Articles tagged with Hemodialysis
A recent study has challenged the long-held belief that patients treated with catheters have a higher risk of premature death due to complications. The research suggests that a fistula creation prior to starting dialysis may be associated with lower death rates, particularly in younger patients.
A study led by Tufts University researchers found that older dialysis patients who felt voiceless in the decision-making process reported low satisfaction with treatment. Patients who actively engaged in decision-making were more satisfied with their outcomes.
A new study found that angiotensin-converting enzyme inhibitors (ACEI) and angiotensin-II receptor blockers (ARB) have similar results in reducing cardiovascular events in patients on peritoneal dialysis. The researchers surveyed records of Medicare Part D patients and found no significant difference between the two medication classes.
A recent study found that physician payment reform resulted in a significant decrease in the use of home-based dialysis. Patients with traditional Medicare coverage experienced a 0.7 percent reduction in home dialysis use, while those living in areas with larger facilities saw a 0.9 percent decrease.
A new study found that angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin II receptor blockers (ARBs) can reduce the risk of strokes, heart attacks, and death in patients with end-stage renal disease undergoing peritoneal dialysis. The study involved 4,879 patients and showed a 16% lower risk of cardiovascular events with...
A wearable artificial kidney has been shown to effectively clear waste products from the blood while maintaining electrolyte balance. The device, still requiring redesign for technical issues, offers an alternative to conventional hemodialysis, providing greater patient satisfaction and mobility.
A new study found that elderly kidney failure patients who chose conservative management had a similar survival rate to those on dialysis. The research suggests that conservative care may be a reasonable option for selected older patients with end-stage renal disease.
A study of US patients on dialysis from 2005 to 2012 found declining ESA use and hemoglobin concentrations, resulting in increased transfusions. However, rates of death and cardiovascular events decreased during this period, suggesting a possible beneficial effect of recent trends in anemia drug use.
A study on the history of hemodialysis explores how medical research and technological advancements impact resource distribution. The investigation found that bioethical principles, such as autonomy and justice, are weighed differently over time, emphasizing the need for sustainable ethical solutions.
A new study by Mayo Clinic reveals that only one-third of patients receive preemptive or early living donor kidney transplants, despite research suggesting improved patient outcomes. The study highlights the need for education and access to information about living donor kidney transplantation to improve long-term outcomes.
A ketoanalogue-supplemented vegetarian very low-protein diet was found to slow disease progression in patients with advanced CKD. The study suggests that this type of nutritional intervention could be used to postpone dialysis initiation in compliant patients.
The study, published in JAMA Internal Medicine, examines the complex processes shaping dialysis timing and suggests opportunities for patient-centered approaches. The research reveals interrelated factors, including physician practices, precipitating events, and patient-physician dynamics.
The USRDS annual data report reveals a decline in deaths among dialysis and transplant patients, while prevalence of end-stage kidney disease continues to rise. Home dialysis use has increased, offering improved quality of life, but awareness of kidney disease remains low.
A randomized clinical trial found that vitamin D2 supplements did not reduce the need for anemia drugs in dialysis patients. The study, published in the Journal of the American Society of Nephrology, suggests that nutritional vitamin D may have no role in treating anemia in patients with chronic kidney disease or kidney failure.
A Kaiser Permanente study found that elderly patients with end-stage renal disease who received the shingles vaccine were half as likely to develop shingles. The vaccine was most effective when given shortly after beginning dialysis, reducing the risk by nearly 70%.
A study reveals racial and ethnic differences in US patients with kidney failure accessing home dialysis, with potential factors including lack of availability, insurance barriers, and provider bias. The findings highlight the need to ensure equitable access to different dialysis modalities to improve health outcomes.
A CU research study found that Latino patients on dialysis prefer aggressive care and earlier discussions about end-of-life decisions. The study highlights the importance of delivering palliative care in a culturally sensitive way to meet the needs of this growing segment of the US population.
A study found that African American and Native American dialysis patients were 43-44% less likely to use hospice before dying compared to white patients. The research highlights the need for high-quality research into the benefits of dialysis therapy in older and sicker segments of society.
A new study comparing kidney transplantation and home hemodialysis found that transplant recipients outlived their hemodialysis counterparts by 4 times over 5 years. Elderly patients on hemodialysis had nearly a 5 times higher risk of dying compared to those with transplants, highlighting racial disparities in mortality rates.
Researchers aim to conduct clinical trials on implantable, engineered organs in this decade. The device mimics human kidney functions and has shown encouraging early studies.
A new project at the University of Michigan aims to educate patients and healthcare professionals on how to make dialysis sessions safer, reducing instability and its associated risks. The study will use a combination of peer mentoring and provider education to support behavior change.
A study of 1.17 million patients on dialysis found that tallness was associated with higher premature mortality risk and shorter life spans, especially in white, Asian, and American Indian/Alaskan native patients. The association persisted even after adjusting for concurrent illness and care differences.
A new study suggests that in-hospital nocturnal dialysis may be beneficial for patients' hearts as well as their kidneys. The procedure was found to reduce left ventricular mass by a significant margin after one year, which is associated with a lower risk of cardiovascular diseases such as heart failure, heart attack, and stroke.
A new study found that only one in four patients with end-stage renal disease (ESRD) in Georgia was referred to a transplant center for evaluation within one year of starting dialysis. The study also revealed substantial variation in referral rates among dialysis facilities.
A study found that only about one in four patients with end-stage renal disease in Georgia were referred for kidney transplant evaluation within a year of starting dialysis. The study suggests that standardized guidelines are needed to improve access to kidney transplantation.
A study found that 26.3% of dialysis patients missed sessions and 66.1% received treatment at non-regular units after Hurricane Sandy. Patients with emergency packets had their medical records stored at home, highlighting the need for preparedness.
Researchers at Wayne State University are conducting a three-year study to investigate the effects of tocotrienol supplements on end-stage renal disease patients. The study aims to improve dyslipidemia, inflammation, and oxidative stress markers in patients undergoing hemodialysis.
A new US study reveals that end-stage kidney disease patients who receive specialized care have significantly improved survival rates and access to life-saving treatment. The research highlights the importance of timely referrals to nephrologists in reducing mortality risks, particularly in low-performing regions.
Researchers found that mortality rates vary significantly according to kidney disease subtype, suggesting that treatment plans should be tailored towards disease-specific risks. The study analyzed data from 84,301 patients and showed significant differences in survival rates among those with different subtypes of glomerulonephritis.
A recent study published in Hemodialysis International found that the association between poverty and kidney disease changes over time. Adults beginning dialysis are more likely to be living in a poor zip code, with rates increasing from 27.4% in 1995-2004 to 34% in 2005-2010.
Duke University researchers identified physiological changes affecting patients with acute kidney injury during sepsis treatment, potentially improving patient survival rates after kidney failure. The study showed that kidney function is a critical determinant of how patients respond to treatment.
For severe salicylate poisoning, hemodialysis is the best remedy according to a comprehensive review of medical literature. Salicylate poisoning causes significant harm and death, requiring prompt treatment with dialysis.
A new study reveals that severe kidney injury during pregnancy is rare, but affects otherwise healthy women who acquire a major complication. Babies born to mothers with severe kidney injury are at increased risk of low birth weight or premature birth.
A recent study found that dexamethasone can reduce the risk of severe acute kidney injury after cardiac surgery by 2.5 times compared to a placebo. Patients with pre-existing advanced chronic kidney disease showed the greatest benefits from the drug.
A new test has been developed to predict sudden cardiac death in hemodialysis patients, combining nuclear medicine, C-reactive protein, and electrocardiogram (ECG). Patients with 2 or 3 abnormal measures were at a significantly increased risk of cardiac death.
A study found that Black and Hispanic patients start hemodialysis with an arteriovenous fistula less frequently than White patients, despite having fewer comorbidities. The authors suggest that these disparities may be due to the time it takes for AVFs to mature, which could lead to faster progression of chronic kidney disease.
A study of 647,457 patients on chronic dialysis found that genetically related family members have a 70% increased risk of cardiac arrest compared to unrelated patients. This increased risk is attributed to inherited genetic factors, which may contribute to the high mortality rate among dialysis patients.
A study found that dialysis patients with high parathyroid hormone levels and subsequent bone loss are at risk for worsening coronary artery calcification. Monitoring these factors could help prevent cardiovascular problems and early death in dialysis patients.
A Penn study analyzed 277,693 ICU patients with preexisting limits on care, finding that 23% received CPR despite DNR orders. Variability in care was significant, with some ICUs offering life support to nearly all patients and others with minimal use.
A team of UK researchers has designed Arterio-Venous Fistulae with reduced failure rates using computational simulation software from the aerospace industry. The new design aims to decrease blockages in dialysis connections, improving clinical outcomes for patients with end-stage renal disease.
Acute kidney injury affects 13 million people annually and contributes to 1.7 million deaths. Experts believe it can be nearly eliminated in 10 years with current treatments costing $150 per patient. The Lancet Commission proposes a three-pronged strategy to raise awareness, improve diagnosis, and invest in sustainable infrastructure.
A new study reveals that at least 2.3 million people may have died prematurely from kidney failure in 2010 due to lack of access to life-saving treatment. The researchers predict that the number of patients needing dialysis or transplantation will more than double to 5.4 million by 2030.
Researchers found that dialysis patients have altered enzyme activities and compromised HDL function, which may lead to advances in protecting kidney disease patients' heart health. Heart disease is a leading cause of death in these patients.
A Yale University study found that electronic alerts for acute kidney injury did not improve outcomes, despite increasing interventions such as dialysis. The study suggests that the tool was ineffective due to inadequate training of clinicians on its proper use.
A recent study found that patients with advanced kidney disease have been initiating dialysis progressively earlier over time. Despite no measurable differences in patient sickness or reasons for dialysis, the trend suggests a shift towards embracing higher levels of kidney function as acceptable for dialysis initiation.
A simple test using furosemide and urine output can predict which patients with acute kidney injury (AKI) are at risk of developing serious kidney problems. The Furosemide Stress Test (FST) improved predictions of outcomes in patients with early AKI, paving the way for robust clinical diagnostic tools.
A study found that both low and high blood calcium levels, as well as high phosphorus levels, are associated with an increased risk of premature death in dialysis patients. The study suggests that lowering these levels may improve patients' health, but further research is needed.
A new algorithm is a useful tool for measuring chronic kidney disease patients' readiness to make decisions about initiating dialysis. Patients with knowledge and fewer lifestyle barriers to home dialysis are more likely to be ready to make decisions, while clinicians who explain treatment options can increase readiness.
Researchers at the University of Pennsylvania School of Medicine have developed a new method to suppress inflammation in kidney dialysis patients. By administering a small molecule version of compstatin, they were able to completely suppress the complement immune response and reduce inflammatory biomarkers.
A study found that cinacalcet reduced the rate of bone fracture in patients on dialysis by 16-29%, after adjusting for patient characteristics. The drug may provide a protective effect against fractures in these patients, who are at increased risk due to kidney failure.
A study found that 80% of kidney dialysis patients were not adequately prepared for emergencies or natural disasters. However, after receiving individualized education from a multidisciplinary team, 78% of these patients became adequately prepared, according to a Loyola University Medical Center study. The educational sessions made a s...
The Ferric Citrate OLE study demonstrated the iron-based phosphate binder's long-term safety and efficacy in managing elevated serum phosphorus levels. Patients treated with Ferric Citrate showed improvements in laboratory parameters, including reduced serum phosphorus levels and increased hemoglobin
Researchers found that peritoneal dialysis and high-frequency home hemodialysis can significantly reduce mortality risks. Patients receiving these treatments had 10-26% lower mortality rates than those with standard in-center hemodialysis.
Recent high-impact clinical trials have yielded promising results in the fight against kidney disease, with several treatments showing significant benefits in reducing the risk of end-stage kidney disease. For example, intensive glucose control has been shown to lead to long-term reductions in the risk of developing end-stage kidney di...
A study found that 26.3% of dialysis patients missed sessions after Hurricane Sandy, while 95% were interested in learning about emergency preparedness. Another study showed a positive effect of distributing an 'emergency information packet' to patients.
A study found that dialysis patients on easily removable beta blockers have a higher risk of premature death compared to those on harder-to-remove beta blockers. The researchers suggest changing prescriptions to lower this risk.
A comprehensive analysis of sex-specific differences in end-stage kidney disease treatment found that more men than women are on hemodialysis. Women's survival after hemodialysis is virtually equal to men's survival, but they were not receiving treatment as early, leading to higher mortality rates.
A new agent has been developed to treat overdoses using peritoneal dialysis, which can extract up to a hundred times more toxins from the body than conventional alternatives. This method is especially effective for treating serious liver disease, including cases involving ammonia accumulation in the blood.
A study found that recent policy changes did not create racial disparities in the management of anemia and mineral metabolism among dialysis patients. The analysis of 7384 patients at 132 facilities showed similar trends in laboratory measures and management practices for different races.
Research findings suggest that aerobic activity improves the health-related quality of life and reduces depressive symptoms among hemodialysis patients. The study also found that dialysis facilities can promote physical activity levels by offering exercise programs, potentially improving patient outcomes.