Journal Watch

  1. PD and Dialysis Patient Employment

    In a Swedish study, 4,734 working-age (20-60 years old) patients who survived at least one year on in-center HD or PD were compared. Patients using PD had a 4% increased probability of employment over in-center HD—as well as a 6% lower disability pension and higher work income. Read the abstract

    Read the abstract » | (added 10/12/2018)

    Tags: Pd, Hd, Employment, Disability Pension, Work Income

  2. Peritonitis Symptoms in Older vs. Younger People

    A single center study compared the time to first episode of peritonitis treated successfully with antibiotics in PD patients >65 (n=79)compared to those who were younger (n=168). Of 377 peritonitis episodes, 126 were in the older group and 251 in the younger group. Older patients were less likely to have fever or cloudy dialysate as symptoms than younger patients, but rates of transfer to hemodialysis, relapse, hospitalization, and mortality were similar. Read the abstract.

    Read the abstract » | (added 10/12/2018)

    Tags: Peritonitis, Outcomes Of Peritonitis, Elderly Pd, Patient Pd

  3. Metaanalysis of PD for Kidney Failure due to PKD

    Polycystic kidneys may displace room for PD fluid, so can PD be a viable treatment option? A metaanalysis of 12 studies and more than 17,000 patients found…maybe. PD outcomes were about the same for those with PKD as with other primary kidney diseases, and some can do PD. More research is needed to determine who is suitable. Read the abstract.

    Read the abstract » | (added 10/12/2018)

    Tags: Dialysis Adequacy, Pd Associated Complications, Peritoneal Dialysis, Polycystic Kidney Disease

  4. Left Atrial Remodeling Not Found After 1 Year of Nocturnal HD

    While left ventricular mass has been shown to regress with intensive HD, the same does not seem to hold true for the left atrium, nor did the ejection fraction improve, finds a new study of 37 patients switched from conventional HD. Read the abstract.

    Read the abstract » | (added 09/10/2018)

    Tags: Cardiac Mri, End Stage Renal Disease, Hemodialysis, Left Atrium

  5. Nocturnal HD is Underused

    A new review suggests that the improved outcomes associated with more hours of HD in-center or at home mean that these options should be used more. Read the abstract.

    Read the abstract » | (added 09/10/2018)

    Tags: Extended Hours, Improved Outcomes, Hd, Nocturnal Dialysis, Quality Of Life

  6. Biocompatible PD Solutions Maintain Membranes Longer

    Independently of inflammation, biocompatible PD solutions helped 71 patients keep a steady level of solute transport over 7.5 years, compared to 295 patients who used standard solutions. Read the abstract.

    Read the abstract » | (added 09/10/2018)

    Tags: Dialysis Solutions, Glucans, Glucose, Il6 Protein, Human, Inflammation, Interleukin 6, Peritoneal Fibrosis, Peritoneum, Peritonitis, Creatinine, Hospitalization, Icodextrin, Peritoneal Dialysis, Peritoneal Membrane

  7. PD Catheter Outcomes in Low vs. High-Volume Centers

    Not surprisingly, patients whose PD catheters were placed at high-volume centers (in Japan) had fewer adverse events, needed feer blood transfusions, and had shorter hospital stays than those from low-volume centers. Read the abstract.

    Read the abstract » | (added 09/10/2018)

    Tags: Pd, Catheter, Hospital Volume

  8. Gender and Malnutrition in PD

    Do hypoalbumineumia, overhydration, inflammation, and cardiovascular risk affect men and women on PD differently? A small study (N=26 men and 28 women) with comparable BMI found more fluid overload, inflammation, and heart risk in women with low serum albumin than in men. Read the abstract.

    Read the abstract » | (added 09/10/2018)

    Tags: Gender, Malnutrition, Cardiovascular Risk, Hypoalbuminemia, Inflammation, Overhydration, Peritoneal Dialysis

  9. 5-year study: Predialysis PD Education Saves Lives on PD

    Among 398 patients who started PD from 2007-2016, 169 had received predialysis education. After 5 years, this group had a significantly lower rate of peritonitis, a longer median time to a first peritonitis episode, and less risk of death from peritonitis than patients who did not get CKD education. Read the abstract.

    Read the abstract » | (added 09/10/2018)

    Tags: Pd, Predialysis, Peritonitis, Mortality, Ckd Education

  10. Blood Flow Rates and Clinically Meaningful Solute Removal

    A prospective study of 17 patients looked at BFRs of 300, 350, and 450 and Kt/V urea, beta-2 microglobulin, and phosphorus when low dialysate flow rates were used. While Kt/V did increase, the impact on B2M and phosphorus were minimal.

    Read the abstract » | (added 08/13/2018)

    Tags: Daily Hemodialysis, Home Hemodialysis, Kt/V, Blood Flow