Hemodialysis patients are vulnerable to life-threatening infections that can spread to others in dialysis facilities. A series of articles highlights the urgency of preventing these infections, emphasizing the need for evidence-based practices and leadership from nephrologists.
A study of Black Americans found that participant factors such as knowledge of kidney disease and spiritual/religious beliefs, as well as logistical factors like convenience and awareness of scheduling, were identified as barriers to screening. The research aims to guide efforts to address important kidney-related disparities in the US.
A new study reveals that changes in living kidney donation in the US over the last decade have varied by sex, resulting in a widened gap in donation between women and men. The incidence of donation was 44% higher in women after adjusting for differences in age, race, and geographic factors.
A new study reveals that hemodialysis can decrease cerebral blood flow by 10% in older patients, affecting brain regions including frontal and temporal lobes. This finding may help explain previous studies' links between hemodialysis and worsening cognitive function in elderly patients.
An analysis of published studies found that children with CKD had lower intellectual functioning compared to children in the general population, particularly those on dialysis. Deficits were evident for attention, memory, and executive function domains.
Recent studies have compared human and mouse kidney development, revealing deep conservation of certain processes but also significant differences in gene expression and cell structures. The findings provide new insights into the processes directing cells to form functional kidney structures and may help guide emerging stem cell techno...
A new study found that lower sodium levels in the blood, known as hyponatremia, are related to declines in cognitive function with advancing age. Slightly lower serum sodium levels were associated with increased risk of cognitive impairment and decline over time, while high serum sodium was also linked to cognitive decline.
A new measure, STReR, is developed to assess how well dialysis facilities refer patients for transplantation. The study found that most variation in referrals was due to characteristics within the dialysis facilities rather than patient factors.
A study examining employment trends among patients with kidney failure found that employment was low throughout the study period at 23-24%. Approximately 120,000 adults in the US develop kidney failure each year, a majority of whom undergo dialysis. The probability of employment in kidney failure patients increased slightly over time.
A group of articles highlights the factors threatening job satisfaction and high-quality care delivery among nephrology specialists. Experts propose measures to improve professional lives, including fellowship training reform, practice transformation, and creating a stronger community of nephrologists.
Patients with chronic kidney disease prefer home dialysis due to flexibility, independence, and better survival rates. Transplantation improves brain function and enables patients to assume family obligations and careers, increasing its appeal.
A randomized clinical trial of bortezomib in late antibody-mediated kidney transplant rejection found no improvement in transplanted kidney function or prevention of immunologic tissue injury. The treatment was also linked with adverse effects, ruling out its potential as a therapeutic option for this condition.
Survival rates for individuals with kidney failure have improved significantly over the past 22 years, with decreases observed across all age groups. Improvements in dialysis care, organ transplantation, and clinical practice guidelines may be contributing factors to these advancements.
Researchers at Max Delbrück Center find GRHL2 protein crucial for concentrating urine and maintaining salt levels in the kidneys. Genetically modified mice lacking GRHL2 produce more diluted urine, highlighting its importance for regulating body fluids.
A study found that many discarded kidneys from deceased donors could have potentially been transplanted with good outcomes. The majority of discarded kidneys had traits considered unappealing, but their partner kidneys performed well after being used for transplantation.
Researchers have discovered that macrophages form a barrier around kidneys and that dendritic cells communicate with each other to control the magnitude of the immune response. This complex mechanism challenges previous ideas about how the kidney reacts to injury, and may lead to new strategies for protecting individuals' kidney health.
Researchers found genes associated with B cell receptor signaling and activation in tolerant kidney transplant recipients, suggesting an active immune regulation of B cells. The study provides insights into the mechanisms behind tolerance induction in renal transplantation, potentially leading to minimization of immunosuppression.
Research highlights the need for better nutritional management in chronic kidney disease, where high protein diets may have deleterious impacts on kidney health. A low protein, low salt diet may slow progression and help patients defer dialysis initiation.
The global burden of chronic kidney disease attributable to air pollution is estimated to be over 10.7 million cases per year, with varying impacts by geography. Air pollution may contribute to the rising incidence of CKD worldwide, particularly in Central America and South Asia.
A new study found that TRC101, a hydrochloric acid binder, increased serum bicarbonate levels in patients with chronic kidney disease (CKD) and metabolic acidosis. The treatment was well-tolerated, with all adverse events being mild or moderate.
UC researchers analyzed data from the USRDS to find that elderly patients with poor functional status have a 48% higher risk of one-year mortality. Additionally, blacks, Hispanics, and Asians are less likely to die within one year of initiating dialysis than whites, while females are also at lower risk.
A study of over 900,000 US veterans found chronic insomnia to be associated with increased risks of early death, rapid kidney function decline, and kidney failure. The study suggests that attention to proper management of chronic insomnia could have long-ranging positive effects on overall health.
New research suggests that greater reductions in mean blood pressure may harm the kidneys, rather than benefiting them. In hypertensive patients, intensive blood pressure treatment was found to be associated with an increased risk of kidney function decline.
Researchers at the University of Louisville discovered a new autoimmune disease that causes kidney failure, dubbed anti-brush border antibody (ABBA) disease. The disease was identified after analyzing biopsied kidney tissue from patients with acute kidney injury, and it affects the nephrons' brush borders by coating them with antibodies.
A new computer program has been developed to help doctors detect acute kidney injury earlier, reducing its severity and improving survival rates. The program, which was tested in over half a million patients, showed a significant reduction in hospital mortality, length of stay, and dialysis rates.
Longtime advocates Paul T. Conway and Richard Knight received the ASN's President's Medal for their significant contributions to the fight against kidney diseases, including improving access to treatment and increasing funding for research and treatment innovations.
A particular protein, DNAJB9, is found in abundance in the kidneys of patients with fibrillary glomerulonephritis, an aggressive kidney disease. The discovery may improve diagnosis and treatment options for this disease, which affects nearly half of patients who become dependent on dialysis.
A recent analysis found that kidney transplant recipients lived longer than those who stayed on dialysis for at least 10 years. The benefit was observed after 657 days post-transplant, with a 40% lower risk of death compared to patients on dialysis.
A study published in The Clinical Journal of the American Society of Nephrology found that left ventricular assist device (LVAD) therapy can affect kidney function, particularly in patients with chronic kidney disease. Researchers identified interventions to improve outcomes, including nephrologist involvement and enhanced dialysis tra...
A new study found that acute kidney injury (AKI) is associated with significant healthcare costs, with the mildest forms of AKI resulting in 1.2 to 1.3 times greater costs than patients without AKI. The study estimates the incremental cost of AKI in Canada to be over $200 million per year.
A study found that young adults with kidney failure have lower quality of life, worse employment prospects, and are less likely to be married or have a partner. Higher education, alcohol abstinence, and smoking status did not differ significantly between those on dialysis and transplantation.
A study found that Canadian nephrologists generally recommend follow-up kidney evaluations for most patients with acute kidney injury but only a minority receive these evaluations. The disparity between recommendations and actual practices may be attributed to various factors, including patient age and pre-existing conditions.
A study found that many discarded kidney organs can be suitable for transplantation if certain steps are taken to limit damage following donation. The use of these organs could be increased by limiting cold ischemia times.
A study found nearly a quarter of dialysis patients are readmitted to the hospital within 30 days, often for a diagnosis different from their initial hospitalization. Patient characteristics such as female gender, younger age, and certain medical conditions were linked to a high likelihood of readmission.
The committee's efforts focus on increasing the number of sites hosting research studies, expanding potential study volunteers, and reducing duplicated efforts. By leveraging public-private partnerships, they aim to develop effective medicines for children with kidney disease.
A study found a linear relationship between air pollution levels and the risk of experiencing kidney function decline and developing kidney disease or failure. The results suggest that particulate matter above the EPA's recommended limit is associated with new cases of chronic kidney disease (CKD) and end-stage renal disease (ESRD).
A new analysis reveals that US dialysis patients are at high risk of early death, discontinuation of dialysis, and hospitalization due to excessive opioid use. The study found that more than 20% of dialysis patients received chronic opioid prescriptions, three times the rate in the general Medicare population.
A study found that individuals with chronic kidney disease who experienced high sleep fragmentation were at elevated risk of developing kidney failure. Higher sleep fragmentation and shorter sleep duration were also linked to steeper declines in kidney function over time. Subjectively measured daytime sleepiness was associated with an ...
A new study finds that sofosbuvir-based direct-acting antiviral therapy is safe and effective in patients with chronic kidney disease (CKD) and Hepatitis C virus (HCV) infection. The treatment improved kidney function in stage 3 patients after cure, suggesting a potential therapeutic option for CKD patients with HCV.
Researchers discovered that a particular receptor in kidney cells plays a crucial role in obesity-induced kidney damage. Targeting this receptor or its associated signaling pathway may help protect the kidneys of individuals with obesity from structural and functional changes, thereby reducing the risk of chronic kidney disease.
A recent study of healthy young adults found no association between marijuana use and change in kidney function over time or albumin in the urine. Further research is needed to assess the effects of marijuana on older adults and patients with kidney disease.
A cancer drug called bosutinib showed promise in slowing cyst growth in patients with autosomal dominant polycystic kidney disease (ADPKD). The study found a 66% reduction in kidney enlargement for those receiving bosutinib compared to placebo.
A study found that individuals with poor kidney function had a higher risk of developing lower respiratory tract infections, urinary tract infections, and sepsis. The relative proportion of these infections increased as kidney function decreased.
A new analysis suggests that targeted educational interventions can improve living kidney donation rates. The study found significant benefits from educating both the potential recipient and their close social network, highlighting a promising approach to increase living donor kidney transplantation.
The study found that individuals with kidney disease have a higher risk of developing atrial fibrillation. The risk increased step-wise with decreasing kidney function, and the link held even after accounting for other factors such as cardiovascular health.
A Massachusetts General Hospital study found that deficits in the sense of smell are common among patients with serious kidney disease and correlate with poor nutrition. A proof-of-concept trial of a potential treatment for these olfactory deficits showed promising results.
Research reveals that many patients with chronic kidney disease experience smell loss, which correlates with poorer nutritional status. Treatment with intranasal theophylline has shown promise in improving smell function and reducing markers of malnutrition in a small group of patients.
Charuhas Thakar, a leading expert on acute kidney injury (AKI), has addressed the treatment challenges of AKI as a guest editor for the Advances in Chronic Kidney Disease Journal. Thakar emphasizes the need to view AKI not only as a patient-centric issue but also as a systems quality issue that affects the entire healthcare system.
A study found that US transplant centers rejected donated kidneys a median of 7 times before accepting them for transplantation. The rejections varied by patient and donor characteristics, contributing to racial and ethnic disparities in access to kidney transplants.
A study published in BMC Nephrology found that patients receiving non-renal solid organ transplants are at a higher risk of death due to acute kidney injury. The research suggests that reducing AKI-D diagnoses can improve health outcomes and reduce the financial burden on the healthcare system.
Researchers have developed a method to quickly diagnose preeclampsia, which affects 5% of pregnancies and is linked to elevated fetal hemoglobin levels. The findings may lead to better diagnostics and treatments for affected women.
A new study reveals that patients discharged home from the emergency department with acute kidney injury (AKI) are at an increased risk of dying within 30 days. Patients with moderate-to-severe AKI have a higher risk of death, emphasizing the need for close follow-up and repeat kidney function testing.
A molecular analysis of tissue mismatch between donors and recipients predicted which recipients needed high doses of immune modulating drugs. The study found a strong correlation between low medication levels and low molecular mismatch scores, allowing physicians to tailor treatment to individual patients.
A study found that hemodialysis patients with hypothyroidism exhibit impairments in health-related quality of life, including physical function and pain. The findings suggest a potential link between thyroid hormone levels and patient outcomes.
A recent study found that biopsy tests had no impact on kidney function after transplantation from living donors, but did influence outcomes with deceased donor kidneys. Despite this, nearly 20% of organs are still being discarded in the US due to suboptimal biopsy results.
A recent analysis of US dialysis facility data found that central venous catheters are associated with the most bloodstream infections in hemodialysis patients. Staphylococcus aureus was the most commonly isolated pathogen, with 40% of isolates resistant to antibiotic methicillin.
Targeting a systolic blood pressure of <120 mm Hg reduced cardiovascular events and premature death in CKD patients, but slightly accelerated kidney function decline. The benefits were observed across all age groups within the CKD subgroup.
A new study published in the Journal of the American Society of Nephrology found that young women have poorer transplant outcomes compared to young men, while women over 45 have similar or better outcomes. The research suggests personalized immunosuppression strategies based on age and sex could improve graft success.
Researchers developed a calculator estimating graft survival after kidney transplant from living donors, accounting for mismatches in age, sex, HLA, and body size. The tool is particularly useful for kidney paired donation, allowing candidates to compare estimated graft survival with different potential donors.
Receiving donor kidneys from individuals with diabetes offers a greater survival benefit than remaining on the waitlist for many transplant candidates. Patients at high risk of dying while on the waitlist and those at centers with long wait times may benefit the most from transplantation with kidneys from diabetic donors.