Peritoneal Dialysis International Journal

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Peritoneal Dialysis International Journal

Peritoneal Dialysis International Journal

@PDI_Journal

Peritoneal Dialysis International (PDI) - Official Journal of @ISPD1. #PeritonealDialysis EIC: @PD_Perls SoMe Ed: @dr_nikhilshah VA: @edgarvlermamd @jmteakell

Worldwide Katılım Nisan 2015
166 Takip Edilen6K Takipçiler
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Peritoneal Dialysis International Journal
BRI may serve as a convenient anthropometric marker for central adiposity in prevalent PD patients. The inconsistent prognostic value between incident and prevalent cohorts warrants cautious interpretation.
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Higher BRI also correlated with increased hospitalization frequency (p=0.001) and longer hospital stays (p=0.002) in prevalent patients. In a validation cohort of 162 incident PD patients, the association with survival lost significance after multivariable adjustment.
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Maintaining robust peritoneal dialysis programs requires ongoing infrastructure support, adequate reimbursement, and clinical training, even as modality choice broadens. Read the full policy analysis in PDI.
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Recent policy reforms have shifted toward shared decision-making, removing financial disincentives for hemodialysis. This transition presents a "success paradox," where initial policy triumphs create new structural and economic challenges for modality distribution.
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Clinical Pearl: A review of 67 M. abscessus PD infections showed 6 historical cases treated with clofazimine achieved cure. This is the FIRST reported success for a macrolide-resistant strain! Clofazimine is a viable oral combo-therapy option. 5/5
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The Results: After 4 weeks of imipenem-cilastatin, amikacin, azithromycin, and clofazimine, followed by 4 months of continuation therapy, the patient achieved sustained clinical cure! He remains recurrence-free at 14 months follow-up. 4/5
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6/6 📝 Takeaway: Don't wait for the cocoon. In long-term PD patients, monitor ascites production rates during pauses. It could be the key to early EPS intervention. Read the full paper by Hsieh et al. in @PDI_Journal
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5/6 ✅ Outcome: Ascites volume decreased over time, and the patient's weight and appetite recovered. This highlights that "rapid accumulation" can be a vital early warning sign in high-risk patients.
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