Journal Watch

  • PD Reduced Hospitalization 24% vs. In-center HD with a Catheter

    In an 18-month retrospective study, 717 PD patients were matched 1:1 with in-center HD patients using central venous catheters. The matching also included cause of ESKD, race, diabetes status, and insurance. The hospitalization rate was 24% lower for those on PD, and mortality was 15% lower.

    Read the abstract » | (added 2022-04-18)

    Tags: PD, In center HD, Catheters, Cause Of ESKD, Race, Diabetes Status, Insurance, Hospitalization Rate, Mortality

  • Lipid Profiles Affect Residual Kidney Function on PD

    A retrospective cohort study looked at 113 people who started PD from 2006 to 2017. Levels of HDL-C at PD start were independently linked with a change in renal Kt/V in the first year of PD.

    Read the abstract » | (added 2022-03-16)

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  • Which Dialysis Option(s) Offer the Best Quality of Life?

    Semi-structured one-on-one interviews were conducted with 10 people doing in-center HD, 10 doing home HD, 10 doing PD, and 10 with non-dialysis CKD (ND-CKD). Starting PD or home HD improved quality of life (QOL) vs. ND-CKD, and those patients were more interested in becoming more physically active. Those doing in-center HD had “minimal” improvement in their QOL.

    Read the abstract » | (added 2022-03-16)

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  • Why PD is (Still) Underused in the US

    A new review article notes just 11% PD penetration in the US in 2019—vs. as high as 79% in other countries. Rural, minority, and low-income regions in the US have less PD than other areas. Our healthcare system has failures we are just starting to discuss.

    Read the abstract » | (added 2022-03-16)

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  • Omental Procedures During PD Catheter Placement and PD Success

    Removing or fixing the omentum in place may reduce the risk of PD catheter malfunction. A review of 15 studies found less catheter failure, obstruction, or removal when omental procedures were done.

    Read the abstract » | (added 2022-02-14)

    Tags: Omental Procedures, PD Catheter, Catheter Failure

  • What We Don’t Know About Insulin Dosing for PD or HD Can Hurt Us

    After 60 years of dialysis, we have a good sense of how to adjust insulin doses for PD and HD, right? Wrong. Even though diabetes is the leading cause of kidney failure, a systematic review of 11 articles found little information about insulin management.

    Read the abstract » | (added 2022-02-14)

    Tags: Insulin Dose, PD, HD, Insulin Management

  • Must PD Stop when Residual Kidney Function is Gone?

    Not necessarily. In a small, physiological study (n=15) of anuric CAPD patients with low Kt/V, fluid status, dietary intake, and nitrogen removal were all assessed. All were able to maintain good nutritional status, with no symptoms of nitrogen retention and good volume control.

    Read the abstract » | (added 2022-02-14)

    Tags: PD, Residual Kidney Function, CAPD, Kt/V, Fluid Status, Dietary Intake, Nitrogen Removal, Volume Control

  • COVID Anxiety Less of a Problem for Home Dialyzors

    A single center survey of 98 home HD and 43 PD patients in Toronto found high rates of satisfaction with dialysis, little depression or anxiety or fears of caregiver burden, and few signs of burden. There was “no indication of a negative psychosocial impact from the pandemic, despite the increased social isolation,” reported the authors.

    Read the abstract » | (added 2022-02-14)

    Tags: Covid 19, Depression, Anxiety, Caregiver Burden

  • PD Helps Kidney Function Recovery

    PD is known to help preserve residual kidney function. A study of 981 people on PD and 12,619 on HD in Taiwan looked at which option was more likely to help incident dialyzors recover function. Nearly 5% did recover their kidney function within 3 years—with a better chance for those who did PD.

    Read the abstract » | (added 2022-02-14)

    Tags: PD, HD, Kidney Function Recovery

  • The Form of PD Linked with the Best Health-related Quality of Life is…

    In China, at least, cycler PD wins the day. Compared to 64 people who started and stayed on CAPD, 64 others who switched to use a cycler had about the same HRQOL at the start of a study. One year later, those using cyclers had significantly better scores on most of the KDQOL subscales.

    Read the abstract » | (added 2022-02-14)

    Tags: Cycler PD, CAPD, HRQOL, KDQOL