacy around home dialysis.
Read the abstract » | (added 2024-09-12)
Shared Decision-making (SDM) in ESKD Modality Choice and Outcomes
Among 554 patients studied, 22.2% (123) participated in SDM to choose an ESKD treatment. Survival was significantly higher in the SDM group (p = 0.001).
Read the abstract » | (added 2024-08-16)
Tags: Renal Replacement Therapy, Shared Decision Making, Modality, Dialysis Therapy
MEI’s MATCH-D Most-referenced Screening Tool for Home Therapies Screening
In a meta-analysis of 23 peer-reviewed studies of home dialysis adult screening criteria, the MATCH-D was the most-referenced tool.
Read the abstract » | (added 2024-08-16)
Tags: Dialysis Modality, Hemodialysis, Peritoneal Dialysis, Home Dialysis, MATCH D
Risk Factors for Cognitive Impairment in Peritoneal Dialysis
A retrospective analysis of 268 CAPD patients from January 2020 to September 2023. categorized participants into a cognitively impaired (CI; 58.2%) and a cognitively normal (CN) group. Logistic regression analysis identified male gender, older age, lower educational attainment, hypercholesterolemia, and elevated high-sensitivity C-reactive protein levels as independent risk factors for CI in CAPD patients (P < .05), while dialysis duration and residual renal function were protective against CI (P < .05).
Read the abstract » | (added 2024-08-16)
Tags: CAPD, Cognitive Impairment, Logistic Regression Analysis, Risk Factors
Virtual Reality (VR) Training for PD
Does all PD training have to be done face-to-face by a nurse, or is there a role for technology? VR-based training (stay•safe MyTraining) by Fresenius with a headset and hand controls was investigated in an interview study of seven nurses using the system with 2-5 patients each. The system was efficient, well-accepted, and improved the learning experience for patients, though it did not replace the need to handle PD materials and did not provide emotional or motivational support.
Read the abstract » | (added 2024-08-16)
Tags: PD Training, VR Training, Learning Experience, Patient Education
Is There a Best Practice for PD Exit Site Care to Prevent Infection?
In a systematic review and meta-analysis, 2,092 studies were examined and 13 comprising 1,229 PD patients were selected for analysis (9 RCTs, 3 quasi-experimental, and one self-controlled trial). Five types of exit site care dressings were compared: named disinfection, antibacterial, non-antibacterial occlusive, sterile gauze, and no-particular dressings. No dressing was more effective than any other for preventing exit site infections or peritonitis.
Read the abstract » | (added 2024-08-16)
Tags: Systematic Review, Meta analysis, PD, Exit Site Infection. Peritonitis
Best Practices in Interventional Radiology for Peritoneal Dialysis
The Italian Society of Nephrology has endorsed a practical core curriculum for interventional nephrology in PD and has made it available on the Society website. The core curriculum addresses abdominal wall hernias, catheter placement with open surgical technique, video laparoscopy, cuff-shaving and more.
Read the abstract » | (added 2024-08-16)
Tags: Peritoneal Dialysis, Interventional Nephrology, Catheter Placement, Hernia
A Validated Measure to Predict PD Technique Failure
Data from 424 adult PD patients were analyzed to construct a nomogram based on the best model (created with LASSO Cox regression). Model variables included hypertension, peritonitis, serum creatinine, LDL, triglycerides, fibrinogen, thrombin time, prothrombin activity, anemia, and serum albumin.
Read the abstract » | (added 2024-07-12)
Tags: Peritoneal Dialysis, Prediction Model, Technique Failure
Startling Proportion of Patients Chose PD or Home HD After a Dialysis Start Unit
The University Health Network of Toronto examined the uptake of home dialysis between 2013 and 2021 among patients who started in a “Dialysis Start Unit” (equivalent to a transitional care unit in the U.S.). Of 122 patients, 68 (55.7%) chose either PD (57; 46.7%) or home HD (11; 9%).
Read the abstract » | (added 2024-07-12)
Tags: Home Hemodialysis, HHD, Peritoneal Dialysis, PD, Dialysis Start Unit