Frailty at Dialysis Initiation Ups Death Risk in the Elderly
Elderly patients with 3 or more geriatric impairments at dialysis initiation was associated with a nearly 3-fold higher 12-month mortality risk compared with those were less impaired.
Peritoneal Dialysis
High Uric Acid Increases Death Risk in Peritoneal Dialysis
In patients on peritoneal dialysis, serum uric acid levels in the highest quintile are associated with a nearly 1.5-fold increased risk of all-cause mortality compared with levels in the third quintile, a study found.
Study: Higher-Dose Dialysate Calcium Better for SHPT
For patients on peritoneal dialysis, 1.75 vs 1.25 mmol/L dialysate calcium was superior at reducing intact parathyroid hormone levels, meta-analysis revealed.
Study: Start Dialysis Later in Children
Children initiating dialysis at higher eGFRs had a 36% higher risk for death than those initiating at lower eGFRs.
Narrowing Seen in Racial/Ethnic Differences in Home Dialysis Use
Home dialysis use increased in all groups; racial, ethnic differences decreased from 2005 to 2013
Abdominal Swelling in a Patient on Peritoneal Dialysis
A 47-year-old man with end-stage renal disease (ESRD), type 2 diabetes mellitus, hypertension, and coronary artery disease was started on peritoneal dialysis (PD) 2 years prior after a renal allograft failed. Six months previously, he underwent a renal allograft nephrectomy after the renal allograft became inflamed and caused pain. After the operation, he was briefly…
Anemia Drug Works Regardless of Prior ESA Treatment
A study of anemic patients on peritoneal dialysis found that roxadustat maintained target hemoglobin levels even in those who received previous treatment with an erythropoiesis stimulating agent.
Maintaining Work During Dialysis Tied to Higher Survival
Employment rates low among patients initiating dialysis
Epilepsy Tied With Increased Death Risk in Dialysis
Nearly 1 in 10 patients with end-stage renal disease (ESRD) has epilepsy, and the disorder as well as a commonly prescribed medication for it are associated with an increased risk of premature death, a new study found. According to the authors, seizures are a known complication of uremia, hemodialysis, medications such as antibiotics, and comorbidities…
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.
