Journal Watch

  • Progression of Brain Atrophy in PD vs. HD

    A follow-up study of brain atrophy progression followed 73 PD and 34 HD patients who had brain MRIs, including 42 PD and 25 HD patients who had a second brain MRI. Brain grey matter volume measurement demonstrated faster progression of brain atrophy in PD than in HD, independent of potential confounders.

    Read the abstract » | (added 2024-01-17)

    Tags: Brain Atrophy, PD, HD

  • Among Prediabetic Patients, PD Nearly Tripled the Risk of New Onset Diabetes vs. HS

    A retrospective cohort study was done of 1426 non-diabetic end-stage renal disease (ESRD) patients who started PD or in-center HD. Over a 12 year period, 23% of the patients developed NODM. Among patients with prediabetes, those on PD had a 2.93 times higher risk of NODM than those on HD (p <0.001).

    Read the abstract » | (added 2024-01-17)

    Tags: ESRD, PD, In center HD, NODM, New Onset Diabetes Mellitus

  • Patient Training and Safety with Home HD

    Despite the paramount importance of safety with home HD, there is “a surprising lack of literature” about it and no consensus on optimal training techniques or schedules, contend the authors of a new study.

    Read the abstract » | (added 2024-01-17)

    Tags: Home HD, Training Techniques, Home HD Training Schedules

  • Mechanical Complications of PD

    Learn from a review of mechanical PD complications, including leaks, hernias, dialysate flow issues, pain, and changes in breathing. Most of these happen early, due to catheter placement or dialysate filling, though late complications can also occur.

    Read the abstract » | (added 2024-01-17)

    Tags: Mechanical PD Complications, Catheter Placement, Dialysate Filling

  • Non-mechanical Complications of PD

    Learn from a review of non-mechanical PD complications, including oddly-colored PD effluent, encapsulating peritoneal sclerosis, and metabolic changes.

    Read the abstract » | (added 2024-01-17)

    Tags: Non mechanical PD Complications, Oddly colored PD Effluent, Encapsulating Peritoneal Sclerosis, Metabolic Changes

  • The Impact of Abdominal Adhesions on PD

    A total of 758 people getting laparoscopic PD catheter placement in Canada; 27% with adhesions, were enrolled in a study of PD catheter complications. Among the adhesion group, 17% had catheter complications such as abdominal pain or flow restriction, vs. 10% in the group without adhesions. Yet, the majority did not have complications, even with adhesions.

    Read the abstract » | (added 2024-01-17)

    Tags: Intra abdominal Adhesions, Peritoneal Dialysis, Catheter Complications, Laparoscopic PD Catheter Placement

  • Urgent-start PD vs. Urgent-start HD: Meta-analysis

    Analysis of data from nine studies looking at all-cause mortality found a rate of 0.173 for urgent-start PD vs. .214 for urgent-start HD. Those who started PD urgently had lower risks of infection-related death, bacteremia, and other complications, though rates of cardiovascular and cancer mortality were similar.

    Read the abstract » | (added 2024-01-17)

    Tags: All cause Mortality, Urgent start PD, Urgent start HD, Infection related Death, Bacteremia

  • A Home Dialysis Primer for Internists

    Since PD and home HD are increasing in use due to their clinical and practical advantages, clinicians need to understand these treatments. A new primer in the Annual Review of Medicine will help them do just that.

    Read the abstract » | (added 2023-12-15)

    Tags: Home Dialysis, HD, PD, Home Dialysis Primer

  • High Ultrafiltration Volumes May Contribute to Pruritus

    Could changes in skin perfusion and inflammation play a role in dialysis itching? An observational study of 392 patients looked at self-reports of pruritus severity and UF volumes. BMI and UF volume independently predicted pruritis severity.

    Read the abstract » | (added 2023-12-15)

    Tags: Ultrafiltration Volume, UF Volume, BMI, Pruritus, Skin Perfusion, Inflammation

  • Dietary Protein Intake and Survival on PD

    Among 668 stable PD patients followed for up to 13 years, quarterly 3-day dietary records were collected for 2 ½ years. Dietary protein intake greater than 0.8 g/Kg/day improved long-term survival.

    Read the abstract » | (added 2023-12-15)

    Tags: Dietary Protein, Survival, PD