Journal Watch
International Use of HD—Including Home HD
A new survey of stakeholders in 182 countries (with respondents from 160 countries) found a use rate for HD of 298.4 per million. Among incident dialysis patients, the HD rate was 98.0. Standard in-center HD was available among 27% of low-income countries (and these patients paid more of the costs); home HD was available in 36% of high-income countries. Monitoring of patient-reported outcomes was done in 61% of countries, while 60% monitored bone minerals and patient survival, and 51% monitored technique survival. Just 5% of countries initiated patients on HD with arteriovenous access.
Read the abstract » | (added 2020-09-11)
Tags: Hemodialysis, Homedialysis, HD
Aspergillus Peritonitis Review
Compared to other fungal peritonitis, colonization with aspergillus is more dangerous, and identification is still a challenge. Among 55 cases reported in the literature between 1968 and 2019, the mortality rate was 38.3%, 85.5% had to have their PD catheter removed, and 81.8% of patients had to switch to HD.
Read the abstract » | (added 2020-09-11)
Tags: Aspergillus, Mortality, Peritoneal Dialysis, Peritonitis
Home HD Respite Care Resource Implications
A Canadian analysis of 119 home HD patients found that 66% required 292 back-up, in-center HD sessions during 96 patient years; 53% for vascular access issues.
Read the abstract » | (added 2020-08-11)
Tags: Home Hemodialysis, Resource Utilization, Technique Survival
C-reactive Protein to Albumin Ratio (CAR) on PD Predicts Survival
An analysis of 758 PD patients observed for up to 12 years found that those whose CAR was lower were significantly more likely to survive than those whose CAR was higher.
Read the abstract » | (added 2020-08-11)
Tags: Serum C reactive Protein To Albumin Ratio, Serum C reactive Protein, PD, Peritoneal Dialysis
Case Report: Intensive Daily HD Improves Lung Function
After initiating 32 hours of intensive home HD per week, a patient with restrictive lung disease had improvement in both clinical and spirometric lung function.
Read the abstract » | (added 2020-08-11)
Tags: Home Hemodialysis, Intensive Hemodialysis, Restrictive Lung Disorder
How Much Dialysate Should be Used for Nocturnal HD With NxStage?
Predictive modeling finds that the dialysate lactate concentration used for short daily HD may not be appropriate for nocturnal HD. Since the effect of lactate mainly depends on weekly dialysate volume, reducing from 60 to 30 liters for frequent nocturnal HD may be appropriate.
Read the abstract » | (added 2020-08-11)
Tags: Home Hemodialysis, Lactate, Acid Generation, Dialysate
Carnitine Deficiency and ESA Resistance in PD
Among 60 PD patients, 56 had carnitine deficiency, which was found to independently predict ESA resistance.
Read the abstract » | (added 2020-08-11)
Tags: Carnitine Deficiency, Peritoneal Dialysis, Erythropoietin Resistance Index
Quanta SC+ Fluid Removal Accuracy
Through both passive and active fluid control mechanisms, the Quanta SC+ home HD machine was accurate to within 1 mL per hour for flow balance and to within 13 mL/hr for ultrafiltration.
Read the abstract » | (added 2020-08-11)
Serum Uric Acid and Residual Kidney Function in PD
In a study of 201 CAPD patients followed for up to 8 years (median 23.43+ 16.6 months), high or low serum uric acid and peritonitis were independent risk factors for loss of all residual kidney function. Higher weekly Kt/V urea helped protect residual function.
Read the abstract » | (added 2020-08-11)
Tags: Residual Renal Function, Uric Acid
Outcomes in Urgent- vs. Early-Start PD
A study defining urgent-start PD (US-PD) as within 72 hours of catheter placement and early start (ES-PD) as 3 and 14 days later compared 72 patients in both groups. Both groups were comparable re: demographics, 30-day complications, 6-month hospitalizations, and PD dropout. US-PD patients were more prone to leakage.
Read the abstract » | (added 2020-07-10)
Tags: Peritoneal Dialysis, Disease Patients, Clinical Characteristics