Hemodialysis

Dialysis Care in an Emergency: Lessons From Hurricane Harvey

Dialysis Care in an Emergency: Lessons From Hurricane Harvey

By

Staff shortages and lack of medical records surface as problems.

Dialysis Nurses Volunteer for Puerto Rico Relief Effort

Dialysis Nurses Volunteer for Puerto Rico Relief Effort

By

Three weeks after Hurricane Maria ravaged the island, Fresenius Kidney Care is flying dialysis nurses to relieve staff and help patients at the company's 27 operational dialysis centers.

High Rates of Infective Endocarditis Found Among ESRD Patients

High Rates of Infective Endocarditis Found Among ESRD Patients

By

Hemodialysis patients had higher rates of infective endocarditis than peritoneal dialysis and kidney transplant patients.

Discharged Dialysis Patients Commonly Readmitted for Different Reasons

Discharged Dialysis Patients Commonly Readmitted for Different Reasons

By

In 80% of readmissions, the primary diagnoses differed from initial hospitalization.

Health Beliefs About Salt Intake Low Among Dialysis Patients

Health Beliefs About Salt Intake Low Among Dialysis Patients

Score for subscale of perceived seriousness for no reduction of salt intake higher in transplant patients.

Opioid Overprescribing, Overdosing Common in Dialysis

Opioid Overprescribing, Overdosing Common in Dialysis

High-risk dialysis population also subject to the risks of long-term opioid use.

Pruritus in Hemodialysis Patients Underestimated, Undertreated

Pruritus in Hemodialysis Patients Underestimated, Undertreated

By

Among hemodialysis patients always or nearly always bothered by itchy skin, 17% did not report their symptoms to a health care provider and 18% used no treatment for the condition.

Arteriovenous Fistulas Not Always the Best Option

Arteriovenous Fistulas Not Always the Best Option

By

Despite low infection rates, AVFs have a high risk of maturation failure and abandonment.

Fewer Patients Require Dialysis After TAVI

Fewer Patients Require Dialysis After TAVI

From 2007/2008 to 2013/2014, the proportion of patients newly needing dialysis after TAVI decreased from 6.1% to 2.3%.

For Treating Uremic Pruritus, Evidence is Strongest for Gabapentin

For Treating Uremic Pruritus, Evidence is Strongest for Gabapentin

By

Except for gabapentin, evidence for 38 other treatments is weak and limited by small studies with a high risk of bias, new review finds.

Venous Thromboembolism Risk Elevated in Dialysis Patients

Venous Thromboembolism Risk Elevated in Dialysis Patients

By

VTE is more common among dialysis patients than in the general population, and the risk is highest in the first 6 months after dialysis initiation.

Women Less Likely to Initiate Hemodialysis With an AV Fistula

Women Less Likely to Initiate Hemodialysis With an AV Fistula

By

The odds of starting hemodialysis with an arteriovenous fistula are 31% lower for women compared with men.

Hypothyroidism Tied to Worse Quality of Life for HD Patients

Hypothyroidism Tied to Worse Quality of Life for HD Patients

By

High thyrotropin levels were associated with worse measures of energy/fatigue and physical functioning.

Optimal Iron Status for Hemodialysis Patients Reported

Optimal Iron Status for Hemodialysis Patients Reported

By

Japanese researchers conclude that a serum ferritin level below 90 ng/mL and TSAT of 20% or higher was optimal for achieving a hemoglobin level of 10 g/dL or higher.

HD Catheters Linked With Highest Rate of Bloodstream Infections

HD Catheters Linked With Highest Rate of Bloodstream Infections

By

Nearly 70% of access-related bloodstream infections occurred in hemodialysis patients with central venous catheters.

Guidelines for CKD Mineral and Bone Disorder Updated

Guidelines for CKD Mineral and Bone Disorder Updated

By

Among other changes, the new KDIGO guidelines highlight the potential dangers of hypercalcemia.

RBC Distribution Width, Dialysis Patient Mortality Linked

RBC Distribution Width, Dialysis Patient Mortality Linked

By

As red blood cell distribution width increases, so does the risk of death from any cause.

Early Hospital Readmission Ups Hemodialysis Patient Mortality Risk

Early Hospital Readmission Ups Hemodialysis Patient Mortality Risk

By

Patients who are readmitted within 30 days of discharge are approximately twice as likely to die in the following year.

 Low Albumin Tied With Early Death in Patients Starting Dialysis

Low Albumin Tied With Early Death in Patients Starting Dialysis

The overall percentage of death during the one-year follow-up was 6.87%, with 64% of deaths occurring during the first 6 months.

Residual Kidney Function Predicts Mortality in CKD-MBD

Residual Kidney Function Predicts Mortality in CKD-MBD

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

Sign Up for Free e-newsletters