Journal Watch
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With a nurse educator, more urgent-start patients choose self-care treatments
As many as half of people start dialysis with no prior plan for it. When a renal triage nurse sees these patients, the chances that they will opt for PD, home HD, or transplant was significantly higher.
Read the abstract » | (added 2011-07-26)
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Changing the treatment options paradigm: Home vs. in-center, not PD vs. HD
Traditional ESRD treatment options education divides the choice into PD vs. HD, and then looks at home HD. Drs. Thodis and Oreopoulos suggest that it makes more sense to look at home (PD and HD) vs. in-center instead.
Read the abstract » | (added 2011-07-26)
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The frontier of regenerative medicine—what it can mean for kidney disease
While dialysis can remove wastes and excess water from the blood, it can't replace or respond to hormones like healthy kidneys do. Regenerative medicine is at the cutting edge of efforts to grow kidney cells in the lab—with the goal of one day growing new kidneys. And, that day may not be far off.
Read the abstract » | (added 2011-07-26)
Tags: Chronic kidney disease
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Choosing PD may mean fewer access procedures for you
In a study of 369 Canadians with ESRD, 224 (61%!) chose PD, and just 145 (39%) chose HD. After an average of 1.3 years, those who chose PD had significantly fewer access procedures. PD catheters were less likely to fail than HD access.
Read the abstract » | (added 2011-07-26)
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More frequent HD linked with less cardiac stunning
During standard HD, the heart gets less blood, which causes damage called "stunning." In a study of 46 people on standard, short daily, or nocturnal HD, those whose treatments were done more often had less cardiac stunning. Those on nocturnal had the least.
Read the abstract » | (added 2011-06-21)
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Better survival on home HD than PD in England and Wales
A study from the UK compared 225 people on home HD from 1997 to 2005 with age and sex matched people on PD and standard HD. Those on home HD lived significantly longer than those on PD—even when the researchers adjusted for those who received transplants or were on the wait list.
Read the abstract » | (added 2011-06-21)
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Fresenius options education program boosts PD & venous access use
The 3,165 people who attended a treatment options program (TOPs) were more than 8 times more likely to choose PD than those who didn't attend—and twice as likely to get a fistula or graft if they chose HD. TOPs attendees were also more likely to survive the first 90 days of treatment.
Read the abstract » | (added 2011-06-21)
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Early PD survival benefit comes from avoiding HD catheters
Studies have found better survival on PD than standard HD in the first 1-2 years of treatment. A new study of 40,526 people found that the main reason for this difference is that those on PD did not use central venous HD catheters.
Read the abstract » | (added 2011-06-21)
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PD with PKD: Yes, it's possible
A Chinese study matched 42 people with and 84 without PKD as they started PD. After 5 years, survival in both groups was the same. There was no difference in the rate of peritonitis, though the PKD group was more likely to get hernias.
Read the abstract » | (added 2011-06-21)
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Pilot results of a wearable artificial kidney
Eight people on HD have now tested a new wearable HD device for 4-8 hours. Fluid was removed with no heart problems, and some wastes were removed as well. The safety devices for needle disconnection and clotting worked quickly. A step forward!
Read the abstract » | (added 2011-06-21)
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