Navigation Links
Home dialysis effective for kidney patients after transplant fails
Date:1/14/2011

TORONTO, Ont., Jan. 13, 2011Patients who must return to dialysis after a kidney transplant failure survive just as well on home dialysis as hospital dialysis, but few choose that option, according to new research by Dr. Jeffrey Perl, a nephrologist at St. Michael's Hospital.

Despite medical advances, transplanted kidneys don't last a lifetime and an increasing number of patients return to dialysis. These patients are at higher risk for complications and death than other dialysis patients because of such things as their exposure to immunosuppressive drugs and the length of time they were on dialysis,

According to a study in an upcoming issue of the Clinical Journal of the American Society Nephrology, only 18 per cent of these patients choose home dialysis. Yet the study showed no higher death rate among them and those who did dialysis in the hospital at two years, after two years and overall. The study tracked 2,110 Canadian adult patients over 14 years between 1991 and 2005.

Home dialysis, known as peritoneal dialysis, allows patients to manage their own therapy and live a relatively flexible lifestyle, including travel. Cleansing fluids are pumped into a patient's abdomen through a catheter tube. The fluid removes toxins and water from the blood using the peritoneum, the membrane lining the abdomen, as a filter. Waste products are drained several times a day. In hemodialysis, conducted in a hospital, blood is removed from the body, filtered and then returned.

Even though the number of people requiring dialysis is rising, home dialysis is declining in both Canada and the United States. Dr. Perl said one reason may be that patients whose transplants have failed may be reluctant to restart dialysis. The focus of their care may be trying to salvage the transplant, with less emphasis on education about and preparation for other options.

"It is important to empower patients who have kidney transplant failure to realize that despite the severe disappointment of returning to dialysis, they still have many options for dialysis therapy, which include opportunities for home-based therapies," Dr. Perl said.

Home-based dialysis is significantly less expensive than hospital dialysis.


'/>"/>

Contact: Leslie Shepherd
shepherdl@smh.ca
416-864-6094
St. Michael's Hospital
Source:Eurekalert

Related medicine news :

1. NEJM Publishes Trial Results Demonstrating Bard FLAIR Endovascular Stent Graft Is Superior To Balloon Angioplasty For Failing Dialysis Grafts
2. Board Certified Renal Specialist, Nina Kolbe, Publishes Second Edition of Kidney Health Gourmet: A Diet Guide and Kidney Friendly Recipes for People Not on Dialysis
3. Fatigue May Predict Heart Attack in Dialysis Patients
4. For Some on Dialysis, Anemia Drugs Pose Risks
5. Kidney Patients From Across South Carolina Visit State Capitol to Encourage Policies that Improve Patient Access to Life-Saving Dialysis and Transplant Care
6. NxStage Announces New FREEDOM Data Showing the Positive Impact of its Daily Home Hemodialysis Therapy on Sleep Quality and Restless Legs Syndrome
7. Georgia Kidney Community Recognizes World Kidney Day; Echoes Need for Legislation to Improve Access to Dialysis and Transplant Care
8. Why Spouses of Dialysis Patients Get Kidney Disease Too
9. New research examines care practices in place for dialysis patients
10. What affects the gastrointestinal symptoms in peritoneal dialysis patients?
11. Not all kidney patients treated equal: Differences in care for patients beginning on dialysis
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 27, 2016 , ... Quality metrics are proliferating in cancer ... they remain in the eye of the beholder, according to experts who offered insights ... American Journal of Managed Care. For the full issue, click here . , ...
(Date:6/26/2016)... ... June 26, 2016 , ... Pixel Film Studios Released ProSlice ... "Film editors can give their videos a whole new perspective by using the ... of Pixel Film Studios. , ProSlice Levels contains over 30 Different presets to ...
(Date:6/26/2016)... ... ... Kasmer, a legally blind and certified personal trainer is helping to develop a weight loss ... plans to fix the two major problems leading the fitness industry today:, ... , They don’t eliminate all the reasons people quit their exercise program ...
(Date:6/25/2016)... ... June 25, 2016 , ... Experts from the ... AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the Hynes Convention Center in ... topics including advance care planning, healthcare costs and patient and family engagement. , ...
(Date:6/25/2016)... ... , ... The temporary closing of Bruton Memorial Library on June 21 due to a possible ... often overlooked aspect of head lice: the parasite’s ability to live away from a human ... but a necessary one in the event that lice have simply gotten out of control. ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... Pa. , June 23, 2016 Bracket ... will launch its next generation clinical outcomes platform, Bracket eCOA ... Meeting held on June 26 – 30, 2016 in ... the first electronic Clinical Outcome Assessment product of its kind ... Booth #715. Bracket eCOA 6.0 is a flexible ...
(Date:6/23/2016)... announced the establishment of Astellas Farma Colombia (AFC), a new affiliate with operations headquartered in Bogota. Colombia ... ... ... ... Astellas is a pharmaceutical ...
(Date:6/23/2016)... , June 23, 2016 The vast ... an outpatient dialysis facility.  Treatments are usually 3 times ... hours per visit, including travel time, equipment preparation and ... patient, but especially grueling for patients who are elderly ... a skilled nursing and rehabilitation centers for some duration ...
Breaking Medicine Technology: