Hemodialysis

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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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

How 'Bundling' Changed Dialysis Care

How 'Bundling' Changed Dialysis Care

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Decreased use of erythropoiesis-stimulating agents and an uptick in peritoneal dialysis use are among the trends.

Undocumented Immigrants With ESRD Face Poor Health Care Access

Undocumented Immigrants With ESRD Face Poor Health Care Access

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ESRD sufferers in the US illegally seek hospital emergency departments with distressing symptoms.

Nephrologists Not Prescribing Antidepressants to Dialysis Patients

Nephrologists Not Prescribing Antidepressants to Dialysis Patients

Patients on chronic hemodialysis with depression are frequently not interested in modifying or initiating antidepressant treatment, commonly attributing their depression to a recent acute event, chronic illness, or dialysis.

Off-Target CKD-MBD Biomarkers Prognostic for Adverse Outcomes

Off-Target CKD-MBD Biomarkers Prognostic for Adverse Outcomes

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Dialysis facilities with the least control of PTH, Ca, and P had the greatest risks.

Frequent Hemodialysis Improves Health-Related QoL

Frequent Hemodialysis Improves Health-Related QoL

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Patients feel better and recovery times are shorter with 6 hemodialysis sessions per week rather than 3, researchers report.

Many Hemodialysis Patients Have Sleep Difficulties

Many Hemodialysis Patients Have Sleep Difficulties

Participants experienced poor sleep quality, increased daytime sleepiness, as well as restless leg syndrome due to maintenance hemodialysis.

Calciphylaxis Linked to Low Vitamin K

Calciphylaxis Linked to Low Vitamin K

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An enzyme that inhibits vascular calcification depends on the vitamin for conversion to its active form.

AVF Failure Not Improved By Fish Oil Supplements, Low-Dose Aspirin

AVF Failure Not Improved By Fish Oil Supplements, Low-Dose Aspirin

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Researchers reported a 47% AVF failure rate for both fish oil and placebo recipients.

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