Journal Watch
Kidney pros would choose home dialysis
A survey of kidney professionals done by Satellite Healthcare found that more than 90% would choose a home treatment if their kidneys failed—about half choosing PD and half choosing some type of home HD.
Read the abstract » | (added 2011-02-24)
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Dialyzors prefer buttonholes
A new study of standard in-center HD dialyzors who have used the buttonhole technique for a year found that satisfaction averaged 8.5 (out of 10); 96% said they would recommend it; and 83% said it was easier for the nurses. (Of course, we'd far rather see folks putting in their own needles!)
Read the abstract » | (added 2011-02-24)
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What you don't know CAN hurt you!
Health literacy means how well you understand and can use medical info to help yourself. In a new study of 480 folks on HD, those whose health literacy was highest lived longest—even adjusting for age, sex, race, and diabetes.
Read the abstract » | (added 2011-02-24)
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Nurse education after unplanned dialysis starts increases home treatments
Each year, about half of those who start dialysis had little or no time to prepare. In a new study of 176 Canadians, assigning a nurse to teach new dialyzors increased the use of PD, home HD, and even transplant.
Read the abstract » | (added 2011-02-24)
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November 2006 Kidney International supplement focuses on PD
Is survival better on PD or HD? What factors predict PD success? What are best practices in PD catheter placement? Does use of biocompatible PD solution reduce peritonitis? Learn the answers to these and many other key PD questions in the November 2006 supplement of KI. (For kidney professionals who don't subscribe to Kidney International, we've compiled the links to all of the abstracts from the special supplement on PD (November 2006). You can find them below.
- Mortality studies comparing PD and HD: What do they tell us?
- French PD registry (RDPLF): Outline and main results
- PD in the US: Evaluation of outcomes in contemporary cohorts
- Selected best demonstrated practices in PD access
- Use of the embedded PD catheter: Experience and results from a North American Center
- Prevention of infectious complications in PD: Best demonstrated practices
- Microbiology and outcomes of peritonitis in North America
- Impact of new dialysis solutions on peritonitis rates
- Place of PD in the management of treatment-resistant congestive heart failure
- The role of PD in the management of treatment-resistant congestive heart failure: A European perspective
- Mitigating peritoneal membrane characteristics in modern PD therapy
- Profiles of automated PD prescriptions in the US 1997-2003
- Tidal PD: Its role in the current practice of PD
- The role of tidal PD in modern practice: A European perspective
- Glucose sparing in PD: Implications and metrics
- New insight of amino-acid based dialysis solutions
- Management of hyperlipidemia in patients on PD: Current approaches
- Structural requirements for a successful PD program
- Nosogogy: When the learner is a patient with chronic renal failure
- Patient retraining in PD: Why and when it is needed
- Patient and technique survival on peritoneal dialysis in patients with failed renal allograft: A case-control study
- Place of genotyping and phenotyping in understanding and potentially modifying outcomes in PD patients
Read the abstract » | (added 2011-02-24)
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Vitamin D deficiency linked with EPO resistance
What if resistance to EPO is related to low levels of vitamin D that tend to occur in people on dialysis? A new study looks at just that, and found a link. While more rigorous studies are needed, it's an intriguing thought...
Read the abstract » | (added 2011-02-24)
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Watch your water soluble vitamins on nocturnal HD
More dialysis washes more vitamins out of the blood, finds a new study from Australia. Among people who were doing nocturnal HD, levels of vitamin C and thiamine were low. Supplements may be wise—ask your doctor.
Read the abstract » | (added 2011-02-24)
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Nocturnal in-center treatments save lives
A new study from Turkey matched 247 people on 8-hour nocturnal in-center HD 3 times a week with 247 doing standard 4-hour HD by age, sex, diabetes, and length of time on dialysis. After a year, those doing nocturnal had 72% better survival—a significant improvement.
Read the abstract » | (added 2011-02-24)
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Meta-analysis: Icodextrin PD fluid really does have advantages
In a study of 9 randomized controlled trials, icodextrin removed much more water from the blood of people who did PD than standard glucose-based PD fluid without causing any more health problems for them.
Read the abstract » | (added 2011-02-24)
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Yet another call for PD first
Doctors at the University of Missouri have written an article noting that PD is under-used, and suggest ways to promote PD as a first dialysis option. Good idea!
Read the abstract » | (added 2011-02-24)
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