Hemodialysis

Residual Kidney Function Predicts Mortality in CKD-MBD

Residual Kidney Function Predicts Mortality in CKD-MBD

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In a study of hemodialysis patients, mortality risk increased along with phosphorus level, particularly among patients with higher residual renal urea clearance.

Post-Cystectomy Deaths Among HD Patients Seldom Due to Cancer

Post-Cystectomy Deaths Among HD Patients Seldom Due to Cancer

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Following radical cystectomy for bladder cancer, end-stage renal disease patients are 3-4 times more likely to die from causes other than cancer.

Topically Applied Drug May Improve Hemodialysis Fistula Survival

Topically Applied Drug May Improve Hemodialysis Fistula Survival

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In a study, vonapanitase did not improve primary patency compared with placebo, but did improve secondary patency and fistula use for hemodialysis.

Sudden Cardiac Death Rate Remains High Among Hemodialysis Patients

Sudden Cardiac Death Rate Remains High Among Hemodialysis Patients

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Among hemodialysis patients, sudden cardiac death accounted for 12% more cardiovascular-related mortalities in 2013 than in 2009.

Insurance Type Affects Initial Dialysis Modality Choice

Insurance Type Affects Initial Dialysis Modality Choice

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ESRD patients aged 60-64 years with no insurance or who are on Medicaid are less likely to initiate peritoneal dialysis.

Triferic Pharmacokinetics Characterized

Triferic Pharmacokinetics Characterized

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Ferric pyrophosphate citrate delivered via dialysate or intravenously rapidly donates iron to transferrin and is rapidly cleared from the circulation.

Unplanned Readmissions of Hemodialysis Patients Probed

Unplanned Readmissions of Hemodialysis Patients Probed

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Nearly a quarter of hospitalizations are followed by readmission within 30 days for non-elective reasons.

Hemodialysis Patient Hospitalization Rates Declining

Hemodialysis Patient Hospitalization Rates Declining

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Study documents an upswing in emergency department visits and observation stays.

Study Suggests Colon Cancer Overscreening in Dialysis Patients

Study Suggests Colon Cancer Overscreening in Dialysis Patients

Patients in the lowest quartile of mortality risk were more likely to be screened for colon cancer than those in the highest quartile.

Higher Mortality Found After RFA in ESRD Dialysis Patients

Higher Mortality Found After RFA in ESRD Dialysis Patients

In-hospital mortality following RFA was higher in older, dialyzed ESRD patients than in non dialyzed patients.

Early Predialysis Nephrology Care May Prevent CV Events

Early Predialysis Nephrology Care May Prevent CV Events

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Patients with early and frequent nephrology visits before dialysis initiation had about a 10% lower risk for major adverse cardiovascular events.

How 'Bundling' Changed Dialysis Care

How 'Bundling' Changed Dialysis Care

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Decreased use of erythropoiesis-stimulating agents and an uptick in peritoneal dialysis use are among the trends.

Undocumented Immigrants With ESRD Face Poor Health Care Access

Undocumented Immigrants With ESRD Face Poor Health Care Access

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ESRD sufferers in the US illegally seek hospital emergency departments with distressing symptoms.

Nephrologists Not Prescribing Antidepressants to Dialysis Patients

Nephrologists Not Prescribing Antidepressants to Dialysis Patients

Patients on chronic hemodialysis with depression are frequently not interested in modifying or initiating antidepressant treatment, commonly attributing their depression to a recent acute event, chronic illness, or dialysis.

Off-Target CKD-MBD Biomarkers Prognostic for Adverse Outcomes

Off-Target CKD-MBD Biomarkers Prognostic for Adverse Outcomes

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Dialysis facilities with the least control of PTH, Ca, and P had the greatest risks.

Frequent Hemodialysis Improves Health-Related QoL

Frequent Hemodialysis Improves Health-Related QoL

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Patients feel better and recovery times are shorter with 6 hemodialysis sessions per week rather than 3, researchers report.

Many Hemodialysis Patients Have Sleep Difficulties

Many Hemodialysis Patients Have Sleep Difficulties

Participants experienced poor sleep quality, increased daytime sleepiness, as well as restless leg syndrome due to maintenance hemodialysis.

Calciphylaxis Linked to Low Vitamin K

Calciphylaxis Linked to Low Vitamin K

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An enzyme that inhibits vascular calcification depends on the vitamin for conversion to its active form.

AVF Failure Not Improved By Fish Oil Supplements, Low-Dose Aspirin

AVF Failure Not Improved By Fish Oil Supplements, Low-Dose Aspirin

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Researchers reported a 47% AVF failure rate for both fish oil and placebo recipients.

Daily Walking Improves Physical, Mental Wellbeing of Dialysis Patients

Daily Walking Improves Physical, Mental Wellbeing of Dialysis Patients

The study shows that simple, home-based exercise programs hold potential for improving physical functioning in dialysis patients.

Dialysis Patient Age May Affect Hyperphosphatemia Management

Dialysis Patient Age May Affect Hyperphosphatemia Management

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Younger patients are less likely to respond to treatment with sucroferric oxyhydroxide or sevelamer.

Optimal Vitamin C Dose for Anemia in Hemodialysis Patients Unclear

Optimal Vitamin C Dose for Anemia in Hemodialysis Patients Unclear

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Pending future research, patients should avoid taking more than 120 mg per day.

Calciphylaxis Risk Higher in Peritoneal Dialysis Patients

Calciphylaxis Risk Higher in Peritoneal Dialysis Patients

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Their risk of the rare but life-threatening condition is twice as high as in hemodialysis patients.

Omega-3 Fatty Acids May Explain Hemodialysis Obesity Paradox

Omega-3 Fatty Acids May Explain Hemodialysis Obesity Paradox

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Study reveals a link between higher BMI in HD patients and greater incorporation of omega-3 fatty acids into red blood cell membranes.

More Cardiovascular Events Occur After Longer HD Schedule

More Cardiovascular Events Occur After Longer HD Schedule

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Cardiovascular events more than tripled 4 days following the last dialysis session.

Intensive Hemodialysis Effective for Treating Hyperphosphatemia

Intensive Hemodialysis Effective for Treating Hyperphosphatemia

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It can sharply lower serum phosphorus levels and reduce dependence on phosphate binders.

Dialysis Patient Outcomes Not Worse After Bundling, ESA Label Changes

Dialysis Patient Outcomes Not Worse After Bundling, ESA Label Changes

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Study finds no increased risk of major adverse cardiovascular events and death.

Dietary Management May Aid Transition to Incremental HD

Dietary Management May Aid Transition to Incremental HD

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A low protein, low phosphorus diet plays an important role in the nutritional management of patients transitioning to once-weekly incremental hemodialysis.

Extracorporeal Therapy for Poisoning

Extracorporeal Therapy for Poisoning

A workgroup has developed guidelines for the use of hemodialysis treatments for common toxicities

Longer HD May Offer Survival Benefit

Longer HD May Offer Survival Benefit

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In a study, extended-hours versus conventional HD was associated with a 33% decreased mortality risk

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