Peritoneal dialysis better than HD in ESRD?
Mortality in people with ESRD was dependent on the method of dialysis in this study. Read more in Short cuts - What's new in the other general journals by BMJ.
Source:
Comparing the Risk for Death with Peritoneal Dialysis and Hemodialysis in a National Cohort of Patients with Chronic Kidney Disease - Annals of Int Med
Medical Residents are Having Trouble Reading EKGs
MDRedux has an interesting comment on this study. Our small contribution to educating the residents is the mnemonic A RARE PQRST --> DR. IIEE. It can be used to remember the systematic approach when reading an EKG.
Source:
Competency in electrocardiogram interpretation among internal medicine and emergency medicine residents - AM J of Med
Interview Advice from BMJ Careers 8/05
Image source: sxc.hu
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ReplyDeleteThere are many studies comparing HD to PD. The biggest problem is that almost none of them are randomized, and therefore it's difficult to draw any firm conclusions. I usually just have patients decide based on preference, which is often a choice of lifestyle.
ReplyDeleteAddendum, now that I've had a chance to fully read the paper: There are now a few studies which suggest that PD may have a higher risk of mortality than HD, so it should probably become standard practice that patient's be notified of this possible increased risk, as the article suggests.