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"I Feel My Catheter Moving Around": A clue for the diagnosis of late pregnancy while on peritoneal dialysis. "我感觉到我的导管在移动"：腹膜透析时诊断晚期妊娠的线索。
IF 3.7 3区 医学
Peritoneal Dialysis International Pub Date : 2026-05-01 Epub Date: 2024-11-06 DOI: 10.1177/08968608241297860
Amanda Kalishman, Khadeeja Ashai, Marie D Philipneri, Kana N Miyata
{"title":"\"I Feel My Catheter Moving Around\": A clue for the diagnosis of late pregnancy while on peritoneal dialysis.","authors":"Amanda Kalishman, Khadeeja Ashai, Marie D Philipneri, Kana N Miyata","doi":"10.1177/08968608241297860","DOIUrl":"10.1177/08968608241297860","url":null,"abstract":"","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"296-297"},"PeriodicalIF":3.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sex-based variations in PD outcomes. PD结果的性别差异。
IF 1.8 3区 医学
Peritoneal Dialysis International Pub Date : 2026-05-01 Epub Date: 2025-09-24 DOI: 10.1177/08968608251381956
Omer Faruk Akcay
{"title":"Sex-based variations in PD outcomes.","authors":"Omer Faruk Akcay","doi":"10.1177/08968608251381956","DOIUrl":"10.1177/08968608251381956","url":null,"abstract":"<p><p>This letter comments on the study by Thongprayoon et al., which examines sex disparities in outcomes among patients undergoing peritoneal dialysis (PD). While the analysis of a large national dataset offers valuable insights, the absence of dialysis-specific parameters such as residual renal function and dialysis vintage may limit causal interpretation. The finding that women were less likely to switch to hemodialysis, particularly younger patients without cardiovascular disease, is noteworthy. Complementary Australian registry data indicate that men are more likely to discontinue PD due to inadequate dialysis, mediated mainly by comorbidities. Together, these findings emphasize that sex differences in PD outcomes are multifactorial and shaped by comorbidity and care delivery rather than sex alone.</p>","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"292-293"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The sex factor in peritoneal dialysis: Advantage or inequity? 腹膜透析中的性别因素：优势还是不公平？
IF 3.7 3区 医学
Peritoneal Dialysis International Pub Date : 2026-05-01 Epub Date: 2026-03-18 DOI: 10.1177/08968608261432161
Ahmad Makeen, Wendy Wq Ye
{"title":"The sex factor in peritoneal dialysis: Advantage or inequity?","authors":"Ahmad Makeen, Wendy Wq Ye","doi":"10.1177/08968608261432161","DOIUrl":"10.1177/08968608261432161","url":null,"abstract":"","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"197-201"},"PeriodicalIF":3.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rare case of bilateral fallopian tube invasion of a peritoneal dialysis catheter: Review of the literature. 腹膜透析导管侵入双侧输卵管的罕见病例：文献回顾。
IF 3.7 3区 医学
Peritoneal Dialysis International Pub Date : 2026-05-01 Epub Date: 2025-11-10 DOI: 10.1177/08968608251393366
Joshua Choo, Marissa Stilianos, Katharine Hegerty, Yeoungjee Cho, David W Johnson
{"title":"Rare case of bilateral fallopian tube invasion of a peritoneal dialysis catheter: Review of the literature.","authors":"Joshua Choo, Marissa Stilianos, Katharine Hegerty, Yeoungjee Cho, David W Johnson","doi":"10.1177/08968608251393366","DOIUrl":"10.1177/08968608251393366","url":null,"abstract":"<p><p>Peritoneal dialysis (PD) catheter dysfunction is an important mechanical complication in patients undergoing PD. Although there are many causes of mechanical obstruction causing PD catheter dysfunction, very rarely the obstruction can be caused by fallopian tubes. We report a case of a 42-year-old female who experienced PD catheter dysfunction at 6 weeks post-PD catheter insertion from fallopian tube invasion of the PD catheter. Diagnosis was confirmed using laparoscopy with intraoperative interventions to release the fimbriae from the drainage holes and no further recurrence at 3 months of follow up. Right fallopian tube involvement was more commonly seen in previous reports however our case was the first to be reported to involve both fallopian tubes.</p>","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"285-291"},"PeriodicalIF":3.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145488988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Engagement and usability of a mobile health app for peritoneal dialysis patients: A pilot randomized controlled trial. 腹膜透析患者移动健康应用程序的参与和可用性：一项随机对照试验。
IF 3.7 3区 医学
Peritoneal Dialysis International Pub Date : 2026-05-01 Epub Date: 2025-05-21 DOI: 10.1177/08968608251339578
Javier Cely, Cesar Doria, Maria P Dazzarola, Alvaro Del Castillo Farre, Antony Martinez, David Camargo, Mauricio Sanabria, Jasmin Vesga, Ricardo Sanchez, Bengt Lindholm, Angela Rivera, Peter Rutherford
{"title":"Engagement and usability of a mobile health app for peritoneal dialysis patients: A pilot randomized controlled trial.","authors":"Javier Cely, Cesar Doria, Maria P Dazzarola, Alvaro Del Castillo Farre, Antony Martinez, David Camargo, Mauricio Sanabria, Jasmin Vesga, Ricardo Sanchez, Bengt Lindholm, Angela Rivera, Peter Rutherford","doi":"10.1177/08968608251339578","DOIUrl":"10.1177/08968608251339578","url":null,"abstract":"<p><p>BackgroundRemote monitoring programs for peritoneal dialysis (PD) have emerged with evidence of improved clinical and system-related outcomes in automated PD (APD) patients. The digital revolution now includes digital applications (apps) for mobile devices in healthcare. We evaluated the usability and patient engagement of using a newly developed mobile health app, MyPD app, for the care of continuous ambulatory PD (CAPD) and APD patients.MethodsThis randomized controlled, open-label, parallel-group trial was conducted in adult prevalent CAPD and APD patients. One arm used the MyPD app in addition to standard of care, while the other followed the standard of care in PD only. The follow-up was for six months. The primary outcome was engagement measured as frequency of communication between clinic and patient and, vice versa, number of preemptive visits and changes in dialysis prescription. Secondary outcomes included usability, peritonitis events, and number of hospitalizations, emergency room visits, and antihypertensive medicationsResultsA total of 140 patients were included in this study, 70 in the MyPD group and 70 in the standard care group. Their mean age was 52 ± 17 years; 68 (49%) patients received CAPD, while 72 (51%) received APD with remote monitoring based on the Sharesource platform.The mean number of communications between the clinic and patients during follow-up was 4.3 ± 5.2 for MyPD group and 1.2 ± 2.3 for standard of care, <i>p</i> < 0.01. The overall usability score was 6.5 ± 0.7, the maximum possible score is 7.ConclusionsThe use of MyPD app was associated with increased engagement between PD clinic and patients and high usability. The findings from the study are encouraging for integration of mobile health apps like MyPD into routine care in PD as tools to improve communication.</p>","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"223-232"},"PeriodicalIF":3.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing exit-site care for hospitalized peritoneal dialysis patients with weekly chlorhexidine-impregnated dressing. 每周氯己定浸渍敷料优化腹膜透析住院患者的现场护理。
IF 3.7 3区 医学
Peritoneal Dialysis International Pub Date : 2026-05-01 Epub Date: 2025-05-21 DOI: 10.1177/08968608251344077
Htay Htay, Wei Wang, Mathini Jayaballa, Su Fong Kok, Zheng Xi Kog, Khin Zar Li Lwin, Elizabeth Ley Oei, Chieh Suai Tan, Marjorie Wai Yin Foo
{"title":"Optimizing exit-site care for hospitalized peritoneal dialysis patients with weekly chlorhexidine-impregnated dressing.","authors":"Htay Htay, Wei Wang, Mathini Jayaballa, Su Fong Kok, Zheng Xi Kog, Khin Zar Li Lwin, Elizabeth Ley Oei, Chieh Suai Tan, Marjorie Wai Yin Foo","doi":"10.1177/08968608251344077","DOIUrl":"10.1177/08968608251344077","url":null,"abstract":"<p><p>IntroductionPeritoneal dialysis (PD) catheter exit site care is crucial to prevent exit site or tunnel tract infection. Daily exit site care for hospitalized PD patients can be time-consuming for nurses. Therefore, an alternative approach with less frequent exit site care is needed.MethodsThe quality improvement (QI) initiative was conducted at a single center in Singapore from August 2021 to February 2022, during the COVID-19 pandemic. This initiative aimed to reduce nursing time spent on exit site care for hospitalized PD patients using weekly chlorhexidine-impregnated sponge dressings.ResultsA total of 211 PD patients received weekly chlorhexidine-impregnated dressings during their admission. The total length of stay was 3714 days, with a median stay of 6 (interquartile range: 3-13) days per patient. Most patients were Chinese (78%), and 59% were male. PD nurses spent a median of 104.9 min (Interquartile range [IQR]: 99.3-129.7) per patient per month on exit-site care with daily antibiotic dressing before this initiative. After the QI initiative, this was reduced to 31.3 min (IQR: 26.6-31.6), achieving a 70% reduction. A total of 696 chlorhexidine dressings were used, instead of an estimated 3714 conventional dressings. Nursing time for dressing changes was 116 h with chlorhexidine, versus an assumed 619 h with conventional daily dressing, resulting in a net saving of 503 h. The total cost for chlorhexidine dressings was Singapore Dollars (S$) 20,880, compared to estimated S$ 74,280 for conventional dressings, yielding a net savings of S$ 53,400. No patients developed exit-site infections, and no adverse events were observed with the chlorhexidine dressings.ConclusionsThe QI initiative showed that weekly chlorhexidine-impregnated dressing significantly reduced nursing time for exit-site care in hospitalized PD patients without short-term adverse events, potentially lowering healthcare costs.</p>","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"265-269"},"PeriodicalIF":3.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiology of peritoneal dialysis exit site infections: Does sex play a role? 腹膜透析出口感染的流行病学：性别是否起作用？
IF 3.7 3区 医学
Peritoneal Dialysis International Pub Date : 2026-05-01 Epub Date: 2025-09-02 DOI: 10.1177/08968608251371943
Hannah Beckwith, Lourelei Cepe, Sally Punzalan, Anan Ghazy, Gaetano Lucisano, Richard Corbett, Edwina A Brown
{"title":"Epidemiology of peritoneal dialysis exit site infections: Does sex play a role?","authors":"Hannah Beckwith, Lourelei Cepe, Sally Punzalan, Anan Ghazy, Gaetano Lucisano, Richard Corbett, Edwina A Brown","doi":"10.1177/08968608251371943","DOIUrl":"10.1177/08968608251371943","url":null,"abstract":"<p><p>Identifying risk factors that pre-dispose people on peritoneal dialysis (PD) to develop exit site infections (ESIs) may help improve prevention and treatment. Given the differences anatomically, hormonally and of the microbiota profile between males and females, we hypothesised that there is a difference in ESI incidence, outcomes, and the epidemiology of organism-specific ESI between males and females. This study was a retrospective case note review of all PD patients at our centre between 2012 and 2024. Of the 486 patients on PD, 202 (42%) were female and 273 positive swabs from 151 patients were identified (0.18 patient episodes/year). We found no statistically significant difference in the incidence of ESI between sexes in our cohort. Gram-positive organisms accounted for 126/273 (46.2%) of all ESI swabs, suggesting that current empiric antibiotic therapy potentially offers effective treatment for less than half of ESI only. We found significant morbidity from ESI: 39 (14%) patients developed peritonitis and 40 (15%) required catheter removal. Sex had no influence on ESI incidence, microbiology of infection or outcome.</p>","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"261-264"},"PeriodicalIF":3.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding sex-related differences in peritoneal dialysis: Evidence, limitations, and next steps. 了解腹膜透析的性别相关差异：证据、局限性和下一步。
IF 3.7 3区 医学
Peritoneal Dialysis International Pub Date : 2026-05-01 Epub Date: 2025-10-24 DOI: 10.1177/08968608251389299
Charat Thongprayoon, Wisit Kaewput, Wisit Cheungpasitporn
{"title":"Understanding sex-related differences in peritoneal dialysis: Evidence, limitations, and next steps.","authors":"Charat Thongprayoon, Wisit Kaewput, Wisit Cheungpasitporn","doi":"10.1177/08968608251389299","DOIUrl":"10.1177/08968608251389299","url":null,"abstract":"<p><p>We appreciate Dr Akcay's insightful comments. His observations provide valuable context and highlight important considerations for future research. We hope our work will serve as a foundation for further investigation into sex-associated risks in peritoneal dialysis and contribute to optimizing high-quality patient care for all individuals. Looking ahead, future studies should integrate dialysis-specific measures, explore mechanistic pathways, and incorporate patient-centered outcomes to better characterize sex-associated differences in peritoneal dialysis.</p>","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"294-295"},"PeriodicalIF":3.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145368545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Severe uterovaginal prolapse and start of peritoneal dialysis: Role of colpocleisis surgery. Report of two cases. 严重子宫脱垂和腹膜透析的开始：结肠切除手术的作用。两个病例的报告。
IF 3.7 3区 医学
Peritoneal Dialysis International Pub Date : 2026-05-01 Epub Date: 2024-11-15 DOI: 10.1177/08968608241297625
Giulia Boni Brivio, Enrica Bar, Silvia Giuliani, Althea Cossettini, Agnese Cappelletti, Giusto Viglino, Loris Neri
{"title":"Severe uterovaginal prolapse and start of peritoneal dialysis: Role of colpocleisis surgery. Report of two cases.","authors":"Giulia Boni Brivio, Enrica Bar, Silvia Giuliani, Althea Cossettini, Agnese Cappelletti, Giusto Viglino, Loris Neri","doi":"10.1177/08968608241297625","DOIUrl":"10.1177/08968608241297625","url":null,"abstract":"<p><p>Utero-vaginal prolapse is a common condition in the female population. In addition to well-known predisposing risk factors malnutrition, autosomal dominant polycystic kidney disease (ADPKD) and dialysis technique may favour its occurrence or aggravation, especially in patients with end-stage kidney disease (ESKD). Depending on severity, a relative contraindication to peritoneal dialysis (PD) could be considered. We report the cases of two patients with a grade IV utero-vaginal prolapse who successfully started PD after obliterative surgery (partial colpocleisis by Le Fort).</p>","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"273-276"},"PeriodicalIF":3.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142625842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pregnancy with peritoneal dialysis- a challenge revisited. 妊娠伴腹膜透析——一个重新审视的挑战。
IF 1.8 3区 医学
Peritoneal Dialysis International Pub Date : 2026-05-01 Epub Date: 2026-04-24 DOI: 10.1177/08968608261441436
Randall R Rainwater, Salima Valiani, Manisha Singh
{"title":"Pregnancy with peritoneal dialysis- a challenge revisited.","authors":"Randall R Rainwater, Salima Valiani, Manisha Singh","doi":"10.1177/08968608261441436","DOIUrl":"10.1177/08968608261441436","url":null,"abstract":"<p><p>BackgroundPregnancy with kidney failure is challenging, even more so with peritoneal dialysis (PD). The pregnancy rate is 50% lower while on PD than on hemodialysis, and usually, patients transition to hemodialysis to support better outcomes. There are only a few reported cases of pregnancy carried beyond 32 weeks' gestation on PD alone.MethodsWe present a patient treated with PD for over two years at the time of natural conception. Higher clearance needs arose during pregnancy, but the patient did not transition to hemodialysis due to fear of hematological infections and need for new dialysis access. With the patient's consent and discussions with the pharmacy medical liaison, at 30 weeks, her PD regimen was modified to include Icodextrin to support adequacy and volume control. This adjustment aided in pregnancy reaching 32w4d when she delivered a viable infant. Though our patient underwent a cesarean section, she stayed on PD with appropriate modifications, not needing hemodialysis at any time.Results and ConclusionsWe present the challenges and report a successful outcome of such a pregnancy, along with the off-label use of Icodextrin as add-on therapy during the third trimester. We opine that Icodextrin did not adversely impact the course; it helped carry the pregnancy forward a few more critical weeks. This is also a unique case report of a pregnancy while on PD in a pacific islander and only one of five cases of Pregnancy on PD in women over 40.</p>","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"240-251"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147778324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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