Hemodialysis

Parathyroidectomy Predictors Identified

Parathyroidectomy Predictors Identified

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Younger age and longer dialysis vintage associated with greater likelihood of having the operation.

No Clinically Relevant Changes in Vitamin D with PA21

No Clinically Relevant Changes in Vitamin D with PA21

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Researchers compared the novel iron-based phosphate binder with sevelamer.

Team-Focused Approach Improves Phosphorus Control

Team-Focused Approach Improves Phosphorus Control

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In a study, nurses and technicians educated groups of hemodialysis patients about phosphate binders.

Multi-Prong Approach Has Little Effect on Phosphorus Control

Multi-Prong Approach Has Little Effect on Phosphorus Control

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Researchers tested an intervention that included an educational fair, phosphorus group social, and staff education on phosphate binders.

Limiting Phosphorus Additives Aids Phosphatemia Control

Limiting Phosphorus Additives Aids Phosphatemia Control

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Researchers observed reduced phosphorus levels in HD patients whose diet restricted intake of phosphorus additives.

Study: Hemodialysis May Trigger Atrial Fibrillation

Study: Hemodialysis May Trigger Atrial Fibrillation

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AF occurred more often on a dialysis day and especially during dialysis.

AVF Placement Less Likely in Metropolitan Areas

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Rates of AVF placement in patients approaching HD in the US are significantly lower in metropolitan areas.

Heart Failure After Dialysis Start Ups Death Risk

Heart Failure After Dialysis Start Ups Death Risk

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Development of heart failure within 1 year of hemodialysis initiation was associated with a 22% increased risk of death.

ESA Resistance Found To Increase Mortality

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Greater resistance to ESA is associated with an increased risk of death among patients on chronic HD.

Hemodialysis Patients Benefit More from Oral than IV Vitamin D

Hemodialysis Patients Benefit More from Oral than IV Vitamin D

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Switching from intravenous to oral alfacalcidol resulted in greater PTH suppression in patients with secondary hyperparathyroidism.

High HDL May Raise Hemodialysis Patient Death Risk

High HDL May Raise Hemodialysis Patient Death Risk

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The inverse association is opposite of what is observed in the general population.

Novel Iron Compound Patented in Japan

Novel Iron Compound Patented in Japan

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Soluble ferric pyrophosphate (Triferic), an investigational drug, is delivered to hemodialysis patients via dialysate.

Longer Dialysis Recovery Time Predicts Higher Death Risk

Longer Dialysis Recovery Time Predicts Higher Death Risk

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It also is associated with an increased likelihood of hospitalization.

Dialysis-Requiring AKI Imposes Long-Term Heart Risks

Dialysis-Requiring AKI Imposes Long-Term Heart Risks

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Patients found to have a 67% increased risk of coronary events or death compared with patients who did not suffer acute kidney injury.

Dialysis Delay Recommended in Canada

Dialysis Delay Recommended in Canada

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The Canadian Society of Nephrology recommends initiation when clinical indications emerge or when the eGFR 6 mL/min/1.73 m2 or below.

Controversies in Blood Pressure: Management in Hemodialysis

Controversies in Blood Pressure: Management in Hemodialysis

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A majority of patients on HD have hypertension, and CVD is the leading cause of death in these patients.

Report: New ESRD Cases Decline

Report: New ESRD Cases Decline

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USRDS data show a decrease from 116,946 cases in 2010 to 115,643 cases in 2011.

Sickle Cell Trait May Raise Need for Anemia Meds in Dialysis Patients

Sickle Cell Trait May Raise Need for Anemia Meds in Dialysis Patients

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This trait in African-American hemodialysis patients was associated with a 13.2% higher dose of erythropoiesis-stimulating agents.

Dialysis Patient Death Rate Continues to Drop

Dialysis Patient Death Rate Continues to Drop

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The adjusted rate fell 26.5% from 1996 to 2011, but remains much higher than in the general population.

Study Fails to Confirm L-Carnitine Benefits in Dialysis Patients

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New meta-analysis shows no significant increase in hemoglobin or decrease in required erythropoietin dose.

Most Women on Dialysis Satisfied with Their Sex Life

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Sexual inactivity is common but not bothersome to many women, study shows.

Chemical in Dialyzers May Be Toxic to Immune Cells

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Levels of bisphenol A in components of dialysis machines may be toxic to immune cells circulating in hemodialysis patients.

CROWNWeb Data: Supporting Infection Control, Hospitalization Initiatives

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An overview of how data from the Centers for Medicare & Medicaid Services' CROWNWeb system could provide additional support.

Dialysis Patients May Benefit from New PTH Test

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Novel assay can distinguish between oxidized and nonoxidized forms of parathyroid hormone.

New CDC Tools Aim to Reduce Dialysis Infections

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Agency releases a video, a poster, and a pocket guide to help providers and patients prevent development of infectious complications in patients undergoing hemodialysis.

Iron Status Affects Platelet Counts in Hemodialysis Patients

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Decreasing TSAT and higher ESA doses are associated with increasing platelet counts.

Phosphorus Changes Affect Dialysis Patient Mortality Risk

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Declines in serum phosphorus over time may improve survival.

Higher PTH and Dietary Protein Intake Hikes Hyperphosphatemia Risk

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Worsening or resistant hyperphosphatemia may be an under-appreciated consequence of secondary hyperparathyroidism.

Statin's Effect on Diabetic HD Patients Probed

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Atorvastatin did not reduce the risk of a combined endpoint of cardiovascular death, MI, and stroke.

Limiting Phosphorus Additives in Foods Lowers Serum Phosphorus

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Levels declined significantly from 7.2 to 5.0 mg/dL, data show.

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