Journal Watch
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International practice patterns for "non-conventional" HD
311 nephrologists from around the world took part in an online survey about use of HD options other than standard in-center. Among the respondents, 62.4% used "non-conventional" options: 26.7% used nocturnal HD, 34.4% used short daily HD, and 26% used long standard treatments.
Read the abstract » | (added 2011-12-22)
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Cycler PD done longer than manual PD
Among 179 people doing CAPD and 441 using cyclers, survival and the rates of loss of residual kidney function and peritonitis were about the same. But technique survival was significantly better among those who used a cycler.
Read the abstract » | (added 2011-12-22)
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Longer life on PD with statins
A study from Korea has found that people on PD who were prescribed statin drugs (used for high cholesterol) had a 41% lower risk of death than those who were not given statins. The effect held true for people who had diabetes as well. Future randomized, controlled studies are suggested.
Read the abstract » | (added 2011-12-22)
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Mupirocin beats polysporin triple ointment (P3) for preventing PD catheter infections
In an 18-month long randomized, controlled study, twice as many patients had redness at the PD catheter exit site and more fungal infections occurred in those using P3 than mupirocin.
Read the abstract » | (added 2011-12-22)
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Eating more protein linked with longer life on PD
In a study of 305 people on PD, those who ate the most protein (≥0.94 g/kg/day) were stronger and at less risk for heart disease, peritonitis, and death than those who ate the less.
Read the abstract » | (added 2011-11-28)
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Yes, PD can be done with diabetes
PD is gentle on the blood vessels. With use of icodextrin and other steps to optimize glucose and volume control, it can be a good option for those with diabetes.
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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Adsorptive column removes B2m
Too-high levels of B2m cause amyloidosis in people on dialysis, with joint and bone pain. In Japan, people dialyzed using the Lixelle S-15 adsorptive column had significantly less B2m in their blood after a year of 3x/week treatments. They were also stronger and had less joint pain.
Read the abstract » | (added 2011-11-28)
Tags: Chronic kidney disease
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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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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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