Volume Overload Common at PD Initiation, Predicts Higher Death Risk
In a study, volume overload tended to improve by 6 months after peritoneal dialysis initiation, then stabilize.
Dialysis
More Than Half of Older Patients Die Within 1 Year of Starting Dialysis
In a study, 54.5% of Medicare patients died within 1 year of dialysis initiation, a mortality rate much higher than calculated by the US Renal Data System.
Canagliflozin Lowers ESRD Risk in Diabetic Kidney Disease
In a study of patients with type 2 diabetes and chronic kidney disease, canagliflozin, an SGLT2 inhibitor, decreased the risk of end-stage renal disease by 32% compared with placebo.
Spironolactone Has No Effect on LVM in Hemodialysis Patients
Patients treated with the mineralocorticoid receptor antagonist had a higher frequency of moderate hyperkalemia compared with placebo recipients.
Elevated Phosphate Linked With Mortality in Peritoneal Dialysis
In a new study, patients with serum phosphate levels above 1.78 mmol/L at the start of peritoneal dialysis had a nearly 2-fold increased risk of death.
Study: Dialysis Is a Bigger Mortality Risk Than Some Cancers
Compared with patients on maintenance dialysis, men with prostate cancer and women with breast cancer have better unadjusted 5-year survival probabilities.
Fruit, Vegetable Intake Very Low in Hemodialysis Population
Higher consumption of fruit and vegetables linked to lower risk for all-cause, non-CVD mortality
Improving Dialysis for Undocumented Immigrants With ESRD
Many are calling for standard dialysis coverage for undocumented immigrants with end-stage renal disease.
Shared Decision-Making About Dialysis Initiation Needs to Improve
In a real-world study, patients’ preferences did not weigh heavily in clinicians’ decisions to initiate dialysis.
Parathyroidectomy-Associated Hyperkalemia Common in HD Patients
Hyperkalemia developed in nearly 67% of hemodialysis patients during or immediately following total parathyroidectomy with autotransplantation for secondary hyperparathyroidism.
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