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  • Video-based vs. Traditional PD Training: Which is Better

    PD could be expanded more quickly if training did not have to be done one-on-one in person. In Italy, Videodialysis has been used since 2016 for remote patient and care partner training, after an initial home visit. In a small series (46 trainings; 21 at home and 25 by video), the video technique was found to be as effective as traditional training with fewer home visits.

    Read the abstract » | (added 2023-01-10)

    Tags: PD Training, Videodialysis, Home Visits, Telemedicine

  • New PD Fluid Tested in Italy

    Most PD fluid is glucose-based, unphysiologic, and can cause fibrosis and long-term damage to the peritoneum—but that may be changing. A new PD fluid replaces the glucose with L-carnitine and/or xylitol. After 4 weeks on the new fluid, 10 CAPD patients had good tolerance and no adverse safety events. More research will be needed, but this looks promising.

    Read the abstract » | (added 2021-03-09)

    Tags: PD Fluid, Carnitine

  • Remote Monitoring in PD May Catch Problems Early and Reduce Costs

    A simulation study using 12 patient profiles has determined that the ability to obtain clinical treatment information from PD could avoid the use of home and ER visits and hospital stays by identifying problems early, saving an estimated $7,088 to $23,364 across Italy, Germany, and the U.S. Read the abstract.

    Read the abstract » | (added 2017-11-13)

    Tags: Chronic Kidney Disease, Economics, End stage Renal Disease, Peritoneal Dialysis, Remote Therapy Management, Telemedicine

  • PD vs. In-center HD for Time to Transplant (in Italy)

    In the US, research has found that people who use PD receive transplants about 50% faster than those on standard in-center HD, despite comparable listing numbers. The same seems to be true in Italy. In the Province of Trento, which has increased PD use from 7 to 47%, an analysis of 279 HD and 132 PD patients found that time to transplant was about 330 days for HD and 224 for PD—a significant difference.

    Read the abstract » | (added 2016-12-09)


  • Home HD beliefs of patients and care partners in Italy

    Home HD is underused in Italy. Interviews found three positive themes: flexibility/freedom, comfort in familiar surroundings, and altruistic motivation to be an example for others. Four negative themes were also found: disrupted sense of normality, family burden, housing constraints, and healthcare by "professionals", not "amateurs".

    Read the abstract » | (added 2013-02-27)


  • A "self-locating" PD catheter

    The Di Paolo self-locating PD catheter was tested in 20 patients in Italy. The researchers found no infections, and only 0.8% dislocated catheters—vs. 12% for Tenkhoff PD catheters.

    Read the abstract » | (added 2012-09-25)


  • Make your own PD fluid?

    Okay, it's a long way off. But what if you could make pure water at home for PD, instead of having to ship bags of PD fluid across the country? Think of the space you'd save. Researchers in Italy used a dialyzer to purify used PD fluid and create pure water.

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


  • Pipeline PD technology: Vincenza wearable artificial kidney minicycler

    What if instead of exchanging bags of fluid for CAPD, you put in one fresh bag each morning, then wore a small pump to filter and regenerate it over and over? You'd save time—and use a lot less fluid. This system, invented by Dr. Claudio Ronco and associates in Italy, is being tested right now.

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