Journal Watch
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UK Target: 20+% on Home Dialysis
Despite the many benefits of home therapies, PD and home HD remain underused. The UK now recommends a minimum 20% prevalence rate for home dialysis.
Read the abstract » | (added 2023-06-14)
Tags: PD, Home HD, Peritonitis
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Pathophysiology of Encapsulating Peritoneal Sclerosis (EPS)
EPS is a rare but often fatal complication of PD. Biopsy findings from Japan suggest that EPS is not sclerosis, but formation of a neo-membrane in response to a peritoneal injury.
Read the abstract » | (added 2023-06-14)
Tags: EPS, Sclerosis, Neo membrane
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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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The Impact of Patient Empowerment on PD Self-management
A controlled trial investigated use of a problem-based learning (PBL) model to empower people on PD to self-manage. Among 94 participants, 47 patients were randomized to PBL learning, while the control group got usual care. PBL participants were divided into five study groups that each had six lessons. After 9-11.5 months, the PBL group had significantly more basic PD knowledge, higher self-management scores, better quality of life, increased satisfaction, and less depression and anxiety.
Read the abstract » | (added 2023-04-19)
Tags: Problem based Learning Model, PBL, Self management, PD Knowledge, Quality Of Life, Depression, Anxiety
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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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Nephrologist Attitudes Toward Home Therapies Drive Practice
A survey of 327 nephrologists assessed their knowledge, attitudes, and practice around the choices for renal replacement therapy. Attitudes toward PD, HD, and transplant were independently linked to participants’ consideration of these options for patients.
Read the abstract » | (added 2023-04-19)
Tags: Nephrologists Modality Knowledge, Modality Bias, Choices For Renal Replacement Therapy, Modality Choice, Patient Education, Shared Decision making
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Significant Racial Disparities Remain in Home Dialysis
A retrospective cohort study looking at nearly 1.1 million ESKD patients between 2006 and 2016 found that while mean rates of home dialysis increased, white patients still had higher home dialysis use (26.2% in 2016) than non-white patients (17.8%), nor have the racial disparities improved over time.
Read the abstract » | (added 2023-04-19)
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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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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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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)