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Peritoneal Dialysis

Peritoneal Dialysis Called Underused

John Schieszer May 21, 2010

Reasons include a lack of nephrologist training in the modality and a number of mistaken beliefs.

Death Risk Is Lower With Peritoneal Dialysis

Jody A. Charnow April 19, 2010

Compared with incident hemodialysis (HD) patients, incident peritoneal dialysis (PD) patients, especially non-diabetics, show a robust and consistent survival advantage for up to five years, researchers reported at the National Kidney Foundation's 2010 Spring Clinical Meetings.

Catheters Are the Most Common Vascular Access Type after Renal Allograft Failure

Jody A. Charnow April 17, 2010

Central venous catheters are the most prevalent access type in patients who initiated hemodialysis (HD) following a failed renal transplant, according to a study presented at the National Kidney Foundation's 2010 Spring Clinical Meetings.

PD May Offer Better QoL to the Elderly

John Schieszer April 01, 2010

Home-based peritoneal dialysis may be less intrusive in their lives than in-center hemodialysis.

Peritoneal Dialysis May Offer Elderly Better Quality of Life

John Schieszer March 23, 2010

SEATTLE—A study by British investigators suggests that more older patients with end-stage renal disease (ESRD) should be educated about peritoneal dialysis (PD) and the potential benefits it may offer over hemodialysis (HD).

Niacinamide Helps Lower Phosphorus

Jody A. Charnow November 18, 2009

In an eight-week study of 15 patients, oral niacinamide added to standard phosphorus-lowering therapies resulted in a modest yet significant reduction in plasma phosphorus levels in patients on peritoneal dialysis.

Survival Better on PD than HD in the First Year After Renal Graft Failure

John Schieszer October 31, 2009

SAN DIEGO—Following renal transplant failure, patients starting peritoneal dialysis (PD) have better survival in the first year than patients starting on hemodialysis (HD), but the survival advantage lessens with time, British resesarchers reported at the American Society of Nephrology's Renal Week conference.

Developing World Has a Higher PD Rate

Jody A. Charnow July 20, 2009

The use of peritoneal dialysis (PD) is increasing at a faster rate in developing than in developed countries, according to what Canadian researchers say is the first comprehensive assessment of PD worldwide.

PD Peritonitis Risk Factors

Jody A. Charnow June 18, 2009

A Canadian study of 4,247 patients on peritoneal dialysis (PD) found that older age, black race, switching to PD from hemodialysis (HD), and diabetes in women were associated with a significantly increased risk of peritonitis.

Pulse Pressure, Death Risk Linked in PD Patients

Jody A. Charnow May 07, 2009

Elevated pulse pressure is associated with an increased risk of all-cause and cardiovascular death in patients on peritoneal dialysis (PD), according to a Canadian study.

Switching to PD Does Not Raise Death Risk

Jody A. Charnow May 04, 2009

Patients transferred from hemodialysis (HD) to peritoneal dialysis (PD) because of complications do not have a greater risk of death than patients who started renal replacement therapy on PD, Polish researchers reported in Nephrology Dialysis Transplantation (2009; published online ahead of print).

COPD Peritonitis Linked to Hypokalemia

Jody A. Charnow April 21, 2009

Hypokalemia in patients on continuous ambulatory peritoneal dialysis (CAPD) may be a risk factor for peritonitis and poor nutritional status, data show.

HD-to-PD Switch Does Not Increase Mortality Risk

Jody A. Charnow April 17, 2009

Patients transferred from hemodialysis (HD) to peritoneal dialysis (PD) because of complications do not have a greater risk of death than patients who started renal replacement therapy on PD.

Sudden Death Risk Factors in Peritoneal Dialysis Patients Identified

Jody A. Charnow April 02, 2009

Recent blood transfusions, male gender, and diabetes mellitus are independently associated with an increased risk of sudden death in patients on peritoneal dialysis (PD), a Chinese study concluded.

ACE Inhibitors, ARBs Cut Mortality in PD Patients

Jody A. Charnow September 02, 2008

Peritoneal dialysis (PD) patients treated with ACE inhibitors or angiotensin receptor blockers (ARBs) have a 62% reduced risk of death compared with PD patients not treated with these medications, after adjusting for age, BP, and other variables, according to a report in Nephrology Dialysis Transplantation (2008; published online ahead of print).

PD Patient Survival Better—At First

Rosemary Frei, MSc September 01, 2008

LONDON, Ont.—Patients on peritoneal dialysis (PD) live longer than those on hemodialysis (HD), at least during the first years after dialysis starts, a new study suggests. A question remains, however, whether it is the type of dialysis that makes the difference in survival.

Low Vitamin D Heralds Worse Outcomes

Jody A. Charnow July 21, 2008

STOCKHOLM—Vitamin D deficiency increases the risk of death and cardiovascular problems in patients with renal disease, according to studies presented here at the European Renal Association-European Dialysis and Transplant Association 2008 congress.

Phosphorus Burden Greater in PD Patients

Jody A. Charnow July 21, 2008

STOCKHOLM—Contrary to prevailing belief, patients on peritoneal dialysis (PD) have a higher phosphorus burden than do patients on hemodialysis (HD).

Aortic Calcification Found to Be Widespread

Jody A. Charnow July 21, 2008

STOCKHOLM—Most hemodialysis and peritoneal dialysis patients have aortic calcification (AC) around the time they start dialysis, according to researchers.

Residual Renal Function Loss Linked to BMI

Jody A. Charnow July 21, 2008

STOCKHOLM—Obesity is a strong risk factor for the decline in residual renal function (RRF) after patients start dialysis, researchers in The Netherlands say.

ACE Inhibitors, ARBs Cut Mortality in PD Patients

Jody A. Charnow July 15, 2008

Peritoneal dialysis (PD) patients treated with ACE inhibitors or angiotensin receptor blockers (ARBs) have a lower mortality risk than PD patients not treated with these medications, researchers reported in Nephrology Dialysis Transplantation (online ahead of print).

Peritoneal Dialysis Best Way to Start

Jody A. Charnow May 23, 2008

STOCKHOLM—Although hemodialysis (HD) is the most common form of renal replacement therapy, 53% of nephrologists worldwide believe patients whose dialysis is planned should start on peritoneal dialysis, according to a survey conducted by Gambro.

PD Catheter Removal Lowers Death Rate

Jody A. Charnow May 05, 2008

ORLANDO—Patients with gram-negative peritonitis (GNP) undergoing early catheter removal have a higher rate of permanent transfer to hemodialysis but a lower death rate compared with GNP patients not having their catheter removed, according to study findings presented here at the 2008 Annual Dialysis Conference.

PD Catheter Removal Lowers Death Rate

Jody A. Charnow April 11, 2008

Ascorbate Deficiency Common in Australian PD Patients

Jody A. Charnow April 11, 2008

Ascorbate deficiency is common among peritoneal dialysis (PD) patients and can be identified readily with serum ascorbate measurements, researchers in Australia report.

Ascorbate Deficiency Common in Australian PD Patients

Jody A. Charnow April 10, 2008

Ascorbate deficiency is common among peritoneal dialysis (PD) patients and can be identified readily with serum ascorbate measurements, researchers in Australia report.

DaVita Offers Dialysis Diet Web Tool

Jody A. Charnow March 14, 2008

DaVita Inc., has launched DaVita Diet Helper to make kidney-friendly meals easy to plan, prepare, and track.

Drug May Cure a Rare Type of Peritonitis

John Schieszer December 01, 2007

SAN DIEGO—A catheter-chewing cockatoo may have led clinicians to a new tool for the treatment of peritoneal dialysis (PD)-related zygomycete peritonitis. While these infections are rare, they carry a high mortality rate even with treatment. Now, a case study presented here at the annual meeting of the Infectious Diseases Society of America in San Diego points to posaconazole as a potentially useful for disseminated zygomycosis.

CAPD Peritonitis: Causes, Management

David MacDougall November 01, 2007

PERITONITIS IS a frequent complication of continuous ambulatory peritoneal dialysis (CAPD) and the most common cause of CAPD failure. About 60% of patients receiving CAPD will have at least one episode of peritonitis during the first year of this mode of dialysis, according to Ram Gokal, MD, Consultant Nephrologist and Honorary Lecturer at the University of Manchester in the United Kingdom. CAPD peritonitis is associated with catheter loss, adhesions, increased protein loss, return to hemodialysis, and considerable morbidity.

Cytokines Predict Increased Mortality in Dialysis Patients

Jody A. Charnow October 19, 2007

BARCELONA--Pro-inflammatory cytokines are a marker for increased cardiovascular and overall mortality in dialysis patients, new research demonstrates.