Journal Watch
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Meta-analysis of PD Remote Patient Monitoring
Analysis of data from 22 studies revealed that remote monitoring for PD reduced technique failure, hospitalization, and mortality vs. traditional PD monitoring.
Read the abstract » | (added 2023-04-19)
Tags: Remote Monitoring, PD, Technique Failure, Hospitalization, Mortality, Traditional PD Monitoring
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How Kidney Patients Define Health
Among people with kidney failure who used three or more treatment options, “health” was linked to the ability to take part in meaningful activities and maintain life balance. Social and treatment environments that supported autonomy also helped people to consider themselves healthy.
Read the abstract » | (added 2023-04-19)
Tags: CKD, Treatment Options, Health, Treatment Experience, Shared Decision making
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Factors Linked with Time to First Peritonitis on PD
In a 5-year, 57 clinic, prospective randomized controlled trial in Europe, 33% of 671 participants had a bout of peritonitis. The factors independently linked with time to first peritonitis included older age, higher number of PD bags, low serum albumin, and higher body weight.
Read the abstract » | (added 2023-04-19)
Tags: Peritonitis, Age, PD Bags, Serum Albumin, Body Weight
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5-year Assisted PD Program Outcomes
Not everyone can do solo PD—or has a partner. In BC, Canada, a pilot staff-assisted PD program began in 2016. Analysis of 5 years of data from 322 patients found growth to 11.2% of the total PD population, with a median time of 13.6 months on PD. More than 1/3 were able to use the service until they died.
Read the abstract » | (added 2023-02-13)
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KDIGO Home Dialysis Controversies Conference
The report from the May, 2021 KDIGO conference on increasing use of PD and home HD has been released. Attendees agreed that shared decision-making was ideal, everyone should have access to home therapies, and alignment of policies and resources must occur to make these goals happen.
Read the abstract » | (added 2023-02-13)
Tags: Modality, Treatment Satisfaction, KDIGO, Shared Decision making
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Do More Hours of HD Benefit Older Patients, Too?
Analysis of ANZDATA registry data of patients who started dialysis at age 65 and older from 2005 to 2015 say YES—hours of HD do matter to survival. Among 8,224 people, those whose HD sessions were 5 hours or longer had an 81% reduction in the hazard risk of death vs. those who only got 4-4.5 hour treatments (p < .001).
Read the abstract » | (added 2023-02-13)
Tags: HD, ANZDATA, HD Hours, Session Length, Survival Rate
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44 Years of Home HD Technique Survival in Valencia, Spain
In Valencia, 13.4% of patients on dialysis were using home HD in 2018. Researchers compared home HD data from two eras: “ancient” (1976-2000) and “modern” (2001-2020). Interestingly, 1- and 2-year patient survival were superior in the modern era (87.3% vs. 83.7% for 1-year; 83% vs. 77.4% for 2-year)—but 5-year survival was better in the ancient era (61% vs. 47.8%), as patients aged. Technique survival was better at every point in the modern era.
Read the abstract » | (added 2023-02-13)
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Serum Phosphorus and Survival on PD
Data from 5,847 PD patients between 2014-2017 from seven countries in the PDOPPS study found that compared to an optimal range of 3.5-4.5mg/dL, the hazard ratio (HR) for all-cause mortality was 19% higher when phosphorus was 5.5-6.5 and 53% higher when phosphorus was greater than 6.5. When 6 months of data were examined, the linkage was even stronger.
Read the abstract » | (added 2023-02-13)
Tags: PD, Serum Phosphorus, PDOPPS, Hazard Ratio, All cause Mortality
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Do Pets Boost the Risk of Peritonitis on PD? A DOPPS Study
Surprisingly, the answer was no. Among 3,655 PD patients from eight country followed for a median of 14 months (55,475 patient months), the peritonitis rate was 0.29 episodes per year, with no increased risk for pet ownership—except in households with both cats and dogs, where the risk was 45% higher.
Read the abstract » | (added 2023-01-10)
Tags: Pets, Peritonitis, PD, DOPPS
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A Safety Framework to Address Risk Factors for Home HD Dropout
In an effort to pre-emptively identify and reduce drop out risks from a new home HD program, a clinic in Singapore undertook failure mode and effects analysis (FMEA). They listed each key process and sub-process, scored them for failure mode, and designed solutions. The transition from in-center to home HD was found to have the highest failure risk, in 59 areas, so two teams with different clinical experience developed a safety framework.
Read the abstract » | (added 2023-01-10)
Tags: Home HD, Risk Factors, Drop Out Risk, Failure Mode And Effects Analysis, Safety Framework