SLE Flare Can Still Occur After Dialysis Initiation
In a study of 121 patients with lupus nephritis on dialysis, 26.4% experienced an SLE flare at a median of 17 months after dialysis initiation.
Hemodialysis
HEMODIALYSIS
SPS, Patiromer Lower Serum Potassium in Hemodialysis
Both potassium binders effectively lowered serum potassium levels in patients on hemodialysis meeting hyperkalemia definitions, compared with no treatment, investigators reported.
Incremental Hemodialysis Confers No Higher Death Risk
Incremental hemodialysis appears as safe as conventional hemodialysis with respect to death risk in appropriately selected patients, with data from randomized controlled trials suggesting that incremental hemodialysis reduced the likelihood of hospitalization.
Fracture Risk Differs by Kidney Failure Cause
Risk of fracture at specific sites differed by cause of kidney failure, investigators found.
Post-Dialysis Death Risk Higher in Women vs Men
In the first 5 years after dialysis initiation, women had a 6% increased risk for death compared with men in adjusted analyses.
Remdesivir Safe Despite Advanced CKD, Study Finds
Remdesivir is not currently recommended for use in patients with an estimated glomerular filtration rate (eGFR) less than 30 mL/min/1.73 m2.
High Parathyroid Hormone Levels Predict Worse Outcomes in Dialysis Patients Undergoing Percutaneous Coronary Intervention
Strict management of secondary hyperparathyroidism may be necessary to improve prognosis in patients on dialysis who have coronary artery disease requiring percutaneous coronary intervention.
Parathyroidectomy for Secondary Hyperparathyroidism in the US Dialysis Population Characterized
The hospitalization rate and number of hospital days increased significantly in the year after parathyroidectomy vs the year before, whereas dialysis visits and office visits decreased significantly.
Phosphate, Parathyroid Hormone Levels at Dialysis Session Start Vary by Time of Day
Serum levels of phosphate and parathyroid hormone are lower early in the day and higher late in the day, recently reported data suggest.
Protein, Exercise During Hemodialysis Does Not Impede Uremic Toxin Removal
Clinicians are increasingly using dietary protein and exercise interventions during hemodialysis to help maintain patients’ muscle strength.
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