On 2017 Aug 18, NephJC - Nephrology Journal Club commented:

The position paper for the ISPD on the length of time on peritoneal dialysis (PD) and encapsulating peritoneal sclerosis (EPS) was discussed on July 11th and 12th 2017 on #NephJC, the open online nephrology journal club. Introductory comments written by Nikhil Shah are available at the NephJC website here

There was a lot of interest in this updated position paper, with 98 participants in the discussion and nearly 700 tweets. Of note, the PDI editor and the UK authors also joined in to provide further background and context to this paper.

The highlights of the tweetchat were:

• There participants agree with the epidemiological challenges as outlined by the authors – difficulty defining EPS, lack of interventions, conflicting data on effect of time on PD, difficulty applying available evidence into individual risk assessment. As such, they recognise that this is only a position statement as opposed to a set of guidelines.

• Ascertainment bias may affect reported incidence rates. Clearer diagnostic criteria may encourage earlier diagnosis and intervention.

• Applying empiric time-limitations to PD is probably not the solution.

• Aggressive nutrition, switching dialysis modality and referral to a specialist surgical centre were the preferred management strategies of this group. Some advocate tamoxifen or steroids in addition.

Transcripts of the tweetchats, and curated versions as storify are available from the NephJC website.

Interested individuals can track and join in the conversation by following @NephJC or #NephJC on twitter, liking @NephJC on facebook, signing up for the mailing list, or just visit the webpage at NephJC.com.

On 2017 Aug 18, NephJC - Nephrology Journal Club commented:

The position paper for the ISPD on the length of time on peritoneal dialysis (PD) and encapsulating peritoneal sclerosis (EPS) was discussed on July 11th and 12th 2017 on #NephJC, the open online nephrology journal club. Introductory comments written by Nikhil Shah are available at the NephJC website here

There was a lot of interest in this updated position paper, with 98 participants in the discussion and nearly 700 tweets. Of note, the PDI editor and the UK authors also joined in to provide further background and context to this paper.

The highlights of the tweetchat were:

• There participants agree with the epidemiological challenges as outlined by the authors – difficulty defining EPS, lack of interventions, conflicting data on effect of time on PD, difficulty applying available evidence into individual risk assessment. As such, they recognise that this is only a position statement as opposed to a set of guidelines.

• Ascertainment bias may affect reported incidence rates. Clearer diagnostic criteria may encourage earlier diagnosis and intervention.

• Applying empiric time-limitations to PD is probably not the solution.

• Aggressive nutrition, switching dialysis modality and referral to a specialist surgical centre were the preferred management strategies of this group. Some advocate tamoxifen or steroids in addition.

Transcripts of the tweetchats, and curated versions as storify are available from the NephJC website.

Interested individuals can track and join in the conversation by following @NephJC or #NephJC on twitter, liking @NephJC on facebook, signing up for the mailing list, or just visit the webpage at NephJC.com.