Journal Watch

  • Need high doses of EPO? Might want to check for CMV

    A new study from the Netherlands has found that people who have ESRD and have been exposed to the cytomegalovirus (CMV) have immune changes. With fewer working T-cells, they can't respond as well to anemia drugs.

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

    Tags: Chronic kidney disease

  • Slow the rate of CKD with baking soda?

    A small UK pilot study found that a group of people with CKD who were randomly assigned to take a tablet of sodium bicarbonate each day had kidney function that fell 2/3 more slowly than controls. The baking soda group was less likely to need dialysis. More research is needed—and a doctor should supervise any medication use in CKD. But this is promising, and more studies may prove the benefit.

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

    Tags: Chronic kidney disease

  • If you have CKD, EAT!

    We know that malnutrition in people on dialysis is a killer. Turns out that the same holds true with earlier stages of chronic kidney disease (CKD). A new study found that people with CKD who had lower levels of protein (albumin) in their blood were 70% more likely to die.

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

    Tags: Chronic kidney disease

  • No tested CKD decision aids available

    A meta-analysis of 40 studies looks at how people with CKD decide which treatment to choose. The 4 key factors were:

    1. Personal relationships
    2. Keeping current well-being, normality, and quality of life
    3. Need for control
    4. Benefits vs. risks
    No reliable, tested decision aids are available—yet.

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

    Tags: Chronic kidney disease

  • CKD patients report lack of kidney knowledge

    Folks can't choose a home therapy if they don't know it exists. In a new study of 676 people with stage 3–5 chronic kidney disease, most reported having limited or no understanding of their options. The new Conditions for Coverage should help.

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

    Tags: Chronic kidney disease

  • Phosphorus in colas linked to CKD progression

    Soda is already worthless nutritionally—and some types can also raise the risk of chronic kidney disease. A recent study found almost 2 1/2 times the risk of CKD in those who drank 2 or more cola's a day (regular or diet). If you must drink the stuff, looks like it's safest to switch to a non-cola flavor.

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

    Tags: Chronic kidney disease

  • Prevent buttonhole infections with Mupirocin

    The Buttonhole technique for fistulas lessens needle pain, missed cannulations, and bumpy aneurysms. The only downside? A higher risk of staph infection. A new study finds that prescription mupirocin (Bactroban®) ointment, an antibiotic, reduced that risk by 35 times!

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

    Tags:

  • Why Canadians choose self-care dialysis

    A new study randomized 70 new ESRD patients into standard options classes or to have the benefits of self-care taught with a booklet, video, and small group brainstorms. Compared to the group getting standard education, benefits group patients who valued lifestyle were 7 times more likely to choose self-care; those who valued freedom were 9.1 times more likely.

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

    Tags: Chronic kidney disease

  • Nocturnal HD protects blood vessels

    Damage to smooth muscle cells may be one reason why people on standard in-center HD tend to have more clogged and calcified arteries. In 15 patients studied before and after switching from standard HD to nocturnal HD, there was better smooth muscle growth and less cell death on nocturnal. (Blood pressure, PTH levels, and phosphorus levels improved, too.)

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

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  • CAPD and CCPD come out even in meta-analysis

    A Cochrane database review looked at studies comparing CAPD and CCPD for peritonitis, hernias, switching to HD, fluid leaks, hospital stays, and death—and found no significant differences between them. CCPD may have some pluses in terms of schedule for younger, working patients.

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

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