Journal Watch
APD May Rapidly Improve Left Heart Failure
A single-center observational study of 47 CAPD patients with left-sided heart failure found that using a cycler for short-term APD improved ultrafiltration significantly in just 3 days.
Read the abstract » | (added 2018-06-12)
Tags: CAPD, Cycler, Short term APD, Ultrafiltration
Whey Protein for PD Malnutrition
A 6-month multicenter, randomized controlled trial tested protein powder plus dietary counseling vs. counseling only for CAPD patients with low serum albumin and BMI. Significantly more of the protein powder group were able to take in enough protein, and they also had significant increases in serum urea and a normalized protein catabolic rate.
Read the abstract » | (added 2018-06-12)
Tags: Malnutrition, Peritoneal Dialysis, Protein Supplementation, Whey Protein
New Ideas for Incremental PD
Starting incremental PD without the exclusive focus on residual plus peritoneal clearances may ease transitions of new patients onto dialysis—and reduce our “obsession” with small moleule kinetics.
Read the abstract » | (added 2018-06-12)
PKD and PD – a Metaanalysis
Among 9 studies totaling 7,197 patients—of whom 882 had polycystic kidney disease—survival was better among the PKD patients. There were no differences in peritonitis or technique survival between those who did and did not have PKD, though those with PKD did have a higher risk of hernias.
Read the abstract » | (added 2018-06-12)
Tags: PKD, PD, Metaanalysis, Polycystic Kidney Disease
Albumin Predicts Survival in Anuric PD Patients
Patients who don’t make urine have a better chance of survival on PD if their serum albumin levels are 3.6 g/dL or higher, finds a new study of 505 PD patients in Korea. Age, diabetes, ultrafiltration volume, and serum creatinine levels were other factors.
Read the abstract » | (added 2018-05-11)
Lack of Education Predicts Peritonitis on PD
An analysis of socioeconomic—and educational—deprivation in 233 patients who had PD catheters placed found a trend toward higher peritonitis rates in more deprived patients.
Read the abstract » | (added 2018-05-11)
Tags: Educational Deprivation, PD catheter Insertions, PD Peritonitis
New Danish Dialysis Decision Aid
A shared decision-making tool developed and pilot tested in Denmark was well-received by 137 patients, and resulted in 80% of them choosing a home dialysis option—vs. just 23% without the tool.
Read the abstract » | (added 2018-05-11)
Tags: Patient Involvement, Dialysis Choice, Dialysis Decision Aid
35-year Patient Survival on Home HD
A case study reports on the 35-year survival of a man with Alport’s syndrome who uses thrice-weekly conventional home HD—and still works 6-8 hours per day at age 65—despite no residual kidney function.
Read the abstract » | (added 2018-05-11)
A Randomized, Controlled Trial of Instant Messaging for PD Patients
Among 160 PD patients, the half assigned to instant messenger had significantly higher levels of satisfaction, serum albumin, and hemoglobin—and lower levels of serum phosphorus and calcium-phosphate product than controls.
Read the abstract » | (added 2018-05-11)
Head to Head: 8-hour Hemodialysis vs. 4-hour Hemodiafiltration
A randomized trial assigned 12 nocturnal HD patients to either two weeks of 8-hour HD or 4-hour HDF, followed by a crossover to the other option. Participants were also randomized to one of two dialyzers: a Fresenius FX80 or a Nipro Elisio. The 8-hour HD treatments removed significantly more urea and creatinine. But, the HDF removed more FGF23—and several other toxin levels were the same. The FX80 dialyzer cleared somewhat more B2M.
Read the abstract » | (added 2018-05-11)
Tags: Nocturnal HD, Extended hours Haemodialysis, Haemodiafiltration