Journal Watch - Dialysis
Chevron and Butterfly Taping Reduces Venous Needle Dislodgement in HD
Every clinic seems to have its own preferred method of taping HD needles to prevent dislodgement. This important new study tested Chevron, Butterfly and Overlapping tape patterns in a mechanical engineering laboratory to measure the adhesive force and ability to withstand dislodgement and lateral stress.
Read the abstract » | (added 2021-01-12)
PD vs. HD for Quality of Life
Eleven studies from 2000 to 2019 (N=3,711) comparing PD with in-center HD (ICHD), PD vs. home HD, ICHD vs. self-care ICHD, ICHD vs. home HD, and various home HD modalities with each other were analyzed to determine the impact of modality on quality of life. PD was favored in some domains, while ICHD was favored in others. Home HD was rated significantly higher than ICHD for some domains.
Read the abstract » | (added 2020-11-12)
Survival Benefit of More HD Hours is Not Sustained After a Switch Back to Standard
In the ACTIVE Dialysis trial, 200 standard HD patients were randomized to receive usual care (median of 12 hours of HD/week) or extended hours (median of 24 hours of HD/week) for 12 months, with follow up through 60 months. After the 12 months, intervention group participants were switched back to usual care. At 5 years, there was no difference between the groups in all-cause mortality.
Read the abstract » | (added 2020-10-12)
PD vs. In-Center HD for Stroke Risk
A systematic review of 15 cohort studies totaling nearly 1.3M ESRD patients concludes that PD had a significantly lower (16%) risk of hemorrhagic stroke, though the risks of other types of strokes were comparable.
Read the abstract » | (added 2018-08-13)
In-hospital Patient Education Helps “Crash” Dialysis Starts to Consider PD
As many as half of people who start dialysis in the U.S. each year “crash” into a need for treatment with an urgent, unplanned start—and most receive HD with a catheter. The same is true in Germany, but a new structured education program changed the pattern. Compared to patients who started dialysis urgently before the program, those who were educated were significantly more likely to choose PD.
Read the abstract » | (added 2017-12-14)
Implantable microdialysis without dialysate fluid – in rats
What if we could implant an artificial kidney that did not require dialysate fluid? Researchers have developed a microdialysis system using microfluidic channels and nanoporous membranes, and tested it in rats with kidney failure. Filtrate was successfully collected with no blood leaks in the system, and the levels of creatinine in their blood was significantly reduced.
Read the abstract » | (added 2015-07-08)