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  1. Transplant Survival Better After PD Than Standard In-center HD

    Is there an advantage to PD over standard in-center HD for transplant graft survival? YES, suggests a 15-year retrospective study of 2,277 transplant recipients. Those who did PD prior to transplant were 34.5% more likely to survive, and had less frequent rejection. Living donor kidneys did best among patients who received transplants before starting dialysis—or did PD.

    Read the abstract » | (added 11/16/2019)

    Tags: Kidney Transplant, Modality, Pd, Hd, Hemodialysis, Peritoneal Dialysis

  2. Home Dialysis: Better Outcomes at Lower Costs

    Five years after starting dialysis, the population of Ontario, Canada over age 18 had mean 30-day PD costs 50% lower than in-center HD—and home HD costs 64% lower than in-center. After adjusting for covariates, home HD cost the least and had the highest survival (80%) vs. 52% on PD and 42% on in-center HD.

    Read the abstract » | (added 10/14/2019)

    Tags: Home Dialysis, Pd Cost, Hd Cost, Hd Survival

  3. Payment Policy is Driving Increases in U.S. Home Dialysis

    Follow the money. Analysis of 523,526 patients starting dialysis in the U.S. between 2005 and 2013 found increases in home dialysis use in all groups, and a decline in racial/ethnic differences in home dialysis. However, over time, white patients had an increase in mortality compared to minority patients, while transplant rates remained lower in minority patients.

    Read the abstract » | (added 08/14/2019)

    Tags: Home Dialysis Outcomes, Racial, Ethnic, Mortality, Transplant Rates

  4. Remote PD Monitoring Reduced Hospitalizations

    A study of people starting automated PD matched patients who did and did not receive remote patient monitoring (RPM), with 63 patients in each group. Those who received RPM had significantly fewer hospital stays and days.

    Read the abstract » | (added 08/14/2019)

    Tags: Automated Pd, Remote Patient Monitoring, Hospitalization

  5. PD: Better Quality of Life than In-Center HD for 2 Years

    Among 989 patients starting PD or in-center HD, health-related quality of life (HRQOL) was measured at 3, 12, and 24 months after dialysis start. PD patients scored higher all along on several key dimensions than HD patients—and this effect lasted up to 2 years. Both PD and HD patients had about the same amount of decline in HRQOL over 2 years.

    Read the abstract » | (added 08/14/2019)

    Tags: Hrqol, Pd, In Center Hd, Quality Of Life

  6. Home Dialysis Barriers Examined (Again)

    Since the NKF-KDOQI is a latecomer to the home dialysis party (at least for home HD), they started at the beginning with a conference identifying barriers to starting and keeping patients at home. Not surprisingly, cursory education, and lack of exposure to home options or support for care partners were implicated.

    Read the abstract » | (added 01/11/2019)

    Tags: Home Dialysis, Kdoqi, Barriers, Patient Support

  7. New Ideas for Incremental PD

    Starting incremental PD without the exclusive focus on residual plus peritoneal clearances may ease transitions of new patients onto dialysis—and reduce our “obsession” with small moleule kinetics.

    Read the abstract » | (added 06/12/2018)

    Tags: Incremental Pd, Peritoneal Dialysis

  8. Emergent Start PD Yet Again

    Learn about the rationale and feasibility of using PD as a first dialysis option for emergent start patients instead of inserting a central venous catheter and starting HD. .

    Read the abstract » | (added 04/12/2018)

    Tags: End Stage Renal Disease, Haemodialysis, Peritoneal Dialysis, Unplanned Start, Urgent Start

  9. Starting PD with One Daily Exchange of Icodextrin

    Incremental PD can be less restrictive for patients initiating therapy. Is one daily exchange with icodextrin enough? A physiological study used a 3-pore kinetic model to assess fluid and solute removal among patients with residual function that ranged from 0 to 15 mL/min/1.73m2. All but very large patients (total body water >60L) were predicted to achieve adequate dialysis with this approach.

    Read the abstract » | (added 02/15/2018)

    Tags: Incremental Pd, Icodextrin, Fluid And Solute Removal

  10. 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 12/14/2017)

    Tags: Dialysis Survival Comparison, Pd Hd Mortality