Publications by authors named "H KAWANISHI"

Key Points: CKD-associated pruritus is highly prevalent among peritoneal dialysis patients. Pruritus is associated with reduced health-related quality of life, and the composite of mortality and transfer to hemodialysis for peritoneal dialysis patients. Efforts to better identify and manage pruritus in this population are needed.

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Effects of the initial peritoneal dialysis (PD) prescription on clinical outcomes are unknown in Japan. We conducted a cohort study using data from Peritoneal Dialysis Outcomes and Practice Patterns Study. The patients were divided into two groups by the volume of the initial PD prescription (≤ 4 L/day or > 4 L/day).

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Article Synopsis
  • - Pruritus, or itchiness, is a common issue affecting 43% of peritoneal dialysis patients, with prevalence varying by country, being notably higher in Thailand (50%) and lower in the U.S. (33%).
  • - Factors like diabetes, low protein levels, and high phosphorus levels are linked to moderate to severe pruritus, while increased urine output appears to reduce itchiness.
  • - Patients suffering from severe pruritus report poorer mental and physical health, and they also have a higher risk of death or needing to switch to hemodialysis (HD), with a 12% increased risk associated with moderate to extreme itching.
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Background: Encapsulated peritoneal sclerosis (EPS) is a serious complication in patients undergoing peritoneal dialysis (PD). Neutral-pH dialysate is associated with less peritoneal damage and a lower incidence of EPS than conventional PD solution. However, monitoring for peritoneal damage and predicting EPS remain important during PD therapy.

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Background: Peritoneal dialysis (PD)-related peritonitis is a major complication of PD. Wide variations in peritonitis prevention, treatment strategies and consequences are seen between countries. These between-country differences may result from modifiable risk factors and clinical practices.

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