Older adults initiate chronic dialysis in the hospital, and those with prolonged hospital stays and life support receive limited survival and intensive healthcare. Healthcare intensity around dialysis initiation affects patients' outcomes, guiding physicians to determine the best care.
A recent study published in the Clinical Journal of the American Society of Nephrology found that women with advanced kidney disease who start dialysis during pregnancy have a higher live birth rate compared to those already on dialysis. This discovery may help guide care for young women who need dialysis.
Triferic effectively delivers iron to the body's bone marrow, maintaining hemoglobin levels without rapid flux, a safer alternative to current intravenous injection methods. The study demonstrated its effectiveness in preventing iron overload and iron deficiency in 300 patients with chronic kidney disease undergoing dialysis.
A new study finds that treatment with abatacept appears to halt the course of focal segmental glomerulosclerosis (FSGS) in patients, preventing proteinuria and promoting remission. Abatacept has been shown to be effective in treating patients with recurrent disease and those at high risk for kidney failure.
A study of US nephrologists reveals that hospitalized patients with acute kidney injury (AKI) often do not receive sufficient follow-up care, despite being critically ill. The survey found that only one in five patients seen in clinics for AKI follow-up received reliable transition of care services after hospital discharge.
A study published by UC researchers found that patients with acute kidney injury (AKI) before starting dialysis are 1.5 times more likely to die in their first year compared to those without AKI. This discovery may help improve dialysis outcomes and quality of life for millions of patients.
A randomized trial found that lowering salt intake reduces excess fluid volume, blood pressure, and protein excretion in the urine of people with CKD. This could lead to a 30% reduction in risk of progressing to end-stage kidney disease.
A new study found that a patient's immune response may provide better insights into bacterial infections than conventional tests, leading to more accurate diagnoses and appropriate antibiotic treatment. The research identified unique 'immune fingerprints' associated with certain pathogens and predicted the nature of the infection.
A study suggests that paying living kidney donors $10,000 could increase the number of transplants by 5% or more, resulting in incremental cost savings and improved patient outcomes. This approach could also improve quality and quantity of life for patients with end-stage renal disease.
Kidney transplant recipients who discontinue immunosuppressive drugs before conception have a higher rate of live births and a lower rate of birth defects without an increased risk of kidney problems, according to research published by the American Society of Nephrology.
A study found that behavioral therapy provided chair-side to kidney failure patients during dialysis significantly reduces depression scores and improves quality of life. The treatment group experienced greater improvements in fluid intake between sessions, making subsequent treatments more efficient.
A study found that Hispanics are less likely to receive a kidney transplant, despite being equally likely to be placed on the waitlist as non-Hispanic whites. The disparity is largely attributed to differences in patient blood type and regional variability of organ supply.
A study finds that African Americans and individuals with less education are more likely to receive lower-quality kidneys, highlighting racial and social disparities in the allocation of transplanted organs. The findings suggest that addressing these inequalities is crucial for improving patient outcomes.
A study published in the Journal of the American Society of Nephrology found that obesity increases the risk of developing chronic kidney disease by suppressing an important cellular process called autophagy. Restoring this process may help protect kidney health in obese individuals.
A recent study examining the health of kidney donors has found that complications and hospital length-of-stay have declined since 1998. The researchers studied over 69,000 living kidney donors between 1998 and 2010, finding that rates of complications and length-of-stay for donors were comparable with other low-risk abdominal surgeries.
A genetic variant on chromosome 2 is strongly linked with kidney failure in diabetic women, but not in men. Diabetic women with the risk variant had a nearly two-fold increased risk of developing kidney failure compared to those without it.
A biomarker test has been shown to accurately detect acute kidney injury (AKI) in a diverse group of patients admitted from the emergency department. The test measures neutrophil gelatinase-associated lipocalin (NGAL) and can provide results within 15 minutes, allowing for timely treatment.
Researchers have discovered a process defective in patients with autosomal dominant polycystic kidney disease, a leading cause of kidney failure. Induced pluripotent stem cells from patients were reprogrammed to study human kidney disease mechanisms, revealing a potential therapeutic strategy by correcting a protein defect.
A recent study published in the Clinical Journal of the American Society of Nephrology found that individuals with type 2 diabetes and normal kidney function who have persistent albuminuria (protein in the urine) are at a greater risk for cognitive decline. The study, which followed 2977 diabetics over four to five years, showed that t...
A study published in the Journal of the American Society of Nephrology found that African Americans with lower incomes have lower rates of living kidney donation compared to White Americans. However, among high-income African Americans, they actually have higher rates of donation. The findings highlight the importance of targeting soci...
Researchers identified gene variants associated with an increased risk of kidney problems in lupus patients, which could lead to better treatments to protect kidney health. The study found that variants in the ABIN1 gene were linked to an increased risk of lupus nephritis, a common complication of the disease.
A study published by the American Society of Nephrology found that a structured exercise and lifestyle program can improve fitness, body composition, and heart function in patients with kidney disease. The program was safe for patients with multiple health issues, including diabetes and high blood pressure.
A recent study published in Journal of the American Society of Nephrology found that nephrologists with a lower patient caseload tend to have better survival rates among dialysis patients. For every additional 50 patients cared for by a nephrologist, patients experienced a 2% higher risk of dying within six years.
A study by the American Society of Nephrology found that moderate chronic kidney disease (CKD) costs Medicare tens of billions of dollars each year. The study estimated that Medicare spending attributable to CKD stages 2 through 4 is likely to exceed $48 billion per year, with costs ranging from $1700 to $12,700 per person per year.
Researchers found that a non-invasive ultrasound treatment can prevent acute kidney injury in mice by stimulating an anti-inflammatory response. The therapy, which uses sound waves to activate the immune system, showed promise as a potential prevention method for patients at risk of kidney damage after surgery.
A study found that more frequent and longer patient-doctor contact in dialysis care is linked to better health outcomes for patients. Facilities with higher frequency and duration of contact had significantly lower mortality rates and fewer hospitalizations compared to those with intermediate or infrequent contact.
A strong association was found between worse kidney function and medication-resistant hypertension in individuals with moderate chronic kidney disease. Black patients and those with a larger waist circumference, diabetes, and a history of heart attacks or strokes were more likely to have resistant hypertension.
A new drug called Bendavia has been shown to prevent acute kidney injury (AKI) in animal models and is currently being studied for kidney disease. By protecting the unique fatty compound cardiolipin, Bendavia helps preserve mitochondrial structure and function, leading to accelerated ATP recovery and reduced cell death.
A study analyzing data from 1000 black and white patients with kidney disease found that black patients experienced a faster progression to kidney failure. The disparity was predominantly present in patients with diabetes and those who excreted greater amounts of protein, indicating more advanced kidney dysfunction.
A study found that elderly patients with kidney failure who use catheters have a high risk of death, while those using arteriovenous fistulas or grafts in their late 60s and 70s experience improved survival rates. However, for those over 80 years old, placing a graft may be a reasonable alternative to a fistula.
A study published in the Journal of the American Society of Nephrology found that administering large doses of intravenous iron over a short period increases dialysis patients' risk of developing serious infections. In contrast, smaller doses given less frequently do not increase infection risk.
A study found that individuals with chronic kidney disease who have a heart-healthy lifestyle are less likely to develop kidney failure. Those with four ideal factors for life's simple 7 tool had nearly half their risk cut, while those with five ideal factors didn't develop kidney failure.
A study published in the Journal of the American Society of Nephrology found that LDL cholesterol is not a reliable indicator of heart disease risk in patients with kidney disease. Patients with very low kidney function were more likely to have a heart attack, regardless of their LDL levels.
A study has found that slower walking speed is associated with increased mortality risk in kidney disease patients. The research suggests that lower extremity physical performance tests may help identify those at higher risk of premature death.
A study found that a phosphate-binding drug did not reduce cardiovascular measures in patients with early chronic kidney disease, suggesting dietary restriction may be the best way to mitigate phosphate's negative effects on the heart. Higher blood phosphate levels increase the risk of dying from heart-related causes.
A study found that racial disparities in end-of-life care among US adults with kidney failure are substantial and vary by region. Black patients are less likely to discontinue dialysis and be referred to hospice compared to white patients, especially in high-end life spending regions.
A study found significant racial disparities in end-of-life care among US adults with kidney failure, with black patients less likely to be referred to hospice and discontinue dialysis compared to white patients. The differences were most pronounced in regions with the highest levels of end-of-life spending.
People with apple-shaped bodies are more likely to develop kidney disease due to lower kidney function, lower kidney blood flow, and higher blood pressure within the kidneys. Treatments that reduce kidney blood pressure may be beneficial for these individuals.
Research suggests that individuals with an apple-shaped body distribution may experience lower kidney function and higher blood pressure within the kidneys, increasing their risk of developing kidney disease. Treatments that reduce kidney blood pressure could be beneficial for these individuals.
A study found that growth hormone therapy can help reverse growth problems in children with kidney failure by increasing bone turnover. However, treatment may not benefit overall bone health and may interrupt the relationship between bone turnover and parathyroid hormone markers.
Individuals who are overweight starting in early adulthood are twice as likely to have chronic kidney disease at age 60 to 64 years. Larger waist-to-hip ratios during middle age are also linked with chronic kidney disease at the same age. Avoiding excess weight gain could prevent many cases of chronic kidney disease, with over one-thir...
A study found that low vitamin D levels at three months post-transplantation were associated with lower kidney function and increased scarring at one year. Vitamin D deficiency is common in patients with kidney failure. Maintaining normal vitamin D levels may prevent renal function deterioration after transplantation.
A study of 1.2 million dialysis patients found Hispanics lived the longest, followed by Blacks, with Whites having the shortest survival time. The disparity may be due to differences in health status before kidney failure.
A recent study found that suboptimal kidney response to the hormone FGF-23 may increase risks for kidney disease patients, particularly those with lower urinary phosphorus levels. The study suggests that resistance to FGF-23's hormonal actions in the kidney may identify novel aspects of kidney dysfunction.
A study found that patients with greater knowledge and motivation about transplantation are more likely to receive a living donor transplant. This suggests that improving patient education may help reduce disparities in transplantation outcomes.
A study found that individuals with chronic kidney disease who adhered to a healthy lifestyle had a greater likelihood of surviving over a 13-year period. Nonsmoking was associated with the greatest survival benefits.
A recent study found that African Americans with kidney disease who experience large fluctuations in blood pressure are nearly three times more likely to die prematurely. Monitoring and addressing these day-to-day changes may improve health outcomes.
A study of over 404,000 dialysis patients found significant racial and geographic disparities in kidney care. Black patients received less pre-end-stage renal disease (ESRD) care than their white counterparts, particularly in rural and large-metro counties.
A global study found that children on dialysis with poor response to anemia medications are linked to inflammation, fluid retention, and hyperparathyroidism. High doses of anemia medications also increase the risk of premature death. The study provided valuable insights into anemia control in pediatric patients.
Pediatric kidney transplant recipients with antibodies are more likely to experience kidney injury and rejection. Steroids do not prevent this antibody-mediated injury, but monitoring recipients for antibodies and customizing immunosuppressive treatments can help.
A study found that lung ultrasound can detect asymptomatic lung congestion in dialysis patients, who are at high risk of premature death and cardiac events. Treating this condition may improve cardiovascular health and prevent deaths.
Studies show dialysis patients using catheters face higher risks of death, infections, and cardiovascular events compared to those with arteriovenous fistulas or grafts. Higher quality studies are needed to determine the true safety of different types of vascular access.
A study found that certain gene mutations increase the risk of developing aHUS and affect patient prognosis after diagnosis. Screening for these mutations may help diagnose and treat affected individuals.
A technique that removes additional toxins during dialysis decreased kidney failure patients' risk of dying from any cause by 30% over three years, with lower risks of heart-related causes and infections. The study's findings suggest OL-HDF may indeed prolong kidney failure patients' lives compared to conventional hemodialysis.
Adding fruits and vegetables to the diet has been shown to reduce metabolic acidosis and kidney injury in late-stage chronic kidney disease patients. One-year plasma total carbon dioxide levels increased in both groups, indicating a lessening of metabolic acidosis.
A study found that frequent dialysis can cause complications related to repeated access to the blood, including repair procedures and hospitalizations. The risk of these events was 76% higher with daily hemodialysis compared to conventional hemodialysis.
A recent study published in the Clinical Journal of the American Society of Nephrology found that African Americans and individuals without private insurance are less likely to receive a kidney transplant before needing dialysis. The study examined data from over 11,000 adult first-time deceased donor kidney transplant recipients in th...
A study finds that breast milk contains very low levels of tacrolimus, and babies can clear the drug at the same rate whether breast-fed or bottle-fed. Women taking tacrolimus who wish to breast-feed after counseling should not be discouraged from doing so.
A study found that among individuals with diabetes, those with both diabetes and kidney disease have a mortality rate of 31.1%, compared to 11.5% for those with diabetes but without kidney disease. Preventing and treating kidney disease in diabetics may be crucial to reducing mortality risk.
Residence in areas with higher average household income was linked with improved survival for both Black and White kidney failure patients. However, in White patients, income inequality was associated with mortality, while in Black patients exclusively, residence in highly segregated areas was associated with increased mortality.