Hemodialysis

VA System ESRD Patients Start Dialysis Later

VA System ESRD Patients Start Dialysis Later

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New findings may support the notion that provider-level financial incentives influence decisions to start dialysis at higher levels of kidney function.

Low Magnesium Linked to Worse Survival in Hemodialysis Patients

Low Magnesium Linked to Worse Survival in Hemodialysis Patients

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Two studies confirm the association, but it remains unclear whether correcting hypomagnesemia will lessen the likelihood of adverse outcomes.

Study Probes Boiling Methods for Cutting Phosphorus in Meat

Study Probes Boiling Methods for Cutting Phosphorus in Meat

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Boiling sliced meat in a pressure cooker filled with soft water may be a promising way for dialysis patients to reduce phosphorus intake.

Training Can Improve Intra-dialytic Fluid and Salt Intake

Training Can Improve Intra-dialytic Fluid and Salt Intake

Training was effective at some time points in decreasing fluid, salt intake among those undergoing hemodialysis.

Therapeutic Non-adherence: An Ongoing Problem

Therapeutic Non-adherence: An Ongoing Problem

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No matter how much pharmacologic therapy advances, patient behavior will remain a significant factor in the outcomes achieved.

Epoetin, Darbepoetin Offer Similar Long-Term Outcomes

Epoetin, Darbepoetin Offer Similar Long-Term Outcomes

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Hemodialysis patients treated with either agent have comparable risks of overall and cardiovascular mortality and cardiovascular events.

Study: Patient Survival Better with HHD than PD

Study: Patient Survival Better with HHD than PD

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In a study, home hemodialysis was associated with a 53% decreased risk of death compared with peritoneal dialysis.

Phosphorus, Calcium Decreases Linked to Improved HD Patient Survival

Phosphorus, Calcium Decreases Linked to Improved HD Patient Survival

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Lowest relative risk of death observed in patients with serum phosphorus and calcium levels of 4.4 mg/dL and 8.8 mg/dL, respectively.

Remote Ischemic Preconditioning Reduces Surgery-related AKI

Remote Ischemic Preconditioning Reduces Surgery-related AKI

Findings among patients at high risk of acute kidney injury, undergoing cardiac surgery

A Novel Approach to Giving Iron

A Novel Approach to Giving Iron

Ferric pyrophosphate citrate may play a role in the therapeutic armamentarium for dialysis patients.

Hospital Discharge Day Affects Dialysis Patient Readmission Risk

Hospital Discharge Day Affects Dialysis Patient Readmission Risk

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Patients discharged on Fridays and Saturday are more likely to be readmitted within 30 days than those discharged Sunday through Thursday.

Stroke Risk Lower with Kidney Transplants vs. Dialysis

Stroke Risk Lower with Kidney Transplants vs. Dialysis

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Their risk of a stroke was 46% lower than that of dialysis patients.

Dialysis Patients More Likely to Die in Winter

Dialysis Patients More Likely to Die in Winter

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Austrian study finds a death rate in winter of 1.60 deaths per 100 patient-months compared with 1.06 deaths per 100 patient-months in summer.

Iron-Based Binder Could Improve Adherence

Iron-Based Binder Could Improve Adherence

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It had a phosphorus-lowering effect similar to that of sevelamer, but had a lower pill burden.

Phosphorus Control Linked to Self-Motivation in ESRD

Phosphorus Control Linked to Self-Motivation in ESRD

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Strategies to overcome motivational barriers may improve mineral bone health.

Ethnic Differences in Arteriovenous Fistula Initiation

Ethnic Differences in Arteriovenous Fistula Initiation

Lower odds of initiating hemodialysis with artervenous fistula for black and Hispanic versus white patients.

Low Physical Function Not Tied to Muscle Mass

Low Physical Function Not Tied to Muscle Mass

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Patients on maintenance hemodialysis have worse physical function than other elderly patients, study says.

Should We Always Treat Edema?

Should We Always Treat Edema?

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We may feel good treating a patient's edema, but is fluid retention always harmful?

Intradialytic Protein Consumption May Benefit Hemodialysis Patients

Intradialytic Protein Consumption May Benefit Hemodialysis Patients

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Researchers observed significant improvements in inflammation and physical function.

Cardiac Arrest Risk in ESRD May Be Inherited

Cardiac Arrest Risk in ESRD May Be Inherited

But more detailed genetic studies needed in the dialysis population.

Hydration During PCI Reduces Contrast Nephropathy

Hydration During PCI Reduces Contrast Nephropathy

Contrast-Induced Nephropathy is significantly associated with mortality and need for dialysis; hydration is also a predictor of CIN.

ICU Patients on RRT Rarely Have Nephrology Follow-up

ICU Patients on RRT Rarely Have Nephrology Follow-up

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Investigators propose a protocol for when patients should be referred to nephrologists.

Dialysis Modalities Show Similar Outcomes in AKI

Dialysis Modalities Show Similar Outcomes in AKI

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Recent meta-analysis compared continuous renal replacement therapy and extended daily dialysis.

Portugal's RRT Incidence Rate Is Highest in Europe

Portugal's RRT Incidence Rate Is Highest in Europe

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New report shows that Montenegro had the lowest rate of renal replacement therapy.

Real-World Obstacles to Extended Hemodialysis Time

Real-World Obstacles to Extended Hemodialysis Time

Most staff feel that extended treatment time is clinically beneficial, but not all recommend it.

Warfarin Found to Raise Calciphylaxis Risk

Warfarin Found to Raise Calciphylaxis Risk

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New findings add to a growing body of evidence supporting the avoidance of vitamin K antagonists in dialysis patients.

Hurricane Sandy Adversely Affected ESRD Patients

Hurricane Sandy Adversely Affected ESRD Patients

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Emergency department visit and hospitalization rates increased in wake of storm.

Phosphorus Pyramid for CKD Provides Diet Advice

Phosphorus Pyramid for CKD Provides Diet Advice

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Reducing dietary phosphorus is challenging, so researchers have developed a food pyramid for CKD and dialysis patients.

Higher Phosphorus Levels Linked to Mortality

Higher Phosphorus Levels Linked to Mortality

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The findings generally support KDOQI guidelines for dialysis patients, which recommend maintaining serum phosphorus levels between 3.5 and 5.5 mg/dL.

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