Archive for the ‘Peritoneal Dialysis’ Category

May 23, 2012

PD Prescription Guide

This brief reference provides simple advice on writing the prescription for peritoneal dialysis and includes a prescription calculator. The content is available Online: http://www.qxmd.com/references/peritoneal-dialysis-prescription-guide iOS (iPhone and iPad): http://qx.md/calculate Android: http://qx.md/calculateandroid

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April 5, 2012

Comparing Cardiac Surgery in Peritoneal Dialysis and Hemodialysis Patients: Perioperative Outcomes and Two-Year Survival

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This small observational study suggests that PD patients who require cardiac surgery do not experience more complications or worse 2-year survival as compared to HD patients.  It also sugggests that 2-year survival for dialysis patients after cardiac surgery is acceptable.

Comments Off on Comparing Cardiac Surgery in Peritoneal Dialysis and Hemodialysis Patients: Perioperative Outcomes and Two-Year Survival Posted in Peritoneal Dialysis, Vascular Disease/Calcification
April 5, 2012

Factors influencing patient choice of dialysis versus conservative care to treat end-stage kidney disease

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This study surveyed patients with stage 3-5 CKD in Australia to assess factors which influence patients to choose dialysis versus conservative care.  Dialysis was more likely to be chosen if patients felt it increased life expectancy, would be given the choice of time to dialyze (evening rather than day only) or would receive subsidized transport. […]

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February 26, 2012

Choosing peritoneal dialysis reduces the risk of invasive access interventions

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This prospective multicentre Canadian study followed 369 dialysis patients for an average of 1.3 years (224 patients chose PD and 145 chose HD).  The authors found that the PD group required fewer access interventions to maintain dialysis access (2.5 versus 3.1 interventions per patient, adjusted odds ratio of 0.79 for PD versus HD, P = […]

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February 26, 2012

Randomized Controlled Trial Comparing Mupirocin and Polysporin Triple Ointments in Peritoneal Dialysis Patients: The MP3 Study

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This double-blind multicentre RCT studied the effectiveness of topical Polysporin Triple ointment as compared to mupirocin to peritoneal dialysis catheter exit sites.  Twice the number of patients experienced redness at the exit site in the Polysporin Triple group (14 versus 6, P=0.10) with a higher rate of fungal exit site infection (0.07 versus 0.01; P=0.02) […]

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December 22, 2011

Coiled Versus Straight Peritoneal Dialysis Catheters: A Randomized Controlled Trial and Meta-analysis

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While the included RCT failed to show any significant difference between PD catheter type, the meta-analysis also performed suggests that coiled catheters may be more prone to migration and dysfunction than straight catheters.

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November 29, 2011

Survival advantage of hemodialysis relative to peritoneal dialysis in patients with end-stage renal disease and congestive heart failure

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This prospective French Registry study finds that the adjusted hazard ratio for death in PD compared to the HD patients was significant at 1.48 for all enrolled patients started on dialysis with associated congestive heart failure.  Of note, congestive heart failure was determined subjectively (not by left ventricular ejection fraction), the PD group was older […]

Comments Off on Survival advantage of hemodialysis relative to peritoneal dialysis in patients with end-stage renal disease and congestive heart failure Posted in Hemodialysis, Peritoneal Dialysis
October 8, 2011

iPhone App ‘Calculate by QxMD’ adds PD Content

The app ‘Calculate by QxMD’ now includes: Access Care and Complications Guide PD Prescription Calculator & Guide ISPD & CSN Guidelines MATCH D – Home Dialysis Patient Selection tool General Nephrology Calculators Learn more http://www.qxmd.com/peritoneal-dialysis-management-tools-added-to-calculate-by-qxmd Download now http://itunes.apple.com/app/calculate-medical-calculator/id361811483?mt=8

Comments Off on iPhone App ‘Calculate by QxMD’ adds PD Content Posted in Educational Resource, Peritoneal Dialysis
October 8, 2011

New DaVita Peritoneal Dialysis Webinar Series

A new series of DaVita’s peritoneal dialysis (PD) webinars began in October and will continue on the first Friday of each month. The clinically focused webinars will be presented by physician experts in home dialysis. The next webinar, The Pros and Cons of CAPD vs. CCPD, is hosted by Dr Tom Tucker and will take […]

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August 5, 2011

Selection Bias Explains Apparent Differential Mortality between Dialysis Modalities

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This study shows that the previously explained difference in relative risk of death with peritoneal dialysis patients compared with those treated with hemodialysis is likely related to selection bias. No difference was found in the relative risk of mortality for peritoneal dialysis compared with hemodialysis among individuals who received ≥4 months of predialysis care and […]

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June 15, 2011

Hemodialysis Vascular Access Modifies the Association between Dialysis Modality and Survival

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The question of early survival benefit in peritoneal dialysis is addressed in this study of CORR incident adult dialysis patients.  By comparing the survival of incident PD patients with those who initiated HD with a central venous cathter or with a functional arteriovenous fistula or graft, it was determined that the use of CVCs in […]

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April 24, 2011

Clinical Practice Guidelines and Recommendations on Peritoneal Dialysis Adequacy 2011

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This set of guidelines, released by the Canadian Society of Nephrology (CSN), updates the last set of guidelines from 1999 and addresses key points in PD adequacy. Free full text access kindly provided by the Canadian Society of Nephrology Available for iPhone Available for iPad Available for Android

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April 24, 2011

Randomized, Double-blind Study with Glycerol and Paraffin in Uremic Xerosis

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This small RCT addresses a practical problem seen in the dialysis units, management of uremic xerosis.  This trial found that using a twice daily emulsion combining glycerol and paraffin resulted in a treatment response in 73% vs 44% in placebo arm.  As well, significant improvements in pruritus and quality of life were noted in the […]

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