Journal Watch

  1. Better stats help prove the value of more dialysis

    It's clear to us that more dialysis is more like having healthy kidneys. But the statistic used to measure the risk of death ("proportional hazards model")...didn't quite succeed. A new statistical model based on when the kidneys fail and toxins start to build up DOES find a strong relationship. In fact, each 0.1 unit increase in Kt/V improved survival by 3.5%!

    Read the abstract » | (added 02/24/2011)

    Tags:

  2. A honey of an idea

    Some clinics help prevent peritonitis in people with PD by using an antibiotic ointment. But bacteria may become resistant. In Australia, a new randomized study of Medihoney, a honey-based wound dressing (which is FDA-approved in the US) will see whether exit site or tunnel infections or peritonitis can be reduced.

    Read the abstract » | (added 02/24/2011)

    Tags:

  3. Wearable artificial kidney...for PD?

    Dr. Claudio Ronco reports in a new article that many of the challenges of making a wearable artificial kidney could be solved if it was used for PD instead of HD.

    Read the abstract » | (added 02/24/2011)

    Tags:

  4. Home FIRST—a new paradigm

    Why is the least effective—and most costly—form of treatment the default choice in the U.S.? A new article asks this question, and suggests that we present treatment options in terms of home vs. in-center, rather than HD vs. PD.

    Read the abstract » | (added 02/24/2011)

    Tags:

  5. In-center HD pill burden lowers quality of life

    Taking (and paying for) an average of 19 pills each day (with a strict fluid limit!) reduces health-related quality of life in people using standard in-center HD, a new study finds. Of course, every form of home treatment requires fewer pills!

    Read the abstract » | (added 02/24/2011)

    Tags:

  6. Removing adhesions improves PD catheter survival

    In a series of 436 PD catheter placements using a laparoscope, Drs. Crabtree and Burchette from Kaiser Permanente reduced catheter loss from blocked flow to just 0.7% by removing adhesions—even in people with prior abdominal surgeries.

    Read the abstract » | (added 02/24/2011)

    Tags:

  7. Hope predicts a better adjustment to dialysis

    How important is hope? A new study finds that hopeful people on dialysis were less anxious and depressed and had fewer symptoms. (We'd bet that home dialyzors are more hopeful.)

    Read the abstract » | (added 02/24/2011)

    Tags:

  8. Icodextrin improved nutrition and inflammation in PD

    Replacing glucose-based PD fluid with icodextrin led to 66% better fluid removal, significantly higher protein levels, and significantly lower levels of the inflammation marker CRP.

    Read the abstract » | (added 02/24/2011)

    Tags:

  9. New resource for intraperitoneal drug delivery

    On PD, it's not hard to inject a drug into the PD bag so it goes into the peritoneum. Which drugs are safest and most effective this way? A new article tells you the scoop.

    Read the abstract » | (added 02/24/2011)

    Tags:

  10. Pain meds may one day protect the peritoneum

    COX-2 inhibitors fight pain and inflammation. A new study in mice has found that COX-2 drugs were able to reduce fibrosis and damage to the peritoneum caused by PD fluid. This finding may one day help people to do PD longer.

    Read the abstract » | (added 02/24/2011)

    Tags: