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Jyoti Baharani Profile picture
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May 10 • 8 tweets • 5 min read
Benefits of incremental PD #pdlive - better patient QOL
How do define incremental PD? #pdlive
Current evidence is poor but some exists #pdlive- treatment is different in all though
Data from @ANZDATARegistry #pdlive - definition of i cremate PD and who was offered it
Use of incremental PD increased over time #pdlive
Led to less peritonitis #pdlive but it’s only observational
Lower tx to HD and possibly reduction in death #pdlive
So in summary incremental PD may be useful for patients costs etc #pdlive

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More from @renalpages

Jyoti Baharani Profile picture
May 10
What’s the evidence for #sharesource from @baxter_intl for RPM in #PD #pdlive
Looking at the data collected so far for #sharesource #PDlive
Data lacking for value and patient outcome data #pdlive
Read 4 tweets
Jyoti Baharani Profile picture
May 10
Diabetes in PD #pdlive and looking at continuous glucose monitoring - no studies looking at accuracy of the same @m_alikaramat
Planned study looking at CGM in #peritonealdialysis #pdlive @m_alikaramat
Looking at secondary outcomes #pdlive
Read 4 tweets
Jyoti Baharani Profile picture
May 10
#improvePD #pdlive - looking at various aspects of PD care @ImprovePd
Developing a prognostic model for patients on #PD #PDlive

Existing models over or under estimated mortality
Methods for the study to develop a #prognostic model #pdlive - adding items to conventional data points improves sensitivity
Read 5 tweets
Jyoti Baharani Profile picture
May 10
#pdlive QOL data on a PD vs from @DOPPStudy from prof Brown
Better QOL on PD in all areas in all@countries #pdlive
Read 4 tweets
Jyoti Baharani Profile picture
Apr 26
How does your unit remove #PD catheters no longer in use @askrenal
so it looks like the majority of folk u open surgical technique to remove #PD catheters - but is there any evidence to suggest that one technique is superior over the other?
there is small amount of literature out there - this paper is the latest link.springer.com/article/10.100…
concludes that PT is superior to OST in terms of blood loss, anesthetic use, operative pain score, and operating time without sacrificing safety and survival benefits
Read 11 tweets
Jyoti Baharani Profile picture
Jul 12, 2020
I listened to (while doing some admin) @ISPD1 webinar on dispelling #myths in #peritoneal #dialysis by the inimitable @PD_perls- really interesting content and I’ve added some of my own myths that I’ve been presented with over the years that I’ve lead the service @HeartlandsUHB
Myth #1- Previous abdominal surgery and PD are not compatible..

This is the commonest reason why patients are not offered PD
Advanced laparoscopic tube placement can do away with most issues as this slide shows:
We have also done some percutaneous blind and fluoroscopy guided procedures in patients with simple scars such as a C-section; appendectomy and laparoscopic cholecystectomy and overall, not had any issues
Read 33 tweets

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