HD offers better survival than PD for congestive heart failure

A study of 933 people with CHF on PD and 3468 on HD in the French dialysis registry found that for people with congestive heart failure, HD is a safer choice. The risk of death with PD was 48% higher.

Read the abstract » | (added 2011-12-22)

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Normalizing "unphysiology" with longer and/or more frequent HD

Studies of intensified HD regimens have found superior results to standard in-center HD, including better cardiac outcomes. This review article surveys the evidence that supports the hypothesis that more physiologic dialysis leads to better outcomes.

Read the abstract » | (added 2011-12-22)

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Home HD costs in Canada

Learn the costs of standard in-center HD vs. short daily and nocturnal in this new review article. (Home costs less!)

Read the abstract » | (added 2011-12-22)

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Alternate night nocturnal HD in Australia

Every other night nocturnal HD is a popular option in Australia. Patients who use this option have lower phosphorus levels and better volume control and well-being—at about the same cost as standard in-center HD.

Read the abstract » | (added 2011-12-22)

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More home HD in Australia and New Zealand—because doctors believe in it

In contrast to the rest of the world, Australia and New Zealand have an average of 12.9% of patients using home HD. Why? Because nephrologists, nurses, and funding agencies hold strong beliefs in the clinical and economic benefits of this option.

Read the abstract » | (added 2011-12-22)

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Nocturnal HD protects arteries

In a year-long study, 60 people on standard in-center HD were compared to a similar group of 60 people on 8-hour nocturnal HD three nights per week. The nocturnal group needed fewer blood pressure medications and had lower serum phosphorus and calcium-phosphorus products. Their arteries were less stiff than those of people doing standard in-center HD.

Read the abstract » | (added 2011-12-22)

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Alternate-night HD improves bone minerals & blood pressure

Among 63 people in Australia who switched from standard HD to alternate-night HD, bone mineral balance and blood pressure improved after 18–24 months. Left ventricular mass did not improve, but remained stable.

Read the abstract » | (added 2011-11-28)

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Protein intake improves after a switch from standard to nocturnal HD

After 8 months of nocturnal HD, 15 people who switched from standard in-center HD had significantly higher protein intake. Their phosphate intake rose as well—but their serum phosphate levels did not, even without binders.

Read the abstract » | (added 2011-11-28)

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Urgent-start PD is feasible with a plan

In this small study, 9 people who had an urgent start for PD were compared to 9 people who started PD with more time. A standard protocol was written to support urgent start PD. After 90 days, both groups were doing equally well.

Read the abstract » | (added 2011-11-28)

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Working fistula rate doubled with procedures

Are repeated fistula procedures worth it? Yes, says a new study of 294 people who had 347 fistulas made, with 736 procedures between them. While only 36.8% of fistulas were working on their own after 2 years, 77.8% were working 2 years later after procedures to fix them. (One patient had 11 interventions.)

Read the abstract » | (added 2011-11-28)

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