Journal Watch
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Watch your water soluble vitamins on nocturnal HD
More dialysis washes more vitamins out of the blood, finds a new study from Australia. Among people who were doing nocturnal HD, levels of vitamin C and thiamine were low. Supplements may be wise—ask your doctor.
Read the abstract » | (added 2011-02-24)
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Take your vitamins
A new study finds that HD—with regular or high flux membranes—removes large amounts of water soluble vitamins.
Read the abstract » | (added 2011-02-24)
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Need a bone density test on PD? Be sure you're empty
A new study has found that having fluid in your belly when you have a bone density test (called DXA) can change the results.
Read the abstract » | (added 2011-02-24)
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Female sexual function better on PD than standard in-center HD
If you're a woman, a new study finds that a transplant is the best way to restore your sexual function to normal levels. But PD did a much better job than standard HD—and the study didn't look at daily or nocturnal HD.
Read the abstract » | (added 2011-02-24)
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Need high doses of EPO? Might want to check for CMV
A new study from the Netherlands has found that people who have ESRD and have been exposed to the cytomegalovirus (CMV) have immune changes. With fewer working T-cells, they can't respond as well to anemia drugs.
Read the abstract » | (added 2011-02-24)
Tags: Chronic kidney disease
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On PD, higher uric acid levels predict faster loss of kidney function
Keeping as much of your kidney function as you can is a plus on PD or HD. A new study from Korea has found that people on PD whose levels of uric acid were higher had a faster decline in their kidney function. Those with higher blood pressure tended to have higher uric acid levels.
Read the abstract » | (added 2011-02-24)
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PKD is not a barrier to successful PD
In a study that compared 56 people with polycystic kidney disease on PD to 56 non-diabetic people with small kidneys on PD, there were no differences between the two groups after 37 months.
Read the abstract » | (added 2011-02-24)
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Need an MRI? Ask for NAC + bicarb
MRI contrast dye can damage kidneys. A new meta-analysis (study of studies) has found that two approaches are better than one in preventing this damage. N-acetylcystein (NAC, or Mucomyst®) plus bicarbonate-based IV fluid reduced the risk of damage by 35%. The authors say this combo treatment should be used for all high-risk patients—including those with CKD.
Read the abstract » | (added 2011-02-24)
Tags: Chronic kidney disease
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CKD education saves lives
A new study from Taiwan found that people who got CKD education were about 3 times less likely to need dialysis during the study period (about a year), and more than 5 times more likely to live than a control group that did not receive the education.
Read the abstract » | (added 2011-02-24)
Tags: Chronic kidney disease
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Slow the rate of CKD with baking soda?
A small UK pilot study found that a group of people with CKD who were randomly assigned to take a tablet of sodium bicarbonate each day had kidney function that fell 2/3 more slowly than controls. The baking soda group was less likely to need dialysis. More research is needed—and a doctor should supervise any medication use in CKD. But this is promising, and more studies may prove the benefit.
Read the abstract » | (added 2011-02-24)
Tags: Chronic kidney disease