Buttonhole needle technique causes less bleeding, pain

A small study in Thailand (21 patients') has found that stopping bleeding after removing dialysis needles takes less than half as long with the Buttonhole technique (4.19 +/- 1.66 mins) than with the rope ladder technique (9.12 +/- 2.36 mins), and causes significantly less pain.

Read the abstract » | (added 2012-08-16)

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Metaanalysis: Later dialysis start is better for HD

Starting dialysis at a lower GFR allows more time for access placement and options education. But the U.S. trend has been to start earlier. A new metaanalysis of 17 studies found that starting dialysis at a higher GFR was linked with a significantly higher risk of all-cause mortality—in HD, but not PD. The mortality risk was lower when GFR was calculated than when it was estimated.

Read the abstract » | (added 2012-08-16)

Tags: Chronic kidney disease

Metaanalysis: More HD boosts heart health

A metaanalysis of 46 studies concluded that switching from standard in-center HD to longer and/or more frequent HD significantly reduced left ventricular mass and improved blood pressure and the cardiac ejection fraction.

Read the abstract » | (added 2012-08-16)

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Intensive HD survival 50% better than standard in-center HD

A new study comparing 420 patients in the International Quotidian Dialysis Registry with 338 matched standard in-center HD patients from the DOPPS study found that only 13% of patients who did at least 5.5 hours of HD at least three times a week died—vs. 21% who did standard treatments.

Read the abstract » | (added 2012-08-16)

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Mupirocin best for preventing PD exit site infections

A new double blind, controlled study of mupirocin antibiotic ointment vs. polysporin found that mupirocin came out on top. Twice as many patients who used polysporin had exit site redness and they were more likely to get fungal infections.

Read the abstract » | (added 2012-08-16)

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How to do urgent-start PD

Researchers developed an urgent-start PD plan to address the needs of people who needed dialysis right away and had not chosen a treatment option. The outcomes of urgent-start PD patients were very similar to those of regular-start patients, though the urgent-start group had more minor leaks.

Read the abstract » | (added 2012-08-16)

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Nocturnal in-center HD survival about 50% better than standard in-center HD

A Fresenius study followed 946 patients doing 3x/week nocturnal in-center HD with 2,062 matched patients doing standard in-center treatments. After 2 years, 27% of those doing standard treatments had died, vs. 19% of those who did the longer, nocturnal treatments.

Read the abstract » | (added 2012-08-16)

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Short daily HD survival 13% better than than standard in-center HD

When 1,873 short daily home HD patients were matched with 9,365 standard in-center HD patients, those who did more frequent HD had a better chance of living longer.

Read the abstract » | (added 2012-08-16)

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Switch from standard to nocturnal in-center HD reduces left ventricular mass

Among 37 people in the UK who switched from standard in-center HD to 3x/week nocturnal in-center HD, echocardiograms showed significant drops in left ventricular mass after 12 months. This is a good sign that their hearts are healthier and they may live longer.

Read the abstract » | (added 2012-01-26)

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Coiled vs. straight PD catheters—is one better than the other?

Researchers in China randomly assigned 80 people doing PD to a straight or a coiled catheter and looked at results from an 493 more people on PD. No differences were found in migration of the catheter tips, catheter failure, infection, stopping PD, or death between the two types of catheters. In the larger analysis, coiled catheters had far more problems than straight ones.

Read the abstract » | (added 2012-01-26)

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