1,544 results match your criteria Hemodialysis International[Journal]


Human factors testing of the Quanta SC+ hemodialysis system: An innovative system for home and clinic use.

Hemodial Int 2019 Apr 9. Epub 2019 Apr 9.

Chronic Disease Innovation Centre, Seven Oaks General Hospital, Winnipeg, Canada.

Introduction: Uptake rates of home hemodialysis are the lowest among all modality types, despite providing patients with clinical and quality of life benefits at a lower cost to providers. Currently, there is a need to develop dialysis systems that are appealing to patients while also being suitable for use across the continuum of care. The SC+ hemodialysis system was developed by Quanta Dialysis Technologies Ltd. Read More

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http://dx.doi.org/10.1111/hdi.12757DOI Listing

Amylose resistant starch (HAM-RS2) supplementation increases the proportion of Faecalibacterium bacteria in end-stage renal disease patients: Microbial analysis from a randomized placebo-controlled trial.

Hemodial Int 2019 Mar 29. Epub 2019 Mar 29.

Division of Nephrology, University of California, Irvine, California, USA.

Introduction: Many of the deleterious effects associated with chronic kidney disease (CKD) are secondary to the resultant systemic inflammation. The gut microbial changes caused by CKD are thought to perpetuate systemic inflammation. Therefore, strategies aimed at modulating the gut microbiota may be helpful in reducing complications associated with CKD. Read More

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http://dx.doi.org/10.1111/hdi.12753DOI Listing
March 2019
1 Read

The effect of high-flux hemodialysis and post-dilution hemodiafiltration on platelet closure time in patients with end stage renal disease.

Hemodial Int 2019 Mar 29. Epub 2019 Mar 29.

Department of Nephrology, Clinic for Internal Medicine, University Medical Centre Maribor, Maribor, Slovenia.

Introduction: We aimed to compare prospectively the effect of high-flux hemodialysis and post-dilution hemodiafiltration on platelets.

Methods: Twenty-two hemodialysis patients were treated with one high-flux hemodialysis and one post-dilution hemodiafiltration procedure. PFA-100 closure times (collagen/epinephrine-CEPI and collagen/adenosine diphosphate-CADP) were measured before and after the procedure, as well as platelet count, hemoglobin, hematocrit, and red blood cell count. Read More

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http://dx.doi.org/10.1111/hdi.12756DOI Listing

Brain white matter microstructure in end-stage kidney disease, cognitive impairment, and circulatory stress.

Hemodial Int 2019 Mar 28. Epub 2019 Mar 28.

Division of Nephrology, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Canada.

Introduction: Structural and functional brain white matter abnormalities are poorly characterized in patients with end-stage kidney disease.

Methods: We examined the prevalence of the brain white matter microstructure disruption using diffusion tensor magnetic resonance imaging and its association with hemodynamic performance and cognitive defects in 49 incident hemodialysis (HD) patients and compared these to 25 age-matched normal controls. We analyzed fractional anisotropy (FA) and mean diffusivity (MD) maps of the images, a voxelwise statistical analysis was done using tract-based spatial statistics. Read More

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http://dx.doi.org/10.1111/hdi.12754DOI Listing

The complexity of pulmonary hypertension.

Authors:
Mehmet Eyuboglu

Hemodial Int 2019 Mar 24. Epub 2019 Mar 24.

Department of Cardiology, Bergama State Hospital, Bergama, Izmir, Turkey.

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http://dx.doi.org/10.1111/hdi.12755DOI Listing

Needle fear: A point prevalence survey of dialysis patients.

Hemodial Int 2019 Mar 12. Epub 2019 Mar 12.

Central and Northern Adelaide Renal and Transplantation Service (CNARTS), Adelaide, South Australia.

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http://dx.doi.org/10.1111/hdi.12752DOI Listing
March 2019
1 Read

The effect of increased frequency of hemodialysis on serum cystatin C and β2-microglobulin concentrations: A secondary analysis of the frequent hemodialysis network (FHN) trial.

Hemodial Int 2019 Mar 12. Epub 2019 Mar 12.

Department of Medicine, Division of Nephrology, Western University, London, Canada.

Introduction: Small molecular weight toxin clearance is the main method of assessment of hemodialysis efficiency. Middle molecules including cystatin C (CysC) and Beta-2 microglobulin (β2-M) are understudied. We hypothesized that lowering of predialysis CysC and β2-M serum concentrations would be affected by switching to more frequent hemodialysis. Read More

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http://doi.wiley.com/10.1111/hdi.12749
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http://dx.doi.org/10.1111/hdi.12749DOI Listing
March 2019
4 Reads

Comparison of characteristics of centers practicing incremental vs. conventional approaches to hemodialysis delivery - postdialysis recovery time and patient survival.

Hemodial Int 2019 Mar 12. Epub 2019 Mar 12.

Centre for Health Services and Clinical Research, School of Life and Medical Sciences, University of Hertfordshire, College Lane Campus, Hatfield, UK.

Introduction: Conventional haemodialysis (HD) involves treatment times of around 4 hours thrice weekly, taking no account of residual kidney function (RKF). In incremental HD the frequency and duration of dialysis sessions are individualized according to RKF. There are no studies comparing these approaches. Read More

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http://dx.doi.org/10.1111/hdi.12743DOI Listing

Impact of body mass index on short-term and long-term survival in prevalent hemodialysis patients.

Hemodial Int 2019 Mar 12. Epub 2019 Mar 12.

Division of Nephrology, Ege University School of Medicine, Izmir, Turkey.

Introduction: Numerous studies showed that higher body mass index (BMI) is associated with better survival in hemodialysis (HD) patients. Most of them evaluated short-term mortality. It has been suggested that presence of inflammation may be a key modifier of relationship between BMI and mortality in incident HD patients. Read More

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http://dx.doi.org/10.1111/hdi.12746DOI Listing

The effect of a hemodialysis patient education program on fluid control and dietary compliance.

Hemodial Int 2019 Mar 12. Epub 2019 Mar 12.

Internal Medicine Nursing, Department of Nursing, Faculty of Health Science, Sivas Cumhuriyet University, Sivas, Turkey.

Introduction: Some hemodialysis patients may experience problems in completing activities of daily living and adhering to diet and fluid restrictions due to a decrease in self-care power and a loss of competence.

Methods: The study was conducted with 78 people assigned to the intervention (N = 38) and control groups (N = 40). Data were collected using the sociodemographic characteristics questionnaire, dialysis diet and fluid nonadherence questionnaire (DDFQ), and fluid control in hemodialysis patients scale (FCHPS). Read More

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http://doi.wiley.com/10.1111/hdi.12744
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http://dx.doi.org/10.1111/hdi.12744DOI Listing
March 2019
4 Reads

Brain natriuretic peptide reflects individual variation in hydration status in hemodialysis patients.

Hemodial Int 2019 Mar 7. Epub 2019 Mar 7.

Department of Medical Sciences, Uppsala University, Uppsala, Sweden.

Introduction: Fluid management in hemodialysis patients is a controversial topic. Brain natriuretic peptide (BNP) is secreted from the heart in response to volume overload, and may be a marker of overhydration in hemodialysis patients. Our aim was to investigate the correlation between BNP and overhydration in a cohort of hemodialysis patients, and to find out whether BNP and overhydration correlate in repeated measurements within individuals with elevated BNP. Read More

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http://dx.doi.org/10.1111/hdi.12751DOI Listing

Difficult conversations.

Authors:
Kelly Lambert

Hemodial Int 2019 Mar 7. Epub 2019 Mar 7.

Department of Clinical Nutrition, Illawarra Shoalhaven Local Health District, Wollongong, New South Wales, Australia.

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http://dx.doi.org/10.1111/hdi.12750DOI Listing

The effect of blood flow rate on dialysis recovery time in patients undergoing maintenance hemodialysis: A prospective, parallel-group, randomized controlled trial.

Hemodial Int 2019 Apr 4;23(2):223-229. Epub 2019 Mar 4.

Department of Medicine, Division of Nephrology, Stanford University School of Medicine, Palo Alto, California, USA.

Introduction: A majority of patients with end-stage renal disease (ESRD) on in-center hemodialysis (HD) require several hours to recover from an HD session. Patients and caregivers identify fatigue as a high priority for improvement. However, evidence for practical interventions to improve recovery time from conventional in-center HD is lacking. Read More

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http://doi.wiley.com/10.1111/hdi.12741
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http://dx.doi.org/10.1111/hdi.12741DOI Listing
April 2019
6 Reads

The association of overhydration with chronic inflammation in chronic maintenance hemodiafiltration patients.

Hemodial Int 2019 Mar 5. Epub 2019 Mar 5.

Fresenius Medical Care, Hatvan, Hungary.

Introduction: Achieving euvolemia is one of the major challenges when treating end-stage renal disease (ESRD) patients receiving maintenance renal replacement therapy. Fluid overload is recognized as an independent predictor of mortality in ESRD, but its association with chronic inflammation is less well explored especially in chronic maintenance hemodiafiltration.

Methods: We performed a cross-sectional study of 87 prevalent ESRD patients receiving chronic maintenance hemodiafiltration (vintage 66. Read More

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http://dx.doi.org/10.1111/hdi.12742DOI Listing
March 2019
1 Read
1.363 Impact Factor

Automatic hemodialysis prescriptions by urea kinetic modeling.

Authors:
Aarne Vartia

Hemodial Int 2019 Apr 1;23(2):198-205. Epub 2019 Mar 1.

Savonlinna Central Hospital, Savonlinna, Finland.

Introduction Guidelines on hemodialysis (HD) dosing are based on urea kinetics, which can be modeled mathematically. Different schedules can be compared by equivalent continuous clearance. Methods A computer program generating HD prescriptions automatically was developed. Read More

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http://dx.doi.org/10.1111/hdi.12732DOI Listing

Depressive symptoms, frailty, and mortality among dialysis patients.

Hemodial Int 2019 Apr 1;23(2):239-246. Epub 2019 Mar 1.

Division of Nephrology, Tibor Rubin Veterans Affairs Medical Center, Long Beach, California, USA.

Introduction: Frailty and depression are highly prevalent in the dialysis population, but the association between them, the risk factors for their development, and their independent associations with mortality have not been studied.

Methods: We examined 771 patients enrolled in the ACTIVE/ADIPOSE prevalent dialysis cohort study. Fried's frailty phenotype and the Center for Epidemiologic Studies Depression score were used to determine frailty and presence of depressive symptoms, respectively. Read More

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http://dx.doi.org/10.1111/hdi.12747DOI Listing

A synbiotic supplement for inflammation and oxidative stress and lipid abnormalities in hemodialysis patients.

Hemodial Int 2019 Apr 1;23(2):254-260. Epub 2019 Mar 1.

Cellular and Molecular Research Center, Department of Environmental Health Engineering, School of Public Health, Sabzevar University of Medical Sciences, Sabzevar, Iran.

Introduction: Among the most important risk factors for cardiovascular disease in hemodialysis patients are high concentrations of serum inflammation markers, lipid profiles, and oxidative stress. The present study aimed to investigate the effects of a synbiotic supplement on serum systemic inflammation, oxidative stress markers, and lipid profile in hemodialysis patients.

Methods: Fifty hemodialysis patients were randomly allocated to synbiotic and placebo groups. Read More

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http://dx.doi.org/10.1111/hdi.12748DOI Listing

Clinical hemodialysis experience with percutaneous arteriovenous fistulas created using the Ellipsys® vascular access system.

Hemodial Int 2019 Apr 1;23(2):167-172. Epub 2019 Mar 1.

Department of Nephrology, Groupe Hospitalier Pitié-Salpêtrière, Paris, France.

Introduction: The aim of this study is to report our clinical hemodialysis experience using a percutaneous arteriovenous fistula (pAVF) created with the Ellipsys® vascular access system. This pAVF device creates a permanent AVF anastomosis between the proximal radial artery (PRA) and the deep communicating vein (DCV) in the proximal forearm.

Methods: The medical records of all patients with a pAVF were retrospectively reviewed. Read More

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http://dx.doi.org/10.1111/hdi.12738DOI Listing

Microwave ablation vs. parathyroidectomy for secondary hyperparathyroidism in maintenance hemodialysis patients.

Hemodial Int 2019 Apr 28;23(2):247-253. Epub 2019 Feb 28.

Department of Nephrology, BenQ Medical Center, The Affiliated BenQ Hospital of Nanjing Medical University, Nanjing, China.

Introduction: Secondary hyperparathyroidism (SHPT) is a serious and common problem in patients undergoing maintenance hemodialysis. Minimally invasive microwave ablation (MWA) has been used to treat SHPT and shows some advantages. However, its efficacy is still undefined. Read More

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http://dx.doi.org/10.1111/hdi.12740DOI Listing
April 2019
2 Reads

Early use of PEPA dialyzer for light chains removal and for the recovery from myeloma cast nephropathy: A case report.

Hemodial Int 2019 Feb 21. Epub 2019 Feb 21.

Nephrology Dialysis and Renal Transplantation Unit, L. & A. Seràgnoli, S.Orsola University Hospital, Bologna, Italy.

Chemotherapy and extracorporeal treatment reduce serum free light chains (FLCs) allowing the recovery of acute kidney injury (AKI) caused by myeloma cast nephropathy (MCN). We report the first case of recovery from AKI in a patient with MCN who underwent the removal of FLCs using the PEPA filter, with an undisclosed cut-off, combined with chemotherapy for multiple myeloma (MM). Read More

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http://dx.doi.org/10.1111/hdi.12733DOI Listing
February 2019
2 Reads

Correction of pulmonary hypertension with intensive hemodialysis: A case report.

Hemodial Int 2019 Apr 20;23(2):E49-E52. Epub 2019 Feb 20.

Division of Nephrology, University Health Network, Toronto, Canada.

Pulmonary hypertension (PH) defined as a mean pulmonary arterial pressure ≥25 mmHg is a common complication in hemodialysis occurring in up to 58% of patients. PH is classified according to its etiology. We report in a patient with severe PH of mixed etiology (connective tissue disease and left-sided heart failure) who improved after initiation of intensive home hemodialysis. Read More

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http://dx.doi.org/10.1111/hdi.12691DOI Listing

Ocular dialysis disequilibrium-Management of intraocular pressure during hemodialysis of open angle glaucoma: A case report and review of the literature.

Hemodial Int 2019 Feb 20. Epub 2019 Feb 20.

Division of Nephrology, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.

It has been shown that patients with end-stage renal disease (ESRD) have an increased risk for changes in intraocular pressure during hemodialysis, or ocular dialysis disequilibrium which can cause pain or discomfort during treatment and lead to decreased vision over time. This is a case of an elderly male with ESRD who was having headaches, nausea, and eye pain during hemodialysis due to increased intraocular pressures. Using a higher sodium prescription resolved his symptoms and normalized his intraocular pressures. Read More

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http://dx.doi.org/10.1111/hdi.12718DOI Listing
February 2019
1.363 Impact Factor

Statin use among Veterans with dialysis-dependent chronic kidney disease.

Hemodial Int 2019 Apr 19;23(2):206-213. Epub 2019 Feb 19.

Center for Innovation in Complex Chronic Healthcare, Veterans Administration Hospital, Hines, Illinois, USA.

Introduction: The benefits of statin medications in patients receiving maintenance dialysis remains controversial and clinical trials overall have shown no benefit. Potential side effects of statin medications include myalgias, myopathy, and memory loss and risk of side effects associated with statin medications increase with higher statin doses. We examined statin use and statin dose among Veterans with dialysis dependent CKD. Read More

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http://dx.doi.org/10.1111/hdi.12730DOI Listing
April 2019
1 Read

A possible link between polyunsaturated fatty acids and uremic toxins from the gut microbiota in hemodialysis patients: A hypothesis.

Hemodial Int 2019 Apr 19;23(2):189-197. Epub 2019 Feb 19.

Post-Graduate Program in Medical Sciences, Federal University Fluminense (UFF), Niterói, Rio de Janeiro, Brazil.

Introduction: Indoxyl sulfate (IS) and p-cresyl sulfate (p-CS) are albumin-bound uremic toxins that are difficult to remove by hemodialysis (HD). Human serum albumin (HSA) carries several compounds, including fatty acids that can bind to site II of HSA and represent competing ligands for uremic toxins. The aim of this study was to investigate the association between fatty acids and uremic toxin plasma levels in patients undergoing HD. Read More

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http://dx.doi.org/10.1111/hdi.12725DOI Listing
April 2019
1 Read

A prototype line clamp for venous access bleeding in hemodialysis: A prospective cohort study.

Hemodial Int 2019 Apr 19;23(2):151-157. Epub 2019 Feb 19.

Division of Nephrology, University Health Network, Toronto, Canada.

Introduction: Venous needle dislodgement (or venous port disconnection) during hemodialysis (HD) may lead to catastrophic blood loss, particularly during unsupervised home HD. A prototype venous line clamp was developed for use in conjunction with the Redsense blood loss sensor. We hypothesize that this prototype device will provide additional safety to dialysis without excessive burden. Read More

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http://dx.doi.org/10.1111/hdi.12737DOI Listing

Increased risk of Staphylococcus aureus bacteremia in hemodialysis-A nationwide study.

Hemodial Int 2019 Apr 19;23(2):230-238. Epub 2019 Feb 19.

Department of Cardiology, Herlev-Gentofte Hospital University of Copenhagen, Copenhagen, Denmark.

Introduction: Staphylococcus aureus bacteremia (SAB) is a high-risk infection and feared complication related to hemodialysis. This study aimed to investigate incidence and risk factors for SAB depending on hemodialysis access type.

Methods: The Danish National Registry on Regular Dialysis and Transplantation was used to identify patients from January 1, 1996 to December 31, 2011 with end-stage kidney disease. Read More

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http://dx.doi.org/10.1111/hdi.12728DOI Listing
April 2019
1 Read

Medication regimen complexity and medication adherence in elderly patients with chronic kidney disease.

Hemodial Int 2019 Feb 19. Epub 2019 Feb 19.

Faculty of Medicine, University of Oslo, Institute of Clinical Medicine, Oslo, Norway.

Introduction: Elderly patients with chronic kidney disease (CKD) stage 5 with or without dialysis treatment usually have concomitant comorbidities, which often result in multiple pharmacological therapies. This study aimed to identify factors associated with medication complexity and medication adherence, as well as the association between medication complexity and medication adherence, in elderly patients with CKD.

Methods: This prospective study involved elderly patients with CKD stage 5 (estimated glomerular filtration rate < 15 ml/min/1. Read More

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http://dx.doi.org/10.1111/hdi.12739DOI Listing
February 2019

Hemodialysis-induced bradycardia, "a plumbing issue": Resolved with catheter repositioning.

Hemodial Int 2019 Apr 18;23(2):E65-E68. Epub 2019 Feb 18.

Department of Medicine, Division of Nephrology, State University of New York (SUNY) Upstate Medical University, Syracuse, New York.

Sudden cardiac death (SCD) is reported as leading cause of death in patients on chronic hemodialysis. Arrhythmias are proposed to be a major predisposing factor for SCD. However, triggers for potentially lethal arrhythmias are not well understood. Read More

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http://dx.doi.org/10.1111/hdi.12714DOI Listing
April 2019
1 Read

Successful management of severe hyponatremia in CKD-VD: In a cost limited setting.

Hemodial Int 2019 Apr 18;23(2):E69-E71. Epub 2019 Feb 18.

Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Patients with end stage renal disease (ESRD) and severe hyponatremia always pose a challenge to manage. It is necessary to correct biochemical parameters, advanced azotemia, and fluid overload with conventional haemodialysis (HD) but it may correct serum sodium (Na) rapidly resulting in neurological complications like seizures and osmotic demyelination syndrome. Continuous renal replacement therapy (CRRT) is an ideal modality to manage such patients. Read More

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http://dx.doi.org/10.1111/hdi.12716DOI Listing
April 2019
1 Read

Oral nutritional supplements and 30-day readmission rate in hypoalbuminemic maintenance hemodialysis patients.

Hemodial Int 2019 Jan 14;23(1):93-100. Epub 2019 Feb 14.

Division of Nephrology, Department of Medicine, Tufts Medical Center, Boston, Massachusetts, USA.

Introduction: Hemodialysis (HD) patients are hospitalized nearly twice yearly, and 35% of these patients are rehospitalized within 30-days postdischarge. We hypothesized that monitored oral nutritional supplementation (ONS) during HD treatment may decrease readmissions.

Methods: A cohort of maintenance HD patients, treated at a large dialysis organization, who were hospitalized with a postdischarge albumin of ≤3. Read More

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http://dx.doi.org/10.1111/hdi.12694DOI Listing
January 2019
1 Read

Aiming for the optimal bicarbonate prescription for maintenance hemodialysis therapy in end-stage renal disease.

Hemodial Int 2019 Apr 14;23(2):173-180. Epub 2019 Feb 14.

General Hospital of Thessaloniki "Agios Pavlos", Nephrology Department, Thessaloniki, Greece.

Introduction: Acidemia and alkalemia, as a result of gradual depletion of the body's buffers followed by rapid repletion during hemodialysis (HD), are linked to adverse consequences. We examined the acid-base status with dialysis bath of higher bicarbonate (HC03 ) concentration or standard HC03 bath plus oral HC03 supplementation.

Methods: A total of 60 stable HD patients (pts) were evaluated according to their pre-dialysis acid-base status both before the first and the second session of the week dialyzed against standard base dialysate of 35 mmol/L. Read More

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http://dx.doi.org/10.1111/hdi.12710DOI Listing

Experience with antiviral agents for treatment of hepatitis C virus infection in hemodialysis patients on the kidney wait list.

Hemodial Int 2019 Feb 14. Epub 2019 Feb 14.

Department of Transplantation and General Surgery, Baskent University Faculty of Medicine, Adana, Turkey.

Introduction: Hepatitis C virus (HCV) infection is associated with increased mortality and morbidity in kidney transplant patients. The ability to establish a sustained viral response before renal transplant is important for these patients. Direct-acting antiviral agents can increase the sustained viral response in most patients with HCV infection. Read More

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http://dx.doi.org/10.1111/hdi.12719DOI Listing
February 2019
1 Read

Mycobacterium fortuitum infection of a hemodialysis catheter in a pediatric patient.

Hemodial Int 2019 Feb 12. Epub 2019 Feb 12.

Pediatric Nephrology division, Children's Mercy Hospital, Kansas City, Missouri, USA.

This case report discusses a pediatric patient who developed a hemodialysis catheter line infection from an uncommon etiology, Mycobacterium fortuitum. The initial presentation revealed a well appearing patient with a slow growing skin lesion near the site of the hemodialysis catheter. The treatment course was complicated by resistance to initial antibiotics leading to continued spread of the lesion. Read More

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http://dx.doi.org/10.1111/hdi.12731DOI Listing
February 2019
1 Read

Outbreak of nonfermentative Gram-negative bacteria (Ralstonia pickettii and Stenotrophomonas maltophilia) in a hemodialysis center.

Hemodial Int 2019 Feb 12. Epub 2019 Feb 12.

PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Brunei Darussalam.

We report a case series of seven patients with nonfermentative Gram-negative bacteria infections in a single dialysis center; four patients with Ralstonia pickettii and three patients with Stenotrophomonas maltophilia. Two of the seven patients were admitted to hospital for intravenous antibiotic treatment, while the rest were treated with oral antibiotics at home. Both the admitted patients had temporary vascular catheter infections from the aforementioned pathogens. Read More

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http://dx.doi.org/10.1111/hdi.12722DOI Listing
February 2019

The home hemodialysis patient experience: A qualitative assessment of modality use and discontinuation.

Hemodial Int 2019 Apr 11;23(2):139-150. Epub 2019 Feb 11.

Department of Medicine, Renal, Electrolyte and Hypertension Division, Perelman School of Medicine, Philadelphia, Pennsylvania, USA.

Introduction: Home hemodialysis (HHD) is an under-utilized renal replacement modality in the United States in part because of high rates of discontinuation and transfer to in-center hemodialysis. Understanding, from the perspective of patients, facilitators, and barriers to sustained use of HHD is important for increasing successful use of this modality.

Methods: We conducted 25 semistructured interviews with 15 current and 10 former adult patients treated with home hemodialysis (23 short daily HHD and 2 nocturnal HHD). Read More

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http://dx.doi.org/10.1111/hdi.12713DOI Listing
April 2019
2 Reads
1.363 Impact Factor

Early withdrawal and non-withdrawal death in the months following hemodialysis initiation: A retrospective cohort analysis.

Hemodial Int 2019 Apr 11;23(2):261-272. Epub 2019 Feb 11.

Chronic Disease Research Group, Hennepin Healthcare Research Institute, Minneapolis, Minnesota, USA.

Introduction: Whether and how factors associated with elective hemodialysis withdrawal differ from those associated with non-withdrawal death soon after maintenance hemodialysis initiation have not been well studied.

Methods: A retrospective cohort analysis was performed using USRDS data from 2011 to 2014. Patients were randomly categorized 2:1 into training and validation samples. Read More

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http://dx.doi.org/10.1111/hdi.12723DOI Listing
April 2019
5 Reads

New modes of continuous renal replacement therapy using a refiltering technique to reduce micronutrient loss.

Hemodial Int 2019 Apr 11;23(2):181-188. Epub 2019 Feb 11.

National Clinical Research Center of Kidney Diseases, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China.

Introduction: Micronutrient depletion is a major drawback of high-dose continuous renal replacement therapy (CRRT). We tested two novel CRRT modes, double-filtration hemofiltration (DHF) and dialysate-recycling hemodiafiltration (DHDF), aimed at reducing micronutrient loss while maintaining a high clearance rate of midsized solutes comparable to that of high-volume hemofiltration (HVHF).

Methods: Forty patients with renal failure requiring CRRT were randomly assigned to receive predilutional standard-volume hemofiltration (SVHF, effluent rate 35 mL/kg/h), predilutional HVHF (100 mL/kg/h), DHF (35 mL/kg/h), and DHDF (30 mL/kg/h). Read More

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http://dx.doi.org/10.1111/hdi.12709DOI Listing
April 2019
2 Reads

Is there a relationship between plantar foot sensation and static balance, physical performance, fear of falling, and quality of life in hemodialysis patients?

Hemodial Int 2019 Apr 11;23(2):273-278. Epub 2019 Feb 11.

Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Uskudar University, Istanbul, Turkey.

Introduction: This study was conducted to investigate the relationship between plantar foot sensation and static balance, physical performance, fear of falling, and quality of life in hemodialysis patients.

Materials And Methods: The study involved 24 hemodialysis patients and 20 healthy volunteers. Light touch-pressure sensation (Semmes Weinstein Monofilament test kit), two-point discrimination sensation (esthesiometer) and vibration sensation (128 Hz diapason) were used to evaluate plantar foot sensation. Read More

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http://dx.doi.org/10.1111/hdi.12724DOI Listing

Chronic pain is underestimated and undertreated in dialysis patients: A retrospective case study.

Hemodial Int 2019 Feb 8. Epub 2019 Feb 8.

Department of Anesthesiology and Critical Care Medicine, Tel Aviv Sourasky Medical Center, Tel Aviv University, Institute of Pain Medicine, Tel Aviv, Israel.

Significant chronic pain is highly prevalent in chronic kidney disease patients and is associated with morbidity and mortality. In this study, we retrospectively evaluated the incidence and treatment of pain in the dialysis unit of our tertiary referral center. The cohort included 147 patients. Read More

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http://dx.doi.org/10.1111/hdi.12736DOI Listing
February 2019
4 Reads

Atypical posterior reversible encephalopathy syndrome in a noncompliant hemodialysis patient: Case report and literature review.

Hemodial Int 2019 Feb 8. Epub 2019 Feb 8.

Division of Neurology, Department of Medicine, Armed Forces Taoyuan General Hospital, Taoyuan, Taiwan.

Posterior reversible encephalopathy syndrome (PRES) is a reversible vasogenic brain edema in patients who present with seizure, headache, visual disturbance, and altered mental status, and a characteristic neuroimaging profile. Although PRES predominantly affects the bilateral parieto-occipital areas, involvement of the frontal and temporal lobes, basal ganglia, brainstem, and cerebellum is not uncommon. Isolated involvement of the brainstem and cerebellum sparing the parieto-occipital lobe is rarely reported. Read More

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http://doi.wiley.com/10.1111/hdi.12735
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http://dx.doi.org/10.1111/hdi.12735DOI Listing
February 2019
9 Reads

The use of nurse-administered vascular access audit in home hemodialysis patients: A quality initiative.

Hemodial Int 2019 Apr 8;23(2):133-138. Epub 2019 Feb 8.

Division of Nephrology, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.

Introduction: Vascular access complications are associated with increased morbidity and mortality in home hemodialysis (HHD). Nurse-administered vascular access checklist is a feasible quality improvement strategy aimed to lower HHD access errors.

Methods: We conducted a prospective quality improvement initiative for consecutive HHD patients between April 2013 and December 2016 at the Toronto General Hospital. Read More

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http://dx.doi.org/10.1111/hdi.12708DOI Listing

The association of the ankle-brachial index, the toe-brachial index, and their difference, with mortality and limb outcomes in dialysis patients.

Hemodial Int 2019 Apr 8;23(2):214-222. Epub 2019 Feb 8.

Division of Nephrology-Hypertension, University of California San Diego, San Diego, California, USA.

Introduction: The ankle-brachial index (ABI) is the most common test to diagnose peripheral artery disease (PAD). In dialysis patients, the ABI may under-diagnose PAD, due to a high prevalence of concomitant medial arterial calcification (MAC). The toe-brachial index (TBI) is not as susceptible to misclassification by MAC. Read More

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http://dx.doi.org/10.1111/hdi.12734DOI Listing
April 2019
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Pulmonary sarcoidosis as a cause of intermittent fever of unknown origin in a hemodialysis patient with renal cell carcinoma: A case report and literature review.

Hemodial Int 2019 Apr 7;23(2):E53-E58. Epub 2019 Feb 7.

Department of Kidney Disease, Kawashima Hospital, 1-39 Kitasakoichiban-cho, Tokushima, 770-0011, Japan.

Hemodialysis patients have weakened immune systems and can exhibit fever due to various causes. Herein, we describe the case of a 61-year-old hemodialysis patient who exhibited intermittent low-grade fever after a pacemaker had been implanted 2 months before due to sick sinus syndrome. She had a medical history of subcutaneous sarcoidosis and uveitis. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/hdi.12695
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http://dx.doi.org/10.1111/hdi.12695DOI Listing
April 2019
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A relationship of intradialytic blood pressure variability with vascular access outcomes in patients on hemodialysis.

Hemodial Int 2019 Apr 7;23(2):158-166. Epub 2019 Feb 7.

Division of Nephrology, Department of Internal Medicine, Jeju National University, School of Medicine, Jeju National University Hospital, Jeju-do, South Korea.

Introduction: Vascular access dysfunction is a major cause of morbidity in patients with end-stage renal disease (ESRD) on hemodialysis (HD). Thus, identifying risk factors for vascular access failure is important. Patients on HD are routinely exposed to high blood pressure variability (BPV) during HD. Read More

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http://dx.doi.org/10.1111/hdi.12720DOI Listing

Associations of microvascular dysfunction with cardiovascular outcomes: The cardiac, endothelial function and arterial stiffness in ESRD (CERES) cohort.

Hemodial Int 2019 Jan 6;23(1):58-68. Epub 2019 Feb 6.

Division of Nephrology, San Francisco VA Medical Center, University of California, San Francisco, California, USA.

Introduction: Patients with end-stage renal disease (ESRD) have reduced endothelial function, but whether macro- and microvascular endothelial function correlate with baseline risk factors and cardiovascular outcomes in this population is not well understood.

Methods: Among 146 participants of the Cardiac, Endothelial Function and Arterial Stiffness in ESRD (CERES) study, we evaluated macro- and microvascular endothelial dysfunction as flow-mediated dilation (FMD) and velocity time integral (VTI), respectively. We examined cross-sectional correlations of baseline characteristics, inflammatory and cardiac markers with FMD and VTI. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/hdi.12675
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http://dx.doi.org/10.1111/hdi.12675DOI Listing
January 2019
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Calcium supplementation in CVVH using regional citrate anticoagulation.

Hemodial Int 2019 Jan 4;23(1):33-41. Epub 2019 Feb 4.

Division of Nephrology and Unit of Critical Care Nephrology, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 200011, China.

Introduction: Calcium supplementation is one of the most important factors in maintaining the safety and efficacy of regional citrate anticoagulation (RCA) during continuous renal replacement therapy (CRRT). The aims of this study were to assess the determinants of calcium requirements in RCA-CVVH and to simplify the calcium supplementation approach.

Methods: Our study consisted of two parts. Read More

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http://dx.doi.org/10.1111/hdi.12715DOI Listing
January 2019
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Ultrafiltration rates in children on chronic hemodialysis routinely exceed weight based adult limit.

Hemodial Int 2019 Jan 4;23(1):126-128. Epub 2019 Feb 4.

Pediatric Nephrology, Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut.

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http://dx.doi.org/10.1111/hdi.12727DOI Listing
January 2019
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High variability of teicoplanin concentration in patients with continuous venovenous hemodiafiltration.

Hemodial Int 2019 Jan 4;23(1):69-76. Epub 2019 Feb 4.

Department of Nephrology, Ajou University School of Medicine, Suwon, South Korea.

Introduction: Continuous venovenous hemodiafiltration (CVVHDF) may alter teicoplanin pharmacokinetics and increase the risk of incorrect dosing. The objective of this prospective observational study was to assess the effect of CVVHDF on the pharmacokinetics of teicoplanin as maintenance therapy.

Methods: Blood, urine, and dialysate samples were collected to measure teicoplanin levels. Read More

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http://dx.doi.org/10.1111/hdi.12704DOI Listing
January 2019

Beliefs about medicines in dialysis patients and after renal transplantation.

Hemodial Int 2019 Jan 4;23(1):117-125. Epub 2019 Feb 4.

Sanitary Battalion, Brigade North, Norwegian Armed Forces, Setermoen, Norway.

Introduction: Patients with end-stage renal disease are burdened by a complex medication regimen, but little is known about the belief about medicine among dialysis- and renal transplant (RTX) patients. Patients' beliefs about medicines may influence drug adherence and thereby affect morbidity and mortality. The aim of the present study was to assess the beliefs about medicine in dialysis as well as after RTX. Read More

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http://dx.doi.org/10.1111/hdi.12717DOI Listing
January 2019
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Stenosis and thrombosis-unveiled complications of buttonhole cannulation.

Hemodial Int 2019 Feb 1. Epub 2019 Feb 1.

Department of Nephrology, Hospital Geral de Santo António, Centro Hospitalar do Porto, Porto, Portugal.

The vascular access is the mainstay of hemodialysis. Arteriovenous fistula has been prioritized as the first choice of long-term vascular access for its inferior rate of complications and improved patient survival. Rope ladder and buttonhole venipuncture are the most common techniques for arteriovenous fistulae cannulation. Read More

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http://doi.wiley.com/10.1111/hdi.12729
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http://dx.doi.org/10.1111/hdi.12729DOI Listing
February 2019
7 Reads