ISPD Position Paper: Teaching PD

The International Society for Peritoneal Dialysis adds a new 2025 Position Paper that builds on two prior works to help clinicians teach patients/care partners. Key areas include education, knowledge, skills, and attributes for PD nurse trainers; preparation for training; methods/interventions; post-training; and outcomes measures.

Read the abstract » | (added 2025-10-14)

Tags: ISPD, Teaching PD, Care Partners, Post Training, Outcome Measures

Vascular Access Survival in Thrice-weekly In-center Nocturnal HD

In a retrospective cohort study, data on vascular access complications were collected from 145 adults using in-center nocturnal HD (INHD) who acted as their own controls. No increase was found in vascular access events for INHD vs. the control period. Grafts had a lower survival than arteriovenous fistulas, and anticoagulation with vitamin K antagonists increased the risk of vascular access events.

Read the abstract » | (added 2025-10-14)

Tags: Vascular Access Complications, In center Nocturnal HD, Survival Rate, Grafts, Vitamin K

ASN: Improving Fellows Education for Home Dialysis

Inadequate fellows training has been identified as one reason home therapies are underutilized in the U.S. In response, the American Society of Nephrology developed a virtual home dialysis university (ASN-HDU) in 2023. A mixed-methods evaluation sampled participants who attended both the live and virtual HDU programs or only the live one. A post-HDU survey and 8-month follow up survey assessed quantitative changes in attendees comfort with home dialysis. Ten interviews were also conducted to identify themes. ASN-HDU participants reported higher comfort levels for PD and home HD, while the program filled many—but not all—identified gaps.

Read the abstract » | (added 2025-10-14)

Tags: ASN HDU, Fellows Training, Home Dialysis

Using a B. Braun Machine for Home HD

Successful use of a B. Braun machine for home HD required more space in the home, a dedicated reverse osmosis system, specialized plumbing and electrical connections, and machine-specific patient training. Most patients found these home requirements manageable and the machine easy to use for daytime or nocturnal treatments.

Read the abstract » | (added 2025-10-14)

Tags: B. Braun Machine, Home HD, Machine Requirements, Machine specific Patient Training

Meta-analysis of Factors in PD Catheter-related Infections

Thirteen studies were included in a meta-analysis that found PD catheter-infection factors included diabetes, insecure catheter fixation, >2 years on dialysis, BMI >20 kg/m2, mechanical strain, lack of proper care, irregular caregivers, and a history of catheter pulling.

Read the abstract » | (added 2025-10-14)

Tags: PD, Catheter related Infections, Risk Factors, Meta analysis

First-in-human Trial of Sorbent-assisted Continuous Flow PD

One downside of peritoneal dialysis (PD) is the need to truck bags of sterile fluid to patients. A new sorbent-assisted PD (SAPD) device regenerates spent dialysate. SAPD may improve uremic solute clearance by maintaining a high concentration gradient and increasing the mass transfer area coefficient. It may help preserve peritoneal membranes longer by avoiding high glucose concentrations. And, fewer connections may mean less peritonitis. Short-term safety and performance of SAPD will be evaluated in a group of 12 stable adulte PD patients.

Read the abstract » | (added 2025-10-14)

Tags: First in human Trial, Continuous Flow Peritoneal Dialysis, Sorbent assisted Peritoneal Dialysis, Sapd, Peritonitis

Challenges and Opportunities in Managing Individuals with Obesity on Peritoneal Dialysis

Some view obesity as a contraindication to PD, which limits treatment options for many patients. However, PD can be successfully utilized by people with obesity! Careful planning of the exit site can help.

Read the abstract » | (added 2025-09-15)

Tags: Obesity, Peritoneal Dialysis, Exit Site

Amino acid and protein losses in adult patients receiving maintenance dialysis: a literature review

Patients on dialysis lose amino acids/protein on HD, hemodiafiltration (HDF). home HD, peritoneal dialysis (PD) and nocturnal HD (NHD). Protein losses were greater with HDF compared to HD. Patients on daily PD lose more amino acids/protein than those on HD.

Read the abstract » | (added 2025-09-15)

Tags: Amino Acids, Protein Loss, Dialysis

PD Peritonitis and the Gut Microbiome

Researchers investigated a causal relationship between the gut microbiome and peritonitisby combining Mendelian randomization of statistics from genome-wide association studies (GWAS) and a case control study of 24 patients. The results suggested potential destabilization of the gut bacterial network in patients with peritonitis. In particular, there were significant negative correlations between interleukin-6 levels and Faecalibacterium, Coprococcus, Dorea, Anaerostipes, and Lachnospira.

Read the abstract » | (added 2025-08-21)

Tags: Mendelian Randomization, Peritoneal Dialysis associated Peritonitis, Amplicon Sequencing, Cytokine, Gut Microbiome

Diabetes + PD + Self-management: Theory of Planned Behavior (TPB)

Semi-structured interviews formulated with TPB were conducted with 16 diabetic kidney disease (DKD) PD patients. Analysis identified 3 themes and 7 sub-themes related to physical and mental perception, emotions, subjective norm, continuity of care, social feedback, perceived behavioral control, and limitations on external resources. Strengthening positive feedback and social support can improve active patient participation in decision-making.

Read the abstract » | (added 2025-08-21)

Tags: Diabetic Kidney Disease, Diabetes, PD, Self management, Theory Of Planned Behavior