Journal Watch

  • Low vs. Very Low Site PD Catheter Placement to Prevent Migration

    A retrospective 5-year series of 76 patients whose PD catheter tips migrated had received either a traditional low-site insertion (N=39) or a very-low-site insertion (N=37). After 2 years of follow up, the very-low-site group had significantly better catheter and patient survival, with fewer catheter complications—and no tip migration.

    Read the abstract » | (added 2019-06-13)

    Tags: Catheter Dysfunction, Catheter Migration, PD Catheter, Peritoneal Dialysis Catheter, Patient Survival

  • BMI and Survival on PD

    A large study from Korea (N=80,674 PD patients) found that those in the highest group for BMI: just 25.71, had significantly higher all cause mortality.

    Read the abstract » | (added 2019-06-13)

    Tags: Body Mass Index, Survival, Diabetes Mellitus, Peritoneal Dialysis, Mortality

  • Will Zinc Supplements One Day Help Prevent Peritoneal Sclerosis?

    Ironically, PD saves lives, but high-glucose PD fluid damages the peritoneum, leading to fibrosis that can make PD impossible. By activating a complex metabolic pathway, a study in rats found that supplementing with zinc helped prevent fibrosis.

    Read the abstract » | (added 2019-06-13)

    Tags: High glucose PD Fluid, Peritoneum, Fibrosis, Zinc

  • Frequency vs. Time in HD Survival

    Which matters more for HD--the number of treatments per week, or the length of each treatment? A retrospective registry study from the ANZDATA database looked at survival among 16,944 non-indigenous adult patients in Australia and New Zealand from 2001 to 2015. After controlling for frequency, patients with 5+ hour long treatments had significantly better survival than those whose treatments <5 hours. However, controlling for duration, increasing frequency did not boost survival.

    Read the abstract » | (added 2019-06-13)

    Tags: ANZDATA, Session Frequency, Session Duration, Survival, End stage Kidney Disease

  • Bioimpedance Assessment of Conventional vs. Daily HD

    In a small physiological study, 12 patients were switched from conventional (3x/week) to daily (6x/week) HD treatments. Baseline and monthly blood pressure, BMI, and bioimpedance measurements were gathered on participants. Among the 9 patients who completed the data collection, body composition was not altered--but fluid overload was reduced and fewer antihypertensive medications were needed.

    Read the abstract » | (added 2019-06-13)

    Tags: Conventional HD, Daily HD, Blood Pressure, BMI, Bioimpedance, Fluid Overload, Antihypertensive Medications

  • Higher Serum Albumin May Protect Residual Kidney Function in PD

    In a prospective study of 104 new PD patients, having low serum albumin levels was independently associated with complete RKF loss (<100 mL/day of urine).

    Read the abstract » | (added 2019-06-13)

    Tags: Serum Albumin, Residual Kidney Function, Urine Volume, Peritoneal Dialysis, PD

  • Shared Decision-making (SDM) Boosts Uptake of PD and Living Kidney Transplants

    Researchers in Taiwan found that levels of PD choice and living kidney transplantation were higher in the 71% of 310 patients (n=220) who received an SDM intervention were significantly more likely to choose PD or to obtain a living donor kidney transplant than those who did not.

    Read the abstract » | (added 2019-05-15)

    Tags: PD Choice, Living Kidney Transplantation, SDM Intervention

  • Daily HD Practices in France and Australia/New Zealand

    Registry data from both regions compared all incident patients who dialyzed 5-6 sessions per week—both daytime and nocturnal—with one-to-one matching of French to Australia/New Zealand patients based on age, sex, and dialysis start year. While survival and transplant access were comparable, other intriguing differences appeared.

    Read the abstract » | (added 2019-05-15)

    Tags: Registry Data, Dialysis Interval, Survival, Transplant Acces

  • NxStage HD and Removal of Beta-2 Microglobulin

    Which works best to remove B2M, High-flux standard HD, post-dilution hemodiafiltration (HDF), NxStage short daily HD, or automated PD? In a small study (N=43), HDF and NxStage HD done 6 days per week removed the most B2M. Standard HD was next, with automated PD removing the least.

    Read the abstract » | (added 2019-05-15)

    Tags: B2m, High flux Standard HD, Post dilution Hemodiafiltration (HDF), NxStage Short Daily HD, Automated PD

  • PD Fluid Overload Linked with Peritonitis from Gut Pathogens

    PD patients with extra fluid in their bodies are at a significantly higher risk for peritonitis due to gut bacteria, finds a study of 138 patients. Patients in the highest third for intra-and extracellular water were at the highest risk.

    Read the abstract » | (added 2019-05-15)

    Tags: Body Composition, Overhydration, Peritoneal Dialysis, Peritonitis