Hemodialysis

Hemodialysis Antibiotic Lock Cuts Infection Risk

Hemodialysis Antibiotic Lock Cuts Infection Risk

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A solution of gentamicin and citrate decreased the likelihood of catheter-related infections and mortality.

Interdialytic Weight Gain May Increase Cardiovascular Risks

Interdialytic Weight Gain May Increase Cardiovascular Risks

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A 4% or greater increase in dry weight is associated with a 2-fold increased risk of major adverse cardiac and cerebrovascular events.

Poor Dental Health Boosts Mortality Risk in ESRD

Poor Dental Health Boosts Mortality Risk in ESRD

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In a study, hemodialysis patients with more than 14 decayed, missing, or filled teeth had a 67% increased risk of death.

Do you routinely ask dialysis patients if they have dental problems?

Do you routinely ask dialysis patients if they have dental problems?

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Poor dental health, but not periodontal disease, is an independent risk factor for ESRD.

Starting on Peritoneal Dialysis May Offer Survival Edge

Starting on Peritoneal Dialysis May Offer Survival Edge

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Highest survival rates found among patients whose initial dialysis modality was PD but where then switched to hemodialysis.

Fracture Risk Varies by Renal Replacement Therapy

Fracture Risk Varies by Renal Replacement Therapy

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Hemodialysis patients are at higher risk than peritoneal dialysis and renal transplant recipients.

Smoking Hikes Stroke Risk in Hemodialysis Patients

Smoking Hikes Stroke Risk in Hemodialysis Patients

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Other risk factors include diabetes, increasing age, and increasing dialysis vintage; higher albumin levels reduce the risk.

Uric Acid May Predict Outcomes in Dialysis Patients

Uric Acid May Predict Outcomes in Dialysis Patients

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An Israeli study shows that serum uric acid levels can be a clinically useful nutritional marker.

The Challenge of Dialysis at the End of Life

The Challenge of Dialysis at the End of Life

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Dialysis is not necessarily in the patient's best interest, clinicians and ethicists say.

"Doc, Did You Check My Cholesterol?"

"Doc, Did You Check My Cholesterol?"

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Many patients still insist that I need to check and manage their cholesterol.

Thyroid Problems Up Cardiac Death Risk in Diabetic HD Patients

Thyroid Problems Up Cardiac Death Risk in Diabetic HD Patients

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Researchers find link among patients with subclinical hyperthyroidism and euthyroid sick syndrome.

Do you routinely screen for anxiety and depression in hemodialysis patients?

Do you routinely screen for anxiety and depression in hemodialysis patients?

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Anxiety and depression are common among hemodialysis patients and they are associated with increased morbidities.

Post-Discharge Visits Cut Hemodialysis Readmission Rates

Post-Discharge Visits Cut Hemodialysis Readmission Rates

More frequent physician visits following discharge expected to reduce re-hospitalizations.

Hemodialysis Patients Face Higher Hip Fracture Risk

Hemodialysis Patients Face Higher Hip Fracture Risk

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The risk is more than 13 times greater than with peritoneal dialysis.

ESA Use in Dialysis Patients May Increase Their Cancer Risk

ESA Use in Dialysis Patients May Increase Their Cancer Risk

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Doses higher than 70 μg per week were associated with a 77% greater risk of cancer compared with non-use of the agents.

Ascorbic Acid Found to Reduce Darbepoetin Requirement

Ascorbic Acid Found to Reduce Darbepoetin Requirement

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It also was associated with high hemoglobin levels and reduced levels of C-reactive protein.

Lower Phosphorus, Higher Protein Intake Improve Survival

Lower Phosphorus, Higher Protein Intake Improve Survival

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Protein levels found to modify the effect of serum phosphorus with mortality in hemodialysis patients.

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.

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