Journal Watch
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Update on Implantable and Bioengineered Kidneys
A new review focuses on two implantable innovations that may reduce the need for dialysis. An artificial kidney is a biohybrid system that will mimic renal structure and function. A bioengineered kidney will be based on native kidneys.
Read the abstract » | (added 2016-03-10)
Tags: Hemodialysis
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Sleep Problems With Automated PD
Compared to people with stage 3b-5 CKD (n=89), those using a cycler for PD (n=22) had about the same, higher level of sleep problems as those on standard HD (n=75). In-home sleep measures and surveys found low levels of oxygen during sleep, and disrupted sleep cycles.
Read the abstract » | (added 2016-03-10)
Tags: Hemodialysis
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CKD Case Management Boosts PD Use
A Fresenius program of renal care coordinators (RCCs) in late-stage CKD helped ease the transition onto dialysis. Compared to non-participants (693), the 738 patients with RCC case managers were more likely to start PD or have a permanent vascular access for HD, and have a serum albumin level >4.0g/dL.
Read the abstract » | (added 2016-03-10)
Tags: Hemodialysis
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ISPD Releases Free PD Teaching Syllabus
The Nursing Liaison Committee of the International Society for Peritoneal Dialysis (ISPD) has reviewed PD training programs from around the world. An expert group has developed a consensus document to help PD nurses train patients and care partners. The free curriculum is flexible, based on adult learning principles, and includes checklists.
Read the abstract » | (added 2016-03-10)
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Metaanalysis: Better PD Catheter Outcomes Via Laparoscope
An analysis of five randomized trials and 11 cohort studies compared laparoscopic PD catheter placement to surgery. The laparoscopic approach had less catheter migration and the catheters lasted longer, though there was a slightly higher risk of bleeding.
Read the abstract » | (added 2016-03-10)
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6-minute Walk Test Predicts PD Technique and Patient Survival
Being able to walk for 6 full minutes in a row could predict who would be able to keep doing PD and who would live longer, in a study of 145 people. A poor score on the walk test was linked with poor heart function as well.
Read the abstract » | (added 2016-02-09)
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Surgery for EPS May Help in the Long Term
Encapsulating peritoneal sclerosis is a rare but severe side effect of long-term PD. In a small case series, four patients who developed EPS after a kidney transplant had good results, and good kidney transplant function.
Read the abstract » | (added 2016-02-09)
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Some PD Patients at Risk for New Onset Diabetes
Among 612 people who did not have diabetes, 32 were diagnosed with the disease after starting PD. The risk of new diabetes was higher in those who were older, had higher BMIs, and whose blood had more markers of inflammation.
Read the abstract » | (added 2016-02-09)
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Well Nourished PD Patients Live Longer
Among 106 PD patients, body weight and BMI did not predict survival. But, those who had low serum albumin levels, low lean body mass, and were in the lowest 25% for cholesterol levels were less likely to survive. Some overweight or obese patients did not have good nutrition.
Read the abstract » | (added 2016-02-09)
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Upper Abdominal PD Exit Site May Reduce Infection
A change in the exit site location may matter for PD. A non-randomized study of 147 catheter placements compared standard straight catheters to longer, swan-neck ones placed in the upper abdomen. Those with the upper abdominal catheters had far less exit site and tunnel infections. Peritonitis rates were similar.
Read the abstract » | (added 2016-02-09)
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