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Peritoneal dialysis

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https://www.readbyqxmd.com/read/29928142/peritoneal-dialysis-related-peritonitis-challenges-and-solutions
#1
REVIEW
William L Salzer
Peritoneal dialysis is an effective treatment modality for patients with end-stage renal disease. The relative use of peritoneal dialysis versus hemodialysis varies widely by country. Data from a 2004 survey reports the percentage of patients with end-stage renal disease treated with peritoneal dialysis to be 5%-10% in economically developed regions like the US and Western Europe to as much as 75% in Mexico. This disparity is probably related to the availability and access to hemodialysis, or in some cases patient preference for peritoneal over hemodialysis...
2018: International Journal of Nephrology and Renovascular Disease
https://www.readbyqxmd.com/read/29927463/expenses-of-the-brazilian-public-healthcare-system-with-chronic-kidney-disease
#2
Paulo Roberto Alcalde, Gianna Mastroianni Kirsztajn
INTRODUCTION: The prevalence of chronic kidney disease (CKD) is increasing worldwide, with costs that can be impeditive. OBJECTIVE: To establish the expenses of the Brazilian Public Healthcare System (SUS), with hospitalizations due to CKD and related diseases; evaluating expenses with renal replacement therapy (RRT). METHODS: We have assessed the values paid by the SUS in the triennium 2013-2015, for estimating annual expenses with CKD treatment and hospitalization, associated diseases, and exams...
June 4, 2018: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
https://www.readbyqxmd.com/read/29927461/the-enigma-of-aluminum-deposition-in-bone-tissue-from-a-patient-with-chronic-kidney-disease-a-case-report
#3
Rodrigo Dias de Meira, Cinthia Esbrile Moraes Carbonara, Kélcia Rosana da Silva Quadros, Carolina Urbini Dos Santos, Patrícia Schincariol, Gustavo de Souza Pêssoa, Marco Aurélio Zezzi Arruda, Vanda Jorgetti, Rodrigo Bueno de Oliveira
About four decades ago, the relationship between dialysis-dementia and aluminum (Al) began to be established. The restriction of drugs containing Al and improvements on water quality used for dialysis resulted in the clinical disappearance of Al intoxication. However, high prevalence of Al deposition in bone tissue from Brazilian dialysis patients is still being detected. Through the case report of a patient on hemodialysis (HD) for one year, presenting significant Al deposition in bone tissue, we speculated if this problem is not being underestimated...
June 4, 2018: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
https://www.readbyqxmd.com/read/29926521/health-related-quality-of-life-and-health-utility-of-chinese-patients-undergoing-nocturnal-home-haemodialysis-in-comparison-to-other-modes-of-dialysis
#4
Carlos K H Wong, Julie Y Chen, Samuel K S Fung, Wai Kei Lo, Sing Leung Lui, Daniel T M Chan, Yuk Lun Cheng, Irene Kong, Eric Y F Wan, Cindy L K Lam
BACKGROUND: To compare the health-related quality of life (HRQOL) and health utility of Chinese patients with end-stage renal disease (ESRD) undergoing nocturnal home haemodialysis against those patients undergoing other modes of dialysis. METHODS: Chinese ESRD patients undergoing nocturnal home haemodialysis were recruited in renal specialist outpatient clinics at three public hospitals in Hong Kong. SF-12 Health Survey (SF-12) was used to measure HRQOL and generate the SF-6D heath utility score...
June 21, 2018: Nephrology
https://www.readbyqxmd.com/read/29926368/the-effect-of-periodontal-disease-treatment-in-patients-with-continuous-ambulatory-peritoneal-dialysis
#5
Zekeriya Tasdemir, Funda Özsarı Tasdemir, Cem Gürgan, Eray Eroglu, Inayet Gunturk, Ismail Kocyigit
PURPOSE: Chronic inflammation is an obvious risk factor of atherosclerotic diseases, and the presence of periodontal disease is one of the important sources of chronic inflammation in patients with chronic kidney disease (CKD) and diabetes mellitus (DM). Thus, we aimed to investigate the effects of non-surgical periodontal therapy of the patients undergoing CAPD due to diabetic nephropathy, diabetic patients without CKD, and healthy controls on inflammation exponents. METHODS: Thirty-two CAPD patients due to diabetic nephropathy (group III), 31 diabetic patients without nephropathy (group II), and 38 healthy subjects (group I) were enrolled to the study...
June 20, 2018: International Urology and Nephrology
https://www.readbyqxmd.com/read/29926312/biocompatibility-of-a-new-pd-solution-for-japan-reguneal%C3%A2-measured-as-in-vitro-proliferation-of-fibroblasts
#6
Bart Dioos, Goedele Paternot, Rose-Marie Jenvert, Annick Duponchelle, Mark R Marshall, Migaku Nakajima, Edward Ramirez Ganoza, James A Sloand, Anders P Wieslander
BACKGROUND: The aim of this study was to investigate in vitro biocompatibility of Reguneal™, a new bicarbonate containing peritoneal dialysis fluid (PDF) for Japan, and compare it with other PDFs available in that country. METHODS: We assessed basal cytotoxicity using in vitro proliferation of cultured fibroblasts, L-929, determining the quantity of living cells by the uptake of Neutral Red. Levels of ten glucose degradation products (GDPs) were measured by a validated ultrahigh-performance liquid chromatography method in combination with an ultraviolet detector...
June 20, 2018: Clinical and Experimental Nephrology
https://www.readbyqxmd.com/read/29925739/-treatment-of-mandibular-fracture-associated-infectious-pseudarthrosis-accompanied-by-osteomyelitis-in-a-peritoneal-dialysis-patient
#7
Soichi Hirashima, Akihiko Miyawaki, Kotaro Oho, Yawaka Shitozawa, Motohiro Arai, Norihiko Furuta, Ryoichi Oya
Peritoneal dialysis can be performed at home, and the transfer of solutes in the blood and other body fluids is slow compared to hemodialysis, reducing the load on the circulatory organs and lessening the frequency of hospital visits. We encountered a male patient in his 70s on peritoneal dialysis for end-stage renal failure who developed obsolete mandibular fracture-associated pseudarthrosis accompanied by osteomyelitis, which was treated with noninvasive reduction and fixation using circumferential wiring after the resolution of inflammation...
2018: Journal of UOEH
https://www.readbyqxmd.com/read/29921962/differences-in-the-prevalence-of-sarcopenia-in-peritoneal-dialysis-patients-using-hand-grip-strength-and-appendicular-lean-mass-depends-upon-guideline-definitions
#8
Asmat Abro, Lara-Anne Delicata, Surachet Vongsanim, Andrew Davenport
BACKGROUND: Peritoneal dialysis (PD) patients with sarcopenia have increased risk of mortality. There is consensus that sarcopenia should combine assessments of muscle function and mass. We wished to determine the effect of using different operational definitions in PD patients. METHODS: Hand grip strength (HGS) and segmental bioimpedance derived appendicular lean mass (ALM) were measured and the prevalence of sarcopenia determined using the Foundation for the National Institutes of Health Sarcopenia Project (FNIH), European Working Group on Sarcopenia Older Persons (EWGSOP), and Asian Working Group on Sarcopenia (AWGS) definitions...
June 19, 2018: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29921575/shen-shuai-ning-granule-decreased-serum-concentrations-of-indoxyl-sulfate-in-uremic-patients-undergoing-peritoneal-dialysis
#9
Xujiao Chen, Shouhong Gao, Mengna Ruan, Sixiu Chen, Jing Xu, Xiaohong Xing, Xiaohong Pan, Changlin Mei, Zhiguo Mao
Background Clearance of protein-bound uremic toxins (PBUTs) by dialysis is a challenge in the treatment of uremic patients. Shen-Shuai-Ning(SSN), a traditional Chinese medicine formulation, has been used commonly in China to retard kidney disease progression and decrease uremic toxins in chronic kidney disease patients, but the effects of SSN on serum PBUTs in dialysis patients were not investigated. Methods We conducted a randomized controlled trial in patients on peritoneal dialysis (PD) at dialysis center of Changzheng Hospital to evaluate the effects of SSN on serum PBUTs...
June 19, 2018: Bioscience Reports
https://www.readbyqxmd.com/read/29920874/the-importance-of-residual-kidney-function-in-haemodialysis-patients
#10
REVIEW
Jessica Kong, Matthew Davies, Peter Mount
In contrast to peritoneal dialysis, residual kidney function is commonly disregarded for haemodialysis patients, and not regularly monitored or taken into account in routine clinical care. This is despite evidence that higher levels of residual kidney function in haemodialysis patients associate with better outcomes including survival, total solute clearance, nutrition, inflammation, and fluid balance. This review aims to summarise the clinical effects of residual kidney function specifically in haemodialysis patients...
June 19, 2018: Nephrology
https://www.readbyqxmd.com/read/29915660/a-rare-case-of-peritonitis-due-to-brevundimonas-vesicularis
#11
Colin Bolzon, Binh Hoa Nguyen
Healthcare associated infections due to gram negative bacilli are a major concern among healthcare institutions. While Pseudomonas and Escherichia coli species are known major organisms; other lesser known species can also cause primary infection. We present a case of peritonitis in a patient on a peritoneal dialysis regimen due to Brevundimonas vesicularis.
2018: Journal of Community Hospital Internal Medicine Perspectives
https://www.readbyqxmd.com/read/29912249/-peritoneal-dialysis-related-infections-in-pediatric-patients-diagnosis-and-treatment-review
#12
M Carolina Rivacoba, M Luisa Ceballos, Paulina Coria
Peritoneal dialysis-related infections are the main complication in pediatric patients undergoing this renal replacement therapy, associating a high rate of morbidity, generating also a decreasing survival of the peritoneal membrane and worsening the patient outcome. We describe the recommended diagnostic and therapeutic modalities to treat dialysis-related in children.
April 2018: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
https://www.readbyqxmd.com/read/29910844/comparing-treatment-modalities-for-end-stage-renal-disease-a-meta-analysis
#13
Gilbert L Queeley, Ellen S Campbell
Background: End-stage renal disease (ESRD) imposes significant economic and social burdens on patients and healthcare systems. In the United States alone, more than 600,000 Americans have ESRD, with an estimated annual cost of treatment of more than $30 billion. Peritoneal dialysis and hemodialysis are competing renal replacement therapies in ESRD; however, data comparing quality-of-life outcomes between these 2 modalities are limited. Objectives: To compare the effectiveness of peritoneal dialysis with the more common treatment modality of hemodialysis on the health-related quality of life (HRQoL) of patients with ESRD in the general, physical, and psychological domains; and to determine whether the time of publication and the origin of each study influenced its findings regarding the effectiveness of the 2 modalities...
May 2018: American Health & Drug Benefits
https://www.readbyqxmd.com/read/29902370/the-instituto-mexicano-del-seguro-social-gives-dialysis-therapies-to-426-students-without-cost
#14
Antonio Méndez-Durán, Manuel Humberto Ignorosa-Luna, Gilberto Pérez-Aguilar, Francisco Jesús Rivera-Rodríguez, Luis Rafael López-Ocaña
Background: The Instituto Mexicano del Seguro Social (IMSS) is the institution with the greatest health coverage in Mexico. In adherence to existing and committed to provide specialized services to specific populations (vulnerable age groups, such as children and young people in primary, secondary and higher education, productive and without social security educational training), this gives the renal replacement therapy -peritoneal dialysis and hemodialysis- at no cost to students. Methods: Cross-sectional and retrospective study conducted from 1 to 30 September 2016; Census Patients with Chronical Renal Failure, sociodemographic and type of therapy are identified; direct costs are estimated...
March 2018: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/29900002/hospitalizations-in-dialysis-patients-in-canada-a-national-cohort-study
#15
Amber O Molnar, Louise Moist, Scott Klarenbach, Jean-Philippe Lafrance, S Joseph Kim, Karthik Tennankore, Jeffrey Perl, Joanne Kappel, Michael Terner, Jagbir Gill, Manish M Sood
Background: Hospitalizations of chronic dialysis patients have not been previously studied at a national level in Canada. Understanding the scope and variables associated with hospitalizations will inform measures for improvement. Objective: To describe the risk of all-cause and infection-related hospitalizations in patients on dialysis. Design: Retrospective cohort study using health care administrative databases. Setting: Provinces and territories across Canada (excluding Manitoba and Quebec)...
2018: Canadian Journal of Kidney Health and Disease
https://www.readbyqxmd.com/read/29900001/transfusion-management-of-incident-dialysis-patients-in-canada-a-prospective-observational-study
#16
Aminu K Bello, Christine M Ribic, Serge H Cournoyer, Mercedeh Kiaii, Martine LeBlanc, Melanie Poulin-Costello, David N Churchill, Norman Muirhead
Background: Several studies have demonstrated harm associated with using erythropoiesis-stimulating agents (ESA) to achieve higher hemoglobin (Hb) levels. Subsequently, more conservative use of ESAs has changed anemia therapy in patients with chronic renal failure. Objective: The objectives were to identify transfusion rates in hemodialysis (HD) patients during the first year of therapy, to identify factors associated with the probability of transfusion, describe reasons for the transfusions, and identify the Hb values associated with each transfusion...
2018: Canadian Journal of Kidney Health and Disease
https://www.readbyqxmd.com/read/29898487/-renal-replacement-procedure-information-education-documentation
#17
Jan Galle, Jana Reitlinger
In renal replacement therapy, different methods are available: hemodialysis (HD), peritoneal dialysis (PD), and kidney transplantation (KTx). In addition, variants can be used: HD as a home HD or center HD, PD as a conventional PD or automated (cycler) PD, KTx as a potentially short-term predictable living donation or conventional donor kidney donation. The patient and his familiar or caring environment must be informed accordingly. This means first of all: information about which procedures of kidney replacement therapy are possible and can be offered...
June 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29896815/hemodialysis-related-amyloidosis-is-it-still-relevant
#18
Shuzo Kaneko, Kunihiro Yamagata
Accumulation of amyloid fibrils from β2-microglobulin (β2M) was first recognized as a characteristic osteoarticular complication in long-term hemodialysis (HD) patients and called "HD-related amyloidosis" (HRA). However, this syndrome can also be observed in end-stage renal diseases (ESRD) patients undergoing peritoneal dialysis, and even in patients with chronic renal failure before the initiation of dialytic therapy, suggesting that HD is not a direct cause but that accumulation of β2M or some β2M-associated molecules in the body is a common pathogenesis...
June 12, 2018: Seminars in Dialysis
https://www.readbyqxmd.com/read/29895003/depression-and-physical-frailty-have-additive-effect-on-the-nutritional-status-and-clinical-outcome-of-chinese-peritoneal-dialysis
#19
Cheuk-Chun Szeto, Gordon Chun-Kau Chan, Jack Kit-Chung Ng, Kai-Ming Chow, Bonnie Ching-Ha Kwan, Phyllis Mei-Shan Cheng, Vickie Wai-Ki Kwong, Man-Ching Law, Chi-Bon Leung, Philip Kam-Tao Li
BACKGROUND/AIMS: Frailty and depression both contribute to malnutrition and adverse clinical outcome of peritoneal dialysis (PD) patients. However, their interaction is incompletely defined. METHODS: We studied 178 adult Chinese PD patients. Physical frailty was assessed by a validated in-house questionnaire; depressive symptoms was screened by the Geriatric Depression Scale; nutritional status was determined by subjective global assessment (SGA) and malnutrition inflammation score (MIS)...
June 7, 2018: Kidney & Blood Pressure Research
https://www.readbyqxmd.com/read/29891748/characteristics-of-patients-initializing-peritoneal-dialysis-treatment-from-2007-to-2014-analysis-from-henan-peritoneal-dialysis-registry-data
#20
Xiaoxue Zhang, Ying Chen, Yamei Cai, Xing Tian, Jing Xiao, Zhanzheng Zhao, Dahai Yu
INTRODUCTION: This study aimed to assess the number and profiles of patients initializing peritoneal dialysis form the Henan Peritoneal Dialysis Registry, a provincial database in central China. MATERIALS AND METHODS: All patients aged 18 years and greater, initializing peritoneal dialysis within the province during 2007 to 2014 were included. Demographic characteristics were collected and clinical parameters included the type of renal diagnosis (primary glomerular, secondary glomerular, and others) and recorded major comorbidities in the neural, cardiovascular, respiratory, gastrointestinal, and endocrine systems...
May 2018: Iranian Journal of Kidney Diseases
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