87 people on nocturnal home HD for 12 years had just 30% the mortality of standard HD

How does survival of people on nightly home HD compare to those in the USRDS? A single-center study of 87 people who got 40±6 hours a week of HD found that 79% lived 5 years, and 64% lived for 10 years—a mortality rate just 30% of the USRDS average. Higher levels of education and more hours of dialysis were the only factors independently linked with survival.

Read the abstract » | (added 2011-04-25)

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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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Travel time to HD predicts HRQOL, adherence, & death

A new paper from the Dialysis Outcomes and Practice Patterns (DOPPS) study of 20,994 patients reports that patents whose one-way travel to HD was longer than 60 minutes had significantly higher mortality and lower quality of life. Patients noted, "I feel as if it rules all my time." The authors suggest home dialysis as an option for those who live far from the nearest center.

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

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New study finds better survival with short daily home hemo

Compared to USRDS survival figures for conventional (3 times a week) in-center hemo, 117 people using short daily home hemo had a significantly lower standardized mortality rate, found a study by Drs. Blagg, Kjellstrand, Ting, and Young.

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

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