Journal Watch
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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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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
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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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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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Green dialysis: using solar power for HD
Our own Dr. John Agar and other researchers from Australia report on their experience using the sun to power a dialysis clinic and reduce electricity costs by 76.5% In the second and third decades, the new system will pay for itself and contribute power to the grid.
Read the abstract » | (added 2012-01-26)
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Antibiotic ointment reduces PD exit site infections, but not peritonitis
Researchers studied 1,270 people who used mupirocin ointment on their PD catheters, 502 used gentamycin, and 1,203 did not use an antibiotic ointment. While the ointments helped prevent exit site infections, they did not reduce the rate of peritonitis.
Read the abstract » | (added 2012-01-26)
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Pregnancy and HD: More is better (Review)
It is harder for women with ESRD to become pregnant and to carry healthy babies to term. Careful team follow up and more intensive dialysis have been shown to improve pregnancy outcomes. This article reviews fertility issues in young women with ESRD, pregnancy outcomes, and management suggestions.
Read the abstract » | (added 2012-01-26)
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