Journal Watch
The Impact of Vitamin D Levels on Quality of Life in PD
Fifty people on PD were divided into a normal vitamin D (>20 ng/mL) and a deficient vitamin D group (<20 ng/mL), and both groups took the KDQOL-36 quality of life questionnaire. All subscales of the KDQOL-36 were significantly lower in the vitamin D deficient group.
Read the abstract » | (added 2022-04-18)
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)
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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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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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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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)
What We Don’t Know About Insulin Dosing for PD or HD Can Hurt Us
After 60 years of dialysis, we have a good sense of how to adjust insulin doses for PD and HD, right? Wrong. Even though diabetes is the leading cause of kidney failure, a systematic review of 11 articles found little information about insulin management.
Read the abstract » | (added 2022-02-14)
Tags: Insulin Dose, PD, HD, Insulin Management
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
The Form of PD Linked with the Best Health-related Quality of Life is…
In China, at least, cycler PD wins the day. Compared to 64 people who started and stayed on CAPD, 64 others who switched to use a cycler had about the same HRQOL at the start of a study. One year later, those using cyclers had significantly better scores on most of the KDQOL subscales.
Read the abstract » | (added 2022-02-14)
COVID Anxiety Less of a Problem for Home Dialyzors
A single center survey of 98 home HD and 43 PD patients in Toronto found high rates of satisfaction with dialysis, little depression or anxiety or fears of caregiver burden, and few signs of burden. There was “no indication of a negative psychosocial impact from the pandemic, despite the increased social isolation,” reported the authors.
Read the abstract » | (added 2022-02-14)
Tags: Covid 19, Depression, Anxiety, Caregiver Burden