Journal Watch
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New Vwing device helps start Buttonholes
A new, surgically implanted device used for 387 cannulations over 6 months in 9 patients was successful 94% of the time. But, standard cannulation for the other needle only worked 77% of the time. This device may help with difficult to cannulate fistulas.
Read the abstract » | (added 2013-08-22)
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Wearable and implantable artificial kidneys
Thrice weekly in-center HD for 4 hours or less is a paradigm that must change to improve patient outcomes. But longer and/or more frequent treatments are not practically available to the total dialysis population. Thus, radical new approaches are needed—like wearable devices or implantable ones.
Read the abstract » | (added 2013-08-22)
Tags: Chronic kidney disease
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Predialysis patient education boosts use of PD
In a 4-year period, 227 patients attended a CKD education program. Compared to a control group who did not attend, the educated patients were almost twice as likely to choose PD (54.3% vs. 28%).
Read the abstract » | (added 2013-08-22)
Tags: Chronic kidney disease
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Informed decision-making about dialysis options
Among 99 dialysis patients from 15 clinics in North Carolina, 67% said they felt like they had no choice about their modality, and about a third felt that the choice had already been made by their doctor.
Read the abstract » | (added 2013-08-22)
Tags: Chronic kidney disease
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Overweight people (90 Kg) do well on PD
Forty-three patients who weighed more than 90 Kg had significantly fewer hernias and leaks than matched controls who weighed less than 90 Kg. They also had the same number of hospital days and stays and lived just as long.
Read the abstract » | (added 2013-08-22)
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PD Dialysate With Hydrogen May Protect Peritoneal Membranes
Over time, the peritoneum can be harmed by glucose degradation products in PD dialysate. In 6 patients, PD fluid with dissolved hydrogen significantly reduced oxidative stress vs. standard PD fluid.
Read the abstract » | (added 2013-07-17)
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Better Blood Sugar Control, Fewer PD Infections
No surprises here: blood sugar control matters in PD. A study that looked back at 183 PD patients found that those with poor control were more than twice as likely to have had an exit site or catheter infection as those with good control.
Read the abstract » | (added 2013-07-17)
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Itching? It May Be Due To High Calcium—Not Phosphorus
A study of 120 HD patients found high levels of serum phosphorus and parathyroid hormone (PTH) in those with and without dialysis itching (pruritus). But, the itchiest patients had significantly higher serum calcium levels.
Read the abstract » | (added 2013-07-17)
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Phosphate is a blood vessel toxin
If blood phosphate levels are too high, the blood vessels can turn to stone—even in children. Heart damage from high phosphate levels can begin in pre-dialysis CKD. "Keeping serum P levels in the normal range reduces cardiovascular risk and mortality," say the authors. [Editor's note: nocturnal hemodialysis removes the most phosphate of any dialysis option.]
Read the abstract » | (added 2013-05-24)
Tags: Chronic kidney disease
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How much dialysis improves nutritional status?
Is short daily HD enough dialysis to appetite, food intake, and improve serum albumin levels? Maybe after a long time on dialysis, says a new study. But those who did nocturnal HD needed fewer binders.
Read the abstract » | (added 2013-05-24)
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