Hemodialysis

AV Access at Hemodialysis Initiation Less Likely Among Women

AV Access at Hemodialysis Initiation Less Likely Among Women

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Study reveals 15% lower odds of arteriovenous access use at hemodialysis initiation among women vs men.

Obese HD Patients Need Less Erythropoietin to Treat Anemia

Obese HD Patients Need Less Erythropoietin to Treat Anemia

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New study "adds to the evidence of obesity-associated advantages," researchers conclude.

Apixaban May Reduce Major Bleeding Risk in Dialysis Patients With AFib

Apixaban May Reduce Major Bleeding Risk in Dialysis Patients With AFib

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Apixaban recipients had a 28% lower risk for major bleeding compared with patients treated with warfarin.

Few Hemodialysis Patients on Medicare Enroll in Hospice

Few Hemodialysis Patients on Medicare Enroll in Hospice

Patterns of use, timing of hospice similar among patients with diverse spending trajectories.

High FGF-23 Levels Linked to Lower Adiposity in Dialysis Patients

High FGF-23 Levels Linked to Lower Adiposity in Dialysis Patients

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FGF-23 may have an effect on adipose tissue that contributes to an obesity paradox observed in patients with end-stage renal disease.

FDA Approves Noninvasive Devices for Arteriovenous Fistula Creation

FDA Approves Noninvasive Devices for Arteriovenous Fistula Creation

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The devices use 1 or 2 catheters placed within the blood vessels to form AVFs in the arms of patients on hemodialysis.

Octogenarians Benefit From Nephrology Consult Before Dialysis Start

Octogenarians Benefit From Nephrology Consult Before Dialysis Start

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In a Swiss study, patients aged 80 years or more were significantly less likely to die if they had a nephrology referral prior to initiating dialysis.

Pre-Dialysis Anemia Ups Mortality After Dialysis Start

Pre-Dialysis Anemia Ups Mortality After Dialysis Start

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Patients with vs without anemia prior to starting hemodialysis (HD) were more likely to die despite achieving target hemoglobin levels at month 4 after HD initiation.

Longer Dialysis Time and Patient Suffering

Longer Dialysis Time and Patient Suffering

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CMS also has upcoming plans to impose fiscal penalties related to dialysis treatment.

Moral Distress for Docs Providing Emergency-Only Hemodialysis

Moral Distress for Docs Providing Emergency-Only Hemodialysis

Docs describe burnout and emotional exhaustion; moral distress at seeing suffering and injustice.

Hospice care may not decrease Medicare costs in patients on maintenance dialysis

1. In this cross-sectional study, of those patients on maintenance hemodialysis that were referred to hospice care, 41.5% received care for only 3 days or less. 2. While patients who were enrolled in hospice care were less likely to die in hospital or undergo intensive procedures prior to death, they were more likely to be []

Hemodialysis Patients on Medicare Often Referred Too Late to Hospice

Hemodialysis Patients on Medicare Often Referred Too Late to Hospice

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Late hospice referral may limit the benefits patients receive, according to researchers.

Opioids Risky for Hemodialysis Patients

Opioids Risky for Hemodialysis Patients

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Study links the pain relievers to altered mental status, fall, and fracture.

Medicare pre-ESRD care results in more dialysis initiation but also increased two-year mortality

1. Veterans receiving pre-end stage renal disease (ESRD) nephrology care in under the Medicare system were more likely to undergo dialysis and had a higher two-year mortality rate than veterans that received pre-ESRD care through the Department of Veteran's Affairs (VA). 2. Differences in dialysis initiation between Medicare and VA were more pronounced in patients []

Predialysis Nephrology Care Associated With Lower AFib Risk

Predialysis Nephrology Care Associated With Lower AFib Risk

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Older patients who had more frequent nephrology visits prior to initiating dialysis had a lower incidence of atrial fibrillation in the year after initiating dialysis compared with those who did not.

Intensive Phosphate Control May Reduce FGF23 in HD

Intensive Phosphate Control May Reduce FGF23 in HD

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A serum phosphate control target of 4.5 mg/dL or below in hemodialysis patients was accompanied by a decline in fibroblast growth factor 23.

Fistula, Graft Angioplasty Success Linked to Aspirin Use

Fistula, Graft Angioplasty Success Linked to Aspirin Use

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In a prospective study, aspirin users were more likely to have a successful outcome following PTA for venous stenoses in arteriovenous fistulas or grafts.

Cinacalcet Administration After Hemodialysis Safe, Effective

Cinacalcet Administration After Hemodialysis Safe, Effective

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Control of parathyroid hormone did not differ markedly at 48 and 72 hours after in-center HD compared with 24 hours after daily oral administration of 30 mg cinacalcet.

Most Disliked Dialysis Dietary Restriction Is Limited Fluid Intake

Most Disliked Dialysis Dietary Restriction Is Limited Fluid Intake

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In a survey, nearly one-third of hemodialysis patients said they disliked fluid restriction.

Phosphate Binders Do Not Interfere With Vitamin D Therapy

Phosphate Binders Do Not Interfere With Vitamin D Therapy

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Mean 25-hydroxyvitamin D levels did not differ significantly among groups receiving phosphate binders or dietary therapy.

High Mean Corpuscular Volume Ups Hemodialysis Patient Death Risk

High Mean Corpuscular Volume Ups Hemodialysis Patient Death Risk

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Study of 109,501 incidental HD patients reveals an association between high mean corpuscular volume and increased risk of all-cause, cardiovascular, and infection-related mortality.

Hemodialysis Patients With Low Selenium Levels More Likely to Die

Hemodialysis Patients With Low Selenium Levels More Likely to Die

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Prospective study reveals that patients on hemodialysis whose blood selenium concentrations are in the lowest decile have a 3.4-fold higher odds of death.

Readmission Rates High for HD Patients After CVD Hospitalization

Readmission Rates High for HD Patients After CVD Hospitalization

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In a study, the 30-day readmission rate for hemodialysis patients hospitalized for cardiovascular events was 34.2%.

Hemodialysis Induces Decline in Cerebral Blood Flow in Elderly

Hemodialysis Induces Decline in Cerebral Blood Flow in Elderly

Global CBF declined significantly by 10% from before the start to the end of hemodialysis.

Fresenius Names New Chief Medical Information Officer

Fresenius Names New Chief Medical Information Officer

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Fresenius Medical Care North America has promoted Ahmad Sharif, MD, MPH, to Chief Medical Information Officer for North America.

Elevated ALP Linked With Mortality in Hemodialysis

Elevated ALP Linked With Mortality in Hemodialysis

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Patients with the highest levels of serum alkaline phosphatase were more likely to die from infections and cardiovascular causes.

Nontraditional Risk Factors Predict Atherosclerotic Events in HD

Nontraditional Risk Factors Predict Atherosclerotic Events in HD

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In hemodialysis patients, only non-traditional risk factors such as C-reactive protein predicted non-fatal myocardial infarction and other atherosclerotic events, researchers report.

Dialysis Withdrawal Preceded by Worsening Medical Condition

Dialysis Withdrawal Preceded by Worsening Medical Condition

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New study finds an increase in medical events and institutionalization in the months leading up to dialysis withdrawal.

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