Journal Watch

  • Home HD Patients Grasp Fluid Management Better than In-Center Ones

    Compared to 839 people on in-center HD in the UK from six clinics, 99 receiving home HD had significantly more knowledge about fluid management and signs and symptoms of fluid overload. They also felt more in control and reported better adherence—though knowledge gaps remained.

    Read the abstract » | (added 2022-06-10)

    Tags: In center HD, Home HD, Fluid Management, Fluid Overload, Ckd Education

  • Risk of Left Ventricular Hypertrophy Tied to Fluid Overload on PD

    A single hospital had 226 enrolled PD patients between late 2018 and January 2021. Using bioimpedance analysis and cardiac color Doppler ultrasound, patients were divided into an LVF and a non-LVF group, and into a normal volume and overhydration group. Of participants, 125 (55.3%) had LVH. Overhydration and low hemoglobin levels were independent risk factors for LVH.

    Read the abstract » | (added 2022-06-10)

    Tags: PD, LVH, Overhydration, Volume Loads

  • Surprise Supplement Reduced Risk of Peritonitis on PD

    Does correction of hypokalemia with potassium supplementation impact peritonitis rates? Yes, finds a new randomized controlled trial of 167 PD patients with hypokalemia from six clinics. Compared to conventional potassium management, use of a protocol aimed at maintaining potassium levels at 4-5mEq/L significantly extended time to first peritonitis.

    Read the abstract » | (added 2022-06-10)

    Tags: Hypokalemia, Potassium Supplementation, Peritonitis

  • In Which Countries Do People Stay on PD Longer?

    The Peritoneal Dialysis Outcomes and Practice Patterns Study (PDOPPS) analyzed time on PD among 218 randomly chosen clinics and 7,121 patients in seven countries including the U.S. Median time on PD ranged from 1.7 years in the UK to 3.2 years in Japan and Thailand. PD mortality risk was higher in Thailand and the U.S., and infection was the leading cause of transfers to HD.

    Read the abstract » | (added 2022-06-10)

    Tags: Peritoneal Dialysis Outcomes And Practice Patterns Study, PDOPPS, PD, Mortality, Hemodialysis Transfer, Kidney Transplantation

  • Some WILL Choose More Intensive HD—If They Learn the Benefits

    In the UK, a new study of 183 in-center HD patients finds that 60+% would consider doing 4 treatments per week or 4.5 hours per treatment. Information about longer survival, better quality of life, and fewer fluid limits and access complications were all significantly linked with choosing longer and/or more frequent treatments.

    Read the abstract » | (added 2022-06-10)

    Tags: In center HD, Dialysis Regimen, Quality Of Life

  • Meta-analysis of Omental Procedures with PD Catheter Placement

    Should removal (omentectomy) or fixation in place (omentopexy) of the curtain of omentum tissue be routine when a PD catheter is placed? In 15 studies (with low-to-moderate evidence), omental procedures reduced the risk of a need to remove the PD catheter. There were no differences in catheter malposition, migration, or peritonitis.

    Read the abstract » | (added 2022-05-12)

    Tags: Omentectomy, Omentopexy, Omentum Tissue, PD Catheter, Catheter Malposition, Migration, Peritonitis

  • Urgent Start PD Takes on Urgent Start HD—Which One Wins?

    A new meta-analysis examines survival vs. urgent start HD (which is experienced by an estimated 50%-60% of U.S. dialyzors). Pooled data from seven studies identified “a statistically significant reduced risk of all-cause mortality in patients undergoing urgent-start PD as compared to urgent-start HD.” While infectious complications did not differ, there was a significantly reduced risk of mechanical complications with PD.

    Read the abstract » | (added 2022-05-12)

    Tags: Urgent Start PD, Urgent Start HD, Survival, All cause Mortality, Mechanical Complications

  • Home-to-Home Dialysis Transition

    When PD or home HD do not work out, people tend to end up in-center. In one clinic, of 911 home dialysis patients with technique failure, just 28 made a home-to-home transition over a 24-year period. Technique and patient survival were comparable, though hospitalizations and temporary in-center HD were common.

    Read the abstract » | (added 2022-05-12)

    Tags: Home Dialysis, In center, Technique Failure, Home to home Transition

  • Early Data from the Physidia Home HD Machine

    The Physicia S3 is a new home HD machine in France that uses bagged fluid. A new proof-of-concept study enrolled 13 training centers and analyzed data from 80 patients and 249 treatment sessions. Dialysis dose, anemia, nutrition, and electrolytes were all adequately controlled.

    Read the abstract » | (added 2022-05-12)

    Tags: Physicia S3, Bagged Fluid, End stage Kidney Disease, Portable Artificial Kidney

  • Can People do Urgent Start PD and Intermittent PD?

    Yes. Among 169 people starting PD urgently, 111 had fewer than four exchanges per day (intermittent) and 58 received full-dose PD. A year later, both groups had adequate PD and similar peritoneal transport, residual kidney function, blood pressure control, anemia management, and correction of bone minerals. Infections, complications, and technique survival were similar as well.

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

    Tags: Urgent Start PD, Incremental Peritoneal Dialysis, USPD, IPD