Journal Watch
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MXene Sorbents: A Step Toward a WAK
A sorbent tested for use in a wearable artificial kidney was able to adsorb urea with 99% efficiency in testing—twice the level removed with standard dialysate. The hemocompatible sorbent did not damage cells or reduce cell viability at the concentrations tested. A successful sorbent product will facilitate the design of a WAK. Read the abstract.
Read the abstract » | (added 10/12/2018)
Tags: Wearable Artificial Kidney, 2 D Materials, Urea, M Xene, Adsorption, Dialysate
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Metaanalysis of Nocturnal HD and Sleep Quality
Nine studies of 286 patients found significantly less sleep apnea and better O2 saturation—but less total sleep time—after switching from conventional to nocturnal HD. Prospective pre-post studies found improved sleep quality, but randomized trials did not. Read the abstract.
Read the abstract » | (added 10/12/2018)
Tags: Sleep Apnea, Chd, Nhd, O2 Saturation, Nocturnal Hd, Conventional Hd, Sleep Quality
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Nocturnal HD vs. Transplant: Health-related Quality of Life Compared
In a small study, transplant candidates using nocturnal HD (n=41) and transplant patients (n=31) took the KDQOL-short-form survey of health-related quality of life (HRQOL). Those with transplants had significantly higher “effects” of kidney disease scores than those on nocturnal HD. The other domains were not significant. Read the abstract.
Read the abstract » | (added 10/12/2018)
Tags: Transplant, Nocturnal Hd, Kdqol, Hrqol, Effects Of Kidney Disease
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What Makes Home HD Patients Reach for On-Call Support?
A 4-month prospective observational study analyzed the reasons why 58 home HD patients called the on-call nurse or technician. Most calls to nurses were made for clinical issues or machine set-up or alarm questions, some of which required a technician. Most of the technician calls were for machine malfunction, set-up and alarms, or water treatment. Read the abstract.
Read the abstract » | (added 10/12/2018)
Tags: Home Hemodialysis, Independent Hemodialysis, Nocturnal Hemodialysis, Short Daily Hemodialysis
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Urgent Start PD + Diabetes
A retrospective study compared the first 30-day outcomes and survival trends of 80 urgent start dialysis patients, 50 of whom (62.5%) did PD. Compared to those who started standard in-center HD, the dialysis-related complications were significantly lower for those on PD, and PD survival was higher as well. Read the abstract.
Read the abstract » | (added 10/12/2018)
Tags: Diabetes, Survival Trends, Urgent Start Dialysis, Pd, In Center Hd, Dialysis Related Complications
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PD and Dialysis Patient Employment
In a Swedish study, 4,734 working-age (20-60 years old) patients who survived at least one year on in-center HD or PD were compared. Patients using PD had a 4% increased probability of employment over in-center HD—as well as a 6% lower disability pension and higher work income. Read the abstract
Read the abstract » | (added 10/12/2018)
Tags: Pd, Hd, Employment, Disability Pension, Work Income
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Peritonitis Symptoms in Older vs. Younger People
A single center study compared the time to first episode of peritonitis treated successfully with antibiotics in PD patients >65 (n=79)compared to those who were younger (n=168). Of 377 peritonitis episodes, 126 were in the older group and 251 in the younger group. Older patients were less likely to have fever or cloudy dialysate as symptoms than younger patients, but rates of transfer to hemodialysis, relapse, hospitalization, and mortality were similar. Read the abstract.
Read the abstract » | (added 10/12/2018)
Tags: Peritonitis, Outcomes Of Peritonitis, Elderly Pd, Patient Pd
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Metaanalysis of PD for Kidney Failure due to PKD
Polycystic kidneys may displace room for PD fluid, so can PD be a viable treatment option? A metaanalysis of 12 studies and more than 17,000 patients found…maybe. PD outcomes were about the same for those with PKD as with other primary kidney diseases, and some can do PD. More research is needed to determine who is suitable. Read the abstract.
Read the abstract » | (added 10/12/2018)
Tags: Dialysis Adequacy, Pd Associated Complications, Peritoneal Dialysis, Polycystic Kidney Disease
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Left Atrial Remodeling Not Found After 1 Year of Nocturnal HD
While left ventricular mass has been shown to regress with intensive HD, the same does not seem to hold true for the left atrium, nor did the ejection fraction improve, finds a new study of 37 patients switched from conventional HD. Read the abstract.
Read the abstract » | (added 09/10/2018)
Tags: Cardiac Mri, End Stage Renal Disease, Hemodialysis, Left Atrium
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Nocturnal HD is Underused
A new review suggests that the improved outcomes associated with more hours of HD in-center or at home mean that these options should be used more. Read the abstract.
Read the abstract » | (added 09/10/2018)
Tags: Quality Of Life, Hd, Extended Hours, Improved Outcomes, Nocturnal Dialysis