Journal Watch
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Systematic Review: Depression May Not Affect PD Adherence
Metaanalysis of data from eleven eligible studies did not find depression to be a significant predictor of technique survival or death on PD, even after including qualitatitive analysis. Peritonitis data were conflicting, and more data are needed.
Read the abstract » | (added 2024-09-12)
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Value of Remote Monitoring of PD
A cluster-randomized trial assigned 21 hospitals with automated PD (APD) programs to either do remote monitored (RM-APD; 10 hospitals) or conventional APD (11 hospitals) for 398 adult patients initiating PD. In the conventional APD group, all-cause mortality, cardiovascular deaths, and hospitalizations were significantly higher, as were PD dropouts and adverse events and hospitalizations related to cardiovascular disease, fluid overload, or poor PD adequacy.
Read the abstract » | (added 2024-09-12)
Tags: Automated PD, APD, All cause Mortality, Cardiovascular Deaths, Hospitalizations, Cardiovascular Disease, Fluid Overload, PD Adequacy
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Shared Decision-making (SDM) in ESKD Modality Choice and Outcomes
Among 554 patients studied, 22.2% (123) participated in SDM to choose an ESKD treatment. Survival was significantly higher in the SDM group (p = 0.001).
Read the abstract » | (added 2024-08-16)
Tags: Renal Replacement Therapy, Shared Decision Making, Modality, Dialysis Therapy
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MEI’s MATCH-D Most-referenced Screening Tool for Home Therapies Screening
In a meta-analysis of 23 peer-reviewed studies of home dialysis adult screening criteria, the MATCH-D was the most-referenced tool.
Read the abstract » | (added 2024-08-16)
Tags: Dialysis Modality, Hemodialysis, Peritoneal Dialysis, Home Dialysis, MATCH D
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Virtual Reality (VR) Training for PD
Does all PD training have to be done face-to-face by a nurse, or is there a role for technology? VR-based training (stay•safe MyTraining) by Fresenius with a headset and hand controls was investigated in an interview study of seven nurses using the system with 2-5 patients each. The system was efficient, well-accepted, and improved the learning experience for patients, though it did not replace the need to handle PD materials and did not provide emotional or motivational support.
Read the abstract » | (added 2024-08-16)
Tags: PD Training, VR Training, Learning Experience, Patient Education
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Best Practices in Interventional Radiology for Peritoneal Dialysis
The Italian Society of Nephrology has endorsed a practical core curriculum for interventional nephrology in PD and has made it available on the Society website. The core curriculum addresses abdominal wall hernias, catheter placement with open surgical technique, video laparoscopy, cuff-shaving and more.
Read the abstract » | (added 2024-08-16)
Tags: Peritoneal Dialysis, Interventional Nephrology, Catheter Placement, Hernia
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Is There a Best Practice for PD Exit Site Care to Prevent Infection?
In a systematic review and meta-analysis, 2,092 studies were examined and 13 comprising 1,229 PD patients were selected for analysis (9 RCTs, 3 quasi-experimental, and one self-controlled trial). Five types of exit site care dressings were compared: named disinfection, antibacterial, non-antibacterial occlusive, sterile gauze, and no-particular dressings. No dressing was more effective than any other for preventing exit site infections or peritonitis.
Read the abstract » | (added 2024-08-16)
Tags: Systematic Review, Meta analysis, PD, Exit Site Infection. Peritonitis
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Risk Factors for Cognitive Impairment in Peritoneal Dialysis
A retrospective analysis of 268 CAPD patients from January 2020 to September 2023. categorized participants into a cognitively impaired (CI; 58.2%) and a cognitively normal (CN) group. Logistic regression analysis identified male gender, older age, lower educational attainment, hypercholesterolemia, and elevated high-sensitivity C-reactive protein levels as independent risk factors for CI in CAPD patients (P < .05), while dialysis duration and residual renal function were protective against CI (P < .05).
Read the abstract » | (added 2024-08-16)
Tags: CAPD, Cognitive Impairment, Logistic Regression Analysis, Risk Factors
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Startling Proportion of Patients Chose PD or Home HD After a Dialysis Start Unit
The University Health Network of Toronto examined the uptake of home dialysis between 2013 and 2021 among patients who started in a “Dialysis Start Unit” (equivalent to a transitional care unit in the U.S.). Of 122 patients, 68 (55.7%) chose either PD (57; 46.7%) or home HD (11; 9%).
Read the abstract » | (added 2024-07-12)
Tags: Home Hemodialysis, HHD, Peritoneal Dialysis, PD, Dialysis Start Unit
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A U.S. Staff-assisted PD Program
Staff-assisted PD has been successful outside the U.S., but is it feasible in the framework of U.S. healthcare? A pilot program with 16 clinics from August, 2020 to October 2023 suggests that it can. Some indications for referral of patients (73 of 112 referred) who received staff assistance were physical function limitations, cognitive impairments, and/or psychosocial challenges. The duration of assistance was limited, with a median duration of 8 days, primarily for treatment set-up, observation, and direction.
Read the abstract » | (added 2024-07-12)