Peritoneal dialysis

The level of physical activity of people undergoing haemodialyses is low, so understanding what factors underlie the motivation to be physically active in people undergoing haemodialyses is important. Therefore, this qualitative study aims to explore the different motivation types and corresponding basic psychological needs (BPNs) of people undergoing haemodialyses based on self-determination theory.

With the growing number of dialysis patients with frailty, the concept of renal rehabilitation, including exercise intervention and nutrition programs for patients with chronic kidney disease (CKD), has become popular recently. Renal rehabilitation is a comprehensive multidisciplinary program for CKD patients that is led by doctors, rehabilitation therapists, diet nutritionists, nursing specialists, social workers, pharmacists, and therapists. Many observational studies have observed better outcomes in CKD patients with more physical activity. Furthermore, recent systematic reviews have shown the beneficial effects of exercise intervention on exercise tolerance, physical ability, and quality of life in dialysis patients, though the beneficial effect on overall mortality remains unclear. Nutritional support is also fundamental to renal rehabilitation.

One in 500 Americans is on kidney dialysis. Extreme-weather events can threaten their lives. Renal-care experts told Insider how they keep patients alive when big storms hit. The moment the phone rings with a weather notification, teams slam a metaphorical red button.

“Given the clinical importance of gout in patients with kidney failure (KF) on dialysis, there remains an important unmet need to assess its prevalence and impact on key clinical and PROs, as well as to describe urate lowering therapy (ULT) practice patterns in KF populations,” investigators wrote. “We sought to address these objectives to further characterize the clinical impact of gout on individuals living with KF undergoing kidney replacement therapy (KRT).”

Peritoneal dialysis (PD) became an alternative to haemodialysis in the 1980s. Many patients prefer the independence it brings. Since you don’t have to have dialysis sessions at a dialysis unit, you can give yourself treatments at home, at work or on holiday. But this independence makes it especially important that you work closely with your healthcare team: your GP, nephrologist (kidney doctor), dialysis nurse, dialysis technician, dietitian and social worker. Some people find the overnight PD machine a bit noisy but many get used to it and are able to sleep during the session. 

Microinflammation and peritoneal fibrosis can lead to peritoneal failure in CAPD. Indobufen is a novel antiplatelet drug that can alleviate renal fibrosis and improve renal function in patients with diabetic nephropathy. Indobufen can improve the peritoneal transport function in patients undergoing CAPD. The mechanism of indobufen improving the peritoneal function might be related to the improvement of the microinflammatory state and peritoneal fibrosis.

Considering the findings of this study and the novelty of the subject, and the fact that mupirocin causes antimicrobial resistance and is more expensive than propolis, there is some room to hope that using propolis as alternative medicine may reduce treatment costs and help avoid causing antimicrobial resistance.

Fatigue not only has a high incidence in dialysis patients, but also has a serious adverse impact on the quality of life of dialysis patients. To compare the difference of fatigue in patients on peritoneal dialysis (PD) versus hemodialysis (HD), and explore the association of fatigue with nutrition and inflammation of patients on PD or HD. Our study will provide a basis for the prevention and intervention of fatigue in dialysis patients.

Urgent-start peritoneal dialysis refers to treatment that is commenced within 2 weeks of catheter placement. Urgent-start peritoneal dialysis represents an efficacious, cost-effective alternative to the conventional approach of commencing dialysis. There is a paucity of evidence to guide management, however experience with the technique is increasing. This article overviews the rationale and practical application of urgent-start peritoneal dialysis.

When you’re struggling to deal with kidney disease, the additional pressures of trying to make ends meet and keeping your utilities on can make life very difficult. As many of you will know, people with CKD are anaemic and frequently feel cold, even in a warm room. Extreme fatigue often associated with CKD exacerbates this and makes it more difficult for people to keep themselves warm. The impact this has on heating bills is particularly felt by those who cannot work due to their condition.

Patients with recent-onset dialysis are more prone to psychiatric illnesses as it has a chronic debilitating course with poor outcome leading to major lifestyle changes with occupational disturbance and consequent financial implication.

The outcomes of this experience proved favorable and showed that PD could serve as a viable option for kidney failure patients in Palestine. Moreover, this study can serve as an example for other places where circumstances are challenging to take the initiative of starting their PD programs.

Dialysis therapy includes hemodialysis to purify the blood using an artificial kidney (dialyzer) and peritoneal dialysis to purify the blood through one's own peritonea.

CP is universally present in PD patients, and the presentation of periodontitis influences the systemic inflammatory state, nutritional status and calcium and phosphorus metabolism in PD patients. CP is a risk factor for PDAP.

Know someone who would like to donate a kidney? Visit the National Kidney Registry to start the process.

The first successful kidney transplant took place in 1954, using a live donor's twin brother. For a while, that was the standard route for donating the organ, as society felt squeamish about using organs from deceased donors. Eventually, around the mid-1960s, new guidelines about brain death from Harvard Medical school allowed donations from the deceased to become commonplace.

Side effects can be mild or severe, depending on your condition and whether or not you're following your dietary and fluid guidelines. Most side effects can be managed if you follow your care team's recommendations.

People suffring from end stage renal disease are compeled to follow a life time treatment either by dialysis or transplantation. This is cross sectionnal study comparing the quality of life between hemodialysis and peritoneal dialysis patients using KDQOL scale in Moroccan dialysis facilities .

Z J Twardowski, B F Prowant; Current approach to exit-site infections in patients on peritoneal dialysis., Nephrology Dialysis Transplantation, Volume 12, Issue

#kidneydisease #kidneyfailure #peritonealdialysis #diabetes #hypertension

In patients with end-stage kidney disease, cardiovascular disease is the leading cause of morbidity and mortality. Currently, the most common therapy worldwide for patients with treated kidney failure. is thrice-weekly in-center hemodialysis for 3 to 5 hours per session. However, thrice-weekly in-center hemodialysis yields poor outcomes.