Journal Watch
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Is the Future Near? Portable Dialysis and Implantable Devices
Portable and wearable PD and HD devices are in development that have the potential to improve patient mobility and autonomy, and perhaps increase technique survival. Bioartificial kidneys that may partly replace some of the endocrine functions of kidneys are on a longer development horizon, followed by miniaturized, implantable devices. Multiple challenges must be overcome for any of these options to become available.
Read the abstract » | (added 05/11/2018)
Tags: Bioartificial Kidney, Implantable Artificial Kidney, Renal Replacement Therapy, Wearable Artificial Kidney
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HD at Home—Review of Current Machines
A new review articles compares and contrasts home HD machine options.
Read the abstract » | (added 05/11/2018)
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Head to Head: 8-hour Hemodialysis vs. 4-hour Hemodiafiltration
A randomized trial assigned 12 nocturnal HD patients to either two weeks of 8-hour HD or 4-hour HDF, followed by a crossover to the other option. Participants were also randomized to one of two dialyzers: a Fresenius FX80 or a Nipro Elisio. The 8-hour HD treatments removed significantly more urea and creatinine. But, the HDF removed more FGF23—and several other toxin levels were the same. The FX80 dialyzer cleared somewhat more B2M.
Read the abstract » | (added 05/11/2018)
Tags: Nocturnal Hd, Extended Hours Haemodialysis, Haemodiafiltration
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35-year Patient Survival on Home HD
A case study reports on the 35-year survival of a man with Alport’s syndrome who uses thrice-weekly conventional home HD—and still works 6-8 hours per day at age 65—despite no residual kidney function.
Read the abstract » | (added 05/11/2018)
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New Danish Dialysis Decision Aid
A shared decision-making tool developed and pilot tested in Denmark was well-received by 137 patients, and resulted in 80% of them choosing a home dialysis option—vs. just 23% without the tool.
Read the abstract » | (added 05/11/2018)
Tags: Patient Involvement, Dialysis Choice, Dialysis Decision Aid
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A Randomized, Controlled Trial of Instant Messaging for PD Patients
Among 160 PD patients, the half assigned to instant messenger had significantly higher levels of satisfaction, serum albumin, and hemoglobin—and lower levels of serum phosphorus and calcium-phosphate product than controls.
Read the abstract » | (added 05/11/2018)
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Lack of Education Predicts Peritonitis on PD
An analysis of socioeconomic—and educational—deprivation in 233 patients who had PD catheters placed found a trend toward higher peritonitis rates in more deprived patients.
Read the abstract » | (added 05/11/2018)
Tags: Educational Deprivation, Pd Catheter Insertions, Pd Peritonitis
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High Peritoneal Transport and Long-term PD Outcomes
Among 470 patients who did PD for up to 10 years in Hong Kong, the peritoneal transport rate was able to differentiate survivors. After the first few years of PD, having high peritoneal transport became a significant risk factor for mortality.
Read the abstract » | (added 05/11/2018)
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Albumin Predicts Survival in Anuric PD Patients
Patients who don’t make urine have a better chance of survival on PD if their serum albumin levels are 3.6 g/dL or higher, finds a new study of 505 PD patients in Korea. Age, diabetes, ultrafiltration volume, and serum creatinine levels were other factors.
Read the abstract » | (added 05/11/2018)
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APD Remote Monitoring Boosts Patient Independence
An observation study of 37 automated PD patients followed by remote monitoring found that prescriptions were modified more often than when monitoring was not done—personalizing treatments better to patients’ needs—and fewer emergency visits were needed, for more efficient use of healthcare resources.
Read the abstract » | (added 05/11/2018)
Tags: Automated Peritoneal Dialysis, Remote Monitoring, Patient Independence, Prescription Of Dialysis