Despite the adverse scenario for initiating dialysis, early start PD had similar outcomes in comparison to planned-start PD in long-term follow-up ca. 2018 #Nephpearls
ππΌ karger.com/Article/FullTeβ¦
Urgent-start PD is defined as initiation of PD in patients w/ newly diagnosed ESKD who are not yet on dialysis and who require dialysis initiation < 2 weeks (as little as 24-48 hours) after PD catheter placement but do not require emergent dialysis #Nephpearls
In this study, Urgent Start PD was defined as initiating dialysis w/in 14 days of PD catheter insertion
π Emergent: Started PD w/in 48 hours of catheter placement
π Non-emergent: Started PD from 48 hours-14 days #Nephpearls @Leslie_Wong222
ππΌ ajkd.org/article/S0272-β¦
Emergent dialysis β‘οΈ defined as having any indication for dialysis that could not wait 48 hours
Urgent dialysis β‘οΈ defined as requiring dialysis in less than 2 weeksβ time, but able to wait more than 48 hours
Urgent Start PD: Initiation of PD therapy earlier than 2 weeks after PD catheter insertion
π Treatment is performed with low fill volumes in the supine position using a cycler to avoid pericatheter leak #Nephpearls
ππΌ ajkd.org/article/S0272-β¦
Urgent Start: PD is initiated 24β48h after PD catheter placement
π Outpatient setting
π Low dwell volumes while in the supine position (to decrease the risk of developing a leak) #Nephpearls
ππΌ academic.oup.com/ckj/article/11β¦
Early start PD is a newly proposed term for patients who can wait from 3 to 14 days to initiate PD after catheter placement, since they do not truly require to start dialysis immediately #Nephpearls
ππΌ karger.com/Article/FullTeβ¦
IgA Nephropathy: The @goKDIGO treatment algorithm recommends consideration of use of corticosteroids in patients with "persistent proteinuria >1g/day" if the risk/benefit profile is favorable
π A GFR of 30 is considered a threshold for treatment
Nephrolithiasis 101: When to order a 24-hour urine collection #Nephpearls
Multiple or metabolically active stones (stones that increase in size/ number w/in a year)
Children
Demographic groups not typically prone to stone formation
Stones other than those containing calcium
Interpretation of urine chemistries to identify lithogenic risk factors and assess the contribution of diet to the formation of kidney stones ca. 2016 from @ravineja#Nephpearls
PREDNOS 2: Evaluation of Daily Low-Dose Prednisolone During URTI to Prevent Relapse in Children w/ Relapsing Steroid-Sensitive Nephrotic Syndrome ca, 2022 from @JAMAPediatrics#NephJC#IPNAJC#Nephpearls
Low-dose versus conventional-dose prednisolone for nephrotic syndrome relapses: a randomized controlled non-inferiority trial ca. 2022 from @Ped_Neph#NephJC#IPNAJC#Nephpearls
PREDNOS: Sixteen-week versus standard eight-week prednisolone therapy for childhood nephrotic syndrome ca. 2019 from @bmj_latest#NephJC#IPNAJC#Nephpearls