The #PDExchange Podcast
By Peritoneal Dialysis International
The #PDExchange PodcastMar 02, 2024
#NephMadness and the Peritoneal Dialysis : Cage match!
Drs Jeff Perl (@PD_Perls) and Nikhil Shah(@dr_nikhilshah), are joined by the creator of NephMadness Dr Matthew Sparks (@NephroSparks) and Nephrology fellow from Duke University Dr Tim Hopper to discuss the Peritoneal Dialysis Teams in Nephmadness.
The competition -
Team 1 - PD First vs Team 2 - Beyond kt/v
Links -
AJKD Blog Nephmadness PD Region Page
Clucking Success: Discussing the Japanese experience in PD catheter placement with Dr Crabtree and Dr Oliver
Drs Jeff Perl and Nikhil Shah chat with PD Access royalty Dr. John Crabtree and Dr. Matthew Oliver. They discuss the recent publication in PD International regarding PD Access success in Japan, referencing the Japanese program to train nephrologists at this skill by practicing on chickens!!
A multi-institutional, observational study of outcomes after catheter placement for peritoneal dialysis in Japan.
Sakurada et al.
https://journals.sagepub.com/doi/abs/10.1177/08968608231193240
Multi-institutional audit of outcomes after peritoneal dialysis catheter placement in Japan: What are the takeaways?
John Crabtree
https://journals.sagepub.com/doi/abs/10.1177/08968608231210127
Please email your comments and suggestions to pdi.journal@gmail.com or tag us on X/Twitter @dr_nikhilshah or @PD_Perls.
Incremental PD: Personalized PD! Standard of Care, or more data to prepare?
Drs Jeff Perl and Nikhil Shah, welcome you to the 8th episode of PD Exchange.
(on a side note - we now have >1000 plays and are listed by FEEDSPOT among the top 10 dialysis podcasts on the web! - thanks to YOU, our listeners)
This episode is a gem! We are grateful to Prof. Edwina Brown (ISPD President) and A/Prof Yeoung Jee Cho (PDI Deputy Editor in Chief), along with author Dr. Melissa Cheetham, for coming together to discuss the many facets of the patient-centred INCREMENTAL PD or more like PERSONALIZED PD as Prof Brown calls it.
The September issue of PDI has four articles on Incremental PD - 2 editorials and two studies.
Current PDI Issue - https://bit.ly/PDICurrent
Links to the articles -
Incremental peritoneal dialysis: Incremental gains Incremental peritoneal dialysis: ‘I am lucky to only be doing two exchanges’ Association of Incremental peritoneal dialysis with residual kidney function decline in patients on peritoneal dialysis: The balANZ trial Multicentre registry analysis of incremental peritoneal dialysis incidence and associations with patient outcomes For feedback, comments, questions and suggestions - please email nshah1@ualberta.ca
PDI July 2023 eTOC and Abstracts Podcast
Welcome to the Peritoneal Dialysis International Abstract Podcast.
Here, we are trying to bring the Table of Contents and the Abstracts from the most recent issue of Peritoneal Dialysis International.
We have tried to use AI-generated speech from the abstracts.
We have made minor changes to the abstracts to make listening easier. We would love to get feedback on this format of receiving PDI highlights.
Current Issue Link - bit.ly/PDICurrent
Feedback - Nikhil Shah - nshah1@ualberta.ca
Exits and Tunnels - The ISPD Catheter-related Infection Recommendations: 2023 Update
Your hosts Nikhil and Jeff discuss the PD catheter-related infection recommendations with Prof KM Chow and Prof David Johnson the lead authors for these recommendations. Both authors provide deep insight and rationale behind the suggestions and guidance on managing this common problem.
Full text #OpenAccess - https://journals.sagepub.com/doi/full/10.1177/08968608231172740
Accompanying Editorials -
- Caring for the peritoneal dialysis catheter: Reflections on catheter and exit site care in peritoneal dialysis - Brad Rossiter, Chandana Guha, and Karine Manera - https://journals.sagepub.com/doi/abs/10.1177/08968608231172903
- Reducing and treating peritoneal dialysis catheter-related infections: Nursing implementation from evidence to practice. - Ana E Figueiredo and Gillian Brunier. - https://journals.sagepub.com/doi/abs/10.1177/08968608231172912
For any questions, comments or suggestions - please reach out to us on Twitter - Nikhil (@dr_nikhilshah) Jeff (@PD_Perls) or email : nshah1@ualberta.ca
An apple a day keeps the glucose away? Drs Oberg and Fraser discuss role of Phloretin, SGLT2/1i and GLUT in peritoneal membrane
Drs Oberg and Fraser along with Drs Perl and Shah discuss the exciting experiments regarding Phloretin (a GLUT blocker derived from apples!) and Phlorizin (a SGLT2 and SGLT1 blocker) and its potential use in Peritoneal Dialysis.
JASN paper link - Phloretin Improves Ultrafiltration and Reduces Glucose Absor... : Journal of the American Society of Nephrology (lww.com)
Questions of suggestions please reach out to Drs Nikhil Shah (https://twitter.com/dr_nikhilshah) and Jeff Perl (https://twitter.com/PD_Perls) via Twitter or write to nshah1@ualberta.ca
Acute PD for AKI during Covid in the Big Apple: Big insights.
Outcomes of PD for AKI treatment during COVID-19 in New York City: A multicenter study
Drs Maryann Sourial and Wei Chen discuss their experience of starting an acute PD program for AKI in New York at the height of the pandemic dealing with the massive patient influx and limited resources.
For any questions, suggestions tweet us at - Nikhil Shah (@dr_nikhilshah) and Jeff Perl (@PD_Perls) or email us at nshah1@ualberta.ca
Establishing a core outcome measure for life participation in patients receiving peritoneal dialysis: A SONG-PD consensus workshop report.
Karine Manera (@KarineManera), Associate Editor for Peritoneal Dialysis International (@PDI_Journal) and patient partner Annette Spence join the #PDExchange hosts Nikhil Shah (@dr_nikhilshah) and Jeff Perl (@PD_Perls) to discuss #LifeParticipation in patients on PD which is a core outcome identified by the SONG-PD initiative (@SONG_Initiative).
Paper:
Editorial vision and Selected #EditorsChoice PDI Papers 2021 - 2022 Part 1 with PDI Deputy Editor in Chief Dr Yeoungjee Cho
PDExchange 002 Episode Details
At the start, Dr. Jeff Perl the Editor in Chief and Dr. Yeoungjee Cho, the Deputy Editor in Chief for Peritoneal Dialysis International, share some insight behind the editorial process for PDI. They discuss the process of selecting papers for publication in PDI and also provide some tips for researchers in the Peritoneal Dialysis world and invite them to submit their work to PDI.
Next, we have a series of papers #EditorsChoice that Drs Perl and Cho briefly discuss.
The links to the respective papers are listed below –
- Outcome measures for technique survival reported in peritoneal dialysis: A systematic review
- Four steps to standardize reporting of peritoneal dialysis technique failure: A proposed approach
- Growing home dialysis: The Ontario Renal Network Home Dialysis Initiative 2012–2019
- Overcoming barriers and building a strong peritoneal dialysis programme – Experience from three South Asian countries
- Burden of kidney disease among patients with peritoneal dialysis versus conventional in-centre haemodialysis: A randomised, non-inferiority trial
- Patient and caregiver perspectives on burnout in peritoneal dialysis
- Assisted peritoneal dialysis across Europe: Practice variation and factors associated with availability
- Flexibility in peritoneal dialysis prescription: Impact on technique survival
- Incremental peritoneal dialysis in incident end-stage kidney disease patients
The availability of support and peritoneal dialysis survival: A cohort study. Danielle Fox et al
Providing support is important to maintain a patient on peritoneal dialysis (PD), though its impact on outcomes has not been investigated thoroughly. We examined the association between having support and risk of a transfer to hemodialysis.
Methods:In this retrospective observational cohort study, we used data captured in the Dialysis Measurement Analysis and Reporting system about patients who started PD in Alberta, Canada, between 1 January 2013 and 30 September 2018. Support was defined as the availability of a support person in the home who was able, willing and available to provide support for PD in the patient’s residence. The outcome of interest was a transfer to hemodialysis for at least 90 days. We estimated the cumulative incidence of a transfer over time accounting for competing risks and hazard ratios to summarise the association between support and a transfer. We split follow-up time as hazard ratios varied over time.
Results:Six hundred and eighty-three incident PD patients, median age 58 years (IQR: 47–68) and 35% female, were followed for a median of 15 months. The cumulative incidence of a transfer to hemodialysis at 24 months was 26%. Having support was associated with a reduced risk of a transfer between 3 and 12 months after the start of dialysis (HR3-12mo: 0.44; 95% CI: 0.25–0.78), but not earlier (hazard ratio (HR)12mo: 1.19; 95% CI: 0.65–2.17).
Conclusions:A transfer to hemodialysis is common. Having a support person at home is associated with a short-term protective effect after the initiation of PD.