Acute Renal Failure

Renal Impairment Linked to E. coli Infection

Rosemary Frei, MSc July 12, 2010

MONTREAL—A decade after contracting acute diarrheal illness from infection with Escherichia coli 0157:H7, individuals are at increased risk for definite renal impairment with microalbuminuria, hypertension, and cardiovascular events compared with individuals not infected with the pathogen.
 

AKI, ARF Common with Pandemic Flu

Jody A. Charnow April 15, 2010

ORLANDO, Fla.—Acute kidney injury (AKI), acute renal failure , and the need for dialysis are common complications in critically ill patients with pandemic H1N1 Influenza A (pH1N1), and are associated with an increased risk of death, according to Canadian researchers.
 

ARF Can Be First Sign of Myeloma

Caroline Helwick February 05, 2010

NEW ORLEANS—Acute renal failure (ARF) induced by pathogenic light chains can be the first presenting sign of multiple myeloma, and prompt treatment of the malignancy is critical to reversing renal damage, according to a study presented by European investigators at the American Society of Hematology 51st annual meeting.
 

Donor ARF Need Not Stop Renal Transplants

Jill Stein October 08, 2009

Acute renal damage may resolve in the absence of the underlying cause.
 

Women Fare Better After Severe Trauma

Rosemary Frei, MSc September 11, 2009

They are less likely than men to suffer acute renal failure and other complications, researchers say.
 

Anemia

Higher Hemoglobin Goals Raise Stroke Risk

Delicia Honen Yard July 27, 2010

A meta-analysis of 27 trials evaluating erythropoiesis-stimulating agent (ESA) treatment in 10,452 CKD patients shows that compared with a lower hemoglobin (Hb) target, higher Hb targets are associated with a 51% increased of stroke, a 67% increased risk of hypertension, and a 33% increased risk of vascular access thrombosis.
 

CKD-Related Anemia Occurs Earlier in Women than Men

Jody A. Charnow June 26, 2010

MUNICH, GERMANY—Among individuals with CKD, anemia occurs earlier in women than men, French researchers reported at the European Renal Association-European Dialysis and Transplant Association 2010 Congress.
 

Repeat Injections of Ferumoxytol Well Tolerated

Jody A. Charnow April 17, 2010

Ferumoxytol, a novel IV iron replacement therapy for CKD patients with iron deficiency anemia, is well tolerated regardless of the number of injections or interval between injections, show data presented at the National Kidney Foundation's 2010 Spring Clinical Meetings.
 

Iron Deficiency Common in CKD Patients

Jody A. Charnow April 17, 2010

Researchers who studied a group of non-dialysis CKD patients found that about one quarter of them suffered from iron deficiency anemia. They presented their findings at the National Kidney Foundation's 2010 Spring Clinical Meetings.
 

Study Explores Novel Markers of CKD Anemia

Jody A. Charnow April 17, 2010

Mitochondrial DNA copy number (mtDNA) and plasma levels of hepcidin hold promise as novel markers of anemia in CKD patients, suggest data introduced at the National Kidney Foundation's 2010 Spring Clinical Meetings.
 

Chronic Kidney Disease

Living Kidney Donor Outcomes Vary by Race

Jody A. Charnow August 19, 2010

Black and Hispanic living kidney donors are at increased relative risk for hypertension, diabetes requiring drug therapy, and CKD compared with their white counterparts, according to researchers.
 

Report: Data Do Not Justify Advised BP Goals in CKD

Delicia Honen Yard August 19, 2010

The target BP level of less than 130/80 mm Hg for CKD patients—which is recommended by a Kidney Disease Outcomes Quality Initiative guideline—is not definitively supported by scientific data and could potentially lead to adverse effects, according to Julia B. Lewis, MD, of the division of nephrology and hypertension at Vanderbilt University School of Medicine in Nashville.
 

CKD, Low Income Linked in Blacks

Delicia Honen Yard August 19, 2010

Low socioeconomic status (SES) increases blacks' risk of developing CKD nearly twofold, but does not increase the risk in whites, according to a recent report in the American Journal of Kidney Diseases (2010;55:977-980).
 

Heart Beat May Signal Kidney Risk

Delicia Honen Yard August 19, 2010

A high resting heart rate and low beat-to-beat heart rate variability raises the odds of developing kidney disease, according to a study that examined data from 13,241 participants in the Atherosclerosis Risk in Communities study.
 

CRP Predicts Development of Proteinuria

Jody A. Charnow August 06, 2010

C-reactive protein (CRP) predicts development of proteinuria in a screened cohort, according to Japanese researchers.
 

Contrast Nephropathy

CIN Prevention Strategies Similarly Effective

Wayne Kuznar June 18, 2010

Researchers find no difference between saline and sodium bicarbonate.
 

High Incidence of Contrast-Induced Nephropathy Found

Jody A. Charnow January 15, 2010

Contrast-induced nephropathy (CIN) develops in 11% of emergency department patients who undergo contrast-enhanced CT (CECT), according to a study published in the Clinical Journal of the American Society of Nephrology (2009; published online ahead of print).
 

Sodium Bicarbonate Does Not Decrease CIN Risk

Jody A. Charnow October 16, 2009

A recent study shows that sodium bicarbonate is no better than saline in preventing contrast-induced nephropathy (CIN).
 

CIN May Have a Causal Role in Long-Term Adverse Events

Jody A. Charnow July 23, 2009

Evidence comes from a study comparing two strategies for preventing contrast-induced nephropathy
 

CIN Prevention Remains a Challenge

Sankar D. Navaneethan, MD, MPH April 07, 2009

Contrast-induced nephropathy (CIN), defined as a rise in serum creatinine greater than 0.5 mg/dL or a level greater than 25% from baseline following use of intravascular contrast media, is increasing.
 

Diabetes

Living Kidney Donor Outcomes Vary by Race

Jody A. Charnow August 19, 2010

Black and Hispanic living kidney donors are at increased relative risk for hypertension, diabetes requiring drug therapy, and CKD compared with their white counterparts, according to researchers.
 

Gastric Bypass Superior to Diet for Diabetics

John Schieszer August 18, 2010

It is associated with better improvements in insulin sensitivity and beta-cell function, study shows.
 

Metformin Benefits Diabetics with Heart Failure

Jill Stein August 18, 2010

Patients with both heart failure and type 2 diabetes who are treated with a metformin-based strategy have a lower mortality risk than matched individuals not treated with anti-diabetic drugs, new findings suggest.
 

Statins Are Underused in Type 2 Diabetics

Jill Stein August 18, 2010

More than one third of patients eligible to receive the drugs actually do not get a prescription for them.
 

HbA1c Not Reliable for Diagnosing Diabetes

Jill Stein July 29, 2010

A new analysis found that this measure is inferior to the oral glucose tolerance test for screening.
 

Diabetic Nephropathy

Vitamin B Could Have a Down Side in Patients with Diabetic Nephropathy

Delicia Honen Yard May 14, 2010

Patients with diabetic nephropathy should avoid taking high doses of B vitamins to lower homocysteine levels.
 

Spironolactone Improves Renoprotection in Patients with Diabetes and Hypertension

Jody A. Charnow January 04, 2010

Adding spironolactone to a regimen that includes maximal ACE inhibition improves renoprotection in patients with diabetic nephropathy, data suggest.
 

New Biomarkers of Diabetic Nephropathy

Susanne B. Nicholas, MD, PhD October 22, 2009

Cell adhesion molecules may be potential targets for therapeutic intervention to delay CKD progression.
 

Megadosage Candesartan Beneficial

Jody A. Charnow February 18, 2009

Renal disease patients who have persistent proteinuria despite treatment with the highest approved dosage of the angiotensin receptor blocker candesartan may benefit from higher dosages, a Canadian study finds.
 

Predictors of Cardiac Events After Renal Transplantation

Jody A. Charnow November 01, 2008

Diabetic nephropathy and CVD prior to renal transplantation are the most important predictors of post-transplant cardiovascular events, researchers in The Netherlands conclude.
 

Focal Segmental Glomerulosclerosis

Steroids May Harm Athletes' Kidneys

John Schieszer March 02, 2010

Serious renal damage is a possible consequence of long-term abuse of anabolic steroids, data show .
 

Mycophenolate Mofetil Works As Well As Standard Therapy

Jody A. Charnow July 22, 2008

Six months of mycophenolate mofetil (MMF) treatment is as effective in the short term as conventional therapy for primary treatment of membranous nephropathy (MN) and focal segmental glomerulosclerosis (FSGS), a pilot study in India found.
 

MMF Similar to Conventional Therapies for MN, FSGS

Jody A. Charnow January 01, 2008

A six-month course of treatment with mycophenolate mofetil (MMF) is as effective as conventional therapies for treating membranous nephropathy (MN) and focal segmental glomerulosclerosis (FSGS), according to a pilot study conducted in India.
 

Diagnosing, Treating FSGS: An Update

March 01, 2007

FOCAL SEGMENTAL glomerulosclerosis (FSGS) is not a single disease but a histologic pattern of renal damage that initially affects the glomerulus and its tubulointerstitium (Nat Clin Pract Nephrol. 2005;1:44-54). FSGS is a leading cause of nephrotic syndrome worldwide and may be found in up to 35% of nephrotic individuals.
 

Study Reveals Epidemiology of Glomerulopathies in Brazil

January 01, 2007

Five-year data gathered by the Paulista Registry of Glomerulopathies in São Paulo, Brazil, shows that focal and segmental glomerulosclerosis is the most common primary glomerular disease, followed by membranous nephropathy and IgA nephropathy.
 

Hemodialysis

Death Risk in Hemodialysis Patients Linked to Potassium

Jody A. Charnow August 17, 2010

Higher dietary potassium intake is associated with an increased risk of death in long-term hemodialysis (HD) patients, new findings suggest.
 

Early Dialysis Start Not Advantageous

Jody A. Charnow August 01, 2010

MUNICH, GERMANY—Planned early initiation of dialysis does not improve survival or clinical outcomes among patients with end-stage renal disease, study findings show.
 

Statin May Benefit Diabetic HD Patients with High Cholesterol

Jody A. Charnow June 26, 2010

MUNICH, GERMANY—Atorvastatin may benefit hemodialysis (HD) patients with type 2 diabetes and high LDL cholesterol levels, a researcher reported at the the European Renal Association-European Dialysis and Transplant Association 2010 Congress.
 

Mineral Metabolism Unaffected by Ergocalciferol

John Schieszer June 18, 2010

Weekly (50,000 units) and monthly doses (50,000 units) of ergocalciferol treatment does not significantly impact markers of mineral metabolism (MM) in chronic hemodialysis (HD) patients, a study suggests.
 

Home Hemodialysis Safety Device Approved

June 14, 2010

The Redsense safety device, which is designed to detect venous needle displacement during hemodialysis (HD), has received FDA approval for home/self use during home HD, according to the device's manufacturer, Redsense Medical.
 

Hypertension

Living Kidney Donor Outcomes Vary by Race

Jody A. Charnow August 19, 2010

Black and Hispanic living kidney donors are at increased relative risk for hypertension, diabetes requiring drug therapy, and CKD compared with their white counterparts, according to researchers.
 

Report: Data Do Not Justify Advised BP Goals in CKD

Delicia Honen Yard August 19, 2010

The target BP level of less than 130/80 mm Hg for CKD patients—which is recommended by a Kidney Disease Outcomes Quality Initiative guideline—is not definitively supported by scientific data and could potentially lead to adverse effects, according to Julia B. Lewis, MD, of the division of nephrology and hypertension at Vanderbilt University School of Medicine in Nashville.
 

Electronic Records May Help Improve BP Control

John Schieszer July 28, 2010

NEW YORK—New findings suggest that electronic health records (EHR) with special features for managing hypertension may be highly beneficial in improving BP control.
 

Studies Support Earlier Intervention

John Schieszer July 27, 2010

Doctors may be able to head off ESRD and CVD by treating pre-diabetes and pre-hypertension sooner.
 

BP Lowering Better with a Triple Regimen

John Schieszer July 12, 2010

NEW YORK—An investigational triple regimen of olmesartan medoxomil (OM), amlodipine besylate (AML), and hydrochlorothiazide (HCTZ) may result in significantly greater mean reductions in BP compared with a combination of any two of these drugs in patients with moderate to severe hypertension, new data show.
 

Kidney Cancer

Cryoablation Suitable for Larger Renal Masses

Jody A. Charnow August 10, 2010

Percutaneous cryoablation of larger renal masses can be performed with high technical success and low complication rates, according to researchers.
 

Warm Ischemia Worsens Partial Nephrectomy Outcomes, Study Finds

Jody A. Charnow July 20, 2010

Warm ischemia during partial nephrectomy (PN) on a solitary kidney is associated with an increased risk of acute renal failure (ARF) and CKD, according to researchers.
 

New Device May Facilitate Kidney Cancer Diagnosis

Jody A. Charnow June 14, 2010

Cook Medical, of Bloomington, Ind., has introduced BIGopsy Backloading Biopsy Forceps, a device that has a 4 mm3 biopsy cup to obtain large renal or ureteral tissue specimens for cancer diagnosis.
 

Proteins May Be Renal Cancer Sign

Delicia Honen Yard May 14, 2010

Two proteins excreted in the urine appear to be sensitive and specific biomarkers of renal cancers of proximal tubule origin, possibly allowing for early screening for the disease.
 

Kidney Cancer Linked to Hepatitis C Virus

Jody A. Charnow May 11, 2010

Chronic infection with hepatitis C virus (HCV) increases a person's risk for renal cell carcinoma (RCC), a study found.
 

Kidney Stones

Stone Formers Found to Be at Higher Risk for MI

Jody A. Charnow August 19, 2010

Individuals who form kidney stones are at increased risk for myocardial infarction (MI) independent of CKD and other risk factors, according to researchers.
 

Socioeconomic Status Affects Stone Formers' Dietary Habits

Jody A. Charnow April 01, 2010

Socioeconomic status (SES) influences dietary habits, and this may strongly affect stone formation and recurrence, according to researchers at Emory University in Atlanta.
 

Doxazosin Effective for Clearing Ureteral Stones

Jody A. Charnow March 30, 2010

Doxazosin significantly improves expulsion of distal ureteral stones, according to researchers in Pakistan.
 

New Urocit K Formulation Introduced

Jody A. Charnow March 30, 2010

Mission Pharmacal Company has introduced the Urocit-K 15 mEq (potassium citrate) extended-release tablet.
 

Kidney Stone Disease Tied to Obesity

Jody A. Charnow February 16, 2010

During a five-year period, stones were diagnosed in 4.9% of obese and 2.6% of non-obese subjects.
 

Lupus Nephritis

Kidney Transplants Generally Safe for Lupus Patients

John Schieszer October 31, 2009

Contrary to previous studies, lupus patients who receive kidney transplants rarely develop lupus nephritis in their new allograft, according to a study presented at ASN's Renal Week conference.
 

Rituximab Eases Lupus Nephritis

Jody A. Charnow September 21, 2009

Rituximab is an effective treatment for lupus nephritis that enables reductions in maintenance steroids, data show.
 

Fatal Infections Probed in Pediatric LN Patients

Jody A. Charnow May 07, 2009

Prior history of treatment with pulse methylprednisolone may increase the risk of fatal infection in pediatric lupus nephritis (LN) patients treated with IV cyclophosphamide (IVCY), researchers reported.
 

Active Lupus Nephritis Raises Pregnancy Risks

Jody A. Charnow March 23, 2009

Pregnant patients with active lupus nephritis have a higher incidence of maternal and fetal complications compared with patients who have systemic lupus erythematosus (SLE) without renal involvement, researchers reported in Lupus (2009;18:342-347).
 

In SLE, Renal Damage Is No. 1 Death Predictor

John Schieszer January 16, 2009

SAN FRANCISCO—Preventing renal damage in patients with systemic lupus erythematosus (SLE) may be critical to lowering their mortality rate, according to a new report.
 

Secondary Hyperparathyroidism

Mineral Metabolism Unaffected by Ergocalciferol

John Schieszer June 18, 2010

Weekly (50,000 units) and monthly doses (50,000 units) of ergocalciferol treatment does not significantly impact markers of mineral metabolism (MM) in chronic hemodialysis (HD) patients, a study suggests.
 

Thrice-Weekly Post-Dialysis Cinacalcet A Viable Option

John Schieszer June 18, 2010

New approach may ease problems with noncompliance, according to researchers.
 

SHPT Treatment May Have CAC Benefit

John Schieszer June 10, 2010

Cinacalcet plus low-dose vitamin D for secondary hyperparathyroidism yielded encouraging results
 

Polycystic Kidney Disease Affects PTH-Related Mortality

John Schieszer April 17, 2010

Very high and very low parathyroid hormone (PTH) levels are associated with the highest mortality rates in hemodialysis (HD) patients. However, a patient's level of risk may be related to whether the patient also has polycystic kidney disease (PKD), according to a study presented at the National Kidney Foundation's Spring Clinical Meetings.
 

Paricalcitol Improves Survival Regardless of Baseline iPTH Levels

John Schieszer April 17, 2010

Use of paricalcitol for hemodialysis (HD) patients with secondary hyperparathyroidism (SHPT) is associated with a significant improvement in survival independent of baseline levels of intact parathyroid hormone (iPTH) compared with patients who have untreated SHPT, according to new data presented here at the National Kidney Foundation's 2010 Spring Clinical Meetings.
 

Transplantation

Acute Graft Pyelonephritis Does Not Adversely Affect Long-Term Transplant Outcomes

Jody A. Charnow August 31, 2010

Acute graft pyelonephritis (AGPN) in renal transplant recipients does not impair long-term graft function, according to Spanish researchers.
 

Living Kidney Donor Outcomes Vary by Race

Jody A. Charnow August 19, 2010

Black and Hispanic living kidney donors are at increased relative risk for hypertension, diabetes requiring drug therapy, and CKD compared with their white counterparts, according to researchers.
 

CKD in Non-Renal Transplant Recipients On the Rise

R. Michael Hofmann, MD August 12, 2010

The risk for CKD is influenced by many factors, some of which depend on how patients are treated before, during, and after transplantation.
 

Hospital Not Liable for Kidney Transplant Cancer Death

Ann W. Latner, JD July 28, 2010

Physicians at a New York hospital have been found not liable for the death of a 37-year old man who died from cancer and receiving a kidney from a woman who had uterine cancer.
 

UTI Pathogens Differ in Renal Transplant Patients

Jody A. Charnow June 27, 2010

MUNICH, GERMANY—Urinary tract infections (UTIs) caused by non-coliform bacteria are significantly more common among renal transplant patients compared with the general population, according to a British study.
 
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