Journal Watch

  • Better nutrition with nocturnal HD

    A new study found better appetites, more energy, and higher protein intake in people doing 6 nights/week nocturnal HD. Even though they ate more foods high in phosphorus, their blood levels stayed good without binders. They were able to drink more fluids, too.

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

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  • For lupus, HD may be a better option

    A small study of 36 women with lupus in Taiwan has found much better survival and less inflammation in those who did HD. Protein levels were higher on HD, too.

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

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  • Nocturnal HD improves bone mineral levels

    Yes, we knew this—but this time, it's a randomized controlled trial of nocturnal (6 nights/week) vs. standard in-center HD (3 times/week). Compared to standard HD, those doing nocturnal had lower phosphorus—even without binders—lower PTH levels, and lower calcium-times-phosphorus products.

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

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  • A Brazil nut a day keeps the doctor away

    Heart disease risk is higher among people on HD, due to oxidative stress (basically rust). Selenium reduces this stress—and Brazil nuts are the best known source. In a new study, 81 people on HD ate one Brazil nut each day. At the end of 3 months, their levels of the protective enzyme GSH-Px were normal.

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

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  • 42% higher risk of death found with less-than-4-hour HD

    Short standard in-center HD treatments done 3 times a week were linked with a much higher risk of death in a new study of 8,552 people. Of course, "further studies are needed...."

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

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  • Better sleep rhythms with nocturnal HD

    Who sleeps best on dialysis? A new study found the most normal levels of melatonin (a hormone that helps control sleep patterns) in people who did nocturnal HD. Those on PD also had better sleep than people who did standard in-center HD.

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

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  • Better blood pressure control with short daily HD

    In a new study of 12 patients switched from standard to daily HD, blood pressure was less variable on daily treatments—and drops during treatment were significantly reduced. (These changes may help explain the better survival on this treatment.)

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

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  • Antibiotic ointment aids Buttonhole safety

    The only downside of the Buttonhole technique for dialysis needles has been a higher risk of infection. That risk can be reduced, finds a new study. No patient who put mupirocin (Bactroban®) ointment on Buttonholes after treatment got an infection.

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

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  • Patients: Buttonholes feel AND look better

    Among 53 people doing HD, 93% had shorter bleeding times with the Buttonhole technique, 81% had less needle pain, and 80% felt that their fistulas looked better. Fewer people needed surgery to fix their fistulas, too.

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

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  • Doing PD with no kidney function? Be sure your UF is 1 liter/day

    You can do PD with no remaining kidney function. But a new study finds that people who get at least 1 liter of UF back each day live longer on PD than those who don't. If your UF is less, talk with your doctor.

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

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