How About Twice-Weekly Hemodialysis?
In recent trips to India, China, Brazil, and other countries, I was intrigued by large numbers of patients with end-stage renal disease who underwent hemodialysis (HD) less frequently than three times a week.
All articles by Kam Kalantar-Zadeh, MD, MPH, PhD
Is U.S. Nephrology Lagging Behind?
As practicing clinicians in the United States, we generally feel privileged, with access to a highly developed and pioneering medical care system along with an advanced and cutting-edge technology in the world’s largest economy.
Let Patients Sleep During Rounds
How often do you face with the unpleasant task of waking a sleeping patient during your busy rounds? It happens frequently to many clinicians during their inpatient rounds in the hospital.
High BMI and Kidney Transplant Waitlisting
Many obese dialysis patients are asked to lose weight to qualify for kidney transplantation. If such usual weight reduction programs as dieting or anti-appetite medications do not work, some patients will be introduced to more aggressive interventions such as bariatric surgery.
Should We Start Dialysis As Late As Possible?
Traditional nephrology training makes us believe that it is good practice to start maintenance dialysis therapy sooner rather than later. Nevertheless, recent data indicate that we may encounter yet another “old-practice-was-wrong” paradigm shift.
CKD Stage 3 Needs To Be Redefined
Nephrologists should rethink the screening level and offer a more conservative and meaningful cutoff level, such as an eGFR of 45.
Are All Acute Kidney Injuries “Acute on Chronic”?
Practicing nephrologists are frequently consulted to evaluate acute kidney injury (AKI) as inpatient cases.
Paid for Good Outcomes Measures
Who could have guessed that one day physicians would be paid based on the outcomes of patients under their care? This is the imminent reality in nephrology.
If Fat is Good, Is Muscle Better?
One of recent challenges in nephrology and other internal medicine subspecialties is providing care to an increasing number of patients with chronic disease states and wasting syndrome.
Why Not Meals During Dialysis?
Overnutrition is a major problem in the general population and a serious risk for metabolic syndrome, cardiovascular disease, and death.
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