Hemodialysis

Shift in HIV-Associated Kidney Disease Characterized

Shift in HIV-Associated Kidney Disease Characterized

By

Antiretroviral therapies have prolonged the survival of HIV patients, but the drugs can have adverse effects on the kidneys.

Hemodialysis CRBSI Outcomes Unaffected by Distance to Nephrologists

Hemodialysis CRBSI Outcomes Unaffected by Distance to Nephrologists

By

Canadian study reveals no significant effect of driving distance to a nephrology practice on the rate and appropriate management of catheter-related bloodstream infections.

Calciphylaxis in CKD Patients Linked to Hypercoagulable Conditions

Calciphylaxis in CKD Patients Linked to Hypercoagulable Conditions

By

In patients with stage 5 chronic kidney disease, lupus anticoagulant and combined thrombophilia occur more frequently in those with versus without calciphylaxis, case-control study shows.

Darbepoetin Alfa Safe for Pediatric CKD Patients With Anemia

Darbepoetin Alfa Safe for Pediatric CKD Patients With Anemia

By

Researchers tested once weekly and biweekly administration of darbepoetin alfa in children aged 1 to 18 years not previously treated with an erythropoiesis-stimulating agent.

Residual Renal Function Not Linked to ESA Requirements

Residual Renal Function Not Linked to ESA Requirements

By

Researchers find no significant difference in the median erythropoietin resistance index between patients with versus without residual renal function.

High ESA and Iron Doses Up CVD, Death Risk in Hemodialysis Patients

High ESA and Iron Doses Up CVD, Death Risk in Hemodialysis Patients

By

High doses of iron are associated with a significantly higher risk of cardiovascular disease, regardless of the dose of erythropoiesis-stimulating agent.

Hemodialysis, Peritoneal Dialysis Offer Similar Survival

Hemodialysis, Peritoneal Dialysis Offer Similar Survival

By

Effect of either dialysis modality on survival does not vary over time, study finds.

IV Iron, Erythropoietin Equally Effective for Anemia in HD Patients

IV Iron, Erythropoietin Equally Effective for Anemia in HD Patients

By

Intravenous iron and erythropoietin produced a similar hemoglobin response among hemodialysis patients with moderate anemia.

Elevated PTH Tied to Arteriovenous Fistula Maturation Failure

Elevated PTH Tied to Arteriovenous Fistula Maturation Failure

By

Secondary hyperparathyroidism may have a detrimental effect on successful arteriovenous fistula creation, researcher says.

Low Uric Acid Ups Death Risk in Hemodialysis Patients

Low Uric Acid Ups Death Risk in Hemodialysis Patients

By

The 5-year survival rates was 80.7% for patients in the lowest quartile of serum uric acid at HD initiation versus 89.6% for those in the highest quartile.

Abnormal Sodium Levels Up Bacteremia Risk in Dialysis Patients

Abnormal Sodium Levels Up Bacteremia Risk in Dialysis Patients

By

Study reveals 2-fold higher incidence of bacteremia among dialysis patients with low and high serum sodium levels.

Waist-to-hip Ratio Predicts CV Mortality in Hemodialysis Patients

Waist-to-hip Ratio Predicts CV Mortality in Hemodialysis Patients

By

Each 0.1 increase in WHR is associated with a 1.7-fold increased risk of cardiovascular death.

Veterans With PTSD Less Likely to Die After Starting Dialysis

Veterans With PTSD Less Likely to Die After Starting Dialysis

By

Patients with post-traumatic stress disorder had an 11% lower death risk 1 year after initiating dialysis than those without the disorder, study finds.

'Clinically Negligible' Residual Kidney Function Still Beneficial

'Clinically Negligible' Residual Kidney Function Still Beneficial

By

Even at very low levels, residual kidney function in hemodialysis patients clears uremic solutes.

Hypertension, Diabetes at Hemodialysis Initiation Increasing

Hypertension, Diabetes at Hemodialysis Initiation Increasing

By

From 1995 to 2015, the prevalence of hypertension and diabetes among patients starting hemodialysis increased from 67.9% to 87.6% and from 43.1% to 59.6%, respectively.

Intensive Home HD, Deceased-Donor Transplants Offer Similar Survival

Intensive Home HD, Deceased-Donor Transplants Offer Similar Survival

By

After adjusting for confounders, patients on intensive home hemodialysis and recipients of deceased-donor kidneys showed no significant difference in death risk

Post-Dialysis Survival Odds Better After CABG vs PCI

Post-Dialysis Survival Odds Better After CABG vs PCI

By

US veterans who underwent coronary artery bypass grafting versus percutaneous coronary intervention prior to starting dialysis had a 28% lower risk of death.

Risk of First Infection-Related Hospitalization Higher With HHD

Risk of First Infection-Related Hospitalization Higher With HHD

By

Hemodialysis patients who have fistula are 24% more likely to experience a first infection-related hospitalization if they dialyze at home rather than in a dialysis center.

TAVR Ups Risk of ESRD, Death for Advanced CKD Patients

TAVR Ups Risk of ESRD, Death for Advanced CKD Patients

By

Transcatheter aortic valve replacement increases the risk of requiring renal replacement therapy and the risk of death among patients with stage 4 or 5 CKD.

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.

Sign Up for Free e-newsletters