A blood pressure test, pulse pressure, may identify patients with chronic kidney disease (CKD) at increased risk of developing fatal heart complications. Pulse pressure correlates significantly with coronary artery calcification in all patients with various stages of CKD.
Measuring glomerular filtration rates from routine blood work may not be a cost-effective way to identify people with chronic kidney disease (CKD). The test can lead to 11,348 more false positive CKD cases than serum creatinine reporting.
A phase 3 clinical trial has shown that ferumoxytol, a novel intravenous form of iron, is effective in treating iron deficiency in CKD patients on dialysis. The study found significant improvements in hemoglobin levels compared to oral iron supplementation.
A new urine test can detect polyomavirus nephropathy, affecting up to 9% of kidney transplant recipients, allowing for early diagnosis and treatment. The noninvasive test measures viral aggregates in the urine, offering a faster and more affordable alternative to invasive kidney biopsies.
A new formula estimates glomerular filtration rate (GFR) using demographic variables and biochemical markers, providing a valuable tool for pediatricians to monitor kidney function. The equation was found to be comparable with more complicated tests and superior to other recently published equations.
Younger women have equivalent access to kidney transplants as their male counterparts. However, older women receive transplants significantly less frequently than older men. The study found that for every age group analyzed, women had a similar or slightly higher survival benefit from transplantation compared to men.
A study of 25,287 patients found that death rates were lower among those receiving peritoneal dialysis at day 90, but this effect varied depending on age and health. The results indicate that certain patient characteristics should be factored into decisions on dialysis treatment.
Studies suggest taking phosphorus binders reduces death risk in new dialysis patients and those with less-severe CKD. The treatment could benefit a larger population of patients with pre-dialysis CKD.
A study published in JASN found that even mild increases in serum phosphorus levels are associated with cardiovascular events in people with moderate chronic kidney disease. Vascular calcification, detected by CT scans, was more common in patients with higher phosphorus levels, increasing the risk of coronary artery calcification.
A phase I clinical trial found rosiglitazone to be safe and well-tolerated in patients with FSGS, suggesting its potential as a treatment option. The study showed that serum albumin and kidney filtration rates affected the drug's activity, warranting further investigation.
A study by the American Society of Nephrology found that patients with poor health literacy are less likely to receive kidney transplants. Roughly one-third of dialysis patients had inadequate health literacy, which hindered their ability to navigate healthcare systems and follow transplant instructions.
A study comparing two immunosuppression tapering approaches for kidney transplant recipients with BKVAN found that reducing immunosuppressive therapy can lower the risk of graft loss. Early withdrawal of immunosuppressive drugs within one month after diagnosis reduced graft loss by two-thirds.
A noninvasive test analyzing proteins in urine can identify failing transplanted kidneys, allowing for more accurate monitoring and treatment of transplant patients. The study found that the test correctly identified patients with interstitial fibrosis and tubular atrophy and chronic antibody-mediated rejection.
Individuals born with very low birth weights are at higher risk of developing secondary focal segmental glomerulosclerosis, a condition that causes scarring in the kidneys. This association highlights the importance of considering birth history in adult patients to prevent misdiagnosis and inadequate treatment.
A study found that acute kidney injury increases the risk of end-stage renal disease among elderly patients, highlighting the importance of close monitoring and timely interventions.
A study found that high-normal phosphate levels are associated with increased calcium in coronary arteries, a key indicator of atherosclerosis. The research suggests that phosphate levels may represent a previously unidentified cardiovascular risk factor.
A study found that preventing anemia in kidney disease patients is crucial for their physical and mental health. The researchers recommend that treatment should be initiated at lower hemoglobin levels to improve quality of life, contrary to current FDA statements.
A recent study published at the American Society of Nephrology's annual meeting found that low potassium levels are strongly linked to high blood pressure in African Americans. The research suggests that consuming more potassium-rich foods, such as fruits and vegetables, may help lower blood pressure.
The Declaration of Istanbul sets forth recommendations to prevent organ trafficking, including programs to prevent organ failure and maximize deceased donation. Organ trafficking has been linked to increased post-transplant complications and a higher incidence of acute rejection and severe infections.
A recent study found that rural women are at increased risk of pre-eclampsia and pregnancy-induced hypertension, associated with maternal poverty and social deprivation. The researchers identified novel risk factors, including living in a rural area and having some college education, which were independent of other risk factors.
Chronic kidney disease exacts a significant toll on women's sexuality and gynecologic health, with hormonal changes affecting body functions. Experts will explore the impact of CKD on women's sexual life cycle, fertility, and pregnancy from adolescence through menopause.
A study led by Ercan Ok found that overnight hemodialysis reduced mortality rates by 78% and improved blood pressure control, appetite, weight gain, and cognitive functioning among patients. The results suggest longer dialysis regimens as a promising alternative to addressing high risk of death among dialysis patients.
Individuals with kidney stones are at a 60% greater risk of developing chronic kidney disease (CKD), according to a new study. Researchers recommend careful monitoring of stone formers and appropriate treatment when needed.
A study of 2025 women who donated kidneys found that female kidney donors do not face increased risks of miscarriage, premature birth or gestational diabetes. While post-donation pregnancies had higher rates of certain health conditions, these were comparable to those in the general population.
A clinical trial found that cognitive-behavioral therapy significantly improves depressive symptoms and quality-of-life scores in patients with kidney disease on dialysis. After three months of weekly sessions, patients showed a substantial reduction in depression and improved cognitive function.
The recently passed Medicare Improvement for Patients and Providers Act of 2008 will significantly impact nephrology practice and patient care. Key provisions include funding for CKD education sessions, bundled payment systems, and quality measures to improve efficiency and outcomes.
A newly developed equation estimates glomerular filtration rate (GFR) more accurately than the widely used Modification of Diet in Renal Disease (MDRD) Study equation, especially at higher GFR levels. The CKD-EPI equation was validated using data from over 8,000 patients and shows lower bias compared to the MDRD equation.
A study of over 5,300 live kidney donors found that obesity was common among donors, particularly those from African- and Hispanic-American backgrounds. Obese donors were more likely to develop hypertension prior to and after donation, but did not experience worse kidney function compared to non-obese donors.
Researchers at the American Society of Nephrology's Annual Meeting found that stent placement does not improve kidney function or blood pressure in patients with atherosclerotic renovascular disease. The ASTRAL trial, involving over 800 patients, showed no clinically worthwhile benefits from revascularization.
A study compared the survival of dialysis patients undergoing heart bypass surgery or stent placement, finding that stents offer best one-year survival but bypass surgery is superior for long-term results. The study's findings suggest that treatment choices depend on individual patient goals and risk tolerance.
Research presented at the American Society of Nephrology's Annual Meeting found African Americans with CKD caused by high blood pressure have a higher risk of progression to ESRD. The study followed 691 patients for 11 years and found they were at higher risk of progressing to ESRD than experiencing cardiovascular events.
Researchers found improved cognitive function in transplant patients, particularly in verbal learning and memory. In contrast, dialysis patients showed declining test scores over time. The study suggests that kidney transplantation may have a beneficial effect on patients' mental function.
Kidney transplant wait times vary widely across the US, with some patients waiting just one year and others up to 10 years. Experts will discuss issues and possible solutions for these inequities in organ allocation policies.
Recent studies suggest common gene variations, including MYH9, contribute to the elevated risk of kidney disease in African Americans. Variations in the MYH9 gene are found in up to 60% of African Americans with kidney disease, compared to 4% of European Americans.
The Halpin Foundation has awarded a research grant to Dr. Elena Torban, focusing on podocytes and their role in preventing proteinuria in nephrotic syndrome. This funding will support her investigation into the cell and molecular basis of this kidney disease.
A study found that African-Americans in Canada have better health outcomes after receiving a kidney transplant compared to their US counterparts. Despite lower access to transplants, African-American Canadians experienced similar kidney survival rates and longer overall survival rates than Caucasians.
Researchers propose new ultrasound screening criteria to diagnose autosomal dominant polycystic kidney disease (ADPKD), which may misdiagnose individuals with the milder form of the disease. The new criteria improve detection in individuals with mutations in either PKD1 or PKD2 genes.
A study found that US residents traveling abroad for kidney transplants experienced higher rates of acute rejection and severe infections. The study, which included 33 transplant tourists and 66 comparison patients, noted significant differences in infection types and severities.
Research found that kidneys from older donors exhibit a 32% depression in glomerular filtration rate, leading to shortened survival after transplantation. The study suggests that selecting organs with more functioning glomeruli could improve graft survival rates.
A study found that healthy individuals with elevated uric acid levels have a higher risk of developing kidney disease, particularly in women and those with hypertension. The researchers recommend initiating clinical trials to assess the potential of uric acid-lowering drugs for preventing kidney disease.
A study found that hospitalized patients with chronic kidney disease (CKD) are at higher risk of experiencing adverse consequences of medical care. CKD patients were more likely to experience complications such as infections, respiratory failure, and post-operative hip fractures.
Researchers discovered autoantibodies to a complementary protein called plasminogen, which plays a key role in blood clotting, in patients with ANCA vasculitis. The findings suggest that protein complementarity may offer new insights into autoimmune diseases.
The Declaration of Istanbul condemns unethical practices in organ donation and transplantation, urging governments to safeguard patient safety and prevent organ trafficking. The document promotes deceased organ donation and living donor protection.
A study found that rituximab significantly reduces kidney injury in patients with membranous nephropathy, reversing functional and biological abnormalities. The treatment achieved complete remission in 10 patients, including significant healing of kidney damage.
The American Society of Nephrology discusses the merits of using eGFR for early detection and treatment of CKD, highlighting concerns about misclassification and universal screening. Experts emphasize the need for education and proper use of eGFR to ensure accurate diagnosis and management.
A study found that high levels of alkaline phosphatase, a marker of bone disease, are associated with an increased risk of death in dialysis patients. Patients with elevated alkaline phosphatase levels were 25% more likely to die over a three-year period.
Black patients receiving kidneys from black cardiac donors showed better long-term survival compared to those receiving non-black donor kidneys. The study suggests that increased utilization of kidneys donated after cardiac death can help reduce racial disparities in kidney transplantation.
A study found that patients receiving kidney transplants who took statin drugs had better survival rates compared to those who did not. Statin therapy was associated with a 36% lower risk of death in renal transplant recipients.
Cinacalcet treatment reduces PTH levels and phosphorus levels in ESRD patients with hyperparathyroidism. The study also found a reduction in the set point of the PTH-calcium curve, indicating that cinacalcet makes parathyroid cells more sensitive to calcium.
A study found that patients with chronic kidney disease (CKD) or end-stage renal disease (ESRD) were less likely to use recommended medications after a heart attack, but 1-year adherence rates were similar for both groups. Rates of medication use varied significantly among different types of drugs.