Journal Watch
PD Reduced Hospitalization 24% vs. In-center HD with a Catheter
In an 18-month retrospective study, 717 PD patients were matched 1:1 with in-center HD patients using central venous catheters. The matching also included cause of ESKD, race, diabetes status, and insurance. The hospitalization rate was 24% lower for those on PD, and mortality was 15% lower.
Read the abstract » | (added 2022-04-18)
Tags: PD, In center HD, Catheters, Cause Of ESKD, Race, Diabetes Status, Insurance, Hospitalization Rate, Mortality
What Didn’t Work to Grow Home Dialysis
Nine provinces in Canada and 55 CKD clinic clusters tried an intervention in 2014-2015 to increase use of home therapies. The 4-part intervention included phone surveys, a 1-year center-specific audit with feedback on home dialysis use, an educational package with tools for patients and providers, and an academic detailing visit. Using two different analyses, there were no differences between the clinics that did and did not use the intervention.
Read the abstract » | (added 2022-04-18)
Frequent HD Reduces Recovery Time in SNF Patients
Getting at least 14 hours of HD per week and more frequent HD reduced recovery time in skilled nursing facility residents between 2019 and 2021. Among 2,309 people, 92% of those who had a mean of 4.3 weekly HD treatments recovered in 2 hours or less. The odds of short recovery time were even better with 5 treatments per week—and rapid recovery was linked with less risk of hospitalization or death.
Read the abstract » | (added 2022-04-18)
Tags: Recovery Time, HD, Frequent HD
Lipid Profiles Affect Residual Kidney Function on PD
A retrospective cohort study looked at 113 people who started PD from 2006 to 2017. Levels of HDL-C at PD start were independently linked with a change in renal Kt/V in the first year of PD.
Read the abstract » | (added 2022-03-16)
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Why PD is (Still) Underused in the US
A new review article notes just 11% PD penetration in the US in 2019—vs. as high as 79% in other countries. Rural, minority, and low-income regions in the US have less PD than other areas. Our healthcare system has failures we are just starting to discuss.
Read the abstract » | (added 2022-03-16)
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Which Dialysis Option(s) Offer the Best Quality of Life?
Semi-structured one-on-one interviews were conducted with 10 people doing in-center HD, 10 doing home HD, 10 doing PD, and 10 with non-dialysis CKD (ND-CKD). Starting PD or home HD improved quality of life (QOL) vs. ND-CKD, and those patients were more interested in becoming more physically active. Those doing in-center HD had “minimal” improvement in their QOL.
Read the abstract » | (added 2022-03-16)
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Glycemic Variability and Survival in People with Diabetes on PD
A Swedish study divided 325 people with diabetes on PD into seven groups based on glycemic variability. Using the lowest variability group as a reference point, survival was significantly better with less variability in blood sugar.
Read the abstract » | (added 2022-02-14)
Tags: Diabetes, PD, Glycemic Variability, Survival, Blood Sugar
Omental Procedures During PD Catheter Placement and PD Success
Removing or fixing the omentum in place may reduce the risk of PD catheter malfunction. A review of 15 studies found less catheter failure, obstruction, or removal when omental procedures were done.
Read the abstract » | (added 2022-02-14)
Must PD Stop when Residual Kidney Function is Gone?
Not necessarily. In a small, physiological study (n=15) of anuric CAPD patients with low Kt/V, fluid status, dietary intake, and nitrogen removal were all assessed. All were able to maintain good nutritional status, with no symptoms of nitrogen retention and good volume control.
Read the abstract » | (added 2022-02-14)
Tags: PD, Residual Kidney Function, CAPD, Kt/V, Fluid Status, Dietary Intake, Nitrogen Removal, Volume Control
PD Helps Kidney Function Recovery
PD is known to help preserve residual kidney function. A study of 981 people on PD and 12,619 on HD in Taiwan looked at which option was more likely to help incident dialyzors recover function. Nearly 5% did recover their kidney function within 3 years—with a better chance for those who did PD.
Read the abstract » | (added 2022-02-14)
Tags: PD, HD, Kidney Function Recovery