Journal Watch
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PD First Comes to Brazil
Since 2014, researchers in Brazil have made urgent-start PD an option for patients with little advance warning of kidney failure. After catheter placement, patients did in-center, alternate-day, intermittent PD until training could be done. Among 35 patients, survival was 80% and technique survival was 85.7%. The chronic PD program grew by 41.1%.
Read the abstract » | (added 2016-03-10)
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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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Less Severe Itching With PD Than In-center HD
Among 380 people on PD or in-center HD, fewer on PD had uremic pruritus (itching) (28.6% vs. 38.2%). And, the itching was less severe in those who did PD, and affected less of the body. Those with higher levels of active vitamin D had less intense itching. Those with higher blood levels of phosphorus, triglycerides, and AST had more itching problems.
Read the abstract » | (added 2016-03-10)
Tags: Hemodialysis
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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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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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Patient Attitude and Motivation Matters for Long-term Survival
Long-term dialysis survivor Judy Weintraub shares her personal experience and the importance of relating to patients as people, individualizing treatment, and tapping into motivation.
Read the abstract » | (added 2016-02-09)
Tags: Hemodialysis
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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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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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Transplant Beat Nocturnal HD for Boosting Cognitive Function
Among 28 patients who got a kidney transplant, cognitive testing found better learning and memory compared to 18 who did frequent nocturnal HD or 31 on standard HD. Read the abstract.
Read the abstract » | (added 2016-02-09)
Tags: Hemodialysis