Journal Watch

  • Updated ISPD Adequacy and Prescription Clinical Guidelines

    PD adequacy is transitioning from solute clearance and ultrafiltration to quality of life. With sections on adequacy, residual kidney function, and prescription of CAPD and APD, the new guidelines specify the level of evidence and strength of the recommendations

    Read the abstract » | (added 2024-10-15)

    Tags: PD Adequacy, Solute Clearance, Ultrafiltration, Quality Of Life

  • 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

  • Potential Benefits for Tidal (TPD) vs. Intermittent PD (IPD)

    A study randomized 85 patients to TPD (n=43) or IPD (n=42) and followed them for up to 2 years. Of the total, 19 patients died and 25 stopped PD. There were no differences in overall survival or technique survival among the remaining patients, but those who did TPD had significantly higher urine volume (p=0.001) as well as lower BUN (p=0.002) and phosphorus (p=0.004) and fewer cycler alarms (p<0.001). The TPD group had a higher chance of reporting abdominal fullness (p=0.001).

    Read the abstract » | (added 2024-09-12)

    Tags: Tidal PD, TPD, Intermittent PD, IPD

  • Systematic Review: Depression May Not Affect PD Adherence

    Metaanalysis of data from eleven eligible studies did not find depression to be a significant predictor of technique survival or death on PD, even after including qualitatitive analysis. Peritonitis data were conflicting, and more data are needed.

    Read the abstract » | (added 2024-09-12)

    Tags: Depression, Predictor Of Technique Survival

  • 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)

    Tags: Home Dialysis Training Programs, Self Efficacy

  • Fat Mass May Protect Bones and Muscles on PD

    Among 359 PD patients, 25% had osteoporosis, 32% had sarcopenia, 15% had osteosarcopenia, with considerable overlap between these conditions. Using body composition monitoring, fat tissue index (FTI) and lean tissue index (LTI) were measured. Low FTI—but not normal or high FTI—was linked with all three conditions, even after adjusting for age and BMI.

    Read the abstract » | (added 2024-09-12)

    Tags: PD, Osteoporosis, Sarcopenia, Osteosarcopenia, Fat Mass, Fat Tissue Index, FTI, Lean Tissue Index, LTI

  • PD vs. HD for Women’s Sexual Function (But, Would Intensive HD be Better?)

    Women (n=200) with non-dialysis CKD, HD, CAPD, and controls who completed the Female Sexual Function Index (FSFI) were analyzed by treatment group. The control group had the highest FSFI mean scores. The point means between PD and standard HD were nearly identical, except for sexual satisfaction, which favored CAPD (p<0.05). NOTE: Intensive HD was not compared in this study—but may prove to be helpful.

    Read the abstract » | (added 2024-09-12)

    Tags: PD, HD, Female Sexual Function Index, FSFI

  • Frailty and Transfers from PD to HD

    In an 11-year, single-center, retrospective study, incident PD patients (n=182) were assessed with the clinical frailty scale from 1 (very fit) to 7 (severely frail). In 379 patient years at risk, there were 42 deaths and 69 transfers from PD to HD. The rates of death and transfer to HD were twice as high among patients whose frailty score was >4.

    Read the abstract » | (added 2024-09-12)

    Tags: Incident PD, Clinical Frailty Scale

  • 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

  • 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