Journal Watch
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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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More frequent HD linked with less cardiac stunning
During standard HD, the heart gets less blood, which causes damage called "stunning." In a study of 46 people on standard, short daily, or nocturnal HD, those whose treatments were done more often had less cardiac stunning. Those on nocturnal had the least.
Read the abstract » | (added 2011-06-21)
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CKD education rates in Australia (they're FAR better than in the US!)
It's hard to choose a treatment option for kidney failure that fits your life when you don't know what the options are, or how they might affect you. A study of 721 people new to dialysis in Australia found that 603 (84%) had options education before they started treatment.
Read the abstract » | (added 2011-05-23)
Tags: Chronic kidney disease
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Cycler PD has better outcomes than manual PD for those under age 65
Among 282 people on PD, younger people were much more likely to keep doing PD—and much more likely to survive—if they used a cycler.
Read the abstract » | (added 2011-05-23)
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A prospective study of 4 vs. 8 hours of HD in-center 3 times a week
Which is better, standard HD or more HD? A new study matched 247 people who agreed to try nocturnal in-center HD with people on standard HD. A year later, survival rates were 3.5 times higher (and hospital stays were lower) with more HD. Heart health and cognitive function were far better with more HD, too, while quality of life dropped in the standard HD group. (Now, why are we NOT surprised?)
Read the abstract » | (added 2011-05-23)
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Aspirin use is linked with better HD graft survival
Taking a low-dose aspirin each day led to about 30% better graft survival in a year-long study.
Read the abstract » | (added 2011-05-23)
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Bone loss in women on dialysis—the role of estrogen
A study of 112 postmenopausal women on HD in Japan found that estrogen was closely linked to bone density. The authors conclude that taking estrogen may help prevent bone loss throughout life in women on HD.
Read the abstract » | (added 2011-05-23)
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A randomized, controlled trial of nutrition on standard HD vs. nocturnal
Canadian researchers randomly assigned a small group of 23 people to standard in-center HD or nocturnal HD. At the end of 6 months, most of those doing nocturnal HD were able to reduce or stop taking binders, and their serum albumin (protein) levels improved. Protein levels dropped for those on standard in-center HD.
Read the abstract » | (added 2011-05-23)
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