Hemodialysis

Fresenius Names New Chief Medical Information Officer

Fresenius Names New Chief Medical Information Officer

By

Fresenius Medical Care North America has promoted Ahmad Sharif, MD, MPH, to Chief Medical Information Officer for North America.

Elevated ALP Linked With Mortality in Hemodialysis

Elevated ALP Linked With Mortality in Hemodialysis

By

Patients with the highest levels of serum alkaline phosphatase were more likely to die from infections and cardiovascular causes.

Nontraditional Risk Factors Predict Atherosclerotic Events in HD

Nontraditional Risk Factors Predict Atherosclerotic Events in HD

By

In hemodialysis patients, only non-traditional risk factors such as C-reactive protein predicted non-fatal myocardial infarction and other atherosclerotic events, researchers report.

Dialysis Withdrawal Preceded by Worsening Medical Condition

Dialysis Withdrawal Preceded by Worsening Medical Condition

By

New study finds an increase in medical events and institutionalization in the months leading up to dialysis withdrawal.

Method Gauges Transplant Referral Among Dialysis Facilities

Method Gauges Transplant Referral Among Dialysis Facilities

Standardized transplantation referral ratio shows most variation is due to within-facility characteristics.

Mortality High Among HD Patients Who Undergo Bladder Cancer Surgery

Mortality High Among HD Patients Who Undergo Bladder Cancer Surgery

By

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.

More Patients Starting Dialysis Are Still Employed

More Patients Starting Dialysis Are Still Employed

Employment low overall at 23 to 24% but increased 4.7% from 1996-2001 to 2008-2013.

Hemodialysis Patient Readmission Often Due to Pulmonary Edema

Hemodialysis Patient Readmission Often Due to Pulmonary Edema

By

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.

Obstructive Sleep Apnea, Significant Interdialytic Weight Gain Linked

Obstructive Sleep Apnea, Significant Interdialytic Weight Gain Linked

By

Researchers find a higher proportion of hemodialysis patients with interdialytic weight gain greater than 2 kg among patients with versus without obstructive sleep apnea.

Undocumented Immigrants Receiving Emergency HD More Likely to Die

Undocumented Immigrants Receiving Emergency HD More Likely to Die

By

The 5-year relative risk for mortality was 14-fold higher for undocumented immigrants receiving emergency-only versus standard hemodialysis.

Hemodialysis CRBSI Outcomes Unaffected by Distance to Nephrologists

Hemodialysis CRBSI Outcomes Unaffected by Distance to Nephrologists

By

Canadian study reveals no significant effect of driving distance to a nephrology practice on the rate and appropriate management of catheter-related bloodstream infections.

Shift in HIV-Associated Kidney Disease Characterized

Shift in HIV-Associated Kidney Disease Characterized

By

Antiretroviral therapies have prolonged the survival of HIV patients, but the drugs can have adverse effects on the kidneys.

Calciphylaxis in CKD Patients Linked to Hypercoagulable Conditions

Calciphylaxis in CKD Patients Linked to Hypercoagulable Conditions

By

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.

Darbepoetin Alfa Safe for Pediatric CKD Patients With Anemia

Darbepoetin Alfa Safe for Pediatric CKD Patients With Anemia

By

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.

Residual Renal Function Not Linked to ESA Requirements

Residual Renal Function Not Linked to ESA Requirements

By

Researchers find no significant difference in the median erythropoietin resistance index between patients with versus without residual renal function.

High ESA and Iron Doses Up CVD, Death Risk in Hemodialysis Patients

High ESA and Iron Doses Up CVD, Death Risk in Hemodialysis Patients

By

High doses of iron are associated with a significantly higher risk of cardiovascular disease, regardless of the dose of erythropoiesis-stimulating agent.

Hemodialysis, Peritoneal Dialysis Offer Similar Survival

Hemodialysis, Peritoneal Dialysis Offer Similar Survival

By

Effect of either dialysis modality on survival does not vary over time, study finds.

IV Iron, Erythropoietin Equally Effective for Anemia in HD Patients

IV Iron, Erythropoietin Equally Effective for Anemia in HD Patients

By

Intravenous iron and erythropoietin produced a similar hemoglobin response among hemodialysis patients with moderate anemia.

Elevated PTH Tied to Arteriovenous Fistula Maturation Failure

Elevated PTH Tied to Arteriovenous Fistula Maturation Failure

By

Secondary hyperparathyroidism may have a detrimental effect on successful arteriovenous fistula creation, researcher says.

Low Uric Acid Ups Death Risk in Hemodialysis Patients

Low Uric Acid Ups Death Risk in Hemodialysis Patients

By

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.

Abnormal Sodium Levels Up Bacteremia Risk in Dialysis Patients

Abnormal Sodium Levels Up Bacteremia Risk in Dialysis Patients

By

Study reveals 2-fold higher incidence of bacteremia among dialysis patients with low and high serum sodium levels.

Waist-to-hip Ratio Predicts CV Mortality in Hemodialysis Patients

Waist-to-hip Ratio Predicts CV Mortality in Hemodialysis Patients

By

Each 0.1 increase in WHR is associated with a 1.7-fold increased risk of cardiovascular death.

Veterans With PTSD Less Likely to Die After Starting Dialysis

Veterans With PTSD Less Likely to Die After Starting Dialysis

By

Patients with post-traumatic stress disorder had an 11% lower death risk 1 year after initiating dialysis than those without the disorder, study finds.

'Clinically Negligible' Residual Kidney Function Still Beneficial

'Clinically Negligible' Residual Kidney Function Still Beneficial

By

Even at very low levels, residual kidney function in hemodialysis patients clears uremic solutes.

Hypertension, Diabetes at Hemodialysis Initiation Increasing

Hypertension, Diabetes at Hemodialysis Initiation Increasing

By

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.

Intensive Home HD, Deceased-Donor Transplants Offer Similar Survival

Intensive Home HD, Deceased-Donor Transplants Offer Similar Survival

By

After adjusting for confounders, patients on intensive home hemodialysis and recipients of deceased-donor kidneys showed no significant difference in death risk

Post-Dialysis Survival Odds Better After CABG vs PCI

Post-Dialysis Survival Odds Better After CABG vs PCI

By

US veterans who underwent coronary artery bypass grafting versus percutaneous coronary intervention prior to starting dialysis had a 28% lower risk of death.

Risk of First Infection-Related Hospitalization Higher With HHD

Risk of First Infection-Related Hospitalization Higher With HHD

By

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.

TAVR Ups Risk of ESRD, Death for Advanced CKD Patients

TAVR Ups Risk of ESRD, Death for Advanced CKD Patients

By

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.

Sign Up for Free e-newsletters