Journal Watch
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New UK PD Guidelines
Download a free, full-length PDF if you want to learn how PD equipment, training, dose, infection control, and management of complications are done in the UK.
Read the abstract » | (added 2017-12-14)
Tags: PD Equipment, PD Training, Infection Control, PD Dose, PD Complications Management, UK
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Olive Oil Polyphenols and Peritoneal Fibrosis
It’s not just for cooking any more. Researchers have studied the ability of components of extra virgin olive oil to prevent or treat fibrosis and thickening of the peritoneal membrane, both in vivo and in vitro. The polyphenols were not able to reverse fibrosis, but did help to prevent it, and the authors suggest further research.
Read the abstract » | (added 2017-12-14)
Tags: Extra Virgin Olive Oil, Fibrosis, Peritoneal Membrane, Polyphenols
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Survival in Those Eligible for BOTH PD or Standard In-center HD
Yes, this is yet another survival comparison. A study of almost a decade of people (N=2,032) starting dialysis at seven Ontario clinics looked at mortality only among those who were judged to be suitable for either PD or standard in-center HD by a multidisciplinary team. Both options offered similar survival.
Read the abstract » | (added 2017-12-14)
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In-hospital Patient Education Helps “Crash” Dialysis Starts to Consider PD
As many as half of people who start dialysis in the U.S. each year “crash” into a need for treatment with an urgent, unplanned start—and most receive HD with a catheter. The same is true in Germany, but a new structured education program changed the pattern. Compared to patients who started dialysis urgently before the program, those who were educated were significantly more likely to choose PD.
Read the abstract » | (added 2017-12-14)
Tags: Dialysis, Choose PD, PD Education
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Who Matters Most for Modality Choice: Clinicians or Patients?
New Zealand has one of the highest rates of home dialysis use in the world—and they still believe there is room for improvement. An online study of all NZ dialysis clinics coupled with a measure of “decisional power” aimed to see who had the most influence on modality choice. While respondents believed that predialysis nurses were most influential, nephrologists still held the most decisional power—and a one point increase in nephrologist decisional power drove a 6.1% rise in home dialysis use.
Read the abstract » | (added 2017-12-14)
Tags: New Zealand, Home Dialysis, Modality Choice, Patients
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Patients Prefer Home Therapies
Researchers from New Zealand asked 143 CKD patients expected to need dialysis within a year about their preferences. Patients significantly preferred home treatments, due to flexible schedule, better well-being, and longer survival—and were even willing to pay as much as $400 per month out-of-pocket for extra nursing support. Read the abstract.
Read the abstract » | (added 2017-11-13)
Tags: Confidence Intervals, Health Expenditures, Humans, Life Expectancy, Odds Ratio, Patient Preference, Adult, Choice Behavior
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Barriers to Intensive HD in Pediatrics
Why don’t more people choose intensive hemodialysis? Responses to a survey by 134 of the 221 pediatric dialysis centers in the International Pediatric Dialysis Network found that more than 2/3 were aware of evidence supporting the benefits of intensive HD and half believed it produced the best outcomes (just 2% favored conventional HD). Key barriers included lack of funding and staff, with lack of expertise and motivation as minor factors. Read the abstract.
Read the abstract » | (added 2017-11-13)
Tags: Children, Financial Barriers, Home Dialysis, Intensified Hemodialysis, Nocturnal Hemodialysis
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Nocturnal Home HD Boosts Patient Employment Compared to PD
A year-long study comparing 20 alternate-night nocturnal home hemodialysis patients to matched 81 CAPD patients in Hong Kong found 80% employment among the nocturnal HD patients (who were 5 years younger) and just 33.3% among PD patients. The nocturnal patients also used fewer phosphate binders. Read the abstract.
Read the abstract » | (added 2017-11-13)
Tags: Chinese, Nocturnal Hemodialysis, Employment Rate, Incident, Peritoneal Dialysis
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Which PD Exit Site Dressing is Better?
Is an occlusive dressing better to reduce exit site or tunnel infections? A semi-occlusive one? It made no difference, found a new analysis of 2,460 incident PD patients. Read the abstract.
Read the abstract » | (added 2017-11-13)
Tags: Chronic Kidney Disease, Dressing, Nursing, Peritoneal Dialysis
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Urgent-start PD in Brazil
In a prospective study, 51 patients who needed dialysis urgently began peritoneal dialysis instead of hemodialysis. Even with high-volume dialysate used less than 72 hours after catheter placement (on alternate days in the dialysis clinic), the option was feasible and safe. Read the abstract.
Read the abstract » | (added 2017-11-13)
Tags: Acute Peritoneal Dialysis, Unplanned Peritoneal Dialysis, Urgent start Dialysis, Urgent start Peritoneal Dialysis