Current Dialysis News and Events

Current Dialysis News and Events, Dialysis News Articles.
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LSU Health study finds psychosocial factors may drive peritoneal dialysis patient dropout
A retrospective study conducted by LSU Health New Orleans reports that contrary to previous research, most patients who drop out of peritoneal dialysis may do so for psychosocial reasons. The findings are published in The American Journal of the Medical Sciences. The paper inspired a companion editorial. (2021-02-19)

Dialysis patients have 4-fold greater risk of dying from COVID-19
People undergoing long-term dialysis are almost 4 times more likely to die from COVID-19 and should be prioritized for vaccination, found a new Ontario study published in CMAJ (Canadian Medical Association Journal). (2021-02-04)

Rapid blood test identifies COVID-19 patients at high risk of severe disease
Scientists at Washington University School of Medicine in St. Louis have shown that a relatively simple and rapid blood test can predict which patients with COVID-19 are at highest risk of severe complications or death. The blood test measures levels of mitochondrial DNA, which normally resides inside the energy factories of cells. Mitochondrial DNA spilling out of cells and into the bloodstream is a sign that a particular type of violent cell death is taking place in the body. (2021-01-15)

Prevalence of patients receiving dialysis in China may exceed 800,000 by 2025
Study projects that prevalence of patients receiving dialysis in China will increase from 384.4 patients per million (PPM) in 2017 to 629.7 PMP in 2025 with a predicted 874,373 patients receiving dialysis in 2025. (2021-01-12)

Stopping RAS inhibitors tied to worse outcomes in patients with chronic kidney disease
Small studies have suggested that a group of medications called RAS inhibitors may be harmful in persons with advanced chronic kidney disease, and physicians therefore often stop the treatment in such patients. Researchers at Karolinska Institutet now show that although stopping the treatment is linked to a lower risk of requiring dialysis, it is also linked to a higher risk of cardiovascular events and death. The results are published in The Journal of the American Society of Nephrology. (2020-12-29)

Study finds patients with kidney failure are ready and willing to use mobile health
* In a survey of adults with kidney failure who were receiving dialysis, most owned mobile devices and had intermediate or advanced mobile health proficiency. * The main reasons for using mobile health were for making appointments, communicating with healthcare personnel, and obtaining laboratory results. (2020-12-22)

Low blood pressure during hemodialysis may indicate peripheral vascular disease
Using a large nationwide registry of patients receiving maintenance hemodialysis, this study published in the American Journal of Kidney Diseases found that higher frequency of low blood pressure episodes during hemodialysis was associated with a higher incidence of diagnosed peripheral arterial disease. (2020-12-11)

Patients with kidney disease may delay AVF creation
Many patients start hemodialysis with temporary vascular access despite regular kidney care and pre-dialysis education. Delay is often related to patient choice but research on patients' perspectives is limited. In this study, researchers surveyed pre-dialysis patients and their family members about their perceptions of chronic kidney disease (CKD) and their intentions to undergo access creation. They also report on a new survey instrument to measure attitudes towards hemodialysis preparation. (2020-12-03)

US nephrology fellows' perceptions on home dialysis training
This study assessed nephrology fellows' confidence and clinical experience with these therapies near the completion of their training. Researchers surveyed trainee attendees of 3 separate home dialysis-focused conferences. Overall, perceived preparedness was moderate for peritoneal dialysis and low for home hemodialysis. The majority reported participation in a continuity clinic and other home dialysis education, but nearly all desired more focused teaching on PD and HHD. This study suggests that redesign of nephrology fellowship training in home dialysis is warranted. (2020-11-16)

How to ensure patients manage their chronic kidney disease
A Singapore study finds patients with chronic kidney disease need tailored nutrition guidance, as well as better communication with doctors and family support, to empower them to manage their condition. (2020-11-13)

UC research finds low rates of contraceptive use in women with kidney failure
New research from the University of Cincinnati finds that women with kidney failure have low rates of contraceptive use. The study, published in the journal Kidney Medicine, finds an overall contraceptive use rate of 5.3% among women with kidney failure undergoing dialysis in the United States. (2020-11-12)

New European consensus on management of osteoporosis in advanced chronic kidney disease
This Consensus is authored by the European Renal Osteodystrophy Working Group, with expertise from the European Renal Association-European Dialysis and Transplant Association and the International Osteoporosis Foundation. It provides a succinct review of current clinical practice, and outlines practical recommendations for diagnosis, assessment of fracture risk, intervention thresholds, non-pharmacological and pharmacological intervention strategies, monitoring, and secondary fracture prevention. (2020-11-11)

Simultaneous kidney transplant plus weight loss surgery safe for obese patients
A new study shows that robotic-assisted kidney transplant and weight loss surgery can be performed safely. (2020-11-10)

Study reveals details behind transplant disparities experienced by black patients
In an analysis of information on patients with kidney failure, Black patients are less likely than white patients to be placed on transplant waiting lists. For patients on such lists, Blacks are less likely to receive transplants than whites. Results from the study will be presented online during ASN Kidney Week 2020 Reimagined October 19-October 25. (2020-10-25)

Model predicts acute kidney injury requiring dialysis in patients with COVID-19
In a recent study, a new algorithm achieved good performance for predicting which hospitalized patients will develop acute kidney injury requiring dialysis. Results from the study will be presented online during ASN Kidney Week 2020 Reimagined October 19-October 25. (2020-10-24)

Children with chronic kidney disease have outsized health burden
Chronically ill children with kidney disease may spend more time in the hospital, incur larger health care costs and have a higher risk of death compared to pediatric patients hospitalized for other chronic conditions, a new study suggests. (2020-10-20)

Study reveals kidney disease or injury is associated with much higher risk of mortality for COVID-19 patients in ICU
New research published in Anaesthesia (a journal of the Association of Anaesthetists) reveals the much higher risk of mortality faced by COVID-19 patients in intensive care who have chronic kidney disease (CKD) or, those who develop new (acute) kidney injury (AKI) as a result of developing COVID-19. (2020-10-16)

Study reveals risk factors for acute kidney injury after brain hemorrhage
Patients who suffer an intracerebral hemorrhage (ICH) face an increased risk of acute kidney injury (AKI) during their hospitalization. AKI can lead to sudden kidney failure, kidney damage or even death. Researchers from the University of Missouri School of Medicine have determined which ICH patients are at the highest risk for this kidney injury so doctors can take precautions to prevent it. (2020-10-05)

The Lancet: First nationally representative estimate of COVID-19 seroprevalence in the U.S. suggests few in the population developed antibodies in the first wave
The first cross-sectional, nation-wide analysis of more than 28,000 patients on dialysis in the U.S. found that fewer than 10% of U.S. adults had COVID-19 antibodies as of July 2020 and fewer than 10% were diagnosed. (2020-09-25)

Uncovering a 'suPAR' culprit behind kidney injury in COVID-19
A new observational study finds patients in the hospital for COVID-19 have high levels of soluble urokinase receptor (suPAR), an immune-derived pathogenic protein that is strongly predictive of kidney injury. (2020-09-24)

Patients with COVID-19 may have higher risk of kidney injury
According to Jochen Reiser, MD, PhD, the Ralph C Brown MD professor and chairperson of Rush's Department of Internal Medicine, patients with COVID-19 experience elevated levels of soluble urokinase receptor (suPAR), an immune-derived pathogenic protein that is strongly predictive of kidney injury. (2020-09-22)

Tailored education system to benefit kidney transplant patients
Researchers find their computer-tailored education system, 'Your Path to Transplant' increases knowledge and readiness to pursue kidney transplant. (2020-09-16)

No benefit from drug used to reduce heart disease in kidney patients
Following a large, seven-year clinical trial, researchers have shown the drug, lanthanum carbonate, does not reduce the risk of cardiovascular disease in patients with chronic kidney disease. The drug has been commonly prescribed to this patient group to help reduce the risk of both bone disease and cardiovascular disease. (2020-09-14)

Ellipsys system offers greater patient eligibility and reduced time to dialysis
Two devices for creating minimally invasive dialysis access--the Ellipsys® Vascular Access System and the WavelinQ™ 4F System--demonstrated high rates of technical success and low rates of complications, according to a new study published in the Journal of Vascular and Interventional Radiology. In addition, both technologies enabled patients to start dialysis sooner compared to surgery, offering significant quality-of-life benefits. (2020-09-10)

Minimally invasive ellipsys system allows kidney patients to begin dialysis sooner
The Ellipsys Vascular Access System reduces the time before patients with kidney failure can start lifesaving dialysis treatments, while requiring fewer secondary procedures, according to a new study led by interventional radiologist Jeffrey Hull, M.D., of Richmond Vascular Center. (2020-09-03)

Nursing home study suggests dialysis patients at greater risk of SARS-CoV-2 infection
It's widely known that the causative agent for COVID-19, the SARS-CoV-2 virus, can spread rapidly among residents in nursing homes and other long-term care facilities, leading to high numbers of cases and deaths in a very vulnerable population. According to a new study led by researchers at Johns Hopkins Medicine, residents receiving hemodialysis for chronic kidney disease may be at even greater risk for infection from the virus. (2020-08-25)

CPR choices of dialysis patients suggest many lack context
Globally some 2 million people with failed kidneys undergo hemodialysis treatment. Researchers queried 876 dialysis patients about whether, in the event of a cardiac arrest, they would want to be resuscitated. Nearly 85% said they definitely or probably would want CPR. The study's lead author said the findings raise concern that many patients are unaware that their likely outcomes of cardiac arrest, even with resuscitation, are poor, relative to the general population. (2020-08-24)

Yale-led surgical innovation promises better dialysis outcomes
A new technique developed by a Yale-led research team improves blood flow in surgically made blood vessels used in dialysis, enables them to last longer, and results in fewer complications than the standard technique. (2020-08-20)

A Reverse Approach to Vessel Surgery May Boost Clinical Outcomes in Dialysis
A new approach to a surgical procedure required for dialysis offers better long-term viability and a lower chance of complications compared with conventional techniques, according to work involving rats and 274 patients. (2020-08-19)

New study identifies better treatment option for common complication of dialysis
Use of drug-coated balloon angioplasty to treat blocked blood vessels used for hemodialysis offers hope for millions of patients globally (2020-08-19)

New study shows advantages of ellipsys system in creating reliable dialysis access
A new study shows significant benefits of the Ellipsys® Vascular Access System in easily and safely creating durable vascular access for end-stage renal disease (ESRD) patients who require hemodialysis. (2020-07-21)

Kidney transplant, the cost of accounting for patients' preferences
Taking into account patients' preferences can help speed up the organ allocation process and improve the life quality of the recipients, as shown by a joint study conducted by Ca' Foscari University and the University of Padua (2020-07-17)

Immediate dialysis no better than wait-until-necessary approach, researchers find
In the largest international study of its kind, researchers at the University of Alberta and Toronto's St. Michael's Hospital found that an accelerated renal-replacement therapy strategy did not reduce mortality after three months, compared to a standard strategy for critically ill patients with acute kidney injury. (2020-07-16)

Air pollution from wildfires linked to higher death rates in patients with kidney failure
Exposure to higher amounts of fine particulate air pollution was associated with higher death rates among patients with kidney failure. (2020-07-16)

Rapid genome sequencing and screening help hospital manage COVID-19 outbreaks
Cambridge researchers have shown how rapid genome sequencing of virus samples and enhanced testing of hospital staff can help to identify clusters of healthcare-associated COVID-19 infections. (2020-07-14)

A bioartificial system acts as 'dialysis' for failing livers in pigs
A bioartificial system that incorporates enhanced liver cells can act as an analogous form of dialysis for the liver in pigs, effectively carrying out the organ's detoxifying roles and preventing further liver damage in animals with acute liver failure. (2020-07-08)

COVID-19 in patients who have received kidney transplants or are undergoing dialysis
A recent study found that most kidney transplant recipients with COVID-19 do not need to be hospitalized. Another study found that patients on dialysis who develop COVID-19 may have symptoms that are different from other patients with the infectious disease. (2020-07-07)

University of Minnesota Medical School finds promising treatment to slow kidney disease doesn't prove out in clinical trial
A new study from the University of Minnesota Medical School found that allopurinol, an inexpensive generic drug that reduces uric acid levels, did not show benefits in protecting from loss of filtering function in the kidney. The findings were recently published in the New England Journal of Medicine. (2020-06-25)

Mortality rates higher following kidney injury, University of Cincinnati research finds
New research from the University of Cincinnati shows kidney failure resulting from acute kidney injury leads to a higher risk of death in the first six months compared to kidney failure from diabetes or other causes. The study highlights the need for developing treatment strategies targeting factors that enhance kidney recovery. (2020-06-19)

Predictors of 5-year mortality in young dialysis patients
The analysis published in NDT [1] evaluated for the first time the association of a large number of demographic, HD treatment and laboratory variables with mortality in patients on chronic hemodialysis treatment since childhood. The variety of retained risk factors identified by the analysis highlights the importance of multimodal intervention strategies in addition to adequate HD treatment. (2020-06-09)

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