Journal Watch
WAK Clearance of Potassium and Phosphorus in Goats
Wearable dialysis could ease fluctuations in potassium and phosphorus vs. intermittent HD. A sorbent based wearable device tested on goats found constant levels of potassium and phosphate adsorption.
Read the abstract » | (added 2016-06-08)
Patient Costs As A Challenge For Home Dialysis Choice
Interviews with 43 home dialysis patients and 9 care partners found that fears of lost work productivity, out of pocket expenses, and socioeconomic disadvantage were challenges to choosing home dialysis. Patients weighed flexibility against training time and costs, and housing was not always suitable.
Read the abstract » | (added 2016-06-08)
Tags: Hemodialysis
More Inflammation With Standard HD Than With PD
Inflammation can lead to heart damage and poor outcomes. Two 3-month prospective studies with 228 HD and 80 PD patients measured two markers of inflammation: CRP and IL-6. In HD patients, these levels were both higher and more variable than in PD.
Read the abstract » | (added 2016-06-08)
Tags: Hemodialysis
Glucose in PD Solution Affects Non-Diabetic Patients, Too
Among 640 PD patients from three countries studied for up to 6.4 years, serum glucose levels rose with age and with higher dialysate glucose. In 5.4% of the sample, the levels suggested undiagnosed diabetes.
Read the abstract » | (added 2016-06-08)
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Preliminary Data for the VasQ™ Fistula Construction Tool
A new Israeli device (available in three sizes) has been tested in 20 patients as a way to improve fistula flow and reduce hyperplasia at the anastomosis to reduce primary fistula failure. Primary patency was assessed at 1, 3, and 6 months, and there were no device-related adverse events. At the end of the study 14 of the 15 patients who required dialysis had a working fistula.
Read the abstract » | (added 2016-05-12)
Tags: Hemodialysis
Kt/V Urea Should NOT Be Used as an Adequacy Measure for PD
Since the National Cooperative Dialysis Study, PD adequacy attention has focused on urea clearance, rather than on the more important benefit of middle molecule clearance. In this opinion piece, Dr. Joanne Bargman asserts that the PD community “made a mistake” adopting urea kinetics to the peritoneal dialysis process,” an error that continues to this day despite the lack of evidence linking Kt/V to outcomes in PD patients.
Read the abstract » | (added 2016-05-12)
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Glycated Albumin More Accurate in PD than Glycated Hemoglobin
Using hemoglobin A1c levels to assess glycemic control in people with diabetes using PD is risky, because anemia causes false negative results. In a 6-month study, 20 people with diabetes using HD were matched for age, sex, and post-meal glucose levels with people with diabetes using PD. In a multiple regression analysis, glycated albumin was the only independent predictor of plasma glucose levels.
Read the abstract » | (added 2016-05-12)
Tags: Hemodialysis
Metaanalysis of Patient Education and Choice of PD
An analysis of 15 studies (including one randomized controlled trial and 9 observational studies) found that patient-targeted education tripled the odds that patients would intend to use PD as a first treatment option.
Read the abstract » | (added 2016-05-12)
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Starting PD with Three Exchanges
Are four PD exchanges magical? Or could new patients thrive with three exchanges per day, at least for a while? In a new study, 46 incident PD patients began treatment with three exchanges. During the 2 years of the study, 25% received a kidney transplant. Most were able to use three exchanges for a mean of 24 months before needing a fourth, and there was less loss of residual kidney function than in the predialysis period prior.
Read the abstract » | (added 2016-05-12)
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Loss of Kidney Function Slowed After Starting PD
In 77 new PD patients, the rate of decline of kidney function was significantly slower after they started PD than it was when they were predialysis (p<0.01).
Read the abstract » | (added 2016-04-12)
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