Peritoneal Dialysis News Archive

High Rates of Infective Endocarditis Found Among ESRD Patients

High Rates of Infective Endocarditis Found Among ESRD Patients

Hemodialysis patients had higher rates of infective endocarditis than peritoneal dialysis and kidney transplant patients.

For Treating Uremic Pruritus, Evidence is Strongest for Gabapentin

For Treating Uremic Pruritus, Evidence is Strongest for Gabapentin

Except for gabapentin, evidence for 38 other treatments is weak and limited by small studies with a high risk of bias, new review finds.

Venous Thromboembolism Risk Elevated in Dialysis Patients

Venous Thromboembolism Risk Elevated in Dialysis Patients

VTE is more common among dialysis patients than in the general population, and the risk is highest in the first 6 months after dialysis initiation.

Insurance Type Affects Initial Dialysis Modality Choice

Insurance Type Affects Initial Dialysis Modality Choice

ESRD patients aged 60-64 years with no insurance or who are on Medicaid are less likely to initiate peritoneal dialysis.

Topical Gentamicin Superior for Preventing Some PD Infections

Topical Gentamicin Superior for Preventing Some PD Infections

Gentamicin cream use was associated with fewer exit-site infections due to gram-negative bacteria.

Female PD Patients Have Lower Hemoglobin Despite Anemia Treatment

Female PD Patients Have Lower Hemoglobin Despite Anemia Treatment

New and established peritoneal dialysis patients both showed this trend.

Calciphylaxis Risk Higher in Peritoneal Dialysis Patients

Calciphylaxis Risk Higher in Peritoneal Dialysis Patients

Their risk of the rare but life-threatening condition is twice as high as in hemodialysis patients.

Peritoneal Dialysis Patient Death Risk Linked to Thyroid Dysfunction

Peritoneal Dialysis Patient Death Risk Linked to Thyroid Dysfunction

Hypo- and hyperthyroidism predict an increased risk of all-cause mortality.

Assisted PD May Be a Safe Alternative to In-Center HD

Assisted PD May Be a Safe Alternative to In-Center HD

Assisted peritoneal dialysis and in-center hemodialysis are associated with similar hospitalization rates.

Low Sodium Increases Death Risk in Peritoneal Dialysis

Low Sodium Increases Death Risk in Peritoneal Dialysis

Sodium levels below 140 mEq/L associated with a higher death risk vs levels of 140 to less than 142 mEq/L.

ACEIs, ARBs May Cut Peritoneal Dialysis Initiators' CV Risk

ACEIs, ARBs May Cut Peritoneal Dialysis Initiators' CV Risk

Researchers found a 16% lower risk for strokes, heart attacks, and death combined among patients who took ACEIs or ARBs.

Higher Cancer Risk in Dialysis Patients Confirmed

Higher Cancer Risk in Dialysis Patients Confirmed

The risk is most elevated among individuals aged 44 years or younger.

Anemia Risk Factors in Peritoneal Dialysis Patients ID'd

Anemia Risk Factors in Peritoneal Dialysis Patients ID'd

New findings implicate transferrin saturation and nutritional status assessed by albumin.

Rapid Use of PD Catheters in Children Possible

Rapid Use of PD Catheters in Children Possible

Researchers report successful use of catheters within 24 hours in urgent situations.

Peritoneal Dialysis Outpacing Home Hemodialysis

Peritoneal Dialysis Outpacing Home Hemodialysis

Trend started around the introduction of the Medicare prospective payment system for dialysis care.

Racial/Ethnic Disparities in Home Dialysis Outcomes Identified

Racial/Ethnic Disparities in Home Dialysis Outcomes Identified

Blacks undergoing PD or home HD and Hispanics undergoing PD are less likely than their white counterparts to receive a kidney transplant.

Fixed-Dose Phosphate Binder Schedules May Be Less Than Ideal

Fixed-Dose Phosphate Binder Schedules May Be Less Than Ideal

Study of peritoneal dialysis patients showed that they do not adjust binders to match the phosphate content of meals and snacks.

Peritoneal Dialysis Patients May Have Better Post-Transplant Survival

Peritoneal Dialysis Patients May Have Better Post-Transplant Survival

Meta-analysis suggests a 9% decreased 5-year mortality risk associated with pre-transplant peritoneal dialysis versus hemodialysis.

Death Risk Lower with Home Hemodialysis than Peritoneal Dialysis

Death Risk Lower with Home Hemodialysis than Peritoneal Dialysis

Daily home hemodialysis also decreases likelihood of hospitalization and technique failure.

Dietary Interventions Improve Hyperphosphatemia Treatment

Dietary Interventions Improve Hyperphosphatemia Treatment

Cutting back on dietary phosphorus in addition to taking phosphate binders achieved greater decreases in serum phosphate in PD patients.

Study: Patient Survival Better with HHD than PD

Study: Patient Survival Better with HHD than PD

In a study, home hemodialysis was associated with a 53% decreased risk of death compared with peritoneal dialysis.

Portugal's RRT Incidence Rate Is Highest in Europe

Portugal's RRT Incidence Rate Is Highest in Europe

New report shows that Montenegro had the lowest rate of renal replacement therapy.

Dementia Risk Lower in Peritoneal Dialysis Initiators

Dementia Risk Lower in Peritoneal Dialysis Initiators

Starting on peritoneal dialysis was associated with a 25% lower dementia risk versus starting on hemodialysis, a study showed.

Commission Seeks to End AKI Deaths by 2025

Commission Seeks to End AKI Deaths by 2025

Mission 0by25 hopes to stop preventable deaths from AKI by 2025.

Daily Home Hemodialysis May Have Edge vs. Peritoneal Dialysis

Daily Home Hemodialysis May Have Edge vs. Peritoneal Dialysis

Risk of hospitalization and modality failure is significantly lower, Canadian study finds.

Hyperphosphatemia Raises Coronary Artery Calcification (CAC) Risk in Peritoneal Dialysis

Hyperphosphatemia Raises Coronary Artery Calcification (CAC) Risk in Peritoneal Dialysis

Study of coronary artery calcification (CAC) risk also shows serum phosphorus levels associated with nutritional intake and dialysis adequacy.

Peritoneal Dialysis Offers Early Survival Advantage Over Hemodialysis

Peritoneal Dialysis Offers Early Survival Advantage Over Hemodialysis

New study excluded hemodialysis patients who used central venous catheters for vascular access.

Home Dialysis On the Rise Despite High Cost

Home Dialysis On the Rise Despite High Cost

Experts say that issues of cost to providers have prevented broader application of home dialysis.

Mortality in Lupus Patients Does Not Differ By Dialysis Type

Mortality in Lupus Patients Does Not Differ By Dialysis Type

Large study looked at matched pairs of lupus patients with renal disease starting dialysis with hemodialysis or peritoneal dialysis.

Starting on Peritoneal Dialysis May Offer Survival Edge

Starting on Peritoneal Dialysis May Offer Survival Edge

Highest survival rates found among patients whose initial dialysis modality was PD but where then switched to hemodialysis.

Fracture Risk Varies by Renal Replacement Therapy

Fracture Risk Varies by Renal Replacement Therapy

Hemodialysis patients are at higher risk than peritoneal dialysis and renal transplant recipients.

Hemodialysis Patients Face Higher Hip Fracture Risk

Hemodialysis Patients Face Higher Hip Fracture Risk

The risk is more than 13 times greater than with peritoneal dialysis.

Anemia Management Changing in Peritoneal Dialysis Patients

Anemia Management Changing in Peritoneal Dialysis Patients

Study reveals a decline in the use of erythropoiesis-stimulating agents and an increase in the use of iron.

Dialysis Patient Death Rate Continues to Drop

Dialysis Patient Death Rate Continues to Drop

The adjusted rate fell 26.5% from 1996 to 2011, but remains much higher than in the general population.

Anemic Peritoneal Dialysis Patients May Benefit from Folic Acid

Folic acid treatment significantly improved hemoglobin levels and decreased epoetin alfa use.

New-Onset Diabetes Less Likely with Peritoneal Dialysis

Researchers speculate patients on peritoneal dialysis are more physically active than those on HD, and this may lower diabetes risk.

Vascular Calcification Linked to Lower Phosphate Clearance

Vascular calcification contributes to increased cardiovascular risk in dialysis patients.

Vitamin D Deficiency Hikes Death Risk in Dialysis Patients

Study of patients new to dialysis also demonstrates an increase in the likelihood of hospitalization.

Honey Ineffective in Preventing Peritoneal Dialysis Infections

Honey Ineffective in Preventing Peritoneal Dialysis Infections

No difference in time to peritoneal-dialysis-related infection with honey at exit site, usual care

Peritoneal Dialysis May Reduce Stroke Damage

PD may lower glutamate levels released into the brain during ischemic stroke, minimizing tissue damage

Fluid Overload Increases Kidney Disease Progression Risk

Severe fluid overload in patients with advanced CKD increases by threefold the likelihood of initiation of renal replacement therapy.

Peritoneal Dialysis Cheaper than Hemodialysis Worldwide

Boosting PD use in the U.S. to 12% of dialysis patients from the current 7% would save about $300 million a year, researcher says.

Low Creatinine Raises Death Risk in Peritoneal Dialysis Patients

New findings confirm the prognostic value of serum creatinine levels as a surrogate of muscle mass.

Radiologic Insertion of Tenckhoff Catheters Offers Benefits

Peritoneal dialysis patients can undergo the procedure on an outpatient basis.

PD Exit-Site Infections Raise Peritonitis Risk

Patients on peritoneal dialysis (PD) who experience an exit-site infection (ESI) are at increased risk for peritonitis.

Pulmonary Hypertension Highly Prevalent in Hemodialysis Patients

The condition was found in nearly 32% of hemodialysis patients, compared with only 8% and 5% of peritoneal dialysis and kidney transplant patients.

Kidney Function Decline Slows After Dialysis Start

Hemodialysis and peritoneal dialysis patient experience similar amelioration in glomerular filtration rate decline.

Stroke Risk May Be Lower in Peritoneal Dialysis Patients

They may differ from hemodialysis patients with respect to case mix, volume status, disease management, and routine exposure to anticoagulation.

Sodium Bicarbonate Lowers Phosphorus in PD Patients

Oral sodium bicarbonate may ease hyperphosphatemia in peritoneal dialysis (PD) patients with metabolic acidosis.

Hospitalization Risk Less with PD

Patients initiating dialysis have a lower hospitalization risk in the first year if they start on peritoneal dialysis (PD) instead of hemodialysis (HD).

Infection-Related Hospitalizations More Likely with Peritoneal Dialysis

The risk is three times greater when compared with hemodialysis.

Peritonitis Increases Odds of Mortality in Peritoneal Dialysis Patients

Peritonitis Increases Odds of Mortality in Peritoneal Dialysis Patients

Risk of peritonitis elevated six-fold in 30 days before death in patients on treatment

Hospitalization Risk for Infections Higher with PD

ST. JOHN'S, NEWFOUNDLAND—Patients on peritoneal dialysis (PD) are at 51% higher risk of being hospitalized for infections than those receiving hemodialysis (HD), according to findings presented at the Canadian Society of Nephrology annual meeting.

Many Patients Initially Choose PD, but Start on HD

Many patients start dialysis treatment with hemodialysis (HD) even though they initially had opted for peritoneal dialysis (PD), according to researchers.

Survival Better with HD than PD in CHF Patients

PRAGUE—For patients with congestive heart failure (CHF) who initiate maintenance dialysis, those starting on peritoneal dialysis (PD) have a significantly greater death risk than those starting on hemodialysis (HD), according to a French study.

Study: PD Patients Receive Kidney Transplants Sooner

PRAGUE—End-stage renal disease patients who start on peritoneal dialysis (PD) rather than hemodialysis (HD) spend less time on a renal transplant waiting list before getting a kidney, new findings suggest.

Central Catheters May Explain Higher Risk of Death in HD vs. PD Patients

Hemodialysis (HD) vascular access type at the time of dialysis initiation may be an important modifier that can affect overall patient survival, according to a new Canadian study.

Low Mg May Hike Mortality in PD Patients

Low Mg May Hike Mortality in PD Patients

PHOENIX—Lower serum magnesium levels are a significant predictor of mortality in patient on peritoneal dialysis (PD), researchers found.

Marked Hyperglycemia Raises Death Risk in PD Patients

PHOENIX—Marked hyperglycemia in diabetic patients on chronic peritoneal dialysis (CPD) are at increased risk of death, a study found.

Fungal Pathogens Cause Worse PD Peritonitis

Fungal peritonitis has a worse prognosis than bacterial peritonitis in patients on peritoneal dialysis (PD), according to a study. It is associated with higher rates of catheter removal, technique failure, and mortality.

Iron May Have a Role in Calciphylaxis

New findings suggest that iron may have a role in the pathogenesis of calciphylaxis.

Risk Factor for PD Catheter Failure Identified

A study of risk factors associated with peritoneal dialysis (PD) catheter survival found that a non-infectious catheter-related problem was the only independent variable significantly associated with an increased risk of catheter failure.

Patients Seldom Opt for Peritoneal Dialysis

A survey of 1,621 U.S. dialysis patients shows that although peritoneal dialysis (PD) had been discussed with 61% of those individuals, only 10.9% of the informed patients chose this dialysis method.

More Deaths in First Year After PD-to-HD Switch

Patients with end-stage renal disease (ESRD) who convert to hemodialysis (HD) after failing treatment with peritoneal dialysis (PD) may be at higher death risk in the first year than ESRD patients who used HD as their primary treatment, but researchers caution that the association may not be causal.

Peritoneal Dialysis Called Underused

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

Death Risk Is Lower With Peritoneal Dialysis

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.

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

Central venous catheters are the most prevalent access type in patients who initiated hemodialysis (HD) following a failed renal transplant.

PD May Offer Better QoL to the Elderly

PD May Offer Better QoL to the Elderly

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

Peritoneal Dialysis May Offer Elderly Better Quality of Life

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

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

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

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

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.

Switching to PD Does Not Raise Death Risk

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

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

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.

ACE Inhibitors, ARBs Cut Mortality in PD Patients

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

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

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

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

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

Residual Renal Function Loss Linked to BMI

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

Peritoneal Dialysis Best Way to Start

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

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.

DaVita Offers Dialysis Diet Web Tool

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

SAN DIEGO—A catheter-chewing cockatoo may have led clinicians to a new tool for the treatment of peritoneal dialysis (PD)-related zygomycete peritonitis.

Cytokines Predict Increased Mortality in Dialysis Patients

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

Pentraxin 3 Elevated in HD Patients

Pentraxin 3, a mediator of inflammation, is markedly elevated in patients on hemodialysis (HD) but not in patients on peritoneal dialysis (PD) or in patients with chronic renal failure (CRF) not on dialysis, according to researchers.

Fetuin-A Predicts Death Risk in Dialysis Patients

Serum levels of fetuin-A predictor of all-cause, cardiovascular, and non-cardiovascular mortality in dialysis patients, a Dutch study found.

Fewer Deaths With PD In First 90 Days

Patients who initiate renal replacement therapy on peritoneal dialysis (PD) are about 50% less likely to die within 90 days than those who start on hemodialysis (HD), a study found.

CRP Predicts PD-Associated Peritonitis Outcomes

Higher levels of C-reactive protein (CRP) are independently associated with adverse outcomes in peritonitis associated with peritoneal dialysis (PD), according to Canadian researchers.

Drug Prevents PD Exit-Site Infections

DENVER—Gentamicin cream applied daily to the catheter exit site in patients on peritoneal dialysis (PD) reduces the rate of catheter infection, according to findings presented here at the Annual Dialysis Conference.

Pediatric PD Outcomes Differ By Gender, Race

Outcomes among pediatric peritoneal dialysis (PD) patients differ by gender and race, according to a study.

Oldest Dialysis Population Exploding

Researchers report a dramatic increase in the number of patients in their 80s and 90s starting dialysis.

Type of Dialysis Affects Body Weight

Type of Dialysis Affects Body Weight

Body composition tends to change significantly during the first year of dialysis, but the changes depend on which type of dialysis is administered.

Bone Guidelines Okay for PD Patients

Widely accepted guidelines for managing bone metabolism and disease in CKD patients are valid for the peritoneal dialysis (PD) population, Dutch researchers conclude.

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