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Silvia Lai, Walter Valentini, Luca Poli, Lucia Broccoli, Sandro Mazzaferro, Massimiliano Crudo, Nicla Frassetti, Francesca Santoboni, Ylenia Esposito, Marco Mangiulli, Viola D'Ambrosio, Anna Chiara Currado, Adolfo Perrotta, Gaspare Elios Russo
Chronic kidney disease (CKD) is a very common condition and its prevalence is increasing worldwide. The CARHES study in Italy showed a prevalence of 6.5% in women and 7.5% in men. As a matter of fact, an early diagnosis is essential to slow down the progression and improve the renal and cardiovascular prognosis. For this purpose the A.N.Di.P. association (National Association of Peritoneal Dialysis-Onlus "Enzo Siciliano ") organized the DAY OF PREVENTION OF RENAL DISEASES which was held in AMATRICE the 15th of July 2017 called "WE START A NEW PATH OF LIFE TOGETHER"...
March 2018: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
Paolo Pedrazzoli, Nicola Silvestris, Antonio Santoro, Simona Secondino, Oronzo Brunetti, Vito Longo, Elena Mancini, Sara Mariucci, Teresa Rampino, Sara Delfanti, Silvia Brugnatelli, Saverio Cinieri
Background: The overall risk of some cancers is increased in patients receiving regular dialysis treatment due to chronic oxidative stress, a weakened immune system and enhanced genomic damage. These patients could benefit from the same antineoplastic treatment delivered to patients with normal renal function, but a better risk/benefit ratio could be achieved by establishing specific guidelines. Key considerations are which chemotherapeutic agent to use, adjustment of dosages and timing of dialysis in relation to the administration of chemotherapy...
2017: ESMO Open
Fabio Luiz DE Menezes Montenegro, Marilia D'Elboux Guimaraes Brescia, Climério Pereira Nascimento, Ledo Mazzei Massoni, Sérgio Samir Arap, Stênio Roberto Castro Lima Santos, Patrícia Taschner Goldenstein, Rodrigo Oliveira Bueno, Melani Ribeiro Custodio, Vanda Jorgetti, Rosa Maria Affonso Moyses
Objective: to analyze the frequency of hypoparathyroidism and of its recurrence after parathyroidectomy in dialysis patients according to different existing classifications. Methods: we conducted a retrospective study of 107 consecutive dialysis patients undergoing total parathyroidectomy with immediate autograft in a tertiary hospital from 2006 to 2010. We studied the changes in PTH levels in the postoperative period over time. Were grouped patients according to different PTH levels targets recommended according to the dosage method and by the American and Japanese Nephrology Societies, and by an International Experts Consortium...
September 2016: Revista do Colégio Brasileiro de Cirurgiões
Jorge Mejia, Ana Claudia Camargo Miranda, Ana Claudia Ranucci Durante, Larissa Rolim de Oliveira, Marycel Rosa Felisa Figols de Barboza, Katerin Taboada Rosell, Daniele Pereira Jardim, Alexandre Holthausen Campos, Marilia Alves Dos Reis, Marcela Forli Catanoso, Orfa Yineth Galvis-Alonso, Francisco Romero Cabral
Objective: To present the result of upgrading a clinical gamma-camera to be used to obtain in vivo tomographic images of small animal organs, and its application to register cardiac, renal and neurological images. Methods: An updated version of the miniSPECT upgrading device was built, which is composed of mechanical, electronic and software subsystems. The device was attached to a Discovery VH (General Electric Healthcare) gamma-camera, which was retired from the clinical service and installed at the Centro de Imagem Pré-Clínica of the Hospital Israelita Albert Einstein...
July 2016: Einstein
Ramón García-Trabanino, Zulma Trujillo, Ana Verónica Colorado, Salvador Magaña Mercado, Carlos Atilio Henríquez
El Salvador has the highest renal failure mortality rate in the Americas. Five healthcare providers offer renal replacement therapy (RRT) in the country. The national RRT prevalence has never been reported. AIMS: To determine the RRT prevalence in El Salvador and some basic characteristics. METHODS: The association of nephrology coordinated a nationwide cross-sectional survey during the third quarter of 2014. 31 renal centres participated in the survey, covering 99...
November 2016: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
P Mazón, E Galve, J Gómez, M Gorostidi, J L Górriz, J D Mediavilla
INTRODUCTION: The opinion of experts (different specialties) on the triple fixed-dose antihypertensive therapy in clinical practice may differ. MATERIALS AND METHODS: Online questionnaire with controversial aspects of the triple therapy answered by panel of experts in hypertension (HT) using two-round modified Delphi method. RESULTS: The questionnaire was completed by 158 experts: Internal Medicine (49), Nephrology (26), Cardiology (83). Consensus was reached (agreement) on 27/45 items (60%); 7 items showed differences statistically significant...
October 2016: Hipertensión y Riesgo Vascular
Eugenia Espinel, Francisca Benavides, M Victoria Feijóo, Eladio Fernández-Liz, Yolima Cossio, Daniel Serón
No abstract text is available yet for this article.
May 2016: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
Rafael Pérez-García, Rafael García Maset, Emilio Gonzalez Parra, Carlos Solozábal Campos, Rafael Ramírez Chamond, Pablo Martín-Rabadán, Pedro Enrique Sobrino Pérez, Ovidio Gallego Pereira, Jon Dominguez, Enrique de la Cueva Matute, Ricardo Ferllen
A Best Practice Guideline about Dialysis fluid purity was developed under the leadership of the Spanish Society of Nephrology in 2004. The second edition revised Guideline considered new evidences and International Standard. The Guideline has established recommendations for standards for preparing dialysate: water, concentrates and hemodialysis proportioning systems. This Guideline is based on the ISO13959, European Pharmacopoeia, the Real Farmacopea Española, the AAMI Standards and Recommended Practices, European Best Practice Guidelines for Haemodialysis, literature reviews, according to their level of evidence, and the opinion of the expert Spanish group...
May 2016: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
Josep M Campistol, Manuel Arias, Gema Ariceta, Miguel Blasco, Laura Espinosa, Mario Espinosa, Josep M Grinyó, Manuel Macía, Santiago Mendizábal, Manuel Praga, Elena Román, Roser Torra, Francisco Valdés, Ramón Vilalta, Santiago Rodríguez de Córdoba
Haemolytic uraemic syndrome (HUS) is a clinical entity defined as the triad of nonimmune haemolytic anaemia, thrombocytopenia, and acute renal failure, in which the underlying lesions are mediated by systemic thrombotic microangiopathy (TMA). Different causes can induce the TMA process that characterizes HUS. In this document we consider atypical HUS (aHUS) a sub-type of HUS in which the TMA phenomena are the consequence of the endotelial damage in the microvasculature of the kidneys and other organs due to a disregulation of the activity of the complement system...
2015: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
Pilar Hevia, Vilma Nazal, María Pía Rosati, Lily Quiroz, Claudia Alarcón, Sonia Márquez, Karen Cuevas
Idiopathic nephrotic syndrome is the most common glomerular disease in childhood, affecting 1 to 3 per 100,000 children under the age of 16. It most commonly occurs in ages between 2 and 10. Its cause is unknown, and its histology corresponds to minimal change disease in 90% of cases, or focal segmental glomerulosclerosis. Steroid-resistant nephrotic syndrome represents 10-20% of idiopathic nephrotic syndrome in pediatrics. It has a poor prognosis, and its management is a significant therapeutic challenge. Half of patients evolve to end-stage renal disease within 5 years, and are additionally exposed to complications secondary to persistent NS and to the adverse effects of immunosuppressive therapy...
September 2015: Revista Chilena de Pediatría
Pilar Hevia, Vilma Nazal, María Pía Rosati, Lily Quiroz, Claudia Alarcón, Sonia Márquez, Karen Cuevas
Idiopathic nephrotic syndrome is the most common glomerular disease in childhood, affecting 1 to 3 per 100,000 children under the age of 16. It most commonly occurs in ages between 2 and 10. Its cause is unknown and its histology corresponds to minimal change disease in 90% of cases, or focal segmental glomerulosclerosis. 80 to 90% of cases respond to steroids (steroid-sensitive nephrotic syndrome) with good prognosis and long-term preservation of renal function over time. 70% of patients with SSNS have one or more relapses in their evolution, and of these, 50% behave as frequent relapsing or steroid-dependent, a group that concentrate the risk of steroid toxicity...
July 2015: Revista Chilena de Pediatría
Juan Mariano Rodríguez Portillo, Roberto Alcázar Arroyo
No abstract text is available yet for this article.
2015: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
Carlos Miguélez-Lago, Pedro López-Pereira, José Luis de la Fuente-Madero, Aurora Caparrós-Cayuela
INTRODUCTION: Currently there is a need for specific training and special dedication to pediatric urology (PU). Nevertheless, we lack of a continuous education program, which must be specific and multidisciplinary. OBJECTIVES: To create a complementary training program in PU with the following differential characteristics: 1) University postgraduate, 2) internationally accredited, 3) multidisciplinary, 4) theoretical and practical, 5) through virtual teaching, 6) with on-site support, 7) academically directed and mentored, 8) based on individual and group self learning, 9) with international faculty and alumni 10) objectively evaluable...
July 2015: Archivos Españoles de Urología
Marcos Thomazin Lopes, Alexandre Archanjo Ferraro, Vera Hermina Kalika Koch
OBJECTIVE: To evaluate the reliability of the translation and cultural adaptation of the Pediatric Quality of Life Inventory (PedsQLTM) - End Stage Renal Disease (ESRD) - version 3.0 - children/adolescents and parents reports in Brazilian children with ESRD. METHODS: A group of 24 children and adolescents with ESRD, followed at Unidade de Nefrologia Pediátrica do Instituto da Criança - HCFMUSP and 32 primary caregivers were interviewed according to the me methodology proposed by the creator of the original questionnaire...
April 2015: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
Silvana Savoldi, Franca Giacchino, Cristiana Rollino, Marco Manganaro, Luca Besso, Cristina Izzo, Bruno Gianoglio, Alessandro Amore, Roberta Fenoglio, Piero Stratta
The Piedmont Group of Clinical Nephrology compared the activity of 15 nephrology centers in Piedmont and Aosta Valley as regards bone protection in patients on corticosteroids therapy. Fracture prevalence shows great variability: in 4/15 centers (27%) no fractures were found, in 6/15 centers (40%) fractures were present in 1-4% of cases, in 1 center in 18% of patients. Clinical risk of fracture was based on sex, age and postmenopausal status in 11/14 of the centers (79%), history of fractures and bone disease in 4/14 centers (27%), smoking and alcohol consumption in 3 and 2 centers respectively, glucocorticoid dose and duration in 4, in children bone age and calcium phosphorus status...
May 2015: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
Guillermo Rosa-Diez, Maria Gonzalez-Bedat, Roberto Pecoits-Filho, Sergio Marinovich, Sdenka Fernandez, Jocemir Lugon, Hugo Poblete-Badal, Susana Elgueta-Miranda, Rafael Gomez, Manuel Cerdas-Calderon, Miguel Almaguer-Lopez, Nelly Freire, Ricardo Leiva-Merino, Gaspar Rodriguez, Jorge Luna-Guerra, Tomasso Bochicchio, Guillermo Garcia-Garcia, Nuria Cano, Norman Iron, Cesar Cuero, Dario Cuevas, Carlos Tapia, Jose Cangiano, Sandra Rodriguez, Haydee Gonzalez, Valter Duro-Garcia
The Latin American Dialysis and Renal Transplant Registry (RLADTR) was founded in 1991; it collects data from 20 countries which are members of Sociedad Latinoamericana de Nefrología e Hipertension. This paper presents the results corresponding to the year 2010. This study is an annual survey requesting data on incident and prevalent patients undergoing renal replacement treatment (RRT) in all modalities: hemodialysis (HD), peritoneal dialysis (PD) and living with a functioning graft (LFG), etc. Prevalence and incidence were compared with previous years...
August 2014: Clinical Kidney Journal
José L Gorriz, Félix Gutiérrez, Joan C Trullàs, Piedad Arazo, Jose R Arribas, Guillermina Barril, Miguel Cervero, Frederic Cofán, Pere Domingo, Vicente Estrada, Xavier Fulladosa, María J Galindo, Sílvia Gràcia, José A Iribarren, Hernando Knobel, José López-Aldeguer, Fernando Lozano, Alberto Martínez-Castelao, Esteban Martínez, Maria A Mazuecos, Celia Miralles, Rosario Montañés, Eugenia Negredo, Rosario Palacios, María J Pérez-Elías, Joaquín Portilla, Manuel Praga, Carlos Quereda, Antonio Rivero, Juan M Santamaría, José Sanz, Jesús Sanz, José M Miró
The aim of this article is to update the 2010 recommendations on the evaluation and management of renal disease in human immunodeficiency virus (HIV)-infected patients. Renal function should be monitored in all HIV-infected patients. The basic renal work-up should include measurements of serum creatinine, estimated glomerular filtration rate by CKD-EPI, urine protein-to-creatinine ratio, and urinary sediment. Tubular function tests should include determination of serum phosphate levels and urine dipstick for glycosuria...
November 2014: Enfermedades Infecciosas y Microbiología Clínica
Fábio Gonzaga Moreira, Rodrigo Lerário Iervolino, Silvia Zanon Dall'Orto, Antonio Claudomiro Aparecido Beneventi, José Licinio de Oliveira Filho, Aécio Flávio Teixeira de Góis
Chronic renal failure is a high morbidity and mortality condition, with its terminal phase incidence and prevalence steadily growing year after year. According to the Sociedade Brasileira de Nefrologia [Brazilian Society of Nephrology], the main causes of renal failure are arterial hypertension, glomerulonephritis and diabetes mellitus. Several factors are implied on chronic renal failure patients' risk of mortality, particularly age, diabetes and associated co-morbidities. For patients below 50 years old, the 5 years survival rate is 62% and for those above this age and with diabetes mellitus, just 23%...
December 2010: Revista Brasileira de Terapia Intensiva
Jara Caro, Elena Gutiérrez-Solís, Jorge Rojas-Rivera, Irene Agraz, Natalia Ramos, Cristina Rabasco, Mario Espinosa, Alfonso Valera, Mónica Martín, Miguel Ángel Frutos, Lara Perea, Gema Fernández Juárez, Javier Ocaña, David Arroyo, Marian Goicoechea, Laura Fernández, Aniana Oliet, Yolanda Hernández, Ana Romera, Alfons Segarra, Manuel Praga
BACKGROUND: Although tacrolimus is recommended by KDIGO Clinical Practice Guideline for Glomerulonephritis for the treatment of idiopathic membranous nephropathy (MN), little is known about factors that influence response and relapse of the disease after tacrolimus therapy. METHODS: Multicentre study that collected 122 MN patients with nephrotic syndrome and stable renal function treated with tacrolimus. Duration of treatment was 17.6 ± 7.2 months, including a full-dose and a tapering period...
March 2015: Nephrology, Dialysis, Transplantation
Maria C Haller, Sabine N van der Veer, Evi V Nagler, Charlie Tomson, Andrew Lewington, Brenda R Hemmelgarn, Martin Gallagher, Michael Rocco, Gregorio Obrador, Raymond Vanholder, Jonathan C Craig, Wim van Biesen
BACKGROUND: Worldwide, several bodies produce renal guidelines, potentially leading to duplication of effort while other topics may remain uncovered. A collaborative work plan could improve efficiency and impact, but requires a common approved methodology. The aim of this study was to identify organizational and methodological similarities and differences among seven major renal guideline bodies to identify methodological barriers to a collaborative effort. METHODS: An electronic 62-item survey with questions based on the Institute of Medicine standards for guidelines was completed by representatives of seven major organizations producing renal guidelines: the Canadian Society of Nephrology (CSN), European Renal Best Practice (ERBP), Kidney Disease Improving Global Outcome (KDIGO), Kidney Health Australia-Caring for Australians with Renal Insufficiency (KHA-CARI), Kidney Disease Outcome Quality Initiative (KDOQI), Sociedad Latino-Americano de Nefrologia e Hipertension (SLANH) and United Kingdom Renal Association (UK-RA)...
July 2015: Nephrology, Dialysis, Transplantation
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