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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

ASN 2011 Author Interviews and Press Releases

ASN 2011 Abstract Authors' Interview:

Outcomes of Peritonitis in Incident Peritoneal Dialysis Patients.

Eduardo Lacson, Jr., MD, Nien-Chen Li, MS, Raymond Hakim, MD, Michael Lazarus, MD,
Frank Maddux, MD, Joseph Pulliam, MD. Fresenius Medical Care, Waltham, MA.

ASN 2011 Abstract Authors' Interview:

Hypoglycemia-Related Hospitalization in Diabetic Hemodialysis Patients.

Eduardo Lacson, Jr., MD, MPH, Weiling Wang, MS, Michael Lazarus, MD, Mark Williams, MD
Fresenius Medical Care, Waltham, MA, and Joslin Diabetes Center, Boston, MA

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.

ASN 2011 Abstract Authors' Interview:

Lower Dialysate Na+ Impacts Weight Gain & Fluid Overload Hospitalizations.

Eduardo Lacson Jr., MD, John Rogus, ScD, Peter Kotanko, MD, Nathan W. Levin, MD, Raymond Hakim, MD.  Fresenius Medical Care, Waltham, MA, and Renal Research Institute, New York, NY

ASN 2011 Abstract Authors' Interview:

Outcomes from a Multi-Center Catheter Reduction Collaborative Program.

Alex Rosenblum, RN, CNN, Eduardo Lacson, Jr., MD, MPH, Jill Hall, RN, CNN, Shu-Fang Lin, MA, Raymond Hakim, MD, PhD. Fresenius Medical Care, Waltham, MA.

ASN 2011 Abstract Authors' Interview:

Intradialytic Hypotension (IH): Variation in Dialysis Facilities.

Jeffrey J. Sands, MD, Len A. Usvyat, Sandi Moore, Mary T. Sullivan, Jonathan H. Segal, MD, Paul M. Zabetakis, MD and Jose A. Diaz-Buxo, MD.

Fresenius Medical Care, Waltham, MA, Renal Research Institute and University of Michigan.

ASN 2011 Abstract Authors' Interview:

The Use of Crit-Line to Monitor and Quantify Fluid Removal Rates in Dialysis Patients During a Baseline Observational Period

Linda H. Ficociello, PhD, Len A. Usvyat, Michael Black, Patrice B. Taylor, RN, Heather J. Ansede, Kay D. Cuaton-maier, RN, Antoinette M. Ordish, RN, Paul Balter, MD, Paul M. Zabetakis, MD, Claudy Mullon, PhD and Jose A. Diaz-Buxo, MD. Fresenius Medical Care, Waltham, MA, and Renal Research Institute (RRI), New York, NY.

A Blood Flow – Dialysate Flow Ratio Maintains Dialysis Adequacy While Reducing the Quantity of Dialysate Used per Treatment.

Linda H. Ficociello, PhD, Norma J. Ofsthun, PhD, J. Michael Lazarus, MD, Claudy Mullon, PhD and Jose A. Diaz-Buxo, MD. Fresenius Medical Care, Waltham, MA.

Author Interview: Chaim Charytan, M.D., FACP

Involuntary Discharge from Dialysis Units : Who, Why, Where

ASN 2011Abstract: [SA-PO2637]

Abey K. Thomas, MD, Senthil P. Ramaiyah, MD, Brian T. Chu, MD, Carol Lyden, RN, George N. Coritsidis, MD, Chaim Charytan, MD. New York Hospital Medical Center of Queens, Flushing, NY; Elmhurst Hospital Center, Elmhurst, NY
IPRO ESRD Network of New York, Lake Success, NY

Jamie Heise Pharm. D, BCPS

ASN Abstract: [FR-PO1205] Phosphorus (P) Management Trends of Hemodialysis Patients in a Large Dialysis Organization

Jamie Heise, PharmD, Kamyar Kalantar-Zadeh, MD, PhD, FASN, John Brian Copley, MD, FASN, Moshe Fridman, PhD, Rajnish Mehrotra, MD, FASN. Medical Affairs, Shire Pharmaceuticals, Chesterbrook, PA; Nephrology, Harbor- UCLA Medical Center, Torrance, CA; Statistics, AMF Consulting, Los Angeles, CA

Peter L. Quon
Cost-Effectiveness of Treating Chronic Anemia with Epoetin Alfa among Hemodialysis  Patients in the United States

ASN 2011 Abstract: [SA-PO2646]
Christopher S. Hollenbeak, PhD, Sumit Mohan, MD, Greg De lissovoy, PhD, Peter L. Quon, Matthew Gitlin, PharmD, Jill Javier, John J. Isitt, MS, William M. McClellan, MD. Penn State College of Medicine; Columbia University; Amgen Consultant; United BioSource Corp.; Amgen, Inc.; Emory University School of Medicine.

Dr Ilia Beberashvili

The Role of Nutritional Scores for Serial Monitoring of Nutritional Status in Hemodialysis Patients


Abstract: [TH-PO599]
Ilia Beberashvili, MD, Ada Azar, Inna Sinuani, PhD, Hadas Kadoshi, Gregory Shapiro,
Leonid Feldman, MD, Zhan Averbukh, MD, PhD,
Joshua Weissgarten, MD. Nephrology, Assaf Harofeh
Medical Center, Zerifin, Israel; Nutrition, Assaf Harofeh Medical Center, Zerifin, Israel.

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.

MACAULAY ONUIGBO MD MSc FWACP FASN FBC

Economic Impact of Reduced HBV Testing among Hemodialysis Patients in the New Environment of Bundling: Results of a Study of De Novo HBV Infection Rates in a Mayo Clinic Hemodialysis Population – A Call for Changes in Current US CDC Guidelines on HBV Testing Protocols

Abstract: [SA-PO3028]

Macaulay A. Onuigbo, MD, FASN, Nnonyelum T. Onuigbo, PhD. College of Medicine, Mayo Clinic, Rochester, MN; Nephrology/Hypertension/Transplant, Mayo Clinic Health System, Eau Claire, WI; Information Technology, NT Systems
Eau Claire, WI.

Author Interview: J. Andrew Lee, PhD, ScM

A Study of the Association between Cinacalcet Adherence and Biochemical Outcomes

Abstract: [TH-PO263]

Andrew Lee, PhD, Vasily Belozeroff, PhD, Richard Mutell, T. Christopher Bond, PhD, William G. Goodman, MD.
Amgen Inc; DaVita Clinical Research.

Author Interview: Deidra C. Crews, MD, FASN

Comparison of Cognitive Function across ESRD Treatment Modalities: A Systematic Review

Abstract: [TH-PO627]

Deidra C. Crews, MD, FASN, Priscilla Auguste, Tanjala S. Purnell, Raquel Greer, MD, Temitope Olufade, Julio Lamprea, Johanna Sheu, Patti Ephraim, Hamid Rabb, MD, FASN, Neil R. Powe, MD, FASN, L. Ebony Boulware, MD.
Johns Hopkins University; Harvard University; San Francisco General Hospital.

Jochen G. Raimann, MD (Senior Research Fellow) and
Nathan W. Levin, MD (Chairman of the Research Board).

Predictors of Hospitalizations in Maintenance Hemodialysis (HD) Patients


ASN 2011 Abstract:TH-PO637

Jochen G. Raimann, MD, Len A. Usvyat, Peter Kotanko, MD, Nathan W. Levin, MD.
Renal Research Institute; Beth Israel Medical Center.

Jochen G. Raimann, MD (Senior Research Fellow),
Nathan W. Levin, MD (Chairman of the Research Board), and
Garry J. Handelman, PhD (Professor of Nutrition, University of Massachusetts).

Ancillary Study to the Frequent Hemodialysis Network (FHN) Trial: Cross-Sectional Assessment of Vitamin C Concentrations in Chronic Hemodialysis Patients at Baseline

[ASN 2011 Abstract SA-PO2681]
   Authors: Jochen G. Raimann, MD, Li Liu, MD, Samer Rateb Abbas, Len A. Usvyat, Stephan Thijssen, MD, Garry J. Handelman, PhD, Peter Kotanko, MD, Nathan W. Levin, MD, And FHN Trial 

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.

Dr. Len Usvyat PhD

Body Temperature in Hemodialysis (HD) Patients: A Novel Indicator of Patient Outcomes


ASN 2011 Abstract: [TH-PO656]

Len A. Usvyat, Frank van der Sande, MD, PhD, Jeroen Kooman, MD, Jochen G. Raimann, MD, Nathan W. Levin, MD, Peter Kotanko, MD. Renal Research Institute, NY, NY; University of Maastricht Hospital, Netherlands.

Dr. Vasily Belozeroff PhD
Costs of Care and Major Clinical Events among Chronic Dialysis Patients with and without Treatment for sHPT: A Descriptive Study of Claims Data


ASN 2011 Abstract: [SA-PO2645]
Andrew Lee, PhD, Xue Song, PhD, Vasily Belozeroff, PhD, David R. Diakun, William G. Goodman, MD. Amgen Inc; Thomson Reuters.

Quinlyn A. Soltow, PhD

ASN 2011 Abstract: [TH-PO596]


Quinlyn A. Soltow, PhD, Rebecca H. Zhang, Dean P. Jones, PhD, Nancy G. Kutner, PhD.
Department of Medicine, Emory University;
Department of Rehabilitation Medicine, Emory University, Atlanta, GA.

Hyun Ji Julie Lee

Exposure to Potentially Toxic Hydro- and Halocarbons Released from Dialyzer and Tubing Sets during Hemodialysis

ASN 2011Abstract: [TH-OR099]

Hyun ji Julie Lee, Madeleine V. Pahl, MD, Nosratola D. Vaziri, MD, Donald R. Blake, PhD. Nephrology and Hypertension
University of California, Irvine, CA; Chemistry, University of California, Irvine, CA.

Isometric Handgrip Exercises Improve Success Rates in Arteriovenous Fistula (AVF) Placement in Unsuitable Candidates

ASN 2011 Abstract: [FR-PO1938]

Alice L. Uy, MD, Christina M. Yuan, MD, Rahul Jindal, Frank P. Hurst, MD. Medicine (Nephrology), Walter Reed Army Medical Center, Washington, DC; Surgery (Organ Transplant), Walter Reed Army Medical Center, Washington, DC.

Len Usvyat MS

Declining Interdialytic Weight Gain (IDWG) in Chronic Hemodialysis Patients – An Ominous Sign? Results of an International Study


ASN 2011 Abstract: [TH-OR087]

Adrian Marcos Guinsburg, MD, Cristina Marelli, MD, Adam Tashman, Michael Etter, MD, PhD, Daniele Marcelli, MD, Gero D. von Gersdorff, MD, Mathias Schaller, Yuedong Wang, PhD, Nathan W. Levin, MD, Peter Kotanko, MD, Len A. Usvyat. FMC Latin America, Buenos Aires, Argentina; University of California - Santa Barbara, Santa Barbara, CA; FMC Asia Pacific, Hong Kong, Hong Kong; FMC Europe, Bad Homburg, Germany; RRI, NY, NY;
University of Cologne Medical Center, Germany.

Authors' Interview: Jochen G. Raimann, MD (Senior Research Fellow) and
Nathan W. Levin, MD (Chairman of the Research Board).

Evaluation of the Predictive Value of Commonly Used Anemia Management Indicators in Incident Hemodialysis Patients


Abstract: [SA-PO2651]

Jochen G. Raimann, MD, Len A. Usvyat, Stephan Thijssen, MD,
Peter Kotanko, MD, Nathan W. Levin, MD.
Renal Research Institute; Beth Israel Medical Center.

Dr. Mira T Keddis MD

Clinical Outcomes of Clostridium difficile Infection in Patients with Chronic Kidney Disease


ASN 2011 Abstract: [TH-PO248]

Mira T. Keddis, MD, Sahil Khanna, MBBS, Larry M. Baddour, MD, Darell S. Pardi, MD, Qi Qian, MD. Nephrology, Mayo Clinic, Rochester, MN; Gastroenterology, Mayo Clinic, Rochester, MN; Infectious Diseases, Mayo Clinic, Rochester, MN.

ASN: WHICH DIABETES DRUG IS BEST FOR DIABETICS WITH KIDNEY DISEASE? 
Sitagliptin is safer and as effective as glipizide in patients with type 2 diabetes and CKD

Highlights

  • Sitagliptin is as effective as glipizide at lowering blood sugar levels in patients with type 2 diabetes and chronic kidney disease.

  • Sitagliptin is less likely than glipizide to cause dangerously low blood sugar levels.

  • Patients on sitagliptin tend to lose weight, while those on glipizide gain weight.

ASN: Kidney Care Future:
Anticipated dialysis clinic closures could compromise care
New initiative hopes to improve Americans’ kidney health

Len Usvyat MS

Declining Interdialytic Weight Gain (IDWG) in Chronic Hemodialysis Patients –
An Ominous Sign? Results of an International Study


ASN 2011 Abstract: [TH-OR087]

Adrian Marcos Guinsburg, MD, Cristina Marelli, MD, Adam Tashman, Michael Etter, MD, PhD, Daniele Marcelli, MD, Gero D. von Gersdorff, MD, Mathias Schaller, Yuedong Wang, PhD, Nathan W. Levin, MD, Peter Kotanko, MD, Len A. Usvyat. FMC Latin America, Buenos Aires, Argentina; University of California - Santa Barbara, Santa Barbara, CA; FMC Asia Pacific, Hong Kong, Hong Kong; FMC Europe, Bad Homburg, Germany; RRI, NY, NY;
University of Cologne Medical Center, Germany.

Dr. Vanessa Grubbs MD, MPH
Use of Coenzyme Q10-Depleting Medications by Chronic Kidney Disease Status in the U.S.


ASN 2011 Abstract: [SA-PO2533]

Vanessa Grubbs, MD, Laura C. Plantinga, Delphine S. Tuot, MD, Neil R. Powe, MD, FASN. University of California, San Francisco; San Francisco General Hospital.

T. Christopher Bond, Ph.D.

Effects of Switching from Intravenous Paricalcitol to Doxercalciferol on Dialysis Patient Bone and Mineral Outcomes

T. Christopher Bond, PhD, Steven M. Wilson, PhD, Mahesh Krishnan, MD, FASN, Tracy Jack Mayne, PhD.
DaVita Clinical Research, Minneapolis, MN.

ASN 2011 Abstract: [FR-PO1266]

Mahesh Krishnan MD, MPH, MBA, FASN

Impact of Baseline Year on PPS Payments under the Quality Improvement Program


ASN 2011 Abstract: [SA-PO2639]
Andrew Barba, Randy Smith, Joe Weldon, LeAnne Zumwalt, Mahesh Krishnan, MD, FASN. DaVita Inc, Denver, CO.

Carol Farthing BSN, RN, CNN

ASN 2011 Abstract: [SA-PO2922]

TEGO® Connectors Reduce Heparin Use without Affecting Blood Flow Rate Compared to Traditional Central Venous Catheter Locks


Mahesh Krishnan, MD, FASN, Tracy Jack Mayne, PhD, Carol Farthing, CNN, Shaun S. Collard, RPh, Allen R. Nissenson, MD, FASN. DaVita Inc, Denver, CO.

ASN Press Release 2011
HIGH BLOOD PRESSURE AND PREGNANCY: SHORT- AND LONG-TERM CONSEQUENCES

Mid-pregnancy test predicts late-pregnancy complication
High blood pressure during pregnancy spells trouble later in life

ASN Press Release 2011:
RACIAL INEQUALITIES EXIST FOR KIDS WITH KIDNEY DISEASE

Kids of minority races less likely to get a kidney transplant before needing dialysis
Blacks with no health insurance more likely to die while waiting for a transplant

Dr. Ketchersid - Health IT Services Group (HITSG) / Acumen nEHR™

Changes in Pre-Dialysis Weight Relate to Key Laboratory Parameters in Hemodialysis Patients Author Interview: Richard Amerling, MD

Pomegranate Juice Intake Attenuates Traditional Cardiovascular Risk Factors in Hemodialysis Patients: Dr. Batya Kristal

ASN Press Release Dietary Supplements in CKD

Prevalent Use of Dietary Supplements Potentially Harmful in Chronic Kidney Disease in the United States: Dr. Vanessa Grubbs

Hemoglobin A1C Levels and Mortality in the ESRD Population: Findings from the DOPPS
Dr. Sylvia Ramierez

ASN Press Release on Glucose Control in ESRD

Effects of Six versus Three Times per Week Hemodialysis on Depressive Affect and Mental Health: Frequent Hemodialysis Network (FHN) Trials: Dr. Mark Unruh

Changes in Pre-Dialysis Weight Relate to Key Laboratory Parameters in Hemodialysis Patients: Author Interview: Richard Amerling, MD

 

 
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
Increased dietary sodium and greater mortality in hemodialysis Kidney Int'l
Sonography Characteristics of the Intra-Dialysis-Graft Thrombus Dr. Cheng
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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