Journal Watch
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C-reactive Protein to Albumin Ratio (CAR) on PD Predicts Survival
An analysis of 758 PD patients observed for up to 12 years found that those whose CAR was lower were significantly more likely to survive than those whose CAR was higher.
Read the abstract » | (added 2020-08-11)
Tags: Serum C reactive Protein To Albumin Ratio, Serum C reactive Protein, PD, Peritoneal Dialysis
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Case Report: Intensive Daily HD Improves Lung Function
After initiating 32 hours of intensive home HD per week, a patient with restrictive lung disease had improvement in both clinical and spirometric lung function.
Read the abstract » | (added 2020-08-11)
Tags: Home Hemodialysis, Intensive Hemodialysis, Restrictive Lung Disorder
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How Much Dialysate Should be Used for Nocturnal HD With NxStage?
Predictive modeling finds that the dialysate lactate concentration used for short daily HD may not be appropriate for nocturnal HD. Since the effect of lactate mainly depends on weekly dialysate volume, reducing from 60 to 30 liters for frequent nocturnal HD may be appropriate.
Read the abstract » | (added 2020-08-11)
Tags: Home Hemodialysis, Lactate, Acid Generation, Dialysate
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Quanta SC+ Fluid Removal Accuracy
Through both passive and active fluid control mechanisms, the Quanta SC+ home HD machine was accurate to within 1 mL per hour for flow balance and to within 13 mL/hr for ultrafiltration.
Read the abstract » | (added 2020-08-11)
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Home HD Respite Care Resource Implications
A Canadian analysis of 119 home HD patients found that 66% required 292 back-up, in-center HD sessions during 96 patient years; 53% for vascular access issues.
Read the abstract » | (added 2020-08-11)
Tags: Home Hemodialysis, Resource Utilization, Technique Survival
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PD Probiotics, Malnutrition, and Health-related Quality of Life
In a controlled trial that randomized 116 PD patients into a probiotic and a control group, 2 months of probiotics reduced inflammation markers (HS-CRP and IL-6), and significantly improved serum albumin, upper arm circumference, and triceps skinfold thickness. The probiotic group also had higher physical and social functioning scores.
Read the abstract » | (added 2020-07-10)
Tags: Biochemical, Physical Functioning, Probiotic Supplementation
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Outcomes in Urgent- vs. Early-Start PD
A study defining urgent-start PD (US-PD) as within 72 hours of catheter placement and early start (ES-PD) as 3 and 14 days later compared 72 patients in both groups. Both groups were comparable re: demographics, 30-day complications, 6-month hospitalizations, and PD dropout. US-PD patients were more prone to leakage.
Read the abstract » | (added 2020-07-10)
Tags: Peritoneal Dialysis, Disease Patients, Clinical Characteristics
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Dialysis Adequacy Predicts Sexual Function
A study comparing men and women doing HD (n=70) or PD (n=57) to healthy male (n=65) and female (n=48) volunteers assessed sexual function, depression, anxiety, and health-related quality of life. In men, dialysis adequacy was the most important factor in sexual function. In women, dialysis adequacy and depression were both significant. Inadequate dialysis worsened sexual function and was associated with more anxiety and depression, and—in men—reduced health-related quality of life.
Read the abstract » | (added 2020-07-10)
Tags: Adecuación De Diálisis, Ansiedad, Anxiety, Dialysis Adequacy
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Starting with PD Better than Switching to it from HD
A metaanalysis comparing patients who started with PD to those who began HD and then switched to PD after 3 months found significantly better overall and technique survival in the PD first group. There were no significant differences in the peritonitis rate.
Read the abstract » | (added 2020-07-10)
Tags: Hemodialysis, Peritoneal Dialysis, Renal Replacement Therapy
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Safety of Bedside PD Catheter Placement During COVID-19
Urgent-start PD is being used to address acute kidney injury due to COVID-19. A New York hospital successfully placed 14 PD catheters bedside to minimize use of critical hospital resources. The catheter did not work in one patient, who required HD. Another had bleeding stopped with compression and withholding of anticoagulants. The remaining 12 worked at follow up (3-18 days), with long-term follow-up suggested.
Read the abstract » | (added 2020-06-10)