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Study explores patients with incident kidney dysfunction on incremental hemodialysis

Study explores patients with incident kidney dysfunction on incremental hemodialysis

Researchers found it feasible for patients with incident kidney dysfunction requiring dialysis to receive incremental-start hemodialysis with adjuvant pharmacotherapy.Further, patients with incident kidney dysfunction on incremental hemodialysis with adjuvant pharmacotherapy showed lower decline in urine volume than those in the conventional group at 24 weeks.“Almost all Americans with kidney dysfunction requiring dialysis (KDRD) initiated on …

Epicardial adipose tissue tied to mortality, HF hospitalization in patients with HFpEF

Epicardial adipose tissue tied to mortality, HF hospitalization in patients with HFpEF

Epicardial adipose tissue volume is associated with elevated risk for all-cause death and HF hospitalization in patients with HF with midrange and preserved ejection fraction, according to data published in Circulation: Heart Failure.“A specific fat depot of interest in the pathophysiology of HF is epicardial adipose tissue (EAT). EAT is the regional fat depot surrounding …

Unvalidated patient-reported outcome measures limit acromegaly, GH studies

Unvalidated patient-reported outcome measures limit acromegaly, GH studies

One-third of acromegaly and growth hormone deficiency studies report discrepancies between patient-reported outcomes and biochemical outcomes, with many using unvalidated and poorly reported outcome measures, data from a meta-analysis show.In both acromegaly and GH deficiency, biochemical outcomes do not always correlate with health-related quality of life-reported symptoms, Merel van der Meulen, BSc, a doctoral student …

Early second kidney transplantation benefits patients with failing first allograft

Early second kidney transplantation benefits patients with failing first allograft

Early second kidney transplantations correlate with patient survival compared with those waitlisted and on dialysis, according to data published in the Clinical Journal of the American Society of Nephrology.However, the survival difference “diminishes” as patients remain on the waitlist.“At the moment, waiting time for kidney transplant differs between countries and depends on patient-related comorbidities and …

Study: Anemia associated with complications, non-home discharge, readmission after TKA

Study: Anemia associated with complications, non-home discharge, readmission after TKA

According to published results, preoperative anemia was associated with an increased risk for complications, non-home discharge and unplanned readmission in patients who underwent total knee arthroplasty.Alexander L. Neuwirth, MD, and colleagues from Columbia University used the National Surgical Quality Improvement Program database to analyze data on 198,233 patients who underwent primary TKA between 2006 and …

Nutrition-related care globally limited for patients with kidney disease

Nutrition-related care globally limited for patients with kidney disease

Dietitians who provide nutrition care to kidney patients are limited around the globe and availability varies in countries, according to data published in Clinical Journal of the American Society of Nephrology.Further, the availability of dietitians with or without renal experience decreases in countries with lower income.“Nutrition intervention is an important component of chronic kidney disease …