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Hemodialysis News & Interviews
Mesenteric Ischemia in Patients with End-Stage Renal Disease
Estimated Glomerular Filtration Rate and Prognosis in Heart Failure
Reduction in Bloodstream Infections in Outpatient Hemodialysis Centers Participating in CDC Collaborative
Risk Factors for Dialysis Withdrawal
One-Year Assessment of Quality Indicators in Acute Dialysis Program Operated by a Large Dialysis Provider
Characteristics of patients most likely to have a missed Dialysis session
More Frequent HB measurements & ESA titrations not Associated with Inreased Time in Target HB range

Study Shows Daily Home Hemodialysis Patients More Likely to Receive Kidney Transplant
Difference in KidneyTransplant Incidence with Daily Home Hemodialysis vs. Thrice-Weekly Dialysis

Mortality Studies in Dialysis Hemodialysis and Peritoneal Dialysis Patients

Author Interview: Vince Faridan MD Salem VA Medical Center, Salem VA

Association of Serum Sodium Levels with Mortality in Non-Dialysis Dependent Chronic Kidney Disease 

NKF Spring 2012 Presentation:

Vince Faridani, Jun L Lu, Kamyar Kalantar-Zadeh, Csaba P Kovesdy, Virginia Tech
Carilion School of Medicine, Roanoke, VA; Salem Research

Author Interview: Michel Chonchol, MD

Association of Complete Recovery From Acute Kidney Injury With Incident CKD Stage 3 and All-Cause Mortality

Jason Jones, John Holmen, Jennifer De Graauw, Anna Jovanovich, Sid Thornton, Michel Chonchol 
American Journal of Kidney Diseases - 30 April 2012 (10.1053/j.ajkd.2012.03.014

Author Interview: Kerri Cavanaugh, MD MHS
Rural and Micropolitan Residence and Mortality in Patients on Dialysis

  • Saugar Maripuri, Patrick Arbogast, T. Alp Ikizler, and Kerri L. Cavanaugh

    CJASN
     CJN.10831011; published ahead of print April 19, 2012,doi:10.2215/CJN.10831011

Author Interview:  Assist. Prof. Robert Ekart, MD, PhD
Prognostic Value of 48-Hour Ambulatory Blood Pressure Measurement and Cardiovascular Mortality in Hemodialysis Patients
.

Ekart R, Kani? V, Pe?ovnik Balon B, Bevc S, Hojs R.

Department of Dialysis, Clinic for Internal Medicine, University Medical Centre Maribor, Maribor, Slovenia.
Kidney Blood Press Res. 2012 Mar 7;35(5):326-331. [Epub ahead of print]

Author Interview: Drs. Miklos Z Molnar and Kamyar Kalantar-Zadeh
Mortality Prediction by Surrogates of Body Composition: An Examination of the Obesity Paradox in Hemodialysis Patients Using Composite Ranking Score Analysis.

Kamyar Kalantar-Zadeh, Elani Streja, Miklos Z. Molnar, Lilia R. Lukowsky,Mahesh Krishnan, Csaba P. Kovesdy, and Sander Greenland

Am. J. Epidemiol. first published online March 16, 2012 doi:10.1093/aje/kwr384

Finnian R. Mc Causland, Sushrut S. Waikar, Steven M., Brunelli

Increased dietary sodium is independently associated with greater mortality among prevalent hemodialysis patients


Finnian R. Mc Causland, Sushrut S. Waikar, Steven M., Brunelli
Kidney International
 , (14 March 2012) | doi:10.1038/ki.2012.4

Author Interview: Alberto Pilotto, MD

Addition of the multidimensional prognostic index to the estimated glomerular filtration rate improves prediction of long-term all-cause mortality in older patients with chronic kidney disease.

Alberto Pilotto, Daniele Sancarlo, Filippo Aucella, Andrea Fontana, Filomena Addante, Massimiliano Copetti, Francesco Panza, Giovanni F.M. Strippoli, and Luigi Ferrucci. Rejuvenation Research.
February 2012, 15(1): 82-88. doi:10.1089/rej.2011.1210.

Author Interview: Gregory C. Shearer, PhD


Gregory C. Shearer, Juan J. Carrero, Olof Heimbürger, Peter Barany, Peter Stenvinkel 

Journal of Renal Nutrition - March 2012 (Vol. 22, Issue 2, Pages 277-283,
DOI: 10.1053/j.jrn.2011.05.005)


Dr. Miklos Z Molnar MD, PhD and Dr. Kam Kalantar-Zadeh MD, MPH, PhD
Harold Simmons Center at Harbor-UCLA.

Mortality Associated with Dose Response of Erythropoiesis-Stimulating Agents in Hemodialysis versus Peritoneal Dialysis Patients

Duong U, Kalantar-Zadeh K, Molnar MZ, Zaritsky JJ,
Teitelbaum I, Kovesdy CP, Mehrotra R: 
 
Am J Nephrol 2012;35:198-208 (DOI: 10.1159/000335685)

Author Interview: Ho Sik Shin M.D. 

Geriatric Nutritional Risk Index May Be a Significant Predictor of Mortality in Korean Hemodialysis Patients: A Single Center Study.

Park, J. H., Kim, S. B., Shin, H. S., Jung, Y. S. and Rim, H. (2012), Geriatric Nutritional Risk Index May Be a Significant Predictor of Mortality in Korean Hemodialysis Patients: A Single Center Study. Therapeutic Apheresis and Dialysis. doi: 10.1111/j.1744-9987.2011.01046.x

Author Interview: Chia-Jui Tsa

The correlation of antidepressive agents and the mortality of end-stage renal disease: a Health Insurance Research Database Study in Taiwan

Chia-Jui Tsai, El-Wui Loh, Ching-Heng Lin, Tung-Min Yu, Chin-Hong Chan and Tsuo-Hung Lan
Accepted manuscript online: 19 JAN 2012 09:45PM EST |
DOI: 10.1111/j.1440-1797.2012.01571.x

Author Interview: Eduardo Lacson, Jr., MD, MPH, FACP, FASN

Depressive symptoms associate with high mortality risk and dialysis withdrawal in incident hemodialysis patients

Eduardo Lacson, Jr, Nien-Chen Li, Sandie Guerra-Dean, Michael Lazarus,
Raymond Hakim, and Fredric O. Finkelstein
Nephrol. Dial. Transplant. first published online January 23, 2012 doi:10.1093/ndt/gfr778

Author Interview: Drs. Ting-Ting Chao and Wen-Je Ko

Preoperative Proteinuria Is Associated with Long-Term Progression to Chronic Dialysis and Mortality after Coronary Artery Bypass Grafting Surgery.

Wu V-C ,  Huang T-M ,  Wu P-C ,  Wang W-J ,  Chao C-T ,  et al PLoS ONE 7(1): e27687. doi:10.1371/journal.pone.0027687 2012

Author Interview: Dr. Peter Wabel

Importance of normohydration for the long-term survival of haemodialysis patients


Charles Chazot, Peter Wabel, Paul Chamney, Ulrich Moissl,
 Sebastian Wieskotten,and Volker Wizemann

Nephrol. Dial. Transplant. first published online January 17, 2012 doi:10.1093/ndt/gfr678

Author Interview: Nathalie C. Péquériaux

Plasma concentration of von Willebrand factor predicts mortality in patients on chronic renal replacement therapy

Nathalie C. Péquériaux, Rob Fijnheer, Eugenie F. Gemen, Arjan D. Barendrecht, Friedo W. Dekker, Raymond T. Krediet, Jaap J. Beutler, Elisabeth W. Boeschoten, and Mark Roest

Nephrol. Dial. Transplant. first published online December 20, 2011 doi:10.1093/ndt/gfr735

Author Interview: Dr. Ellen K. Hoogeveen

Obesity and Mortality Risk among Younger Dialysis Patients

Ellen K. Hoogeveen, Nynke Halbesma, Kenneth J. Rothman, Theo Stijnen, Sandra van Dijk, Friedo W. Dekker, Elisabeth W. Boeschoten, Renée de Mutsert for the Netherlands Cooperative Study on the Adequacy of Dialysis-2, 
(NECOSAD) Study, and Group
CJN.05700611; published ahead of print January 5, 2012,doi:10.2215/CJN.05700611

ASN 2011 Abstract Authors' Interview:

Effect of Oral Nutritional Supplements on Mortality in Hemodialysis Patients.

Eduardo Lacson, Jr., MD, MPH, Weiling Wang, MS, Barbara Zebrowski, RD, Michael Lazarus, MD, Raymond Hakim, MD, PhD. Fresenius Medical Care, Waltham, MA.

Author Interview: Sirin Jiwakanon, MD.

Change in Ankle-Brachial Indices over Time and Mortality in Diabetics with Proteinuria
ASN 2011 Abstract:
Sirin Jiwakanon, MD, Sharon G. Adler, MD, FASN, Rajnish Mehrotra, MD, FASN. Medicine, Los Angeles Biomedical Research Institute at Harbor-UCLA, Torrance, CA; Medicine, Hatyai Hospital, Hatyai, Songkhla, Thailand.

Author Interview: Dr. Len Usvyat PhD

Predictive Characteristics of Successful Hemodialysis Patient Survival in the First 120 Days of Treatment

 ASN 2011Abstract: [SA-PO3024]


Len A. Usvyat, Penny Faith Palmiero, Lizette Borges, Lisa A. Pacelli, Mary T. Sullivan, Paul Balter, MD, Peter Kotanko, MD, Paul M. Zabetakis, MD.
Renal Research Institute, NY, NY.

Author Interview: Dr. Len Usvyat PhD

Seasonal Variations in Mortality, Clinical, and Laboratory Parameters in Hemodialysis Patients: A 5-Year Cohort Study.


Usvyat LA, Carter M, Thijssen S, Kooman JP, van der Sande FM, Zabetakis P, Balter P, Levin NW, Kotanko P.
 Clin J Am Soc Nephrol. 2011 Nov 17. [Epub ahead of print]

Author Interview: Dr. Kamyar Kalantar-Zadeh

Novel Lipoprotein Subfraction and Size Measurements in Prediction of Mortality in Maintenance Hemodialysis Patients

Nazanin Noori, Michael P. Caulfield, Wael A. Salameh, Richard E. Reitz, Susanne B. Nicholas, Miklos Z. Molnar, Allen R. Nissenson, Csaba P. Kovesdy, and Kamyar Kalantar-Zadeh

CJASN October 27, 2011 CJN.03650411; published ahead of print October 27, 2011, doi:10.2215/CJN.03650411

Author Interview: Drs. Marcelo Sampaio and Kam Kalantar-Zadeh

Association of Pretransplant Serum Phosphorus with Posttransplant Outcomes


Marcelo S. Sampaio,  Miklos Z. Molnar, Csaba P. Kovesdy, Rajnish Mehrotra, Istvan Mucsi, John J. Sim, Mahesh Krishnan, Allen R. Nissenson, and Kamyar Kalantar-Zadeh
CJASN September 29, 2011

Author Interview: Srini Beddhu, MD

High dietary fiber intake is associated with decreased inflammation and all-cause mortality in patients with chronic kidney disease

Krishnamurthy VM, Wei G, Baird BC, Murtaugh M, Chonchol MB, Raphael KL, Greene T, Beddhu S.Abstract
Kidney Int. 2011 Oct 19. doi: 10.1038/ki.2011.355.

Author Interview: Dr. Miklos Zsolt Molnar, MD, PhD

Serum Erythropoietin Level and Mortality in Kidney Transplant Recipients.

Molnar MZ, Tabak AG, Alam A, Czira ME, Rudas A, Ujszaszi A, Beko G, Novak M, Kalantar-Zadeh K, Kovesdy CP, Mucsi I.
Clin J Am Soc Nephrol. 2011 Oct 6. [Epub ahead of print]

Hemodialysis.com Author Interview: Dr. Simonetta Genovesi

Dipyridamole stress echocardiography in diagnosis and prognosis of hemodialysis patients with asymptomatic coronary disease

Rivera, R. F., Mircoli, L., Bonforte, G., Torri, V., Monteforte, M., Stella, A. and Genovesi, S.
Hemodialysis International 2011. doi: 10.1111/j.1542-4758.2011.00572.x

Author Interview: Michel Chonchol, MD

FGF-23 Associates with Death, Cardiovascular Events, and Initiation of Chronic Dialysis

Jessica Kendrick, Alfred K. Cheung , James S. Kaufman,Tom Greene,
William L. Roberts, Gerard Smits, Michel Chonchol, and the HOST Investigators JASN Sep 7, 2011 ASN.2010121224; published ahead of print September 7, 2011, doi:10.1681/ASN.2010121224

Author Interview: Dr Ilia Beberashvili MD

IL-6 Levels, Nutritional Status, and Mortality in Prevalent Hemodialysis Patients.

Beberashvili I, Sinuani I, Azar A, Yasur H, Shapiro G, Feldman L, Averbukh Z, Weissgarten J.
Clin J Am Soc Nephrol. 2011 Aug 18

Author Interview: Dr. Robert L Hanson MD

Albuminuria and Estimated Glomerular Filtration Rate as Predictors of Diabetic End-Stage Renal Disease and Death.

Berhane AM, Weil EJ, Knowler WC, Nelson RG, Hanson RL.
Phoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Phoenix, Arizona.
Clin J Am Soc Nephrol. 2011 Aug 18

Author Interview:  Chih-Chiang, Chien, MD 

Predictors of Longterm Mortality in Patients with and without Systemic Lupus Erythematosus on Maintenance Dialysis: A Comparative Study.

Chen HA, Wang JJ, Chou CT, Chien CC, Chu CC, Sheu MJ, Lin YJ, Chen PC, Chen CHFrom Chi-Mei Medical Center, Tainan; Buddhist Tzu Chi General Hospital, Taipei Branch; and Taipei Veterans General Hospital, Taipei, Taiwan.
Rheumatol. 2011 Aug 15

An interview with Drs. Miklos Z Molnar and Kamyar Kalantar-Zadeh from Harbor-UCLA

High platelet count as a link between renal cachexia and cardiovascular mortality in end-stage renal disease patients.

Molnar MZ, Streja E, Kovesdy CP, Budoff MJ, Nissenson AR, Krishnan M, Anker SD, Norris KC, Fonarow GC, Kalantar-Zadeh K.
Harold Simmons Center for Chronic Disease Research & Epidemiology, Los Angeles Biomedical Research Institute at Harbor-University of California Los Angeles Medical Center, Torrance, CA.
Am J Clin Nutr. 2011 Aug 3

Authors' Interview:
Drs. Nazanin Noori  MD Ph.D & Kamyar Kalantar-Zadeh, MD, MPH, PhD

Dietary Omega-3 Fatty Acid, Ratio of Omega-6 to Omega-3 Intake, Inflammation, and Survival in Long-term Hemodialysis Patients.

Noori N, Dukkipati R, Kovesdy CP, Sim JJ, Feroze U, Murali SB, Bross R, Benner D, Kopple JD, Kalantar-Zadeh K.
Harold Simmons Center for Chronic Disease Research and Epidemiology, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA; Division of Nephrology and Hypertension, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA.
Am J Kidney Dis. 2011 Jun 7.

Author Interview: Dr. Martin Wagner, MD MS

Endogenous erythropoietin and the association with inflammation and mortality in diabetic chronic kidney disease.

Wagner M, Alam A, Zimmermann J, Rauh K, Koljaja-Batzner A, Raff U, Wanner C, Schramm L.
Clin J Am Soc Nephrol. 2011 Jul;6(7):1573-9.
University Hospital Würzburg, Department of Medicine I, Division of Nephrology, Zentrum Innere Medizin, Oberdürrbacher Strasse 6, 7080 Würzburg, Germany

Author Interview: Dr. Qionghong Xie
The Ratio of CRP to Prealbumin Levels Predict Mortality in Patients with Hospital-acquired Acute Kidney Injury


Xie Q, Zhou Y, Xu Z, Yang Y, Kuang D, You H, Ma S, Hao C, Gu Y, Lin S, Ding F 
 BMC Nephrol 2011 Jun 29; 12(1):30.
Author Interview: Dr. Tobias Breidthardt
Increasing B-type natriuretic peptide levels predict mortality in unselected haemodialysis patients.
Authors: Breidthardt T, Kalbermatter S, Socrates T, Noveanu M, Klima T, Mebazaa A, Mueller C, Kiss D
Eur J Heart Fail. 2011 May 30
Author Interview: Dr. Biagio Di Iorio
Variability of pulse wave velocity and mortality in chronic hemodialysis patients
.

Torraca S, Sirico ML, Guastaferro P, Morrone LF, Nigro F, Blasio AD, Romano P, Russo D, Bellasi A, Di Iorio B Hemodial Int. 2011 Apr 25. doi: 10.1111/j.1542-4758.2011.00545.x.
SOC di Nefrologia, Solofra, Avellino, Italy SOC di Nefrologia, Sant'Angelo dè Lombardi, Avellino, Italy SOC di Nefrologia, Benevento, Italy SOC di Nefrologia, Azienda Universitaria "FEDERICO II," Napoli, Italy SOC di Nefrologia, Malpighi Hospital, Bologna, Italy

Author Interview: Dr. Jin-Bor Chen
Mitochondrial DNA copy number correlates with oxidative stress and predicts mortality in nondiabetic hemodialysis patients

Yi-Chun Wang, Wen-Chin Lee, Shang-Chih Liao, Lung-Chih Lee, Yu-Jen Su, Chien-Te Lee,
Jin-Bor Chen
J Nephrol 2011; 24(3): 351 - 358

Author Interview: Barry I. Freedman, M.D.
Glycated Albumin and Risk of Death and Hospitalizations in Diabetic Dialysis Patients.


Freedman BI, Andries L, Shihabi ZK, Rocco MV, Byers JR, Cardona CY, Pickard MA, Henderson DL, Sadler MV, Courchene LM, Jordan JR, Balderston SS, Graham AD, Mauck VL, Russell GB, Bleyer AJ.
Clin J Am Soc Nephrol. 2011 May 19.
Author Interview: Dr Clec'h Christophe, MD, PhD
Multiple-center evaluation of mortality associated with acute kidney injury in critically ill patients: a competing risks analysis.


Crit Care. 2011 May 17;15(3):R128.
Clec'h C, Gonzalez F, Lautrette A, Nguile-Makao M, Garrouste-Orgeas M, Jamali S, Goldgran-Toledano D, Descorps-Declere A, Chemouni F, Hamidfar-Roy R, Azoulay E, Timsit JF

Author Interview: Dr. Allen R. Nissenson
Dialyzer Reuse and Peracetic Acid and Patient Mortality

T. Christopher Bond, Allen R. Nissenson,   Mahesh Krishnan, Steven M. Wilson,
Tracy Mayne
CJASN May 2011 CJN.10391110

Author Interview: Teresa Adragão
Ankle—brachial index, vascular calcifications and mortality in dialysis patients

Teresa Adragao, Ana Pires,  Patrícia Branco,  Rui Castro,  Ana Oliveira, Cristina Nogueira, Joaquim Bordalo,  José Dias Curto,  and Mateus Martins Prata
Nephrol. Dial. Transplant. (2011) doi: 10.1093/ndt/gfr233

Author Interview Dr. Martin Wagner MD MD
Predicting Mortality in Incident Dialysis Patients: An Analysis of the United Kingdom Renal Registry


Am J Kidney Dis. 2011 Apr 11;
Authors: Wagner M, Ansell D, Kent DM, Griffith JL, Naimark D, Wanner C, Tangri N

Author Interview: Dr. Dorien M. Zelle,
Low Physical Activity and Risk of Cardiovascular and All-Cause Mortality in Renal Transplant Recipients


Dorien M. Zelle, Eva Corpeleijn,  Ronald P. Stolk, Mathieu H.G. de Greef, Rijk O.B. Gans, Jaap J. Homan van der Heide, Gerjan Navis, and Stephan J.L. Bakker

Dr. Dorien M. Zelle, Department of Nephrology, University Medical Center Groningen, Sector A, PO Box 30001, 9700 RB, Groningen, The Netherlands
CJASN April 2011 6):(4)898-905, doi:10.2215/CJN.03340410

Author Interview: Dr. Hiroyuki Inoshita, M.D., Ph.D.
Complement in patients receiving maintenance hemodialysis: functional screening and quantitative analysis.

Inoshita H, Ohsawa I, Kusaba G, Ishii M, Onda K, Horikoshi S, Ohi H, Tomino Y.
BMC Nephrol. 2010 Dec 6;11:34.
Division of Nephrology, Department of Internal Medicine, Juntendo University Faculty of Medicine, Tokyo, Japan.

Nasal Carriage of Methicillin-resistant Staphylococcus aureus Is Associated with Higher All-Cause Mortality in Hemodialysis Patients.

Clin J Am Soc Nephrol. 2011 Jan;6(1):167-74.

Lai CF, Liao CH, Pai MF, Chu FY, Hsu SP, Chen HY, Yang JY, Chiu YL, Peng YS, Chang SC, Hung KY, Tsai TJ, Wu KD.
Department of Internal Medicine, Far Eastern Memorial Hospital, No. 21, Nan-Ya South Road, Ban Ciao City, Taipei, 220, Taiwan

Long-Term Morbidity and Mortality Related to Falls in Hemodialysis Patients: Role of Age and Gender - A Pilot Study.

Nephron Clin Pract. 2011 Jan 7;118(3):c278-c284

Abdel-Rahman EM, Yan G, Turgut F, Balogun RA.
Division of Nephrology, Department of Medicine, University of Virginia Health System, Charlottesville, Va.

Mortality associated with low serum sodium concentration in maintenance hemodialysis.

Am J Med. 2011 Jan;124(1):77-84.

Waikar SS, Curhan GC, Brunelli SM.
Renal Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.

The Effect of Dialysis Chains on Mortality among Patients Receiving Hemodialysis
Zhang, Y., Cotter, D. J. and Thamer, M.
Health Services Research, doi: 10.1111/j.1475-6773.2010.01219.xDecember 2010

Association between estimated glomerular filtration rate at initiation of dialysis and mortality

Published online ahead of print December 6, 2010
CMAJ 10.1503/cmaj.100349

William F. Clark, et al

Background: : Recent studies have reported a trend toward earlier initiation of dialysis (i.e., at higher levels of glomerular filtration rate) and an association between early initiation and increased risk of death. We examined trends in initiation of hemodialysis within Canada and compared the risk of death between patients with early and late initiation of dialysis.

Author Interview: Dr. William F. Clark Association between estimated glomerular filtration rate at initiation of dialysis and mortality

Increased Hospital Admissions on Mondays and Tuesdays in Hemodialysis Patients

Eduardo K. Lacson, Shu-Fang Lin, J. Michael Lazarus, Raymond M. Hakim. Fresenius Medical Care, North America, Waltham, MA

Introduction: Sudden deaths in hemodialysis (HD) patients occur more frequently on Mondays and Tuesdays, after the longest interdialytic period on a thrice weekly treatment schedule (3Tx/Wk). We hypothesized that hospitalization for all causes and more specifically for conditions due to fluid overload occur in a similar pattern.

Height constitutes an important predictor of mortality in end-stage renal disease.

Takenaka T, Sato T, Hoshi H, Kato N, Sueyoshi K, Tsuda M, Watanabe Y, Takane H,
Cardiol Res Pract. 2010 Nov 11;2011:242353.

Ohno Y, Suzuki H.
Department of Medicine, Saitama Medical College, 38 Moro-hongo, Moroyama, Iruma, Saitama 395-0495, Japan

Incremental value of a combination of cardiac troponin T, N-terminal pro-brain natriuretic peptide and C-reactive protein for prediction of mortality in end-stage renal disease.

Scand J Urol Nephrol. 2010 Nov 22.

Hallén J, Madsen L, Ladefoged S, Fagerland MW, Serebruany VL, Agewall S, Atar D.
Department of Cardiology, Oslo University Hospital, Aker and Ullevaal, Oslo, Norway.

Catheter Reduction Reduces Hospitalization and Mortality

Renee Jg Arnold, David Madigan, John A. Robertson, Abbe Volz. DaVita Inc., Denver, CO
Date: Friday, November 19, 2010

Introduction: Use of central venous catheters (CVC) in hemodialysis patients is associated with increased hospitalization and mortality. Published data have shown that an aggressive catheter reduction initiative (CathAway™) can decrease both catheter incidence and duration. We examined the impact of CathAway™ on hospitalization and mortality in the last 15 months of this program.

Read the Author Interview:
Catheter Reduction Reduces Hospitalization and Mortality

Discriminators of Death and Survival in the First Year of Hemodialysis: Threshold Values and Hierarchical Importance – The United States Renal Data System (USRDS)

Robert N. Foley, Allan J. Collins. USRDS Coordinating Center, MMRF, Minneapolis, MN; Medicine, University of MN, Minneapolis, MN
10:00 AM - 2:30 PM

High first year mortality is an ongoing public health issue in the US. In this regard, knowing optimally discriminating threshold values of suspected risk factors, high-yield subgroups and hierarchical importance could help gauge the appropriateness of renal replacement therapy and identify interventions

Early Start of Hemodialysis May Be Harmful.

Arch Intern Med. 2010 Nov 8.

Rosansky SJ, Eggers P, Jackson K, Glassock R, Clark WF.
Wm. Jennings Bryan Dorn Veterans Hospital, Columbia, South Carolina (Drs Rosansky); Arnold School of Public Health, University of South Carolina, Columbia (Dr Rosansky and Mr Jackson); National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland (Dr Eggers); Geffen School of Medicine at University of California, Los Angeles (Dr Glassock); and Division of Nephrology, London Health Sciences Centre, London, Ontario, Canada (Dr Clark).

Effect of erythropoietin levels on mortality in old age: the Leiden 85-plus Study

Published online ahead of print October 25, 2010
CMAJ 10.1503/cmaj.100347

Poor Social Support Increases Risk of Early Death, Worse Quality of Life

Washington, DC (October 18, 2010) — Dialysis patients with little social support from
friends and family are more likely to ignore doctors’ orders, experience a poorer quality
of life, and die prematurely, according to a study appearing in an upcoming issue of the
Clinical Journal of the American Society Nephrology (CJASN). The results suggest strong
social networks are important for maintaining dialysis patients’ health.

Higher serum bicarbonate levels within the normal range are associated with better survival and renal outcomes in African Americans.

Kidney Int. 2010 Oct 20.

Raphael KL, Wei G, Baird BC, Greene T, Beddhu S.
[1] VA Healthcare System, Salt Lake City, Utah, USA [2] Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah, USA.

Updated comorbidity assessments and outcomes in prevalent hemodialysis patients.

Hemodial Int. 2010 Oct;14(4):478-85.
doi: 10.1111/j.1542-4758.2010.00468.x.

Chang TI, Paik J, Greene T, Miskulin DC, Chertow GM.
Divisions of Nephrology General Internal Medicine, Stanford University School of Medicine, Palo Alto, California, USA Research Service, Veterans Affairs Salt Lake City Healthcare System, Salt Lake City, Utah, USA Division of Epidemiology, University of Utah, Salt Lake City, Utah, USA Tufts-New England Medical Center, Division of Nephrology, Boston, Massachusetts, USA.

FLEXING THEIR MUSCLES HELPS KIDNEY DISEASE PATIENTS LIVE LONGER

Patients with Large Upper Arm Muscles Gain Improved Health and Survival 

Washington, DC (October 8, 2010) — Kidney disease patients are healthier and live
longer if they’ve beefed up their muscles, according to a study appearing in an
upcoming issue of the Clinical Journal of the American Society Nephrology (CJASN). The results suggest that patients may benefit from pumping iron or taking medications to boost their lean body mass.

An association between depressive symptoms and survival in incident dialysis patients.

Nephrol Dial Transplant. 2010 Oct 4.

Chilcot J, Davenport A, Wellsted D, Firth J, Farrington K.
1Renal Unit Lister Hospital, Stevenage, UK.

Does timing of dialysis in patients with ESRD and acute myocardial infarcts affect morbidity or mortality?

Clin J Am Soc Nephrol. 2009 Aug;4(8):1324-30.

Coritsidis G, Sutariya D, Stern A, Gupta G, Carvounis C, Arora R, Balmir S, Acharya A.

Mortality Studies in Dialysis Hemodialysis and Peritoneal Dialysis Patients

Dialysis Practices That Distinguish Facilities with Below-versus Above-Expected Mortality.

Clin J Am Soc Nephrol. 2010 Sep 28.

Spiegel B, Bolus R, Desai AA, Zagar P, Parker T, Moran J, Solomon MD, Khawar O, Gitlin M, Talley J, Nissenson A.
VA Greater Los Angeles Healthcare System, Los Angeles, California

Survival predictability of lean and fat mass in men and women undergoing maintenance hemodialysis.

OBJECTIVE: We examined the hypothesis that higher FM and LBM are associated with greater survival in MHD patents irrespective of sex.

Am J Clin Nutr. 2010 Sep 15.

Unintentional Weight Loss Is an Independent Predictor of Mortality in a Hemodialysis Population.

J Ren Nutr. 2010 Sep 10

Campbell KL, Maclaughlin HL.
Nutritional Sciences Division, King's College, London, United Kingdom; Department of Nutrition and Dietetics, King's College Hospital, London, United Kingdom.

Tachycardia as a predictor of poor survival in chronic haemodialysis patients.

Nephrol Dial Transplant. 2010 Sep 3

Iseki K,et al.
Dialysis Unit, University Hospital of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan.

Association of Cumulatively Low or High Serum Calcium Levels with Mortality in Long-Term Hemodialysis Patients.

Am J Nephrol. 2010 Sep 3;32(5):403-413.

Miller JE, Kovesdy CP, Norris KC, Mehrotra R, Nissenson AR, Kopple JD, Kalantar-Zadeh K.
Harold Simmons Center for Kidney Disease Research and Epidemiology,Torrance, Calif

Cognitive Impairment and 7-Year Mortality in Dialysis Patients.

Griva K, Stygall J, Hankins M, Davenport A, Harrison M, Newman SP.

Am J Kidney Dis. 2010 Aug 25.
Department of Psychology, National University of Singapore, Singapore; Unit of Behavioural Medicine, University College London and Health Services Research Group, City University London, London, UK.

Hemoglobin Variability and Mortality: Confounding by Disease Severity.

Am J Kidney Dis. 2010 Aug 27.

Weinhandl ED, Peng Y, Gilbertson DT, Bradbury BD, Collins AJ.
Chronic Disease Research Group, Minneapolis Medical Research Foundation, Minneapolis, MN.

Acute kidney injury network classification predicts in-hospital and long-term mortality in patients undergoing elective coronary artery bypass grafting surgery.

Eur J Cardiothorac Surg. 2010 Aug 23.

Li SY, et al
Division of Nephrology, Department of Medicine, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, Taipei, Taiwan

Homoarginine, Cardiovascular Risk, and Mortality.

März W, Meinitzer A, et al

Circulation. 2010 Aug 23.

Hemoglobin Variability Does Not Predict Mortality in European Hemodialysis Patients
online at http://jasn.asnjournals.org/ on
August 26, 2010, doi 10.1681/ASN.2009101017.

C-Reactive Protein and Mortality in Hemodialysis Patients: The Dialysis Outcomes and Practice Patterns Study (DOPPS).

Nephron Clin Pract. 2010 Aug 14;117(2):c167-c178.

Kawaguchi T, Tong L, Robinson BM, Sen A, Fukuhara S, Kurokawa K, Canaud B, Lameire N, Port FK, Pisoni RL.
Department of Epidemiology and Healthcare Research, Kyoto University, Graduate School of Medicine and Public Health, Kyoto, Japan.

What is causing the mortality in treating the anemia of chronic kidney disease: erythropoietin dose or hemoglobin level?

Curr Opin Nephrol Hypertens. 2010 Aug 4.

Singh AK.
Renal Division, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.

Serum Phosphate and Mortality in Patients with Chronic Kidney Disease.

Clin J Am Soc Nephrol. 2010 Aug 5.
Eddington H, et al
Salford Royal NHS Foundation Trust, Salford, United Kingdom; and.

Low Health Literacy Associates with Increased Mortality in ESRD.

J Am Soc Nephrol. 2010 Jul 29.
Cavanaugh KL, et al

Endogenous Testosterone and Mortality in Male Hemodialysis Patients: Is It the Result of Aging?

Clin J Am Soc Nephrol. 2010 Jul 22.
Gungor O, et al
Ege University School of Medicine, Izmir, Turkey

Rate of ESRD Exceeds Mortality among African Americans with Hypertensive Nephrosclerosis

Tahira P. Alves, et al for the AASK Collaborative Research Group
Journal of the American Society of Nephrology
Volume 21, Issue 7, July 2010
doi: 10.1681/ASN.2009060654

Effect of electronic patient record use on mortality in End Stage Renal Disease, a model chronic disease: retrospective analysis of 9 years of prospectively collected data.

BMC Med Inform Decis Mak. 2007 Nov 28;7:38.
Pollak VE, Lorch JA.
MIQS Inc,, 2100 Central Avenue, Suite 201, Boulder, Colorado 80301, USA

Outcome of Hemodialysis Patients Who Had Failed Peritoneal Dialysis.

Nephron Clin Pract. 2010 Jul 16;116(4):c300-c306.
Szeto CC, et al
Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong, SAR, China.

Outcome of Acute Kidney Injury with Different Treatment Options: Long-Term Follow-up.
Clin J Am Soc Nephrol. 2010 Jul 15

Van Berendoncks AM, Elseviers MM, Lins RL; for the SHARF Study Group.
University of Antwerp, Antwerp, Belgium;

Serum alkaline phosphatase and mortality in hemodialysis patients.

Clin Nephrol. 2010 Aug;74(2):91-6.
Beddhu S, et al

A Randomized, Controlled Trial of Early versus Late Initiation of Dialysis
Published at www.nejm.org June 27, 2010 (10.1056/NEJMoa1000552)
Bruce A. Cooper, M.B., B.S., Ph.D. et al

Digoxin Associates with Mortality in ESRD (End Stage Renal Failure)

Kevin E. Chan, J. Michael Lazarus, and Raymond M. Hakim
J. Am. Soc. Nephrol., first published on June 24, 2010 as doi: doi:10.1681/ASN.2009101047

 

 

 

 

 
Author Interviews: hemodialysis - Dialysis - ESRD - CKD
Characterizing Missed Dialysis Sessions in the ESRD Patient population
Hemoglobin Recovery following Hospitalization in ESRD patients
Association of Serum Sodium Levels with Mortality in Non-Dialysis Dependent Chronic Kidney Disease 
Talking Control Support in Hemodialysis Results in Higher Patient Satisfaction Survey Response
Use of Fondparinux in Severe Renal Impairment & Hemodialysis
Contribution of CA, phosphorus & 25-VitD to the excessive severity of sPTH in African-Americans with CKD
Comparison of Risk Prediction Using the CKD-EPI Equation & the MDRD Study Equation for eGFR
Iron-Based Phosphate Binder PA21: Effective and Well Tolerated in CKD Hemodialysis Patients
Hemoglobin Recovery following Hospitalization in ESRD patients
Disease Management Program ESRD Patients Have Lower Overall Medical Costs
Crit-Line Monitor Use in Incident Hemodialysis Patients Improves Dry Weight and Adequacy,
While Reducing Epoetin Alfa Dose: A Propensity Score Matched Study 
Perceptions & Roles of Nephrology Social Worker Within the Suicide Continuum of Care
Reduced Use of ESAs and IV Iron with Ferric Citrate: A Medicare Bundle Cost-Offset Model
Video Education Increases Patient Knowledge About Phosphorus Control
Effect of a plasma sodium biofeedback system applied to HFR on the intradialytic cardiovascular stability
Hemodialysis Access and Age-related Postoperative Outcomes: Which Fistula First?
Coronary Artery Calcification & Pre-Hemodialysis Bicarbonate Levels in Hemodialysis
Protein/omega-3 supplementation during regular dialysis sessions & inflammatory indices in hemodialysis
VDRA and improved survival in dialysis patients with serum intact PTH ≤150 pg/mL
Relation of social support to mental health and locus of control in Chronic Kidney Disease
Depression and anxiety in patients with chronic renal failure
Self -esteem in Greek dialysis patients: The contribution of health locus of control
Medication adherence in Greek hemodialysis patients: Contribution of depression and health cognition.
Association of insomnia with kidney disease quality of life reported by patients on maintenance dialysis
Comorbidities/ inactivity & long-term outcomes of CABG in small number of men on chronic hemodialysis
Complete Recovery From Acute Kidney Injury With Incident CKD Stage 3 and All-Cause Mortalit
Outcomes of patients with ESRD under chronic hemodialysis requiring CRRT & in AKI requiring CRRT
Radiologically Placed Tunneled Hemodialysis Catheters: Pediatric Institutional Experience of 120 Patients
Preload dependence of gated cardiac SPECT-derived ventricular volumes in hemodialysis
Effect of Hemoglobin Target on Progression of Kidney Disease
eGFR at Reinitiation of Dialysis & Mortality in Failed Kidney Tranplant Recipients
Biomarkers Determining Cardiovascular Risk in Kidney Disease
Rural and Micropolitan Residence & Mortality in Dialysis
Urinalysis is more specific & urinary NGAL is more sensitive for early AKI detection
Vascular Klotho Deficiency Potentiates Development of Arterial Calcification & Mediates FGF23 Resistance
Efficacy of preventing hemodialysis catheter infections with citrate lock: Hemodialysis Int'l
Learn about dialysis options from a Home Dialysis Therapy Nurse
Optimal fluid control can normalize CV risk markers and limit LV hypertrophy in thrice weekly dialysis
LDL, atherosclerosis and mortality in hemodialysis
Pulmonary hypertension in chronic kidney disease on dialysis/ without dialysis
Predictors of steal syndrome in hemodialysis Hemodialysis Int'l
Sodium intake and blood pressure in renal transplant recipients Nephrology Dialysis Transplant
HIV-associated nephropathy patients with & without apolipoprotein L1 gene variants Kidney International
Depression and nonadherence predict mortality in hemodialysis treated ESRD patients Hemodialysis Int'l
Serum Metabolite Concentrations and Decreased GFR in the General Population AJKD
High Volume Peritoneal Dialysis in Acute Kidney Injury CJASN
Trial of Catheters of Different Lengths to Achieve Right Atrium vs SVC Placement for CRRT AJKidneyDs
Pre-kidney transplant ESA agence responsiveness with post-transplant outcomes
Nephrology Dialysis Transplant
Prognostic Value of 48-Hour Ambulatory BP & CV Mortality in Hemodialysis Kidney Blood Press Res
Darbepoetin-α Cardiovascular Geometry and CKD -Cardiorenal Med
Influenza Vaccine Effectiveness in Patients on Hemodialysis Arch Intern Med
Bioelectrical Impedance Analysis & Skinfold Thickness Sum in Body Fat Mass in Dialysis J.Renal Nutrition
Pre-Diabetes after Renal Transplantation Nephrology Dialysis Transplant
Essential trace element status and clinical outcomes in long-term dialysis
End-of-Life Decision-Making Confidence in Surrogates of AA Dialysis Patients Is Overly Optimistic
Comparison of Cardiac PET Perfusion Defects During Stress Induced by Hemodialysis vs Adenosine AJKD
Mental Health over Time & Cardiac Outcomes in HEMO Study CJASN
Cholesterol Synthesis, Cholesterol Absorption, & Mortality in Hemodialysis CJASN
Statins, Risk & Outcome in Acute Kidney Injury in Community-Acquired Pneumonia CJASN
Dialysis-Dependent Changes in Ventricular Repolarization
High Burden of Kidney Disease in Youth-Onset Type 2 Diabetes Diabetes Care
Late Start Dialysis & Outcomes in Japanese Dialysis: Therapeutic Apheresis & Dialysis
Pica in Pediatric Dialysis - J.Renal Nutrition
Elemental Concentrations in Scalp Hair in Hemodialysis Patients Therapeutic Apheresis & Dialysis
Health-related QOL was not improved by targeting higher hemoglobin in the Normal Hematocrit Trial
Kidney Int'l
Sevelamer on HbA1c, Inflammation, & Advanced Glycation End Products in Diabetic Kidney Disease CJASN
Increasing organ donation via anticipated regret proposed protocol
Statins on Chronic Inflammation and Nutrition status in Renal Dialysis
Emergency Department Use of Urinary Biomarkers of Nephron Damage
Preemptive renal transplant survival, access to care, & renal function at listing Nephrology Dialysis Transplant
Effect of Diuretic Use on 30-Day Postdialysis Mortality in Critically Ill Patients Receiving Acute Dialysis Dr. Ko
FGF23 predicts incident cardiovascular event before but not after the start of dialysis Dr. Isaka
Mortality Prediction by Surrogates of Body Composition: An Examination of the Obesity Paradox in Hemodialysis Using Composite Ranking Score Analysis: Drs. Miklos Z Molnar & Kamyar Kalantar-Zadeh
Plasma Sodium & Blood Pressure in Hemodialysis J.Human Hypertension
Increased Risk of Death in Young African American Dialysis Patient: Dr. Norman
Nutritional Management of Stage 5 CKD J. Renal Nutrition
A proposed management algorithm for fistulae between hemodialysis access circuits and adjacent veins
Vasc Access
Percutaneous approach in maintenance & salvage of dysfunctional autologous vascular access for dialysis
The Kidney Disease Quality of Life Cognitive Function Subscale and Cognitive Performance in Maintenance Hemodialysis Patients Amer. J Kidney Diseases
Absolute Interdialytic Weight Gain is more important than Percent Weight Gain for Intradialytic Hypotension in heavy hemodialysis patients: Dr. Chen Nephrology
Postdialysis BP rise predicts outcomes in hemodialysis: Dr Yang BMC Nephrology
APOL1 allelic variants are associated with lower age of dialysis initiation Nephrology Dialysis Transplant
Effects of Six versus Three Times per Week Hemodialysis on Physical Performance, Health, and Functioning: Frequent Hemodialysis Network (FHN) Randomized Trials Dr. Hall CJASN
Variability of blood pressure in dialysis patients: a new marker of cardiovascular risk Dr. Di Iorio
Assessment of Body Composition Using Dry Mass Index and Ratio of Total Body Water to Estimated Volume Based on Bioelectrical Impedance Analysis in CKD J. Renal Nutrition
Potential Role of Active Vitamin D Treatment in Telomere Length in Hemodialysis: Dr Valdivielso
CKD, severe arterial & arteriolar sclerosis & kidney neoplasia MELAS syndrome Dr. Piccoli BMC Nephrology
Pedometer-Assessed Physical Activity in Children and Young Adults with CKD
Effect of Frequent or Extended Hemodialysis on Cardiovascular Parameters Amer J. Kidney Ds
Exposure to bisphenol A is associated with low-grade albuminuria in Chinese adults Dr. Guang Kidney Int'l
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Featured Hemodialysis Interviews

Home Dialysis Summit Recommends Policy Changes to Increase Home Dialysis Usage

WASHINGTON, April 25, 2012 /PRNewswire -- On the heels of the first National Summit on Home Dialysis Policy, Summit organizers released a report reflecting the views of the delegates -- leaders in the kidney disease patient, clinician, facility and industry communities -- on federal policy steps to improve utilization of home dialysis for patients who can benefit from this often advantageous form of treatment. Many of the organizers also announced they have formed a new alliance, called the Alliance for Home Dialysis, to advance the recommendations identified at the Summit.

The Summit's "Report of the Delegates" highlights key findings from a March 29th meeting in Washington, DC where experts probed why, despite widely accepted and well-documented benefits of home dialysis -- improved outcomes, enhanced patient satisfaction, improved quality of life, and lower costs-- fewer than ten percent of the more than 390,000 current U.S. dialysis patients receive treatment at home. Current rates of home dialysis utilization reflect a steep decline from the 1970s, when almost 40% of U.S. dialysis patients were treated in-home.

Specifically, delegates found that policymakers should work with stakeholders in the dialysis community to confront three areas:

Accessibility: Patients and clinicians face array of hurdles in education, training, and infrastructure that hinder equalized access to home dialysis.

Accountability: Utilization of home dialysis can be improved through measures within government programs that are designed to recognize and support excellence in the delivery of home dialysis services.

Aligning Incentives: Reimbursement policies, regulation of new technologies and other policy incentives can be realigned to better support federal policy goals of expanding access to home dialysis.

The Report includes 15 recommendations to serve these goals, including that federal policymakers should:

Maintain parity for home and in-center dialysis in Medicare reimbursement;

Support home dialysis mentoring programs, particularly those that use existing patients as mentors; and

Align federal and state regulatory requirements for home therapies, such as revising the Centers for Medicare and Medicaid Services Conditions for Coverage requirements, to reflect differences in home and in-center dialysis.

Summit supporters will begin work through the new Alliance to dialogue with federal policymakers and advance policy improvements in the three consensus areas that emerged at the Summit.

SOURCE National Summit on Home Dialysis Policy


 

 National  Kidney Foundation's Top 10 Things Every Dialysis Patient Should Know.

  1. You have treatment choices. Options exist for how, where and when you dialyze. Dialysis can be done in a hospital, in a dialysis unit that is not part of a hospital, or at home. You and your doctor will decide which place is best, based on your medical condition and your wishes. There are different types of dialysis - peritoneal and hemodialysis. Work with your health care team to determine a treatment plan that makes you feel comfortable. Recent studies show that the majority of patients beginning in-center hemodialysis (HD) know very little, if anything, about the option to dialyze at home. Once informed, 40% or more of patients are interested in this treatment option, and yet less than 10% actually begin home dialysis. If you're dissatisfied with the type of dialysis treatment that you're receiving, ask your healthcare team if another type of dialysis treatment would be better.
  2. You can compare in-center dialysis facilities online. Information on over 5,600 US-based dialysis centers is available online through the Medicare website. To help you make choices about your care, you can compare different facilities side-by-side and evaluate each facility based upon clinic characteristics and quality measures. You can search for dialysis facilities by name or geographic proximity. After completing an initial facility comparison to determine which facilities best meet your needs - such as the number of hemodialysis stations at a particular location and whether there are evening shifts available - visit the facilities that you're most interested in. Talk to the staff and other patients, as well as your doctor to ensure that this dialysis facility is a good fit for you.

  3. There are ways to prepare ahead for an emergency. Ask your dialysis facility about their emergency plan in case of a snow storm, fire, power outage or other natural disaster. As back up, make sure you have the names, locations and phone numbers of other dialysis units and hospitals in your area. Since regular community transportation services may not be working in an emergency, be prepared to make other arrangements for getting to dialysis. You may need to contact the police and Emergency Medical Services (EMS) for assistance. If you dialyze at home, make sure you have at least two weeks' worth of unexpired supplies on hand. If you have to miss a dialysis treatment, begin your emergency meal plan.

  4. There is an easy way to transfer patient records between clinics. There is an easy, secure way for your health care team to transfer your treatment records online. In 2009, the Centers for Medicare and Medicaid Services (CMS) created a centralized web-based data collection system called CROWNWeb to help reduce and eliminate patient treatment interruptions. This central system helps to streamline patient care regardless of the reason for changing dialysis centers. For example, if you've been admitted to the hospital, or if you needed to relocate during an emergency evacuation, your doctors and health care team can access up-to-date information about your dialysis so that you continue to receive appropriate care no matter where you are.

  5. You can travel while on dialysis. 
    Dialysis centers are located in every part of the United States and in many foreign countries. The treatment is standardized, but you need to plan ahead by making an appointment for dialysis at another center before you go. The staff at your center may help you make these appointments.

  6. You can be your own best advocate. Know what key questions to ask your doctor or other healthcare professionals. Take notes so that you can refer back to them later. Partner with your doctor and decide on a treatment plan together. Advocate for yourself and share how you're feeling.

  7. You have many rights. You as a patient have a great deal of control over your treatments. Patients have a bill of rights which includes receiving quality care, counseling about your medical information, and an expectation of privacy. 

    You also have responsibilities.
     Once you decide on a course of treatment, it's important to follow the recommendations of your health care team. If you decide to receive in-center dialysis, arrive at dialysis on time so that you can receive the full treatment without delays.


  8. You can receive insurance coverage. If you have end stage renal failure, you are likely eligible for Medicare insurance coverage. Speak with your health care team and social worker for help filling out insurance paperwork.

  9. You may need to follow a special diet. When your kidneys are not working properly, you may not be able to eat everything you like, and you may need to limit how much you drink. Your diet may vary according to the type of dialysis you receive. It is important to speak with a renal dietitian so that you are able to understand what you can and cannot eat based on your full health history.

  10. Dialysis patients can work. Many dialysis patients can go back to work or school after they have gotten used to dialysis. After establishing a dialysis routine, many patients have more energy and find that they are able to time to work around this new schedule. Some patients even find creative ways to work remotely from dialysis with the use of a laptop or cell phone, depending on their field of expertise.

More from National Kidney Foundation Press Releases

New Book to Help Educate Patients with Chronic Kidney Disease who may be facing Dialysis or Hemodialysis:

Help, I Need Dialysis!
How to have a good future with kidney disease


By Dori Schatell, MS and Dr. John Agar

An internationally known nephrologist and life-long kidney patient educator explain how dialysis works, each of the ways to do it, and how your treatment choice may affect your diet, energy level, work, travel, sexuality and fertility, sleep, and survival. Comprehensive and fully referenced, this book is a must-read if you face the life-changing choices that come with kidney failure.


 
 
 
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