keyword
https://read.qxmd.com/read/38536864/sex-related-differences-in-pre-dialysis-trajectories-and-dialysis-initiation-a-french-nationwide-retrospective-study
#1
JOURNAL ARTICLE
Maxime Raffray, Louise Bourasseau, Cécile Vigneau, Cécile Couchoud, Clémence Béchade, François Glowacki, Sahar Bayat
BACKGROUND: In the last two decades, sex and gender differences have been documented in chronic kidney disease (CKD) management, including access to renal replacement therapy and its outcomes. The objectives of this study were to 1) compare the pre-dialysis healthcare utilization in men and women, and 2) examine the sex-specific factors associated with emergency dialysis start. METHODS: Adult patients with CKD who started dialysis in France in 2015 were extracted from the Renal Epidemiology and Information Network registry...
2024: PloS One
https://read.qxmd.com/read/38532937/the-association-between-intradialytic-symptom-clusters-and-recovery-time-in-patients-undergoing-maintenance-hemodialysis-an-exploratory-analysis
#2
JOURNAL ARTICLE
Arrti A Bhasin, Jennifer M MacRae, Braden Manns, Kelvin C W Leung, Amber O Molnar, Jason W Busse, David Collister, K Scott Brimble, Christian G Rabbat, Jessica Tyrwhitt, Andrea Mazzetti, Michael Walsh
BACKGROUND: Individuals receiving hemodialysis often experience concurrent symptoms during treatment and frequently report feeling unwell after dialysis. The degree to which intradialytic symptoms are related, and which specific symptoms may impair health-related quality of life (HRQoL) is uncertain. OBJECTIVES: To explore intradialytic symptoms clusters, and the relationship between intradialytic symptom clusters with dialysis treatment recovery time and HRQoL...
2024: Canadian Journal of Kidney Health and Disease
https://read.qxmd.com/read/38531765/osteoporosis-management-in-patients-with-chronic-kidney-disease-ercos-study-a-challenge-in-nephrological-care
#3
JOURNAL ARTICLE
Jordi Bover, Carlos Gómez-Alonso, Enrique Casado, Minerva Rodríguez-García, María Jesús Lloret, Cristina Castro-Alonso, Laia Gifre, Fernando Henríquez-Palop, Águeda Prior-Español, Virginia López de la Manzanara, Ana María Láiz, Àngels Martínez-Ferrer, Josep Vicens Torregrosa, Secundino Cigarrán, José Luis Górriz, Marco Montomoli, Nayara Panizo, Ester Costa, Daniel Martínez-Laguna, Mariano Rodríguez, Juan F Navarro-González
Fracture risk assessment in patients with chronic kidney disease (CKD) has been included in the CKD-MBD ("Chronic Kidney Disease-Mineral and Bone Disorders") complex in international and national nephrology guidelines, suggesting for the first time the assessment of bone mineral density (BMD) if the results can influence therapeutic decision-making. However, there is very little information on actual clinical practice in this population. The main objective of the ERCOS (ERC-Osteoporosis) study is to describe the profile of patients with CKD G3-5D with osteoporosis (OP) and/or fragility fractures treated in specialized nephrology, rheumatology and internal medicine clinics in Spain...
March 25, 2024: Nefrología
https://read.qxmd.com/read/38530604/class-v-lupus-nephritis-recurrence-with-histologic-resolution-in-a-kidney-transplant-recipient-on-a-pregnancy-adapted-immunosuppression-protocol-a-lesson-for-the-clinical-nephrologist
#4
JOURNAL ARTICLE
Jorane-Tiana Robert, Ajay Rajaram, Pierre O Fiset, Chantal Bernard, Ratna Samanta, Shaifali Sandal
No abstract text is available yet for this article.
March 26, 2024: Journal of Nephrology
https://read.qxmd.com/read/38530603/comparison-of-blood-volume-biofeedback-hemodialysis-and-conventional-hemodialysis-on-cardiovascular-stability-and-blood-pressure-control-in-hemodialysis-patients-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#5
REVIEW
Emanuele Mambelli, Fabio Grandi, Antonio Santoro
BACKGROUND: Despite the improvements in hemodialysis (HD) technology, 20-30% of sessions are still complicated by hypotension or hypotension-related symptoms. Biofeedback systems have proven to reduce the occurrence of such events, but no conclusive findings can lead to wider adoption of these systems. We conducted this systematic review and meta-analysis of randomized clinical trials to establish whether the use of blood volume tracking systems compared to conventional hemodialysis (C-HD) reduces the occurrence of intradialytic hypotension...
March 26, 2024: Journal of Nephrology
https://read.qxmd.com/read/38530602/an-unusual-macroscopic-aspect-of-a-kidney-biopsy-a-nephrology-quiz
#6
JOURNAL ARTICLE
Bertrand Chauveau, Laure Burguet, Pierre Merville
No abstract text is available yet for this article.
March 26, 2024: Journal of Nephrology
https://read.qxmd.com/read/38530601/frail-scale-as-a-screening-tool-and-a-predictor-of-mortality-in-non-dialysis-dependent-patients
#7
JOURNAL ARTICLE
Hellen Christina Neves Rodrigues, Amanda Goulart de Oliveira Sousa, Vitória Rodrigues Morais Preto, Camila Moura Batista Ferro, Clara Sandra de Araújo Sugizaki, Ana Tereza Vaz de Souza Freitas, Marcos Ferreira Minicucci, Paula Schmidt Azevedo, Maria do Rosário Gondim Peixoto, Nara Aline Costa
BACKGROUND: This study aimed to compare the diagnostic yield of the FRAIL scale with respect to the physical frailty phenotype measure and their association with mortality in non-dialysis-dependent patients. METHODS: In this prospective cohort study, non-dialysis dependent patients with chronic kidney disease (CKD) stages 3b-5 seen in the nephrology outpatient clinics of two university hospitals were included. The presence of frailty was evaluated by physical frailty phenotype measure and the FRAIL scale...
March 26, 2024: Journal of Nephrology
https://read.qxmd.com/read/38528482/effect-of-multidisciplinary-care-on-diabetic-kidney-disease-a-retrospective-cohort-study
#8
JOURNAL ARTICLE
Ayano Hayashi, Kayoko Mizuno, Kanna Shinkawa, Kazunori Sakoda, Satomi Yoshida, Masato Takeuchi, Motoko Yanagita, Koji Kawakami
BACKGROUND: Diabetic kidney disease (DKD) is the most common disease among patients requiring dialysis for the first time in Japan. Multidisciplinary care (MDC) may prevent the progression of kidney failure. However, the effectiveness and timing of MDC to preserve kidney function in patients with DKD is unclear. Therefore, the aim of this study was to investigate whether MDC for patients with DKD affects the preservation of kidney function as well as the timing of MDC in clinical practice...
March 25, 2024: BMC Nephrology
https://read.qxmd.com/read/38528249/positive-response-of-a-hemodialysis-patient-with-pure-red-cell-aplasia-on-recombinant-human-erythropoietin-therapy-to-cyclosporine-and-roxadustat
#9
JOURNAL ARTICLE
Xuejuan Ma, Pearl Pai, Wenjuan Zhu, Xiaowei Chen, Liwen Cui
Recombinant human erythropoietin (rHuEPO) is commonly used to treat anemia associated with chronic kidney disease (CKD). EPO-induced Pure Red Cell Aplasia (PRCA) is a rare condition of profound anemia with EPO treatment. Upon finding the development of EPO-induced PRCA, the treatment requires immediate withdrawal of EPO therapy and initiate new treatments with immunosuppression or renal transplantation. Anti-EPO antibody assay is not always positive in EPO-induced PRCA. Here, we report a case on the sudden development of PRCA in a hemodialysis patient receiving EPO and how we treated the condition successfully with cyclosporine and subsequently maintained the hemoglobin with Roxadustat, a hypoxia-inducible factor prolyl hydroxylase inhibitor (HIF-PHI)...
March 25, 2024: CEN Case Reports
https://read.qxmd.com/read/38526665/lymphatic-vessels-in-patients-with%C3%A2-crescentic-glomerulonephritis-association-with-renal-pathology-and-prognosis
#10
JOURNAL ARTICLE
Danni Hu, Zheng Wang, Shujie Wang, Yueqiang Li, Guangchang Pei, Rui Zeng, Gang Xu
BACKGROUND: Various immune cells, including T cells, B cells, macrophages, and neutrophils contribute to the development of crescentic glomerulonephritis. Previous animal studies have suggested that lymphangiogenesis is involved in the migration of inflammatory cells and the activation of adaptive immunity. However, the extent of the association between lymphatic vessels and crescentic glomerulonephritis severity and prognosis remains unknown. METHODS AND RESULTS: In this study, we assessed lymphatic vessel density in 71 patients with crescentic glomerulonephritis who underwent renal biopsies between June 2017 and June 2022...
March 25, 2024: Journal of Nephrology
https://read.qxmd.com/read/38525412/advances-in-human-centered-care-to-address-contemporary-unmet-needs-in-chronic-dialysis
#11
REVIEW
Sumedh Jayanti, Gopala K Rangan
Advances in the treatment of kidney failure with chronic dialysis have stagnated over the past three decades, with over 50% of patients still managed by conventional in-hospital haemodialysis. In parallel, the demands of chronic dialysis medical care have changed and evolved due to a growing population that has higher frailty and multimorbidity. Thus, the gap between the needs of kidney failure patients and the healthcare capability to provide effective overall management has widened. To address this problem, healthcare policy has increasingly aligned towards a human-centred approach...
2024: International Journal of Nephrology and Renovascular Disease
https://read.qxmd.com/read/38525052/the-tunnelled-atrial-catheter-a-promising-solution-for-vascular-capital-depletion-in-dialysis-despite-associated-thrombi
#12
Meriam Hajji, Salah Saied, Ikram Mami, Yassine Khadhar, Tasnim Ben Ayed, Imen Gorsane, Fethi Ben Hamida, Jalel Ziadi, Mohamed Karim Zouaghi, Ezzeddine Abderrahim
INTRODUCTION: Longer survival in dialysis led to a higher incidence of vascular access complications and failure. With the limited access to kidney transplantation programs and peritoneal dialysis, exhaustion of vascular access for hemodialysis is an increasingly common situation. Among the available options, atrial tunneled dialysis catheter (ATDC) has been reported as an effective vascular access in this population. Methodology . We report the experiences of two nephrology centers in Tunis with ATDC as an ultimate vascular access for dialysis...
2024: Case Reports in Nephrology
https://read.qxmd.com/read/38524801/impact-of-the-2021-ckd-epi-egfr-equation-on-kidney-care-referral-criteria-in-ontario-canada-a-population-based-cross-sectional-study
#13
JOURNAL ARTICLE
Eric McArthur, Graham Smith, Manish M Sood, Peter G Blake, K Scott Brimble, Flory T Muanda, Amit X Garg, Stephanie N Dixon
BACKGROUND: In some jurisdictions, individuals become eligible or recommended for referral for different types of kidney care using criteria based on their estimated glomerular filtration rate (eGFR). Historically, GFR was estimated with an equation developed in 2009, which included a Black race term. An updated, race-free equation was developed in 2021. It is unclear how adoption of the 2021 equation will influence the number of individuals meeting referral criteria to receive different types of kidney care...
2024: Canadian Journal of Kidney Health and Disease
https://read.qxmd.com/read/38524730/overlap-syndrome-of-diffuse-systemic-sclerosis-sj%C3%A3-gren-syndrome-and-anca-associated-renal-limited-vasculitis-three-entities-in-one-patient-case-report
#14
Angela Maria Cordoba-Hurtado, Laura Fuentes-Mendez, Lucia Monserrat Perez-Navarro, Virgilia Soto-Abraham, Rafael Valdez-Ortiz
INTRODUCTION: The presence of three different entities in a single patient is usually of clinical interest and mostly anecdotal. The overlap of systemic sclerosis (SSc), Sjögren syndrome (SS), and ANCA-associated renal-limited vasculitis has been reported only once previously. CASE PRESENTATION: A 61-year-old female was evaluated at consultation with 2 years of symptomatology, presenting cardboard-like skin, sclerodactyly, limited oral opening, and dry skin and eyes...
2024: Case Reports in Nephrology and Dialysis
https://read.qxmd.com/read/38524729/telitacicept-treatment-refractory-lupus-nephritis-a-case-report
#15
Sijia Li, Shuting Deng, Sichun Wen, Siqi Peng, Nan Jiang, Bohou Li, Boxi Chen, Ye Yuan, Qiong Wu, Yiming Tao, Jianchao Ma, Ting Lin, Feng Wen, Zhuo Li, Hao Dai, Renwei Huang, Zhonglin Feng, Zhilian Li, Shuangxin Liu, Lixia Xu
INTRODUCTION: Refractory lupus nephritis (LN) causes kidney disease progression and increases the risk of loss of renal function. Due to the high specificity and few side effects of biological agents, they are recommended for the treatment of systemic lupus erythematosus. There are few data on telitacicept for the treatment of refractory LN. CASE PRESENTATION: Here, we report the efficacy and safety of telitacicept in the treatment of refractory LN in a 25-year-old female patient...
2024: Case Reports in Nephrology and Dialysis
https://read.qxmd.com/read/38523930/strengths-weaknesses-opportunities-and-threats-swot-analysis-of-hemodialysis-electronic-health-record-implementation
#16
JOURNAL ARTICLE
Bassma Bennis, Ghita El Bardai, Basmat Amal Chouhani, Nadia Kabbali, Tarik Sqalli
BACKGROUND AND AIM: The Nephrology Department of Hassan II Hospital in Fez, Morocco, has implemented an Electronic Medical Record (EMR) system for managing patients undergoing acute hemodialysis. This initiative aims to digitize patient monitoring and enhance the management of acute dialysis within the department. Conducting strengths, weaknesses, opportunities, and threats (SWOT) analysis - assessing strengths, weaknesses, opportunities, and threats - was crucial to identifying and understanding the internal strengths and weaknesses, as well as the external opportunities and threats...
February 2024: Curēus
https://read.qxmd.com/read/38520630/copper-deficiency-anemia-due-to-zinc-supplementation-in-a-chronic-hemodialysis-patient
#17
JOURNAL ARTICLE
Tomoka Watanabe, Satomi Yonemoto, Yoshihiro Ikeda, Kiyotaka Kawaguchi, Tatsuo Tsukamoto
Zinc deficiency causes dysgeusia and dermatitis as well as anemia. As approximately half of dialysis patients have zinc deficiency, zinc supplementation should be considered in case of erythropoiesis-stimulating agent (ESA)-hyporesponsive anemia. We report a case of a chronic dialysis patient with copper deficiency anemia caused by standard-dose zinc supplementation. The patient was a 70-year-old woman who had received maintenance hemodialysis for 8 years due to diabetic nephropathy. She had been treated with weekly administration of darbepoetin 30 μg for renal anemia, which resulted in Hb 12 to 14 g/dL...
March 23, 2024: CEN Case Reports
https://read.qxmd.com/read/38520170/a-comparison-of-sodium-glucose-co-transporter-2-inhibitor-kidney-outcome-trial-participants-with-a-real-world-chronic-kidney-disease-primary-care-population
#18
JOURNAL ARTICLE
Anna K Forbes, William Hinton, Michael D Feher, William Elson, José M Ordóñez-Mena, Mark Joy, Xuejuan Fan, Debasish Banerjee, Nicholas I Cole, Neil Munro, Martin Whyte, Rebecca J Suckling, Pauline A Swift, Simon de Lusignan
BACKGROUND/HYPOTHESIS: Observational studies suggest sodium-glucose co-transporter-2 (SGLT2) inhibitor kidney outcome trials are not representative of the broader population of people with chronic kidney disease (CKD). However, there are limited data on the generalisability to those without co-existing type 2 diabetes (T2D), and the representativeness of the EMPA-KIDNEY trial has not been adequately explored. We hypothesised that SGLT2 inhibitor kidney outcome trials are more representative of people with co-existing T2D than those without, and that EMPA-KIDNEY is more representative than previous trials...
March 22, 2024: Nephrology, Dialysis, Transplantation
https://read.qxmd.com/read/38519721/association-of-serum-galectin-3-levels-with-mortality-and-cardiovascular-disease-outcomes-in-hemodialysis-patients-a-systematic-review-and-dose-response-meta-analysis
#19
JOURNAL ARTICLE
Ioannis Bellos, Smaragdi Marinaki, Pagona Lagiou, Vassiliki Benetou
BACKGROUND: Galectin-3 has been proposed as a candidate marker for cardiovascular risk stratification, although its role in kidney failure is unclear. The aim of this systematic review was to assess the association of serum galectin-3 levels with overall survival and cardiovascular outcomes among hemodialysis patients. METHODS: Medline, Scopus, Web of Science and CENTRAL were systematically searched from inception till Aug 20, 2023. Observational studies evaluating the association of serum galectin-3 with mortality, cardiovascular disease and arterial stiffness in hemodialysis patients were included...
March 22, 2024: International Urology and Nephrology
https://read.qxmd.com/read/38519239/executive-summary-of-the-kdigo-2024-clinical-practice-guideline-for-the-evaluation-and-management-of-chronic-kidney-disease-known-knowns-and-known-unknowns
#20
Adeera Levin, Sofia B Ahmed, Juan Jesus Carrero, Bethany Foster, Anna Francis, Rasheeda K Hall, Will G Herrington, Guy Hill, Lesley A Inker, Rümeyza Kazancıoğlu, Edmund Lamb, Peter Lin, Magdalena Madero, Natasha McIntyre, Kelly Morrow, Glenda Roberts, Dharshana Sabanayagam, Elke Schaeffner, Michael Shlipak, Rukshana Shroff, Navdeep Tangri, Teerawat Thanachayanont, Ifeoma Ulasi, Germaine Wong, Chih-Wei Yang, Luxia Zhang, Karen A Robinson, Lisa Wilson, Renee F Wilson, Bertram L Kasiske, Michael Cheung, Amy Earley, Paul E Stevens
The Kidney Disease: Improving Global Outcomes (KDIGO) Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease (CKD) updates the KDIGO 2012 guideline and has been developed with patient partners, clinicians, and researchers around the world, using robust methodology. This update, based on a substantially broader base of evidence than has previously been available, reflects an exciting time in nephrology. New therapies and strategies have been tested in large and diverse populations that help to inform care; however, this guideline is not intended for people receiving dialysis nor those who have a kidney transplant...
April 2024: Kidney International
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