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  • Healthcare System Change Increased PD and Home HD in Australia

    A lean-thinking framework and commitment of top leadership to change the system of care were used in a “Home before Hospital” approach to increase use of home therapies. Multidisciplinary Pathway, Outreach, and Hybrid working groups were established, and goals were set. A target of >30% for PD and home HD was achieved in 2 years, 35% within 3 years—and was still being maintained at 8 years.

    Read the abstract » | (added 2021-08-12)

    Tags: Peritoneal Dialysis, PD, Home Haemodialysis

  • Survival in Those Eligible for BOTH PD or Standard In-center HD

    Yes, this is yet another survival comparison. A study of almost a decade of people (N=2,032) starting dialysis at seven Ontario clinics looked at mortality only among those who were judged to be suitable for either PD or standard in-center HD by a multidisciplinary team. Both options offered similar survival.

    Read the abstract » | (added 2017-12-14)

    Tags: Dialysis Survival Comparison, PD HD Mortality

  • Japanese strategy to prevent encapsulating peritoneal sclerosis (EPS)

    EPS is a rare and severe complication of PD. Japanese clinicians offer a multidisciplinary approach to avoid EPS and improve outcomes for those who have it. Icodextrin and combination PD/HD treatment is used, and high-risk patients have planned PD stoppage. Between 2008 and 2012, the incidence of EPS was 0.3% for PD < 3 years, 0.6% for PD = 5 years, 2.3% for PD = 8 years, and 1.2% for PD > 8 years. Prednisone (n=11) and surgery (n=2) were used to treat EPS; remission occurred in 12 of the patients (85.7%), while 3 died (21.4%).

    Read the abstract » | (added 2014-03-07)


  • Multidisciplinary training to reduce peritonitis in PD

    Researchers in Uruguay developed a tool to assess practical PD skills. They found that one on one lessons, retraining, and group meetings for PD patients cut the peritonitis rate nearly in half.

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