Journal Watch
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
Residual Kidney Function and Sleep Apnea Severity in PD
A small (n=15), exploratory study of 15 APD patients with home apnea monitors found obstructive sleep apnea in 33%, which correlated with having less residual renal function.
Read the abstract » | (added 2018-06-12)
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)
APD Remote Monitoring Boosts Patient Independence
An observation study of 37 automated PD patients followed by remote monitoring found that prescriptions were modified more often than when monitoring was not done—personalizing treatments better to patients’ needs—and fewer emergency visits were needed, for more efficient use of healthcare resources.
Read the abstract » | (added 2018-05-11)
Tags: Automated Peritoneal Dialysis, Remote Monitoring, Patient Independence, Prescription Of Dialysis
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)
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
High Peritoneal Transport and Long-term PD Outcomes
Among 470 patients who did PD for up to 10 years in Hong Kong, the peritoneal transport rate was able to differentiate survivors. After the first few years of PD, having high peritoneal transport became a significant risk factor for mortality.
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)