Journal Watch
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Ratios of Omega-6 to Omega-3 fats may impact health in kidney disease
Western diets tend to have too much omega 6 and not enough omega 3 fatty acids. In 145 people on standard in-center HD, having too much omega 6 was linked with significantly higher inflammation.
Read the abstract » | (added 2011-07-26)
Tags: Chronic kidney disease
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Nocturnal HD helps people grow cells that lead to healthy new blood vessels
Growth of new blood vessels is impaired with standard in-center HD. The cells that grow blood vessels don't work as well as they should, because waste levels in the blood are still too high, even with treatment. But, nocturnal HD is another story. With the blood much cleaner, there was significantly better cell function.
Read the abstract » | (added 2011-07-26)
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Review: What do we know now about more-frequent HD?
Studies have shown since the 1960s that more-frequent dialysis improves outcomes. The recent Frequent Hemodialysis Network trials confirmed these findings. This article reviews the data.
Read the abstract » | (added 2011-07-26)
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With a nurse educator, more urgent-start patients choose self-care treatments
As many as half of people start dialysis with no prior plan for it. When a renal triage nurse sees these patients, the chances that they will opt for PD, home HD, or transplant was significantly higher.
Read the abstract » | (added 2011-07-26)
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Changing the treatment options paradigm: Home vs. in-center, not PD vs. HD
Traditional ESRD treatment options education divides the choice into PD vs. HD, and then looks at home HD. Drs. Thodis and Oreopoulos suggest that it makes more sense to look at home (PD and HD) vs. in-center instead.
Read the abstract » | (added 2011-07-26)
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Risk factors linked to renal cell cancer (RCC) after long-term dialysis
RCC occurs at higher rates in those who have been on dialysis for many years. If you know the risk factors, you can ask for screening. Those at highest risk in a large study were men; older people; ESRD caused by an obstruction, FSGS, or tuberous sclerosis; and those whose kidneys grew new cysts.
Read the abstract » | (added 2011-06-21)
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Pilot results of a wearable artificial kidney
Eight people on HD have now tested a new wearable HD device for 4-8 hours. Fluid was removed with no heart problems, and some wastes were removed as well. The safety devices for needle disconnection and clotting worked quickly. A step forward!
Read the abstract » | (added 2011-06-21)
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Early PD survival benefit comes from avoiding HD catheters
Studies have found better survival on PD than standard HD in the first 1-2 years of treatment. A new study of 40,526 people found that the main reason for this difference is that those on PD did not use central venous HD catheters.
Read the abstract » | (added 2011-06-21)
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Better survival on home HD than PD in England and Wales
A study from the UK compared 225 people on home HD from 1997 to 2005 with age and sex matched people on PD and standard HD. Those on home HD lived significantly longer than those on PD—even when the researchers adjusted for those who received transplants or were on the wait list.
Read the abstract » | (added 2011-06-21)
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PD with PKD: Yes, it's possible
A Chinese study matched 42 people with and 84 without PKD as they started PD. After 5 years, survival in both groups was the same. There was no difference in the rate of peritonitis, though the PKD group was more likely to get hernias.
Read the abstract » | (added 2011-06-21)
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