Hemodialysis

Twice-Weekly Dialysis May Preserve Residual Kidney Function

Twice-Weekly Dialysis May Preserve Residual Kidney Function

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Patients with preserved residual kidney function experience a survival benefit.

Caution Urged In the Use of Megestrol

Caution Urged In the Use of Megestrol

Use of oral megestrol acetate (MA) is associate with significant adverse effects.

Infection Control Lapses in Dialysis Can Lead to HCV

Infection Control Lapses in Dialysis Can Lead to HCV

Dialysis providers and facilities should assess and improve infection control practices.

Factors Influencing the Timing of Dialysis Initiation

Factors Influencing the Timing of Dialysis Initiation

Factors include care practices of physicians, sources of momentum, patient-physician interactions.

Investigational Agent Shows Promise for SHPT in Hemodialysis Patients

Investigational Agent Shows Promise for SHPT in Hemodialysis Patients

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In a phase 2 trial, etelcalcitide, a novel peptide agonist of the calcium-sensing receptor, significantly reduced parathyroid hormone levels.

Earlier ESA Initiation May Improve Renal Outcomes

Earlier ESA Initiation May Improve Renal Outcomes

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Study shows benefit of initiating epoetin beta therapy at hemoglobin levels not less than 10 g/dL in non-dialysis CKD patients.

Cinacalcet for SHPT May Lower Testosterone

Cinacalcet for SHPT May Lower Testosterone

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Serum total and free testosterone declined in men on hemodialysis who received a 6-month course of the drug for secondary hyperparathyroidism.

Mortality, Magnesium Imbalance Linked in Dialysis Patients with SHPT

Mortality, Magnesium Imbalance Linked in Dialysis Patients with SHPT

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Lowest magnesium level was associated with a 74% increased risk of early death compared with mid-range levels.

Renal Dosing Errors Frequent in Hemodialysis Patients

Renal Dosing Errors Frequent in Hemodialysis Patients

Primary factor for nonadherence to renal dosing is characteristics of medical institution.

Ergocalciferol Supplements Improve Vitamin D Deficiency, Not Anemia

Ergocalciferol Supplements Improve Vitamin D Deficiency, Not Anemia

Six-months of supplementation has no impact on epoetin utilization in HD patients with low 25(OH)D.

Cocoa Flavanols Protect Dialysis Patients' Cardiovascular System

Cocoa Flavanols Protect Dialysis Patients' Cardiovascular System

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Researchers observe significant improvements chronic and hemodialysis-induced vascular dysfunction.

Racial/Ethnic Disparities in Home Dialysis Outcomes Identified

Racial/Ethnic Disparities in Home Dialysis Outcomes Identified

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Blacks undergoing PD or home HD and Hispanics undergoing PD are less likely than their white counterparts to receive a kidney transplant.

How to Use Dialysis Center Ratings

How to Use Dialysis Center Ratings

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At the highest level, the ratings can be used to categorize facilities. They can also indicate which facilities may need more resources.

Weekly ESA Dosing at Dialysis Centers May Offer Time Savings

Weekly ESA Dosing at Dialysis Centers May Offer Time Savings

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The estimated potential staff time savings totaled 23 hours for an average facility with 70 patients, researchers found.

Ferumoxytol Similar in Safety to Other IV Iron Products

Ferumoxytol Similar in Safety to Other IV Iron Products

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Rates of death and important non-fatal outcomes between ferumoxytol and iron sucrose or sodium ferric gluconate do not differ significantly.

Warfarin Use by Hemodialysis Patients Found Safe

Warfarin Use by Hemodialysis Patients Found Safe

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Prospective study shows no increase in all-cause mortality and cardiovascular events compared with non-use.

Patient Mood During Interventional Radiology May Affect Outcomes

Patient Mood During Interventional Radiology May Affect Outcomes

More adverse events seen when people undergoing interventional radiology have negative attitude.

Acyclovir-induced Neurotoxicity in Dialysis Patient

Acyclovir-induced Neurotoxicity in Dialysis Patient

Case report describes acyclovir-induced neurotoxicity in patient treated with recommended dose.

Risk Factors for HD Patient Hospitalization for Infections Identified

Risk Factors for HD Patient Hospitalization for Infections Identified

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These factors include lower serum albumin levels and vascular access other than an arteriovenous fistula at dialysis initiation.

ESRD and Treatments May Raise Cancer Risk

ESRD and Treatments May Raise Cancer Risk

Dialysis, organ transplant may increase odds for certain types of cancer.

Lower Pre-ESRD Hemoglobin Predicts Better Dialysis Patient Survival

Lower Pre-ESRD Hemoglobin Predicts Better Dialysis Patient Survival

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Having hemoglobin 9-11 g/dL prior to dialysis provided the best life expectancy.

Red Cell Distribution Width Linked With Mortality in Dialysis

Red Cell Distribution Width Linked With Mortality in Dialysis

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It is unclear whether RDW is a risk factor for early death or a byproduct of biological and metabolic imbalances.

Higher Triglycerides Linked With Lower Mortality in Early Dialysis

Higher Triglycerides Linked With Lower Mortality in Early Dialysis

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Veteran patients with levels below 100 mg/dL had a 26% higher risk of mortality compared with patients with triglyceride levels of 150-200 mg/dL.

Moderate Ascorbic Acid Supplementation Safe, Effective in HD Patients

Moderate Ascorbic Acid Supplementation Safe, Effective in HD Patients

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Up to 100 mg per day raises plasma concentrations of ascorbic acid without increasing oxalate levels.

Statins May Improve Response to Erythropoiesis-Stimulating Agents

Statins May Improve Response to Erythropoiesis-Stimulating Agents

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Patients prescribed the lipid-lowering agents were less likely to exhibit hyporesponsiveness to the medications.

Erythropoietin Resistance More Likely in Female Dialysis Patients

Erythropoietin Resistance More Likely in Female Dialysis Patients

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Study finds no gender differences in parathyroid hormone, ferritin, Kt/V, or age.

Vitamin C Found to Decrease Erythropoietin Requirement

Vitamin C Found to Decrease Erythropoietin Requirement

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In a study, the mean hemoglobin level increased significantly in hemodialysis patients with functional iron deficiency.

Opioid Effective for Uremic Pruritus in Hemodialysis Patients

Opioid Effective for Uremic Pruritus in Hemodialysis Patients

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In an 8-week randomized trial, extended-release nalbuphine 120 mg BID significantly reduced itch severity compared with placebo.

Wearable Artificial Kidney Has Successful Human Trial

Wearable Artificial Kidney Has Successful Human Trial

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In a 24-hour exploratory trial, all 7 patients who wore the device remained hemodynamically stable over the study period.

CKD-MBD May Play Role in Restless Legs Syndrome in Dialysis Patients

CKD-MBD May Play Role in Restless Legs Syndrome in Dialysis Patients

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Phosphate and vitamin D deficiency were linked with RLS severity.

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