Hemodialysis News Archive
Restoration of iron homeostasis and normal hepcidin levels appears to play a key role in freeing hemodialysis patients from having to receive erythropoiesis-stimulating agents.
Time-averaged hemoglobin levels, not hemoglobin cycling, is associated with an increased risk of left ventricular hypertrophy in pediatric dialysis patients, a study found.
Salt intake below 6 g/day is associated with increased odds of all-cause and cardiovascular in patients on hemodialysis, Japanese study shows.
Elderly patients who start dialysis with a central venous catheter but convert to an arteriovenous fistula within the first year lower their death risk significantly.
Among US dialysis patients, cardiovascular event rates are highest in those with diabetic nephropathy and lowest among those with IgA nephropathy.
Patients on hemodialysis who achieved serum phosphate levels below 4.5 mg/dL experienced a decrease in intact fibroblast growth factor 23.
In a study, hemodialysis patients who used phosphate binders had up to a 44% decreased risk of dying from infection than those who did not use the drugs.
Researchers examined the effects of the end of public funding for the medication in Australia.
Surgical procedure can correct calcium and phosphorus abnormalities and improve coronary artery calcification, study finds.
Meta-analysis reveals a 39% decreased risk of any infection among patients on long-term dialysis who have high or normal vitamin D levels.
Study reveals 15% lower odds of arteriovenous access use at hemodialysis initiation among women vs men.
New study "adds to the evidence of obesity-associated advantages," researchers conclude.
Apixaban recipients had a 28% lower risk for major bleeding compared with patients treated with warfarin.
Patterns of use, timing of hospice similar among patients with diverse spending trajectories.
FGF-23 may have an effect on adipose tissue that contributes to an obesity paradox observed in patients with end-stage renal disease.
The devices use 1 or 2 catheters placed within the blood vessels to form AVFs in the arms of patients on hemodialysis.
In a Swiss study, patients aged 80 years or more were significantly less likely to die if they had a nephrology referral prior to initiating dialysis.
Patients with vs without anemia prior to starting hemodialysis (HD) were more likely to die despite achieving target hemoglobin levels at month 4 after HD initiation.
Docs describe burnout and emotional exhaustion; moral distress at seeing suffering and injustice.
Late hospice referral may limit the benefits patients receive, according to researchers.
Study links the pain relievers to altered mental status, fall, and fracture.
Older patients who had more frequent nephrology visits prior to initiating dialysis had a lower incidence of atrial fibrillation in the year after initiating dialysis compared with those who did not.
A serum phosphate control target of 4.5 mg/dL or below in hemodialysis patients was accompanied by a decline in fibroblast growth factor 23.
In a prospective study, aspirin users were more likely to have a successful outcome following PTA for venous stenoses in arteriovenous fistulas or grafts.
Control of parathyroid hormone did not differ markedly at 48 and 72 hours after in-center HD compared with 24 hours after daily oral administration of 30 mg cinacalcet.
Mean 25-hydroxyvitamin D levels did not differ significantly among groups receiving phosphate binders or dietary therapy.
In a survey, nearly one-third of hemodialysis patients said they disliked fluid restriction.
Study of 109,501 incidental HD patients reveals an association between high mean corpuscular volume and increased risk of all-cause, cardiovascular, and infection-related mortality.
Prospective study reveals that patients on hemodialysis whose blood selenium concentrations are in the lowest decile have a 3.4-fold higher odds of death.
In a study, the 30-day readmission rate for hemodialysis patients hospitalized for cardiovascular events was 34.2%.
Global CBF declined significantly by 10% from before the start to the end of hemodialysis.
Fresenius Medical Care North America has promoted Ahmad Sharif, MD, MPH, to Chief Medical Information Officer for North America.
Patients with the highest levels of serum alkaline phosphatase were more likely to die from infections and cardiovascular causes.
In hemodialysis patients, only non-traditional risk factors such as C-reactive protein predicted non-fatal myocardial infarction and other atherosclerotic events, researchers report.
New study finds an increase in medical events and institutionalization in the months leading up to dialysis withdrawal.
Standardized transplantation referral ratio shows most variation is due to within-facility characteristics.
Patients on hemodialysis who undergo radical cystectomy for bladder cancer have 30-day and 5-year mortality rates of 9.3% and 87.9%, respectively, study finds.
Employment low overall at 23 to 24% but increased 4.7% from 1996-2001 to 2008-2013.
Study finds that 44% of hospital readmissions among hemodialysis patients are related to pulmonary edema, with initial pulmonary edema-related hospitalization the strongest predictor for readmission due to the condition.
Researchers find a higher proportion of hemodialysis patients with interdialytic weight gain greater than 2 kg among patients with versus without obstructive sleep apnea.
Patients with end-stage renal disease (ESRD) have a 6-fold and 4.4-fold increased risk of kidney cancer and urothelial cancers, respectively, than individuals without ESRD.
The 5-year relative risk for mortality was 14-fold higher for undocumented immigrants receiving emergency-only versus standard hemodialysis.
Canadian study reveals no significant effect of driving distance to a nephrology practice on the rate and appropriate management of catheter-related bloodstream infections.
Antiretroviral therapies have prolonged the survival of HIV patients, but the drugs can have adverse effects on the kidneys.
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.
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.
Researchers find no significant difference in the median erythropoietin resistance index between patients with versus without residual renal function.
High doses of iron are associated with a significantly higher risk of cardiovascular disease, regardless of the dose of erythropoiesis-stimulating agent.
Effect of either dialysis modality on survival does not vary over time, study finds.
Intravenous iron and erythropoietin produced a similar hemoglobin response among hemodialysis patients with moderate anemia.
Secondary hyperparathyroidism may have a detrimental effect on successful arteriovenous fistula creation, researcher says.
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.
Study reveals 2-fold higher incidence of bacteremia among dialysis patients with low and high serum sodium levels.
Each 0.1 increase in WHR is associated with a 1.7-fold increased risk of cardiovascular death.
Patients with post-traumatic stress disorder had an 11% lower death risk 1 year after initiating dialysis than those without the disorder, study finds.
Even at very low levels, residual kidney function in hemodialysis patients clears uremic solutes.
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.
After adjusting for confounders, patients on intensive home hemodialysis and recipients of deceased-donor kidneys showed no significant difference in death risk
US veterans who underwent coronary artery bypass grafting versus percutaneous coronary intervention prior to starting dialysis had a 28% lower risk of death.
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.
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.
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.
Hemodialysis patients had higher rates of infective endocarditis than peritoneal dialysis and kidney transplant patients.
In 80% of readmissions, the primary diagnoses differed from initial hospitalization.
Score for subscale of perceived seriousness for no reduction of salt intake higher in transplant patients.
High-risk dialysis population also subject to the risks of long-term opioid use.
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.
Despite low infection rates, AVFs have a high risk of maturation failure and abandonment.
From 2007/2008 to 2013/2014, the proportion of patients newly needing dialysis after TAVI decreased from 6.1% to 2.3%.
Except for gabapentin, evidence for 38 other treatments is weak and limited by small studies with a high risk of bias, new review finds.
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.
The odds of starting hemodialysis with an arteriovenous fistula are 31% lower for women compared with men.
High thyrotropin levels were associated with worse measures of energy/fatigue and physical functioning.
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.
Nearly 70% of access-related bloodstream infections occurred in hemodialysis patients with central venous catheters.
Among other changes, the new KDIGO guidelines highlight the potential dangers of hypercalcemia.
As red blood cell distribution width increases, so does the risk of death from any cause.
Patients who are readmitted within 30 days of discharge are approximately twice as likely to die in the following year.
The overall percentage of death during the one-year follow-up was 6.87%, with 64% of deaths occurring during the first 6 months.
In a study of hemodialysis patients, mortality risk increased along with phosphorus level, particularly among patients with higher residual renal urea clearance.
Following radical cystectomy for bladder cancer, end-stage renal disease patients are 3-4 times more likely to die from causes other than cancer.
In a study, vonapanitase did not improve primary patency compared with placebo, but did improve secondary patency and fistula use for hemodialysis.
Among hemodialysis patients, sudden cardiac death accounted for 12% more cardiovascular-related mortalities in 2013 than in 2009.
ESRD patients aged 60-64 years with no insurance or who are on Medicaid are less likely to initiate peritoneal dialysis.
Ferric pyrophosphate citrate delivered via dialysate or intravenously rapidly donates iron to transferrin and is rapidly cleared from the circulation.
Nearly a quarter of hospitalizations are followed by readmission within 30 days for non-elective reasons.
Study documents an upswing in emergency department visits and observation stays.
Patients in the lowest quartile of mortality risk were more likely to be screened for colon cancer than those in the highest quartile.
In-hospital mortality following RFA was higher in older, dialyzed ESRD patients than in non dialyzed patients.
Patients with early and frequent nephrology visits before dialysis initiation had about a 10% lower risk for major adverse cardiovascular events.
ESRD sufferers in the US illegally seek hospital emergency departments with distressing symptoms.
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.
Dialysis facilities with the least control of PTH, Ca, and P had the greatest risks.
Patients feel better and recovery times are shorter with 6 hemodialysis sessions per week rather than 3, researchers report.
Participants experienced poor sleep quality, increased daytime sleepiness, as well as restless leg syndrome due to maintenance hemodialysis.
An enzyme that inhibits vascular calcification depends on the vitamin for conversion to its active form.
Researchers reported a 47% AVF failure rate for both fish oil and placebo recipients.
The study shows that simple, home-based exercise programs hold potential for improving physical functioning in dialysis patients.
Renal and Urology News Articles
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NEPHROLOGY & UROLOGY NEWS
- Acute Kidney Injury (AKI)
- Chronic Kidney Disease (CKD)
- Contrast Nephropathy
- Cardiovascular Disease (CVD)
- Diabetic Nephropathy
- End-stage Renal Disease (ESRD)
- Lupus Nephritis
- Peritoneal Dialysis
- Secondary Hyperparathyroidism (SHPT)