Journal Watch
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NxStage Outcomes in Spain
The first 86 NxStage users in 12 Spanish dialysis clinics received an adequate dialysis dose, optimal ultrafiltration, improved biochemical markers, and reduced need for antihypertensive drugs, binders, and erythropoietin. Patient and technique survival were both good.
Read the abstract » | (added 2021-09-14)
Tags: Adequate Dialysis Dose, Optimal Ultrafiltration, Biochemical Markers, Antihypertensive Drugs, Binders, Erythropoietin. Patient Survival, Technique Survival
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Lessons from Europe: How to Grow PD
Analysis of 575 survey responses to a hypothetical case study of an unplanned dialysis start found that about 1/3 would recommend emergent start PD. About another 1/3 would start unplanned HD—and plan to educate about PD later. Predialysis education about PD, dedicated PD catheter placement teams, and other initiatives were most helpful.
Read the abstract » | (added 2021-09-14)
Tags: Peritoneal Dialysis, Emergent Start PD, Unplanned HD, PD Incidence, PD Prevalence
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Learn About PD on YouTube
People cannot choose PD if they do not know it exists. A study assessing 295 YouTube PD videos found that those targeted to professionals had higher information quality than those aimed at consumers. More easy-to-understand PD videos that describe benefits are needed, and could help to raise awareness of this option.
Read the abstract » | (added 2021-09-14)
Tags: PD Awareness, PD Videos, PD Benefits
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Feel Low on PD? Could be Vitamin D
In a study of 50 people on PD, those with vitamin D deficiency (< 20ng/mL) did more poorly than those with adequate vitamin D levels on all subscales of the KDQOL-36 survey to measure health-related quality of life. High blood pressure was also a factor in higher kidney disease burden.
Read the abstract » | (added 2021-08-12)
Tags: Serum Vitamin D Levels, Health related Quality Of Life, Peritoneal Dialysis
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Healthcare System Change Increased PD and Home HD in Australia
A lean-thinking framework and commitment of top leadership to change the system of care were used in a “Home before Hospital” approach to increase use of home therapies. Multidisciplinary Pathway, Outreach, and Hybrid working groups were established, and goals were set. A target of >30% for PD and home HD was achieved in 2 years, 35% within 3 years—and was still being maintained at 8 years.
Read the abstract » | (added 2021-08-12)
Tags: Peritoneal Dialysis, PD, Home Haemodialysis
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Poorer Survival for Those Who Switch from Home to In-center HD
Among 19,306 people who started HD in the ANZDATA registry from 2005 to 2015 and were treated for more than 90 days, those who started home HD and then went to in-center HD had significantly higher mortality than those who stayed at home. The reasons for this are not yet known.
Read the abstract » | (added 2021-08-12)
Tags: HD, Home HD, In center HD, Mortality, Home Hemodialysis Treatment Failure
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Encapsulating Peritoneal Sclerosis Linked to Vasculopathy
EPS is a rare but devastating complication of PD. Tissue samples from 223 people with EPS who had surgery to remove adhesions were analyzed under a microscope. In the 174 samples that could be evaluated, the individuals who had used conventional PD fluid had more severe vasculopathy and longer PD durations than those who used pH neutral PD fluid.
Read the abstract » | (added 2021-08-12)
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Outcomes of Incremental PD
A retrospective cohort study looked at 175 PD patients followed for about 2 years. Starting PD with a lower vs. higher dose was associated with better survival.
Read the abstract » | (added 2021-08-12)
Tags: Peritoneal Dialysis , PD, End stage Kidney Disease, Dialysate Volume, Survival
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Genes Help Predict Peritoneal Transport Rates
Among 2,850 people on PD who had complete genetic data, 5 single nucleotide variants at four loci had suggestive associations with the peritoneal solute transfer rate (PSTR), in particular rs28644184 at the KDM2B locus.
Read the abstract » | (added 2021-07-12)
Tags: Genetic Variants, Peritoneal Solute Transfer Rates, Kidney Failure, Peritoneal Dialysis
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Higher HD Dose Linked with Better Survival
A national registry of 32,283 standard HD patients found that “a higher dose of dialysis was consistently associated with better survival.” Kt was most discriminating, with survival highest in the upper Kt quartile. Arteriovenous access, hemodiafiltration, scheduled dialysis initiation, and long weekly HD hours predicted higher Kt.
Read the abstract » | (added 2021-07-12)
Tags: Dialysis Frequency, Survival, Kt, Mortality