Peritoneal Dialysis International最新文献

{"title":"Single-port video-assisted thoracoscopic surgery for peritoneal dialysis-related pleuroperitoneal communication using near-infrared fluorescence with indocyanine green.","authors":"Yue Qian, Haiping Lin, Qing Ye, Zanzhe Yu, Lijun Qian, Zhaohui Ni, Leyi Gu, Wei Fang, Hao Yan","doi":"10.1177/08968608251335831","DOIUrl":"https://doi.org/10.1177/08968608251335831","url":null,"abstract":"<p><p>BackgroundPeritoneal dialysis (PD)-related pleuroperitoneal communication is strongly associated with PD discontinuation. Video-assisted thoracoscopic surgery (VATS) has emerged as a promising therapeutic approach. However, there are still challenges in detecting diaphragmatic defects under conventional thoracoscopy, and the repair methods vary significantly.MethodsWe have developed an intervention protocol for pleuroperitoneal communication that includes single-port VATS utilizing near-infrared fluorescence with indocyanine green, as well as the management of perioperative kidney care and PD reinitiation. Patients who underwent VATS for pleuroperitoneal communication repair from September 2022 to March 2024 were identified at a single center. The procedures and outcomes were evaluated, and the success rate of PD resumption was compared with that of a historical cohort treated with non-surgical therapies.ResultsA total of 6 patients underwent VATS. The age was 48.7 ± 11.8 years, 2 were female, and the PD vintage was 8.7 (2.0-28.4) months. Non-dialysis therapy (<i>n</i> = 4) or temporary hemodialysis (<i>n</i> = 2) was prescribed during PD suspension. Fluorescence thoracoscopy identified diaphragmatic defects in all patients, including lesions that were unrecognizable under white light. Mechanical pleurodesis by direct suture of the defects with local mechanical reinforcement was performed. All patients reinitiated PD 15-30 days postoperatively, with no recurrence during a follow-up of 17.0 ± 6.4 months. The success rate significantly exceeded that in the patients who underwent PD suspension or chemical pleurodesis (100% vs. 29%, <i>p</i> = 0.005).ConclusionsThe minimally invasive VATS integrating fluorescence with indocyanine green and pleurodesis with multiple mechanical reinforcements, along with appropriate perioperative care and an incremental approach to resume PD, was a reliable treatment for PD-related pleuroperitoneal communication.</p>","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"8968608251335831"},"PeriodicalIF":2.7,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037361","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}

{"title":"Daily physical exercise training (daily PET): Just do it!","authors":"Nicoline M H Veldhuijzen, Alferso C Abrahams","doi":"10.1177/08968608251337858","DOIUrl":"https://doi.org/10.1177/08968608251337858","url":null,"abstract":"","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"8968608251337858"},"PeriodicalIF":2.7,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005925","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}

{"title":"Prescript peritoneal dialysis: Patterns of iron prescribing in peritoneal dialysis.","authors":"Sebastian Spencer, Samantha Hunter, Sunil Bhandari","doi":"10.1177/08968608251335554","DOIUrl":"https://doi.org/10.1177/08968608251335554","url":null,"abstract":"<p><p>BackgroundIron deficiency and anaemia are prevalent in people undergoing peritoneal dialysis (PD), necessitating effective iron supplementation. While oral iron is often preferred for its accessibility and cost, it may be insufficient or poorly tolerated. Intravenous (IV) iron is generally well tolerated and associated with improved haemoglobin response and reduced erythropoiesis-stimulating agent requirements, yet optimal dosing, administration intervals, and haematological targets remain under-researched, particularly in PD populations. Current prescribing practices vary significantly, reflecting gaps in evidence and consensus. This study aimed to evaluate UK clinical practices for iron therapy in PD and estimate patient eligibility for a future randomised controlled trial (RCT).MethodsA cross-sectional survey was conducted among UK-based kidney clinicians using a structured 9-item questionnaire distributed electronically via the UK Kidney Association. The survey explored iron repletion strategies, diagnostic thresholds, and circumstances for withholding therapy. Responses were analysed using descriptive statistics for quantitative data and thematic analysis for free-text responses.ResultsA total of 41 clinicians from 23 dialysis units participated, including consultants (73.2%), registrars (17.1%), and specialist nurses (9.7%). High-dose IV iron (≥500 mg per visit) was the preferred strategy for 65.9% of respondents, while none used oral iron alone. Most clinicians initiated iron therapy when serum ferritin was <200 µg/L (53.7%) or transferrin saturation (TSAT) was <20% (78.1%). Diagnostic measures beyond serum ferritin and TSAT, such as reticulocyte haemoglobin content, were rarely used (14.6%). The majority avoided iron therapy in the presence of active infection (90.2%) or IV iron allergy (92.7%). Estimates of trial eligibility indicated that 6-10% of people receiving PD might not meet inclusion criteria, largely due to elevated C-reactive protein, ferritin, or TSAT levels.ConclusionsThis survey highlights significant variability in iron therapy practices for people receiving PD in the UK. Most clinicians favour high-dose IV iron, reflecting its practical advantages in outpatient settings. However, diagnostic and safety concerns remain, with limited use of advanced biomarkers and inconsistent thresholds for therapy initiation. These findings underscore the need for a robust RCT to address gaps in evidence, establish optimal iron repletion strategies, and ensure safe and effective anaemia management in PD populations.</p>","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"8968608251335554"},"PeriodicalIF":2.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030932","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}

{"title":"Thoracic spinal anesthesia for laparoscopic peritoneal dialysis catheter placement in older high-risk end-stage kidney disease patients.","authors":"Maddalena Ricci, Anna Rita Bonfigli, Olga Protic, Fabiola Olivieri, Roberto Starnari, Salvatore Iuorio, Federica Lenci","doi":"10.1177/08968608251336674","DOIUrl":"https://doi.org/10.1177/08968608251336674","url":null,"abstract":"<p><p>Peritoneal dialysis (PD) catheter placement is considered a controversial procedure in patients with a history of abdominal surgeries or peritonitis. In these subjects, video laparoscopic (VLS)-assisted placement under general anesthesia (GA) is the gold standard procedure. However, older multimorbid patients are at high risk for complications in GA. In our opinion, thoracic spinal anesthesia (TSA) instead of GA could also be used in older multimorbid patients undergoing PD. Here, we report five cases of older multimorbid end-stage kidney disease (ESKD) patients aged 79.6 ± 3.5 years with a history of abdominal surgery or peritonitis needing renal replacement therapy. Overall comorbidity was high (Cumulative Illness Rating Scale (CIRS) comorbidity index 4.0 ± 1.2 and CIRS severity index 2.1 ± 0.5). We placed the PD catheter in these patients using the VLS-assisted placement under TSA. All subjects underwent TSA performed at the T9-T10 thoracic level, obtaining optimal pain control and no periprocedural side effects. This is the first attempt to utilize the TSA in PD catheter VLS placement in very old multimorbid patients. Further studies could be useful to confirm whether TSA can be successfully used in VLS-assisted PD catheter placement, especially in subjects ineligible for GA such as older frailty patients.</p>","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"8968608251336674"},"PeriodicalIF":2.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018991","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}

{"title":"Discolored peritoneal dialysis (PD) fluid after colonoscopy: Not so black and white.","authors":"Beatriz Hernandez Sevillano, Nerea Begona Boldova, José Ramón Rodriguez-Palomares, Katia Matilde Perez Del Valle, Alba Benito Salmeron, Yohana Gil Giraldo, Gabriel de Arriba de la Fuente","doi":"10.1177/08968608251332715","DOIUrl":"https://doi.org/10.1177/08968608251332715","url":null,"abstract":"<p><p>In peritoneal dialysis, the appearance of effluent with an abnormal appearance or color is usually a sign of a serious complication such as peritonitis. In other cases, it may be a specific event that lacks clinical importance. Even in these mild cases, the alarm and concern of patients and professionals can be high.</p>","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"8968608251332715"},"PeriodicalIF":2.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020875","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}

{"title":"Peritoneal dialysis in the challenging abdomen: A retrospective review examining the role of obesity and adhesions.","authors":"Michael Ghio, Aaron Albuck, Phoebe Huang, Mahmoud Omar, Anil Paramesh","doi":"10.1177/08968608251331839","DOIUrl":"https://doi.org/10.1177/08968608251331839","url":null,"abstract":"<p><p>BackgroundPeritoneal dialysis (PD) is an increasingly common modality for end-stage kidney disease patients. Laparoscopic peritoneal dialysis catheter placement (LPDC) may allow for successful outcomes in patients considered to have difficult abdomens for PD.MethodsThis was a retrospective review of 505 consecutive patients who underwent attempted LPDC between July 2009 and May 2024 by a single surgeon. Intraoperative decision making and rate of complications were evaluated in patients with/without comorbidities. Hazard ratio calculations using Cox regression and <i>P</i>-values were calculated using SPSS.ResultsAverage age of the study population is 53.4 ± 14.8 years, 45.1% (<i>n</i> = 228) were female, and 60.2% (<i>n</i> = 304) were Black. Average BMI was 31.7 ± 7.3. Two hundred ninety-two patients (57.8%) had previous abdominal surgery. LPDC could not be done safely in 13 patients (2.6%). Lysis of adhesions at initial placement was needed in 186 patients (36.8%). BMI > 35 kg/m² did not increase the risk of revision with a hazard ratio (HR) of 0.9 (0.6-1.4). Adhesiolysis did not increase the risk of revision (HR 1.3 (0.9-1.9)). Catheter-related complications required revision in 122 patients (24.7%). Catheter-related complications did not vary significantly between those who had (<i>n</i> = 104, 21.1%) and had not had adhesiolysis (<i>n</i> = 91, 18.5%, <i>P</i> > .05). Two or more revisions were required in 35/492(7.1%) patients. One-year modified patency rate was 94.1% (446/474).ConclusionThis represents one of the largest reported single surgeon experiences in LPDC. Laparoscopic techniques can help provide a feasible option for long-term dialysis in patients with a difficult abdomen and the disease of obesity.</p>","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"8968608251331839"},"PeriodicalIF":2.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999796","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}

{"title":"Catalyzing peritoneal dialysis growth in Brunei: The crucial role of governmental support.","authors":"Chiao Yuen Lim, Yee Yin Lim, Jackson Tan, Swee Hui Ang","doi":"10.1177/08968608251331878","DOIUrl":"https://doi.org/10.1177/08968608251331878","url":null,"abstract":"<p><p>Brunei Darussalam, a small Southeast Asian nation, faces a unique healthcare challenge with one of the world's highest incidence and prevalence of kidney replacement therapy. This report highlights the remarkable success of Brunei in increasing the utilization of peritoneal dialysis (PD) to address this challenge. As of August 2023, Brunei's PD penetrance rate stands at 16%, a significant leap from 9.7% just three years ago. This is comparable to many other high-income countries. The key to this success lies in a series of governmental support strategies that fostered rapid PD growth. These strategies include the establishment of a dedicated task force, securing dedicated operating theater slots, collaboration with surgery and anesthesia departments, nephrologist training, a dedicated surgeon for complex cases, outsourcing to private hospitals, prioritizing nursing staff, structured patient training programs, patient advocacy and established clinical protocols. These collaborative efforts, along with a patient-centric approach, have not only reduced PD catheter insertion waiting times but also empowered patients to voice their preferences in shared decisions. Brunei's journey serves as an inspiring example for other nations seeking to proliferate their PD services.</p>","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"8968608251331878"},"PeriodicalIF":2.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028168","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}

{"title":"Ten things I wish I knew as a new peritoneal dialysis nurse.","authors":"Josephine Sau Fan Chow, Gillian Brunier, Joanna Lee Neumann, Kelly Lim, Ana Elizabeth Figueiredo","doi":"10.1177/08968608251331832","DOIUrl":"10.1177/08968608251331832","url":null,"abstract":"<p><p>A nurse new to home peritoneal dialysis (PD) undoubtedly has to learn all the steps for continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD) procedures, along with basics such as hand hygiene, ordering supplies, disposing of supplies, recognizing signs and symptoms of peritonitis. However, it is not always clear what else the new PD nurse needs to know in order to successfully teach a patient all that a patient (and care partner) starting home PD training need to know, as well as to support that patient overtime once the patient is performing PD at home. To answer this question, using a modified Delphi technique, members of the International Society for Peritoneal Dialysis (ISPD) Nursing and Allied Health Professional Committee identified the top 10 practice advice (tips) these nurse members thought all new home PD nurses should know and be aware of. For each tip, we justified the importance of the tip and how it could be implemented. The 10 tips were quite varied and highlighted both the breadth and the depth of knowledge a new PD nurse needs to acquire over and above basic knowledge and skills such as performing CAPD and APD and recognizing signs and symptoms of peritonitis. The members of the ISPD Nursing and Allied Health Professional Committee who compiled this list of the top 10 tips, believe that through understanding the importance, justification, and implementation of each of these tips, the nurse new to a home PD program can, in turn, appreciate more how to individualize home PD training sessions, improve the quality of life for patients on PD, as well as extend the patients' time on PD.</p>","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"8968608251331832"},"PeriodicalIF":2.7,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037668","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}

{"title":"Peritoneal dialysis training and interventions: A narrative review.","authors":"Helen Hurst, Ana Elizabeth Figueiredo, Diana Perez Moran, Gillian Brunier, Joanna Lee Neumann, Miguel Angel Trejo-Villeda, Jsf Chow","doi":"10.1177/08968608251328517","DOIUrl":"https://doi.org/10.1177/08968608251328517","url":null,"abstract":"<p><p>BackgroundPeritoneal dialysis (PD) training and education for patients and their caregivers, provided by PD nurses, are crucial for effective PD programs. The goal is to impart sufficient knowledge, skills, training, and support to minimize complications. However, the evidence regarding effective educational interventions during training has been unclear and inconsistent. The review question was: How do PD training methods and educational interventions impact on PD outcomes in adult patients?MethodsA narrative review was undertaken with defined inclusion and exclusion criteria of articles published in the last 10 years. Databases were searched, followed by a selection process conducted with the project team. Quality appraisal and a final selection were uploaded to Excel, and data was extracted. A narrative description of the results was then completed.ResultsA total of 982 articles followed the selection process of these 21 studies, including mixed methods research design, but all met the inclusion criteria. The results were described under headings of training methods, educational interventions, patient characteristics, retraining, and outcomes reported.ConclusionsThe narrative review highlights gaps in robust evidence for educational interventions during training. However, some evidence supports adapting PD training methods to incorporate more individualized approaches, appropriate pre-training assessments, and consistent outcome measures.</p>","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"8968608251328517"},"PeriodicalIF":2.7,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047834","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}

{"title":"Gallbladder perforation: A rare cause of non-infectious peritonitis with yellow effluent.","authors":"Zeynep Ural, Galip Güz, Ülver Derici","doi":"10.1177/08968608251321918","DOIUrl":"https://doi.org/10.1177/08968608251321918","url":null,"abstract":"","PeriodicalId":19969,"journal":{"name":"Peritoneal Dialysis International","volume":" ","pages":"8968608251321918"},"PeriodicalIF":2.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701041","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}