Peritoneal Dialysis Doctors

04/12/2025

Important advice for kidney health. Your nephrologist and his staff should be appreciative of calls from patients asking before taking medication, which often goes a long way from prevent preventing problems down the road. Advice of avoiding this type of medication should be given to every patient on their first visit.

Diabetic patients may develop kidney damage if they have uncontrolled blood sugar. The kidneys in diabetics are forced to work extra hard to filter their blood, which if carried on over years can lead to irreversible damage to the kidneys. If the blood sugar is controlled, the risk of kidney damage is reduced. If kidney injury is identified in the early stages by screening methods, your doctor can prescribe medications which can prevent or reduce additional damage to the kidneys. Yearly kidney screening for diabetics is key and early referral to a nephrologist at the development of protein in your urine is essential. If you are a diabetic, be asking these questions at your visit with your P*P. diabetes

09/23/2024

NEW Commentary by Michael Granda on the :

Selecting a dialysis modality is both a science and an art, and requires assessing a number of patient factors, preferences, and criteria. On first glance, eligibility for peritoneal dialysis (PD) catheter placement would seem to be a more objective determination but is surprisingly limited in evidence. Many nephrologists believe that prior abdominal surgery is at least a relative contraindication for PD. Indeed, post-operative adhesions are common, have been associated with reduced PD efficacy, and with extensive adhesions are considered an absolute contraindication. Prior abdominal surgery is also suggested to contribute to dialysate leakage by compromising the integrity of the abdominal or pleural wall. Enter Wazaira Khan et al, who using the International Society of Peritoneal Dialysis (ISPD) North American PD Catheter Registry, examined the risk of prior abdominal surgery with PD catheter abandonment (removal before use), interruption of PD, or termination of PD due to catheter-related complications.

Read more at: https://bit.ly/47x0u8c

08/03/2024

Amazing event for NKFF!

The NKF Rich Salick Pro-Am Surf Festival is the largest non-profit surfing event in the WORLD! 🌎 come watch pro surfers or compete yourself! 🏄‍♀️ Join us October 12 to 14 at the famous Cocoa Beach Pier! 🌞For more information https://www.facebook.com/NKFsurf2?mibextid=LQQJ4d

03/19/2024

National reporting of .

FREE National reporting of peritonitis in individuals receiving PD is needed. Establishing a formal surveillance system for PD peritonitis reporting in the US is important; rates of PD peritonitis are at least 4 times greater than rates of HD vascular access catheter-related infections, associated with adverse outcomes, and the US government has stated strong interest in increasing PD utilization. In this pilot study, Muthana Al Sahlawi et al demonstrated the feasibility of a national uniform web-based peritonitis reporting system across a diverse cohort of PD facilities in the US. Their findings are consistent with overall peritonitis rates we have previously reported for 24 US sites in the Peritoneal Dialysis Outcomes and Practice Patterns Study (PDOPPS).

It was encouraging that 93% of episodes reported as peritonitis met the ISPD diagnostic criteria. Out of the 32 episodes that did not meet ISPD diagnostic criteria, 75% were diagnosed based on abdominal pain and/or cloudy effluent alone. These features can be nonspecific for peritonitis and can be the result of various non-infectious causes, resulting in unnecessary antibiotic treatment in the face of a normal effluent cell count and negative cultures. Most facilities (82.5%) in this study indicated having no access to the PD effluent cell count results before treatment initiation, with an average turnaround time of more than 24 hours in 44% of facilities, which may explain continuation of treatment in the face of an initially normal cell count.

https://bit.ly/3QNrbik