Hemodialysis

Medicaid Expansion Tied to Better Kidney Disease Survival

Medicaid Expansion Tied to Better Kidney Disease Survival

Findings among patients with end-stage renal disease initiating dialysis.

Quick Take: Intravenous Iron in Patients Undergoing Maintenance Hemodialysis

Patients undergoing hemodialysis typically receive intravenous iron, despite a lack of established clinical efficacy. In this randomized controlled trial, investigators randomized 2141 patients undergoing hemodialysis to either high-dose iron sucrose, administrated proactively, or low-dose iron-sucrose, administered reactively to compare the safety and efficacy of these regimens in patients undergoing hemodialysis. The primary outcome examined was []

Earlier Vascular Access Seen in Insured Dialysis Patients

Earlier Vascular Access Seen in Insured Dialysis Patients

Patients with Medicare, Medicaid more likely to use arteriovenous fistula, graft by fourth dialysis month.

High-Dose Flu Vaccine May Cut Hospitalization in Dialysis Patients

High-Dose Flu Vaccine May Cut Hospitalization in Dialysis Patients

Significant reduction seen in hospitalization with receipt of high-dose versus standard-dose vaccine.

Home Hemodialysis May Offer Better Survival

Home Hemodialysis May Offer Better Survival

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A study of new dialysis patients showed that home hemodialysis was associated with a 23% decreased risk of death at 1 year compared with in-center hemodialysis.

Hemodialysis Patient Muscle Relaxant Use Tied to Falls, Fracture

Hemodialysis Patient Muscle Relaxant Use Tied to Falls, Fracture

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Use of muscle relaxants was associated with a 68%, 29%, and 30% increased risk of altered mental status, falls, and fractures, respectively.

Comorbidity Burden in Hemodialysis Population Greater in Women

Comorbidity Burden in Hemodialysis Population Greater in Women

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Higher percentages of women than men on hemodialysis have anemia, infections, hypertension, and diabetes, study finds.

Higher Magnesium in Hemodialysis Patients Predicts Better Survival

Higher Magnesium in Hemodialysis Patients Predicts Better Survival

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Serum magnesium levels of 2.6 mg/dL or higher at 1 year predict a 52% decreased risk of death from any cause.

Frequent Hemodialysis Improves Serum Phosphate, Left Ventricular Mass

Frequent Hemodialysis Improves Serum Phosphate, Left Ventricular Mass

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Patients who received hemodialysis 6 times per week instead of 3 showed improvements in biomarkers of mineral metabolism and left ventricular remodeling.

Cardiovascular Event Risk in Dialysis Patients Higher Among Women

Cardiovascular Event Risk in Dialysis Patients Higher Among Women

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In the first year after starting dialysis, women have 16% increased odds of major adverse cardiovascular events compared with men.

Ultrasound Predicts Successful AVF Maturation in HD

Ultrasound Predicts Successful AVF Maturation in HD

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In a study, arteriovenous fistula blood flow, diameter, and depth were the most informative parameters.

Is ESCO the Future of Dialysis Care?

Is ESCO the Future of Dialysis Care?

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ESCOs are accountable for clinical quality outcomes and financial outcomes.

Kidney Function Recovery Seen in Some Children on Dialysis

Kidney Function Recovery Seen in Some Children on Dialysis

Recovery less likely in children with congenital anomalies.

Hemodialysis Patient Hip Fracture Risk Linked to PPIs

Hemodialysis Patient Hip Fracture Risk Linked to PPIs

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Use of proton pump inhibitors among patients on hemodialysis increased their risk of hip fractures by 19%, study finds.

Intradialytic Relative Blood Volume Changes May Predict Survival

Intradialytic Relative Blood Volume Changes May Predict Survival

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Researchers have identified specific hourly intradialytic RBV ranges that are associated with reduced all-cause mortality risk.

Apixaban May Be Safer Option for Dialysis Patients With Calciphylaxis

Apixaban May Be Safer Option for Dialysis Patients With Calciphylaxis

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In a small study, apixaban showed promise as an alternative to warfarin in dialysis patients with calciphylaxis who require anticoagulation therapy.

Lower patient satisfaction reported at for-profit dialysis centers

Lower patient satisfaction reported at for-profit dialysis centers

1. Patient reported experience has recently been incorporated into Quality Incentive Programs for dialysis centers across the United States. Lower patient experience scores were reported in for-profit, free-standing, and large dialysis organization centers. 2. Centers with higher proportion of black and Native American patients had lower patient reported experience scores. Evidence Rating Level: 3 (Average)       []

Kidney Transplant Outcomes Unaffected by Dialysis Modality

Kidney Transplant Outcomes Unaffected by Dialysis Modality

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Patient and graft survival are similar for patients who were on hemodialysis and peritoneal dialysis prior to transplantation.

Clues to Spontaneous Resolution of Anemia in Hemodialysis Found

Clues to Spontaneous Resolution of Anemia in Hemodialysis Found

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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.

Anemia Severity Linked to LVH Risk in Pediatric Dialysis

Anemia Severity Linked to LVH Risk in Pediatric Dialysis

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Time-averaged hemoglobin levels, not hemoglobin cycling, is associated with an increased risk of left ventricular hypertrophy in pediatric dialysis patients, a study found.

Hemodialysis Patient Death Risk Increased With Low Salt Intake

Hemodialysis Patient Death Risk Increased With Low Salt Intake

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Salt intake below 6 g/day is associated with increased odds of all-cause and cardiovascular in patients on hemodialysis, Japanese study shows.

Hemodialysis Patients Aged 80+ Benefit From Switch to AVFs

Hemodialysis Patients Aged 80+ Benefit From Switch to AVFs

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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.

Cardiovascular Event Rates Vary by Kidney Failure Cause

Cardiovascular Event Rates Vary by Kidney Failure Cause

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Among US dialysis patients, cardiovascular event rates are highest in those with diabetic nephropathy and lowest among those with IgA nephropathy.

Phosphate Control May Reduce FGF23 Levels in HD

Phosphate Control May Reduce FGF23 Levels in HD

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Patients on hemodialysis who achieved serum phosphate levels below 4.5 mg/dL experienced a decrease in intact fibroblast growth factor 23.

Phosphate Binders Lower Infection-Related Death Risk in HD

Phosphate Binders Lower Infection-Related Death Risk in HD

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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.

Cinacalcet Cessation Associated With Increases in PTH, Calcium

Cinacalcet Cessation Associated With Increases in PTH, Calcium

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Researchers examined the effects of the end of public funding for the medication in Australia.

Parathyroidectomy for Secondary Hyperparathyroidism Improves Outcomes

Parathyroidectomy for Secondary Hyperparathyroidism Improves Outcomes

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Surgical procedure can correct calcium and phosphorus abnormalities and improve coronary artery calcification, study finds.

Infection Risk Lower in Dialysis Patients With High, Normal Vitamin D

Infection Risk Lower in Dialysis Patients With High, Normal Vitamin D

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Meta-analysis reveals a 39% decreased risk of any infection among patients on long-term dialysis who have high or normal vitamin D levels.

AV Access at Hemodialysis Initiation Less Likely Among Women

AV Access at Hemodialysis Initiation Less Likely Among Women

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Study reveals 15% lower odds of arteriovenous access use at hemodialysis initiation among women vs men.

Obese HD Patients Need Less Erythropoietin to Treat Anemia

Obese HD Patients Need Less Erythropoietin to Treat Anemia

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New study "adds to the evidence of obesity-associated advantages," researchers conclude.

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