Journal Watch
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Bone density better in PD than in standard HD
A study compared bone density X-rays in 56 people on standard HD and 23 on PD to 79 healthy people matched for age, gender, BMI, and menopausal status. The healthy people had higher bone density than those on dialysis. But, those on standard HD had significantly lower bone density than those on PD.
Read the abstract » | (added 2012-10-25)
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How to overcome barriers and set up a successful home HD program
Want to establish a home HD program, but don't know how to overcome the barriers? Look no further. This review article by giants in the field will help you get started.
Read the abstract » | (added 2012-10-25)
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Longer or more-frequent HD normalizes mortality patterns
It has long been known that those on PD have an equal chance of dying on any day of the week—while standard in-center HD are much more likely to die on a Monday (or Tuesday with Tue-Thu-Sat treatments). A new study looking at 14,636 Australian registry deaths found that those who got more than 3 standard in-center treatments per week or did home HD were no more likely to die on a Monday (or Tuesday) than any other day.
Read the abstract » | (added 2012-09-25)
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A "self-locating" PD catheter
The Di Paolo self-locating PD catheter was tested in 20 patients in Italy. The researchers found no infections, and only 0.8% dislocated catheters—vs. 12% for Tenkhoff PD catheters.
Read the abstract » | (added 2012-09-25)
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Are infections requiring hospitalization more common with PD or standard HD?
A study in Canada paired 910 people on PD with people on HD, matched by age, race, smoking, BMI, comorbid conditions, and lab data. After 2 years, researchers found that those on PD were more likely to be in the hospital for peritonitis—but less likely to have sepsis or pneumonia than those on standard HD.
Read the abstract » | (added 2012-09-25)
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Reasons why patients prefer more HD
An in-depth, interview study of 10 short daily or nocturnal HD patients in Canada found four main reasons why they liked their choice. 1) They felt better physically and mentally. 2) They felt more in control of their time. 3) They didn't feel "sick" and were more able to work. 4) They had the support they needed to succeed.
Read the abstract » | (added 2012-09-25)
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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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Thrice-weekly nocturnal HD reduces arterial stiffness
A Turkish study compared 60 people on standard in-center HD to 60 on nocturnal in-center HD. After a year, those who did nocturnal HD needed fewer blood pressure meds, had lower serum calcium and calcium-phosphorus product, reduced left ventricular mass, and their arteries were less stiff.
Read the abstract » | (added 2012-08-16)
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Short daily HD reduces left ventricular mass
The Frequent Hemodialysis Network trials found significant reductions in left ventricular mass (LVM)—with greater benefit for patients whose left ventricular mass was higher than normal at the start of the study.
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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