Article
Urology & Nephrology
Rehab Albakr, Brian Bieber, Ryan Aylward, Fergus J. Caskey, Gavin Dreyer, Rhys Evans, Murilo Guedes, Vivekanand Jha, Valerie Luyckx, Roberto Pecoits-Filho, Chimota Phiri, Ronald L. Pisoni, Bruce Robinson, Dibya Singh Shah, Elliot Koranteng Tannor, Adrian Liew, Jeffrey Perl
Summary: This study explores the challenges posed by the COVID-19 pandemic on peritoneal dialysis (PD) supply, patient care, and facility practices across different regions. Significant variability and adaptation to the pandemic were observed among PD facilities. The study emphasizes the opportunities to enhance routine PD care, adapt to the ongoing pandemic, and increase preparedness for potential future interruptions in PD care.
KIDNEY INTERNATIONAL REPORTS
(2022)
Article
Urology & Nephrology
Bruno Legendre, Thierry Lobbedez, Cecile Couchoud, Mathilde Lassalle, Isabelle Kazes, Antoine Lanot, Annabel Boyer, Clemence Bechade
Summary: The duration of hemodialysis before transfer to peritoneal dialysis affects the outcomes and survival of patients on peritoneal dialysis.
AMERICAN JOURNAL OF NEPHROLOGY
(2022)
Article
Urology & Nephrology
Jennifer M. Kaplan, Jingbo Niu, Vivian Ho, Wolfgang C. Winkelmayer, Kevin F. Erickson
Summary: The study shows that for patients over 67 years old, peritoneal dialysis (PD) has a significant advantage over in-center hemodialysis in terms of Medicare expenditures, although there is no significant difference in the dialysis modality. Over time, the gap in dialysis expenditures gradually narrowed, while the gap in nondialysis expenditures widened.
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2022)
Article
Urology & Nephrology
Joaquim Barreto, Cynthia Borges, Tais Betoni Rodrigues, Daniel C. Jesus, Alessandra M. Campos-Staffico, Wilson Nadruz, Jose Luiz da Costa, Rodrigo Bueno de Oliveira, Andrei C. Sposito
Summary: The study aimed to evaluate the effects of SGLT2 inhibitors on cardiovascular outcomes in patients with conservatively managed CKD. It was found that dapagliflozin was well tolerated and had nonaccumulating pharmacokinetic properties in patients with kidney failure on dialysis.
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2023)
Article
Urology & Nephrology
Yang Xu, Longkai Li, Marie Evans, Hong Xu, Bengt Lindholm, Juan Jesus Carrero
Summary: This observational study in Sweden found that patients starting peritoneal dialysis (PD) had a higher risk of hospitalization and in-hospital death compared with those on hemodialysis (HD). Common causes of admission were peritonitis and cardiovascular events, with readmission risk not differing between dialysis modalities. Post-discharge monitoring for complications from infections and cardiovascular diseases may help reduce hospital readmissions.
JOURNAL OF NEPHROLOGY
(2021)
Article
Urology & Nephrology
Annie-Claire Nadeau-Fredette, Nidhi Sukul, Mark Lambie, Jeffrey Perl, Simon Davies, David W. Johnson, Bruce Robinson, Wim Van Biesen, Anneke Kramer, Kitty J. Jager, Rajiv Saran, Ronald Pisoni, Christopher T. Chan
Summary: This multinational study found that mortality rates were highest in the first month after transitioning from peritoneal dialysis to hemodialysis, and gradually declined afterwards. Older age, earlier initiation of peritoneal dialysis, and longer peritoneal dialysis duration were associated with increased risk of death.
KIDNEY INTERNATIONAL REPORTS
(2022)
Article
Urology & Nephrology
Qianying Zhang, Pei Wu, Jingyuan Xie, Xiao Li, Tian Xu, Xiaomin Huang, Chunyan Zhang, Nan Chen, Hong Ren
Summary: The use of automated peritoneal dialysis (APD) may be more favorable than hemodialysis (HD) for protecting residual renal function when initiating peritoneal dialysis. Both methods have similar rates of mechanical and infectious complications.
Article
Economics
Eugene Lin, Khristina Lung, Glenn M. Chertow, Jay Bhattacharya, Darius Lakdawalla
Summary: In a study comparing PD and HD among uninsured patients, starting PD later in the month was associated with increased PD uptake. However, no significant differences were observed in mortality, hospitalization rates, or Medicare spending between PD and HD within the first 12 months of treatment.
Article
Medicine, General & Internal
Remi Goupil, Mehdi Benlarbi, William Beaubien-Souligny, Annie-Claire Nadeau-Fredette, Debashree Chatterjee, Guillaume Goyette, Lakshman Gunaratnam, Caroline Lamarche, Alexander Tom, Andres Finzi, Rita S. Suri
Summary: A single dose of the BNT162b2 vaccine did not induce a humoral immune response in most hemodialysis patients without previous SARS-CoV-2 infection, even after prolonged observation. In patients with previous SARS-CoV-2 infection, the antibody response was delayed compared to controls and convalescent plasma.
CANADIAN MEDICAL ASSOCIATION JOURNAL
(2021)
Article
Medicine, General & Internal
Ming-Hsien Tsai, Yun-Yi Chen, Tsrang-Neng Jang, Jing-Tong Wang, Yu-Wei Fang
Summary: This study evaluated the clinical outcomes of patients transitioning from peritoneal dialysis (PD) to hemodialysis (HD) compared to HD-only patients. The findings showed that patients transitioning from PD had a higher risk of all-cause death, especially in the first 5 months after transition.
FRONTIERS IN MEDICINE
(2022)
Article
Health Care Sciences & Services
Stephen Salerno, Garrett Gremel, Claudia Dahlerus, Peisong Han, Jordan Affholter, Lan Tong, Karen Wisniewski, Jesse Roach, Yi Li, Richard A. Hirth
Summary: This study examines the factors influencing the choice of renal dialysis facility for patients. It found that travel distance and quality of care play important roles in determining patient choice. The study suggests that patients are willing to evaluate tradeoffs between distance and quality of care when selecting a facility. The results highlight the importance of quality ratings in informing patients and caregivers.
Review
Pharmacology & Pharmacy
Emily Blaine, Robin Tumlinson, Marion Colvin, Tyler Haynes, Heather P. Whitley
Summary: Chronically uncontrolled hyperglycemia is a common factor in end stage kidney disease (ESKD) that requires dialysis. However, there is a lack of clear clinical recommendations for adjusting insulin dosing during the transition to hemodialysis (HD) or peritoneal dialysis (PD).
Article
Transplantation
Melis Sahinoz, Supisara Tintara, Serpil Muge Deger, Aseel Alsouqi, Rachelle L. Crescenzi, Cindy Mambungu, Andrew Vincz, Olivia Mason, Heather L. Prigmore, Andrew Guide, Thomas G. Stewart, David Harrison, Friedrich C. Luft, Jens Titze, T. Alp Ikizler
Summary: The study revealed that dialysis patients have higher muscle and skin Na+ accumulation compared to controls. Different ethnicities among dialysis patients may have varying levels of muscle and skin Na+. Systemic inflammation is correlated with increased muscle and skin Na+ content in dialysis patients.
NEPHROLOGY DIALYSIS TRANSPLANTATION
(2021)
Article
Urology & Nephrology
Wei Yang, Li Zeng, Huibin Yang, Fujia Guo, Dan Zhou, Wenting Cui, Shuran Wu, Cong Chen, Jiayao Zhao, Weidong Wang, Ning Yang, Hongli Lin, Longkai Li
Summary: This study investigated the impact of national holidays on the health outcomes of peritoneal dialysis (PD) patients. The results showed no significant difference in hospitalization, death, and peritonitis rates between holiday and non-holiday groups based on ten-year data in our center.
Review
Urology & Nephrology
Frances F. Tian, Yoshio N. Hall, Sauntia Griffin, Torie Kranze, Debra Marcella, Suzanne Watnick, Ann M. O'Hare
Summary: Reliable transportation is crucial for accessing healthcare and achieving positive health outcomes, particularly for individuals with ESKD. In the US, there are nearly half a million patients undergoing in-center dialysis, resulting in over 70 million roundtrips to dialysis centers annually. Transportation difficulties can negatively impact patients' quality of life, leading to missed or shortened dialysis treatments and an increased risk of hospitalization. The lack of coverage for nonemergency medical transportation by Medicare, the primary payer for dialysis, places the burden of travel on patients, families, and ill-equipped private and public entities. This article reviews the relationship between reliable transportation and health outcomes for dialysis patients and explores potential opportunities for improvement in transportation delivery.
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2023)