Bulletin de la Dialyse à Domicile最新文献

{"title":"Revue de presse des jeunes néphrologues : 4e trimestre 2018 de la Dialyse à Domicile","authors":"S. Bataille, O. Carceles, M. Gosselin, Antoise Lanot, F. Lavainne, Julie Morinière Beaume, C. Nodimar, G. Seret, L. Vrigneaud","doi":"10.25796/bdd.v1i3.68","DOIUrl":"https://doi.org/10.25796/bdd.v1i3.68","url":null,"abstract":"Un groupe de néphrologues issus du Club des jeunes Néphrologues sélectionne chaque mois à tour de rôle un article de la littérature internationale en rapport avec la dialyse à domicile, Dialyse Péritonéale ou Hémodialyse à Domicile, et en propose un résumé en Français et son analyse. Ces résumés sont librement téléchargeables sur le site du RDPLF à l’adresse : https://www.rdplf.org/biblio.html. A partir de décembre 2018 ceux sélectionnés au cours du trimestre par ces néphrologues sont publiés sous leur nom dans la présente rubrique du Bulletin de la Dialyse à Domicile. \u0000Cette revue est mise à disposition selon les termes de la Licence Creative Commons Attribution 4.0 International.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114749037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical implications of the implementation of a new automated peritoneal dialysis remote patient management system with cloud-based","authors":"Valérie Jotterand-Drepper","doi":"10.25796/bdd.v1i3.66","DOIUrl":"https://doi.org/10.25796/bdd.v1i3.66","url":null,"abstract":"In the last decades, remote patient management (RPM) has been of growing interest in medical fields. In this article we describe the clinical implications of the implementation of a newly available automated peritoneal dialysis (APD) RPM system with cloud-based connectivity. This system provides data sent from the cycler about the course of the peritoneal dialysis (PD) therapy, offering the medical team the opportunity to analyse them on an everyday basis and subsequently remotely alter PD prescription.The main advantages discussed here are sparing of long or difficult travels, especially for patients with social, geographical or physical limitations, early identification and management of occurring issues such as catheter dysfunction or non-adherence to prescribed PD therapy, a potential clue to an imminent peritonitis, and finally a more personalized APD prescription. Further impacts of the implementation of RPM in peritoneal dialysis on patients outcomes, health costs and its potential influence on a greater take-on rate of the technique have still to be evaluated","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128033666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evolution of peritoneal dialysis technique failure from 2002 to 2017 in France. RDPLF data.","authors":"B. Schwartz, F. Touré","doi":"10.25796/BDD.V1I3.54","DOIUrl":"https://doi.org/10.25796/BDD.V1I3.54","url":null,"abstract":"English AbstractIn France, 6 to 7 % of patients with end stage renal failure are treated by peritoneal dialysis (1). Despite the annual augmentation of treated patients, it’s still under public health goal. Peritoneal dialysis technique failure is one restraint of technique growth in France. The RDPLF collect data about technique survival and infections since 1986. Technique failure width is on restraint of PD growth. We used available data to describe trends in the different causes of technique failure to identify areas with feasible improvement to increase technical survival. Methods: This retrospective study includes public data from RDPLF over the 2002-2017 period.Results: More than 30% of treated patients experience technique failure each year and transfer to hemodialysis count for 33%. Main causes of HD transfer are inadequate dialysis, peritonitis, catheter dysfunction and fluid inadequacy. The study of technique failure causes trends shows a decreased mortality form 51% in 2002 to 38% in 2017 (p<0.05), an increase of transplantation access from 15% to 22% (p<0.05). Transfer to hemodialysis is stable 33% to 36% in the same period. The analysis au hemodialysis transfer shows a decrease of peritonitis from 22% in 2002 and 26% in 2004 to 13.6% in 2017 (p<0.05). It shows a light increase of catheter dysfunction from between 7-8% during 2002-2005 period, to 8.6-11.8% during 2013-2016 period (p>0.05). Conclusion: Technique failure causes evolved over the past fifteen years in France, there is an improvement in mortality and access to transplant, a decrease in peritonitis. Despite technique improvement and new PD solutions (Icodextrine based, biocompatible), there is still 10% of PD patients transferred each year to hemodialysis without favorable trends.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130595281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Presentation and implementation of the first connected system of automated peritoneal dialysis in France","authors":"V. Caudwell, A. Pardon, Latifa Hanafi, N. Vittoz, S. Chargui, P. Housset","doi":"10.25796/bdd.v1i3.64","DOIUrl":"https://doi.org/10.25796/bdd.v1i3.64","url":null,"abstract":"The first system of connected automated peritoneal dialysis (APD) was set up in France in the CHSF. This system allows to collect and transmit the data of APD sessions via a modem and a platform towards the medical team and permits the remote adaptation of the treatments. This implementation required a number of steps on national and regional levels. We present the functioning and the expected benefits of such a system.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130692761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Birth, Rise, Decline and Revival of Home Hemodialysis – French experience","authors":"A. Meyrier","doi":"10.25796/BDD.V1I3.56","DOIUrl":"https://doi.org/10.25796/BDD.V1I3.56","url":null,"abstract":"The first publication in 1960 on maintenance hemodialysis was followed in 1963 by some reports on dialysis in the home. The introduction of proportioning pumps and concentrated electrolyte solutions led to developing single-patient machines and safety devices that made home hemodialysis possible.  It was demonstrated in 1964 that home hemodialysis can be done overnight, unattended. This led to a steady rise in the number of patients treated at home. The percentage in France was ≈20% by the end of the seventies, out of a total of  ≈ 6 000.  The decline began when Public Health authorities authorized a program of ‘’limited – care’’ units.  A loophole in the regulations led to a massive transfer of patients to these units and a rapid decline of home HD. The revival can be dated to 2012 with the development of disposable dialysate bags that make low flow daily home HD feasible. Efficacy and tolerability are such that the total number of patients treated at home rose from 307 in 2014 to 374 in 2016, owing to those on daily hemodialysis -  an increase from 55 in 2014 to 374 in 2016 and 448 by the end of 2018. Currently, ≈46 000 patients are hemodialyzed in France.   The % of those treated at home is very low but the trend is to a steady increase.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125178551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Données 2016-2017 incluses dans le registre d'hémodialyse à domicile du RDPLF : comparaison des pratiques en France et Belgique francophone.","authors":"Philippe Cougnet","doi":"10.25796/BDD.V1I2.53","DOIUrl":"https://doi.org/10.25796/BDD.V1I2.53","url":null,"abstract":"En 2013, le RDPLF a inclus un nouveau module afin de récolter et d’analyser les informations liées à l’hémodialyse à domicile (HDD). On peut estimer que ce registre inclut des données pour environ un tiers des patients traités en HDD en France et la quasi-totalité des patients suivis en Belgique francophone. Nous rapportons ici une comparaison des pratiques concernant l’HDD entre nos deux pays à la lumière des données récoltées dans le module HDD en 2016 et 2017. Le but de cette analyse comparative entre la France et la Belgique est de mettre en évidence les différences nationales qui pourraient exister dans la prise en charge des patients en HDD. \u0000English abstract : \u0000A new module about home hemodialysis (HHD) has been created by the RDPLF in 2013. Though not exhaustive, this module catches up to one third of the French HHD patients and almost all HHD patients from the French-speaking part of Belgium, respectively. We here report on some comparisons between HHD practices within both countries through the 2016 and 2017 annual reports. The aim of this comparative analyis is to highlight some different approaches in both care and management of the dialysis technique itself, mode of vascular access, fistula ponction and dialysis supervision for our HHD patients. \u0000Cette revue est mise à disposition selon les termes de la Licence Creative Commons Attribution 4.0 International.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128521333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Partager son expérience et connaissances pour la dialyse à domicile","authors":"C. Verger, M. Dratwa, P. Durand","doi":"10.25796/bdd.v1i1.18123","DOIUrl":"https://doi.org/10.25796/bdd.v1i1.18123","url":null,"abstract":"Le besoin d’un accès facile, à la portée de tous, de l’information scientifique, a conduit ces dernières années à l’apparition de nombreuses revues directement consultables par Internet. La qualité de l’information est garantie dès lors que les articles qui y sont publiés sont soumis à l’analyse critique d’un comité de lecture par les experts reconnus dans son domaine. Dès 1995, le RDPLF a disposé du Bulletin de Dialyse Péritonéale (BDB) qui était publié 4 fois par an jusqu’au début des années 2000. Les anciens numéros peuvent encore être consultés sur son site. Néanmoins pour différentes raisons, dont les coûts d’impression nous avions dû ensuite restreindre l’édition de cette revue à tous les deux ans pour les résumés du Symposium.Nous avons pensé que l’heure était venue d’actualiser le recours à ce media sous une forme moderne : le libre accès par Internet (connu sous le terme « Open Access »). Depuis le RDPLF a évolué et est devenu en pratique RDPLF-HDD puisque nous incluons maintenant toutes les méthodes de domicile. Pour souligner cet aspect le nom de la revue est changé en Bulletin de Dialyse à Domicile (BDD).Le BDD sera publié en accès libre une fois par trimestre pour commencer et le rythme évoluera en fonction des besoins. Il comportera différentes sections : Editorial, Résultats du RDPLF, articles de formation pratique, articles cliniques d’intérêt général, etc..le but dans l’ensemble est d’occuper une place qui n’est pas forcément assurée par d’autres revues, délibérément tournée vers la pratique du domicile, ce qui n’exclue pas de temps en temps des travaux plus fondamentaux que des auteurs accepteraient de partager en accès libre.Les articles seront indexés par un numéro DOI. Nous souhaitons aussi par ce moyen, donner la possibilité à des néphrologues et infirmières qui le souhaitent les moyens d’une publication rapide de leurs travaux.Pour assurer la qualité des documents, ils seront tous soumis à un comité de lecture dont la composition est disponible sur ce site dans la rubrique a propos.C’est à vous, néphrologues et infirmières qui traitez des patients en dialyse à domicile, qu’il appartient, par vos futurs articles, d’assurer le succès de ce projet.Vous pouvez dès maintenant nous soumettre directement vos articles, soit en vous inscrivant sur le site, soit en nous les adressant pas mail ou courrier. Merci d'avance, pour nos patients, à tous ceux et celles qui nous aideront.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115562285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Les pièges des bilans de qualité de dialyse et nutrition en dialyse péritonéale","authors":"Marie-Christine Padernoz-Lavallée, Ghislaine Veniez","doi":"10.25796/bdd.v1i2.52","DOIUrl":"https://doi.org/10.25796/bdd.v1i2.52","url":null,"abstract":"Le RDPLF met à la disposition de ses membres différents modules de suivi et d’évaluation du traitement par DP. Le « Module nutrition et Dialyse Adéquate » est l’un des plus utilisés. Les résultats de ce module sont criblés, vérifiés, avant d’être enregistrés dans la base de données statistique du Registre. Nous présentons les principaux problèmes rencontrés lors des contrôles de qualité des données. \u0000English abstract \u0000The RDPLF makes available to its members different modules for monitoring and evaluating treatment by PD. The Nutrition and adequacy module is one of the most used. The results of this module are screened and verified before being recorded in the registry database. We present the main problems encountered during the data quality controls. \u0000Cette revue est mise à disposition selon les termes de la Licence Creative Commons Attribution 4.0 International.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"224 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126905058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La dialyse à domicile : une dynamique interactive complexe pour les couples","authors":"M. Roques, N. Proia-Lelouey","doi":"10.25796/BDD.V1I2.51","DOIUrl":"https://doi.org/10.25796/BDD.V1I2.51","url":null,"abstract":"(English abstract at the end) \u0000La dialyse à domicile est reconnue comme étant la technique la moins coûteuse. Pourtant, elle est la moins choisie en France. Pourquoi la France se montre-t-elle frileuse quant au choix de cette technique ? Nous nous centrons, dans cet article, sur les aspects psychologiques de la prise en charge, par les conjoints, des patients hémodialysés à domicile. A ce sujet, les études sont contradictoires, certaines rapportent un mal-être des couples, tandis que d’autres mettent en évidence une meilleure qualité de vie pour les deux partenaires. Après avoir émis une critique concernant la méthodologie utilisée dans certains travaux qui évacuent la part subjective et certains éléments cliniques qualitatifs pourtant essentiels pour comprendre le phénomène, nous avons fait l’hypothèse que trois niveaux imbriqués méritent d’être pris en compte, jusqu’à être décisifs dans le choix de la dialyse : la dynamique psychologique de chacun des partenaires, la dynamique du couple et l’investissement psychologique du domicile. Nous concluons sur l’idée selon laquelle l’intégration du conjoint dans la prise en charge du malade peut être un atout pour les suites du traitement, sous réserve de certaines conditions : premièrement, une évaluation de la dynamique psychique du couple afin de limiter les échecs thérapeutiques et la souffrance psychologique ; deuxièmement, une sensibilisation des médecins et des soignants à ces questions, car le couple peut développer une relation d’autant plus pathologique que le traitement se fait à huit clos ; enfin, l’ouverture d’un espace de parole afin que les couples puissent exprimer leurs difficultés et être rassurés. \u0000Abstract \u0000Home dialysis is recognized as the least expensive technique. Yet it is the least chosen in France. Why is France being cautious about the choice of this technique? In this article, we focus on the psychological aspects of spousal management of home hemodialysis patients. In this regard, the studies are contradictory, some report a discomfort in couples, while others highlight a better quality of life for both partners. After criticizing the methodology used in some of the works that remove the subjective and some qualitative clinical elements that are essential to understanding the phenomenon, we hypothesized that three nested levels deserve to be taken into account, up to to be decisive in the choice of dialysis: the psychological dynamics of each partner, the dynamics of the couple and the psychological investment of the home. We conclude on the idea that the integration of the spouse in the care of the patient can be an asset for the continuation of treatment, subject to certain conditions: first, an assessment of the psychic dynamics of the couple to limit the therapeutic failures and psychological suffering; secondly, raising the awareness of doctors and caregivers about these issues, because the couple can develop a relationship which is all the more pathological as the tre","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130422869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bacteriological sampling of peritoneal dialysis fluids. How to limit negative-culture peritonitis rate?","authors":"A. Grillon, P. Boyer, F. Heibel","doi":"10.25796/BDD.V1I1.20","DOIUrl":"https://doi.org/10.25796/BDD.V1I1.20","url":null,"abstract":"Peritonitis is a major and serious complication in terms of morbi-mortality for patients treated with peritoneal dialysis. Their microbiological diagnosis is challenging for both the detection of the etiological agents and in interpreting positive cultures. \u0000Many microorganisms can cause this infection; usual micro-organisms such as coagulase-negative staphylococci or Enterobacteriaceae, but also ‘atypical’ bacteria, which culture or detection, is more tedious can be found. \u0000To identify the responsible bacteria, molecular biology and culture techniques can be set up. Molecular biology (particularly the sequencing of the universal 16s rDNA gene) makes it possible to identify atypical agents, but antimicrobial susceptibility testing cannot be performed following these technics. \u0000The culture of peritoneal dialysis fluids remains the ‘gold-standard’ for the diagnosis of these infections. Nevertheless this must be optimized to enhance its sensitivity. \u0000The etiological diagnosis of peritonitis in patients treated with peritoneal dialysis may be difficult, but modern microbiology combined with a bacterioclinical discussion allow the identification of the microorganism responsible for the infection in the great majority of the cases.","PeriodicalId":366938,"journal":{"name":"Bulletin de la Dialyse à Domicile","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115722716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}