Journal Watch
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Global, Regional, and Country Incidence of Peritoneal Dialysis-Associated Peritonitis in the Contemporary Peritoneal Dialysis Practice: A Systematic Review and Meta-Analysis
This study of 132,000 PD patients from 37 countries found a statistically significant difference in peritonitis rates across countries and regions with the highest rate in South Africa and the lowest rate in South Korea. The researchers recommend sharing knowledge and innovations for continuous quality improvement and standardizing and harmonizing care to reduce inequities and improve patient well-being.
Read the abstract » | (added 2026-10-22)
Tags: PD, Peritonitis
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Sex-Specific Outcomes in the Peritoneal Dialysis Outcomes and Practice Patterns Study
Researchers conducted this international study of 26,292 patients (43% female) and examined sex differences in outcomes. Compared with men, women on PD had lower likelihood of getting peritonitis, transferring to HD, and dying.
Read the abstract » | (added 2026-10-22)
Tags: PD, Sex Differences In Outcomes, Peritonitis, Mortality
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Racial and Ethnic Disparities in Access to Home-Based Renal Replacement Therapies Among Incident End-Stage Renal Disease Patients in the United States
This retrospective study of 3.49 million patients in the USRDS database who started dialysis between 2014 and 2020 found that compared to White patients, Black and Hispanic/Latino patients were less likely to start dialysis on a home modality. Asian patients had somewhat higher rate of starting PD. The conclusion stated: “Substantial racial and ethnic disparities persist in the initiation of home dialysis in the U.S. While structural and system-level factors likely contribute, patient-level clinical considerations, cultural norms, social support availability, and provider practice patterns also play important roles.”
Read the abstract » | (added 2026-10-22)
Tags: Racial And Ethnic Disparities, Home Based Renal Replacement Therapies
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Barriers to and Facilitators of the Adoption of Peritoneal Dialysis: A Systematic Review of Qualitative Studies
A review of 7,390 records (595 participants) from 13 studies in 9 countries found PD utilization was affected by specific individual barriers, interpersonal factors, organizational barriers, community factors, and policy barriers. Facilitators for individuals included convenience and autonomy while structured support was a facilitator for organizations.
Read the abstract » | (added 2026-10-22)
Tags: PD, Barriers, Facilitators
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Remote Monitoring in Automated Peritoneal Dialysis Improves Treatment Adherence and Reduces Hospitalization Burden: A Prospective Multicenter Cohort Study
This study of 73 PD patients compared CAPD, APD, and remote monitoring-assisted APD. Patients using remote monitoring had better treatment plan adherence, fewer hospital days, and lower inpatient costs than those using conventional APD. They also had better volume control than patients on CAPD.
Read the abstract » | (added 2026-09-18)
Tags: PD, CAPD, APD, Remote Monitoring assisted APD, Treatment Plan Adherence, Inpatient Costs, Volume Control
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Hemodiafiltration versus High-flux Hemodialysis and Risk of Mortality: A Multinational Target Trial Emulation
A Fresenius study of almost 20,000 patients in eight European countries from 2014-2019 found that hemodiafiltration (HDF) reduced all-cause mortality risk by 28% over conventional high flux HD. Even better, all-cause mortality was reduced 33% with high volume (23 liters per session) HDF compared with conventional high flux HD.
Read the abstract » | (added 2026-09-18)
Tags: Hemodiafiltration, HDF, All cause Mortality
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Training Programs for Families of Children on Home Peritoneal Dialysis: A Scoping Review
This review looked at 12 studies of training programs for caregivers of children at home on PD. Training practices varied widely and often did not align with the ISPD pediatric guidelines. Few programs clearly defined training objectives or criteria, and none of the studies reported using tools to assess health literacy. The authors recommend more research into how caregiver training affects children and families in the setting of kidney failure.
Read the abstract » | (added 2026-09-18)
Tags: Caregiver Training Programs, Children, PD, ISPD Pediatric Guidelines
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Peritoneal Dialysis Catheter Flushing in Children: A National Survey of Practice Patterns
Researchers surveyed 60 U.S. pediatric PD programs for PD catheter flush protocols between placement and starting PD treatment. Of the 43 respondents, 83% had a protocol. However, variation in their protocols led the researchers to recommend multi-center studies to establish a standardized catheter flushing protocol based on evidence-based guidelines.
Read the abstract » | (added 2026-09-18)
Tags: Pediatric PD, PD Catheter Flush Protocols, Standardized Catheter Flushing Protocol
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Evaluating Patterns and Outcomes in the Prescription of Incremental Peritoneal Dialysis in Support of Shared Decision-Making
This study of 527 patients from 2012-2023 found that incremental PD was safe to prescribe. They found patients were still on their incremental PD prescription at one year (64%) and two years (36%). Those more likely to increment sooner were younger, male, and had lower albumin. Younger patients with diabetes were more likely to switch to HD. Mortality rates were low at .11 events/person year. A clinical score for shared decision-making and treatment expectations was constructed and tested, but needs validation.
Read the abstract » | (added 2026-09-18)
Tags: Incremental PD, Shared Decision making, Treatment Expectations
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Physical Activity in Short Daily Home Dialysis vs In-Center HD
Comparing patients on in-center HD (ICHD) to those on short daily home HD (SDHD), this study found those on SDHD were more active and less sedentary, slept longer, and had shorter recovery time after dialysis compared to those on ICHD. Labs showed similar levels of anemia and metabolic control, but SDHD preserved nutrition and reduced pre-dialysis beta-2 microglobulin (B2M).
Read the abstract » | (added 2026-08-21)
Tags: In center HD, ICHD, HD, SDHD, Quality Of Life