Hemodialysis

Check Hemodialysis Patients for Anxiety Disorders, Study Suggests

Check Hemodialysis Patients for Anxiety Disorders, Study Suggests

Screening strategies are needed, as is further research on appropriate therapeutic approach.

Dialysis Adoption by US Veterans Outpaces Other Nations

Dialysis Adoption by US Veterans Outpaces Other Nations

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In a study, 85.5% of advanced CKD patients opted for renal replacement therapy.

Hypogonadism in Male HD Patients Linked to Poor ESA Response

Hypogonadism in Male HD Patients Linked to Poor ESA Response

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Other risk factors include reduced muscle mass and lower levels of physical activity.

Study Identifies Predictors of HD Initiation After AVF Surgery

Study Identifies Predictors of HD Initiation After AVF Surgery

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A model incorporating 4 factors had greater power to predict dialysis initiation than renal function alone.

Evidence Poor for Restricting High-Potassium Foods

Evidence Poor for Restricting High-Potassium Foods

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A plant-based diet might one day prove to be an option for kidney disease patients.

Limited Dialysis Clearance for Oxycodone, Noroxycodone

Limited Dialysis Clearance for Oxycodone, Noroxycodone

Significant mean reduction in oxycodone, noroxycodone arterial concentrations.

High Creatinine + Albumin Predict Lower Mortality in Twice-Weekly HD

High Creatinine + Albumin Predict Lower Mortality in Twice-Weekly HD

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Death risk similar for patients on twice-weekly and thrice-week hemodialysis.

Metformin Linked to Increased Risk of Acute Dialysis in T2DM

Metformin Linked to Increased Risk of Acute Dialysis in T2DM

Metformin-associated 1-year risk of acute dialysis increased by 50.3 per 100,000 individuals.

Incremental Hemodialysis Does Not Compromise Survival

Incremental Hemodialysis Does Not Compromise Survival

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Mortality risk is similar whether starting treatment with 1 or 2 sessions per week or with the conventional 3 sessions per week.

Poor CVD Drug Adherence Before Dialysis Predicts Worse Survival

Poor CVD Drug Adherence Before Dialysis Predicts Worse Survival

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Patients who took CVD medications less than 60% of the time before starting dialysis had a 21% increased risk of early death after dialysis initiation.

Hepatitis C in CKD: Challenges and Opportunities

Hepatitis C in CKD: Challenges and Opportunities

The availability of direct-acting antiviral drugs may enable eradication of hepatitis C virus and improve outcomes.

High-Dose ESAs Found to Increase Cancer Risk in Dialysis Patients

High-Dose ESAs Found to Increase Cancer Risk in Dialysis Patients

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Average weekly doses greater than 70 µg/week was associated with a 77% increased risk of cancer compared with no ESA exposure.

Later HD, Less HD, No HD: A New Paradigm?

Later HD, Less HD, No HD: A New Paradigm?

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Recent studies have cast doubt on the universal superiority of the conventional approach to dialysis.

Assisted PD May Be a Safe Alternative to In-Center HD

Assisted PD May Be a Safe Alternative to In-Center HD

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Assisted peritoneal dialysis and in-center hemodialysis are associated with similar hospitalization rates.

Smoking Hikes Mortality Risk Among Dialysis Patients

Smoking Hikes Mortality Risk Among Dialysis Patients

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Study also links smoking with a decreased likelihood of receiving a kidney transplant.

Proton Pump Inhibitor Use Linked to Low Magnesium in Dialysis Patients

Proton Pump Inhibitor Use Linked to Low Magnesium in Dialysis Patients

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Hypomagnesemia in the presence of inflammation is associated with increased 1-year death risk.

Antihypertensive Drug Use in Dialysis Transition May Need Improvement

Antihypertensive Drug Use in Dialysis Transition May Need Improvement

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Only 40% of older patients transitioning to maintenance dialysis were on renin-angiotensin system blockade.

Wearable Artificial Kidney Performs Well in Preliminary Trial

Wearable Artificial Kidney Performs Well in Preliminary Trial

Small trial suggests device might be feasible, potentially freeing patients from dialysis machines,

Arteriovenous Access May Slow Pre-Dialysis Renal Decline

Arteriovenous Access May Slow Pre-Dialysis Renal Decline

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Researchers found that eGFR decline decelerated significantly in patients with AVF/AVG, from -5.6 to -4.1 mL/min/1.73m2 per year.

When Blood Is Sampled Affects Dialysis Patients' Phosphorus Values

When Blood Is Sampled Affects Dialysis Patients' Phosphorus Values

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Phosphorus levels are higher when blood specimens are collected after weekends.

In-Hospital Mortality From Dialysis-Requiring AKI Declining

In-Hospital Mortality From Dialysis-Requiring AKI Declining

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Patients were 40% less likely to die in 2011 compared with 2001, study finds.

Higher Cancer Risk in Dialysis Patients Confirmed

Higher Cancer Risk in Dialysis Patients Confirmed

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The risk is most elevated among individuals aged 44 years or younger.

ESA Doses Lower Among Dialysis Patients at Higher Elevations

ESA Doses Lower Among Dialysis Patients at Higher Elevations

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Investigators find that the normalized mean ESA dose decreases as patients' elevation of residence increases.

Infection Rates Among Dialysis Patients Declining

Infection Rates Among Dialysis Patients Declining

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The positive trend is more pronounced among established patients than those who recently started dialysis.

Calciphylaxis Risk Factors in Hemodialysis Patients Identified

Calciphylaxis Risk Factors in Hemodialysis Patients Identified

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Researchers linked the condition to warfarin use, diabetes, obesity, recurrent skin trauma, and derangements in mineral metabolism.

Hyperkalemia After AMI Frequent, Potentially Dangerous

Hyperkalemia After AMI Frequent, Potentially Dangerous

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In-hospital mortality risk was more than double among patients whose hyperkalemia persisted than those whose potassium levels normalized.

ACEI/ARBs Improve AMI Outcomes Regardless of Kidney Function

ACEI/ARBs Improve AMI Outcomes Regardless of Kidney Function

Treatment linked to improved long-term survival, regardless of underlying kidney function.

Premature Tooth Loss Common Among ESRD Patients

Premature Tooth Loss Common Among ESRD Patients

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Findings from a small study suggest that periodontal disease may be a relevant contributing factor.

PTH Level Unrelated to Parathyroid Glands' Weight, Blood Flow

PTH Level Unrelated to Parathyroid Glands' Weight, Blood Flow

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Iranian study of hemodialysis patients with secondary hyperparathyroidism finds no significant correlation.

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