Hemodialysis

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.

Apixaban May Reduce Major Bleeding Risk in Dialysis Patients With AFib

Apixaban May Reduce Major Bleeding Risk in Dialysis Patients With AFib

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Apixaban recipients had a 28% lower risk for major bleeding compared with patients treated with warfarin.

Few Hemodialysis Patients on Medicare Enroll in Hospice

Few Hemodialysis Patients on Medicare Enroll in Hospice

Patterns of use, timing of hospice similar among patients with diverse spending trajectories.

High FGF-23 Levels Linked to Lower Adiposity in Dialysis Patients

High FGF-23 Levels Linked to Lower Adiposity in Dialysis Patients

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FGF-23 may have an effect on adipose tissue that contributes to an obesity paradox observed in patients with end-stage renal disease.

FDA Approves Noninvasive Devices for Arteriovenous Fistula Creation

FDA Approves Noninvasive Devices for Arteriovenous Fistula Creation

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The devices use 1 or 2 catheters placed within the blood vessels to form AVFs in the arms of patients on hemodialysis.

Octogenarians Benefit From Nephrology Consult Before Dialysis Start

Octogenarians Benefit From Nephrology Consult Before Dialysis Start

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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.

Pre-Dialysis Anemia Ups Mortality After Dialysis Start

Pre-Dialysis Anemia Ups Mortality After Dialysis Start

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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.

Longer Dialysis Time and Patient Suffering

Longer Dialysis Time and Patient Suffering

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CMS also has upcoming plans to impose fiscal penalties related to dialysis treatment.

Moral Distress for Docs Providing Emergency-Only Hemodialysis

Moral Distress for Docs Providing Emergency-Only Hemodialysis

Docs describe burnout and emotional exhaustion; moral distress at seeing suffering and injustice.

Hospice care may not decrease Medicare costs in patients on maintenance dialysis

1. In this cross-sectional study, of those patients on maintenance hemodialysis that were referred to hospice care, 41.5% received care for only 3 days or less. 2. While patients who were enrolled in hospice care were less likely to die in hospital or undergo intensive procedures prior to death, they were more likely to be []

Hemodialysis Patients on Medicare Often Referred Too Late to Hospice

Hemodialysis Patients on Medicare Often Referred Too Late to Hospice

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Late hospice referral may limit the benefits patients receive, according to researchers.

Opioids Risky for Hemodialysis Patients

Opioids Risky for Hemodialysis Patients

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Study links the pain relievers to altered mental status, fall, and fracture.

Medicare pre-ESRD care results in more dialysis initiation but also increased two-year mortality

1. Veterans receiving pre-end stage renal disease (ESRD) nephrology care in under the Medicare system were more likely to undergo dialysis and had a higher two-year mortality rate than veterans that received pre-ESRD care through the Department of Veteran's Affairs (VA). 2. Differences in dialysis initiation between Medicare and VA were more pronounced in patients []

Predialysis Nephrology Care Associated With Lower AFib Risk

Predialysis Nephrology Care Associated With Lower AFib Risk

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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.

Intensive Phosphate Control May Reduce FGF23 in HD

Intensive Phosphate Control May Reduce FGF23 in HD

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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.

Fistula, Graft Angioplasty Success Linked to Aspirin Use

Fistula, Graft Angioplasty Success Linked to Aspirin Use

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In a prospective study, aspirin users were more likely to have a successful outcome following PTA for venous stenoses in arteriovenous fistulas or grafts.

Cinacalcet Administration After Hemodialysis Safe, Effective

Cinacalcet Administration After Hemodialysis Safe, Effective

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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.

Most Disliked Dialysis Dietary Restriction Is Limited Fluid Intake

Most Disliked Dialysis Dietary Restriction Is Limited Fluid Intake

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In a survey, nearly one-third of hemodialysis patients said they disliked fluid restriction.

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