Hemodialysis

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

By

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

Opioids Risky for Hemodialysis Patients

Opioids Risky for Hemodialysis Patients

By

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

By

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

By

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

By

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

By

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

By

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

Phosphate Binders Do Not Interfere With Vitamin D Therapy

Phosphate Binders Do Not Interfere With Vitamin D Therapy

By

Mean 25-hydroxyvitamin D levels did not differ significantly among groups receiving phosphate binders or dietary therapy.

High Mean Corpuscular Volume Ups Hemodialysis Patient Death Risk

High Mean Corpuscular Volume Ups Hemodialysis Patient Death Risk

By

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.

Hemodialysis Patients With Low Selenium Levels More Likely to Die

Hemodialysis Patients With Low Selenium Levels More Likely to Die

By

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.

Readmission Rates High for HD Patients After CVD Hospitalization

Readmission Rates High for HD Patients After CVD Hospitalization

By

In a study, the 30-day readmission rate for hemodialysis patients hospitalized for cardiovascular events was 34.2%.

Hemodialysis Induces Decline in Cerebral Blood Flow in Elderly

Hemodialysis Induces Decline in Cerebral Blood Flow in Elderly

Global CBF declined significantly by 10% from before the start to the end of 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.

Sign Up for Free e-newsletters