1,515 results match your criteria Hemodialysis International[Journal]


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

Hemodial Int 2019 Feb 14. 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
February 2019

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

Hemodial Int 2019 Feb 14. 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
February 2019

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

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

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 Feb 11. 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
February 2019
1.363 Impact Factor

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

Hemodial Int 2019 Feb 11. 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
February 2019

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

Hemodial Int 2019 Feb 11. 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
February 2019

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 Feb 11. 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
February 2019

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

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
1 Read

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

Hemodial Int 2019 Feb 8. 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
February 2019

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 Feb 8. 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
February 2019

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 Feb 7. 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
February 2019
3 Reads

A relationship of intradialytic blood pressure variability with vascular access outcomes in patients on hemodialysis.

Hemodial Int 2019 Feb 7. 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
February 2019

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

Hemodial Int 2019 Feb 6. 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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http://dx.doi.org/10.1111/hdi.12675DOI Listing
February 2019

Calcium supplementation in CVVH using regional citrate anticoagulation.

Hemodial Int 2019 Feb 4. 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
February 2019

Ultrafiltration rates in children on chronic hemodialysis routinely exceed weight based adult limit.

Hemodial Int 2019 Feb 4. 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
February 2019

High variability of teicoplanin concentration in patients with continuous venovenous hemodiafiltration.

Hemodial Int 2019 Feb 4. 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
February 2019

Beliefs about medicines in dialysis patients and after renal transplantation.

Hemodial Int 2019 Feb 4. 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
February 2019
5 Reads

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
3 Reads

Kidney embolization induces prompt organ response in a 86-year-old patient with MGRS-related AL-amyloidosis.

Hemodial Int 2018 Dec 13. Epub 2018 Dec 13.

Department of Hematology, Oncology and Stem Cell Transplantation, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Despite substantial improvements following the introduction of novel agents and antibodies, amyloid light-chain (AL)-amyloidosis still carries a grim prognosis. Here, we report on the case of a severely frail 86-year-old patient suffering from monoclonal gammopathy of renal significance (MGRS)-associated AL-amyloidosis with a diuretic-refractory nephrotic syndrome. In this patient, treatment with bortezomib-dexamethasone effectively induced a serological response, but was unfortunately poorly tolerated and failed to promote renal recovery fast enough to prevent secondary complications. Read More

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http://dx.doi.org/10.1111/hdi.12707DOI Listing
December 2018
2 Reads

Dermatologic manifestations in end stage renal disease.

Hemodial Int 2018 Dec 6. Epub 2018 Dec 6.

Department of Nephrology, Cleveland Clinic Akron General, Akron, Ohio, USA.

Skin manifestations are commonly seen in end stage renal disease (ESRD). Skin involvement in this population can be extensive and dramatically worsen quality of life. Close observation of the skin and nails of ESRD patients by clinicians allows for timely diagnosis and treatment, which ultimately improves quality of life and reduces mortality. Read More

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http://dx.doi.org/10.1111/hdi.12689DOI Listing
December 2018
5 Reads

A need for a paradigm shift in focus: From Kt/V to appropriate removal of sodium (the ignored uremic toxin).

Hemodial Int 2018 10 20;22(S2):S29-S64. Epub 2018 Nov 20.

Department of Medicine, University of Missouri, Columbia, Missouri, USA.

Hemodialysis for chronic renal failure was introduced and developed in Seattle, WA, in the 1960s. Using Kiil dialyzers, weekly dialysis time and frequency were established to be about 30 hours on 3 time weekly dialysis. This dialysis time and frequency was associated with 10% yearly mortality in the United States in 1970s. Read More

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http://dx.doi.org/10.1111/hdi.12701DOI Listing
October 2018
6 Reads

Comparison of biocompatibility in polysulfone dialysis membranes with different sterilization.

Hemodial Int 2018 10 8;22(S2):S10-S14. Epub 2018 Nov 8.

Department of Chemical Science and Technology, Faculty of Bioscience and Applied Chemistry, Hosei University, Tokyo, Japan.

Introduction: Polysulfone (PSf) membrane has been widely used for hemodialysis. A few studies have been reported in which a method of sterilization may affect biocompatibility. In this study, the comparison was made between two PSf membranes in order to evaluate the effect of sterilization from the biocompatibility point of view. Read More

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http://dx.doi.org/10.1111/hdi.12698DOI Listing
October 2018

Prevention of hemodialysis catheter infections: Ointments, dressings, locks, and catheter hub devices.

Hemodial Int 2018 10 8;22(S2):S75-S82. Epub 2018 Nov 8.

Division of Nephrology, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.

Tunneled central venous catheters used for the provision of hemodialysis are associated with excess morbidity and mortality. Catheter related exit site and blood stream infections are major risks of their use. Although catheter-avoidance is the best strategy to reduce infections and mortality in the hemodialysis population, the use of catheters remains unacceptably high. Read More

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http://dx.doi.org/10.1111/hdi.12703DOI Listing
October 2018
2 Reads

Scurvy in a hemodialysis patient. Rare or ignored?

Hemodial Int 2018 10 8;22(S2):S83-S87. Epub 2018 Nov 8.

Division of Nephrology, Department of Medicine, University of Missouri, CE425, 1 Hospital Drive, Columbia, Missouri 65212, USA.

Chronic kidney disease and dialysis brings with it a plethora of complications, including malnutrition. Strict dietary restrictions in hemodialysis (HD) patients further complicate the picture as it increases the risk of deficiency of micronutrients, specifically water-soluble vitamins. Today, there is a lack of concrete guidelines concerning recommendations on vitamin supplementation in HD patients. Read More

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http://doi.wiley.com/10.1111/hdi.12705
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http://dx.doi.org/10.1111/hdi.12705DOI Listing
October 2018
9 Reads

Moving beyond small solute clearance: What evidence is there for more permeable dialyzers and haemodiafiltration?

Authors:
Andrew Davenport

Hemodial Int 2018 10 8;22(S2):S24-S28. Epub 2018 Nov 8.

UCL Centre for Nephrology, Royal Free Hospital, University College London Medical School, London, United Kingdom.

Dialyzers were initially developed for diffusive clearance of uraemic toxins. Diffusion most effectively clears small uncharged solutes from plasma water, such as urea. Sessional urea clearance targets have been shown to be important for short-term patient survival, but over the longer term, although low-flux dialysis can prolong patient survival, accumulation of middle-sized uraemic toxins, such as β2 microglobulin can lead to disabling arthropathy. Read More

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http://doi.wiley.com/10.1111/hdi.12700
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http://dx.doi.org/10.1111/hdi.12700DOI Listing
October 2018
8 Reads

Successful use of arterio-venous graft for hemodialysis in patient with hemophilia.

Hemodial Int 2018 10 1;22(S2):S88-S91. Epub 2018 Nov 1.

School of Medicine, St Louis University, St Louis, Missouri, USA.

Hemodialysis (HD) is not the preferred approach for dialysis in patients with hemophilia. HD in such patients can possess a high risk of bleeding from arterio-venous cannulation and hence peritoneal dialysis is the first choice in patients with hemophilia. The bleeding risk can be overcome by the prophylactic administration of factor VIII, which is a very costly solution. Read More

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http://dx.doi.org/10.1111/hdi.12706DOI Listing
October 2018
2 Reads

Removal capacity of different high-flux dialyzers during postdilution online hemodiafiltration.

Hemodial Int 2018 Oct 27. Epub 2018 Oct 27.

Nephrology Department, Hospital Gregorio Marañón, Madrid, Spain.

Introduction: The aim of this study is to compare molecule removal and albumin leakage in postdilution online hemodiafiltration with different high-flux dialyzers.

Methods: We studied seven high-flux dialyzers (Polyflux 210H®, Evodial 2.2®, FxCordiax1000®, Elisio21H®, TS-2. Read More

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http://doi.wiley.com/10.1111/hdi.12685
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http://dx.doi.org/10.1111/hdi.12685DOI Listing
October 2018
8 Reads

Changes to indications for tunneled cuffed catheter use in hemodialysis patients: A single-center experience.

Hemodial Int 2018 10 26;22(S2):S3-S9. Epub 2018 Oct 26.

Division of Nephrology and Hypertension, Department of Internal Medicine, St Marianna University School of Medicine, Kanagawa, Japan.

Introduction: As the number of elderly end-stage renal disease patients lacking suitable vessels for arteriovenous fistula (AVF) is increasing, indications for tunnel cuffed catheters (TCCs) may be expanding. This study aimed to clarify changes over time in the number of patients with TCC and indications for TCCs.

Methods: This single-center retrospective study analyzed 143 catheters for 95 patients who inserted TCCs between July 2005 and July 2017. Read More

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http://doi.wiley.com/10.1111/hdi.12697
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http://dx.doi.org/10.1111/hdi.12697DOI Listing
October 2018
7 Reads

Ethical implications of pursuing hemodialysis in a nonassenting incapacitated patient.

Hemodial Int 2018 Oct 25. Epub 2018 Oct 25.

Henry Ford Hospital, 2799 W. Grand Blvd., Detroit, Michigan, 48202, USA.

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http://doi.wiley.com/10.1111/hdi.12688
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http://dx.doi.org/10.1111/hdi.12688DOI Listing
October 2018
8 Reads

A clinical study comparing the basic performance and blood compatibility characteristics of Nipro ELISIO-H , Gambro Polyflux Revaclear , and Fresenius Optiflux dialyzers.

Hemodial Int 2018 10 25;22(S2):S15-S23. Epub 2018 Oct 25.

Division of Nephrology, University of Missouri Health Care & Dialysis Clinics Inc. (DCI), Columbia, Missouri, USA.

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http://dx.doi.org/10.1111/hdi.12699DOI Listing
October 2018
1 Read

Corrigendum.

Authors:

Hemodial Int 2018 Oct;22(4):534

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http://dx.doi.org/10.1111/hdi.12711DOI Listing
October 2018

Corrigendum.

Authors:

Hemodial Int 2018 Oct;22(4):535

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http://dx.doi.org/10.1111/hdi.12712DOI Listing
October 2018

Choosing a dialyzer: What clinicians need to know.

Hemodial Int 2018 10 8;22(S2):S65-S74. Epub 2018 Oct 8.

UCL Centre for Nephrology, Royal Free Hospital, University College London, London, UK.

The objectives of hemodialysis have moved from the diffusive clearance of small molecular weight uremic toxins and achieving dialyzer urea adequacy targets to emphasis on improving clinical outcomes in end stage renal failure patients by increasing larger sized uremic toxin clearance. Clinical emphasis in the last few decades has focused on increasing middle molecule weight toxin clearance by hemodiafiltration. Although long-term data is still lacking, short-term outcomes appear promising. Read More

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http://doi.wiley.com/10.1111/hdi.12702
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http://dx.doi.org/10.1111/hdi.12702DOI Listing
October 2018
5 Reads

Tuberculosis in dialysis: Clinical spectrum and outcome from an endemic region.

Authors:
Sanjay Vikrant

Hemodial Int 2018 Oct 5. Epub 2018 Oct 5.

Department of Nephrology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.

Introduction: Tuberculosis (TB) is a significant health problem in developing countries. There are limited data on TB among end stage renal disease (ESRD) patients on maintenance dialysis in India. Clinical profile and outcome of TB in dialysis were studied. Read More

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http://doi.wiley.com/10.1111/hdi.12693
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http://dx.doi.org/10.1111/hdi.12693DOI Listing
October 2018
18 Reads

Prospective monitoring of after-hours nursing and technologist support calls to a regional Canadian home hemodialysis program.

Hemodial Int 2018 Oct 5. Epub 2018 Oct 5.

Northern Alberta Renal Program, Alberta Health Services, Edmonton, Alberta, Canada.

Introduction: Increasing renal care providers offer home hemodialysis (HD) as a modality choice. There is considerable variation in the provision of after-hours on-call support for self-dialyzing patients and no literature describing the utility of this service. In this prospective, observational study we sought to monitor and classify the number and nature of interactions between home patients and our on-call nurses and technologists, and enumerate the number of adverse events averted by the availability of on-call staff. Read More

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http://doi.wiley.com/10.1111/hdi.12677
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http://dx.doi.org/10.1111/hdi.12677DOI Listing
October 2018
1 Read

Factors affecting TST level in patients undergoing dialysis: a multicenter study.

Hemodial Int 2018 Oct 5. Epub 2018 Oct 5.

Nephrology Department, Konya Research and Training Hospital, Konya, Turkey.

Introduction: The risk of TB is increased in patients with chronic kidney disease (CKD) when compared with individuals with normal renal function. We aimed to determine tuberculin skin test (TST) response and the factors which might affect the response in patients with CKD undergoing dialysis in this study.

Methods: The purified protein derivative solution was administered to the patients and the diameter of induration was measured. Read More

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http://dx.doi.org/10.1111/hdi.12676DOI Listing
October 2018
2 Reads

Effect of hemodialysis on respiratory mechanics in acute kidney injury patients.

Hemodial Int 2018 Oct 5. Epub 2018 Oct 5.

UNESP, Botucatu School of Medicine, Universidade Estadual Paulista, Brazil.

Introduction: Hemodialysis (HD) is one treatment for acute kidney injury (AKI) patients. Studies have shown that this dialysis modality may lead to changes in pulmonary function with an impact on prognosis. The aim of our study was to evaluate changes in respiratory mechanics and oxygenation of AKI patients admitted to an intensive care unit who were undergoing intermittent mechanical ventilation (IMV) and daily HD. Read More

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http://dx.doi.org/10.1111/hdi.12684DOI Listing
October 2018
1 Read

Clinical presentation at initiation of maintenance dialysis and subsequent survival: A retrospective cohort study.

Hemodial Int 2018 Oct 4. Epub 2018 Oct 4.

VA Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, Washington, USA.

Introduction: Clinical practice guidelines increasingly favor a more symptom-driven approach to maintenance dialysis initiation. But, little is known about the clinical presentation at dialysis initiation, such as the different kinds of signs and symptoms present at dialysis initiation, illness acuity at dialysis initiation, and how these aspects of the clinical presentation relate to subsequent survival.

Methods: This is a retrospective cohort study of a random sample of veterans who initiated dialysis between 2000 and 2009 at Veterans Affairs (VA) medical centers across the country (N = 1,691). Read More

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http://doi.wiley.com/10.1111/hdi.12690
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http://dx.doi.org/10.1111/hdi.12690DOI Listing
October 2018
6 Reads

Hemodialysis for treatment of levofloxacin-induced neurotoxicity.

Hemodial Int 2018 Sep 25. Epub 2018 Sep 25.

Department of Medicine, Division of Nephrology, St. Elizabeth's Medical Center, Boston, Massachusetts, USA.

Levofloxacin, a third-generation fluoroquinolone antibiotic, is rarely associated with neurotoxicity. Patients with advanced kidney disease are particularly vulnerable to this adverse effect. We present two elderly patients with kidney failure who developed levofloxacin-induced neurotoxicity, which was successfully treated with frequent hemodialysis, resulting in the full resolution of their symptoms. Read More

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http://dx.doi.org/10.1111/hdi.12687DOI Listing
September 2018
21 Reads

Volume of urea cleared as a therapy dosing guide for more frequent hemodialysis.

Hemodial Int 2018 Sep 25. Epub 2018 Sep 25.

NxStage Medical, Lawrence, Massachusetts, USA.

Introduction: With dialysis delivery systems that operate at low dialysate flow rates, prescriptions for more frequent hemodialysis (HD) employ dialysate volume as the primary parameter for small solute removal rather than blood-side urea dialyzer clearance (K). Such delivery systems, however, yield dialysate concentrations that almost completely saturate with blood (water), suggesting that the volume of urea cleared (the product of K and treatment time or Kt) can be readily estimated from the prescribed dialysate volume to target small solute removal. Methods For more frequent HD, we examined the volume of urea cleared per treatment required to achieve a minimal dose of small solute removal, comparing results based on body surface area (BSA) with those based on KDOQI clinical practice guidelines, that is, a weekly stdKt/V of 2. Read More

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http://dx.doi.org/10.1111/hdi.12692DOI Listing
September 2018
5 Reads

A rare fatal complication of bleeding immediately following polytetrafluoroethylene arteriovenous grafting in a lady with Goodpasture syndrome.

Hemodial Int 2018 Sep 25. Epub 2018 Sep 25.

Madras Medical Mission Hospital, Chennai, 600 037, India.

We report a 28-year-old female with no history of allergies and recent onset of Goodpasture syndrome who developed life-threatening bleeding immediately after placement of a polytetrafluoroethylene (PTFE) graft as an access for hemodialysis in the left upper limb by an experienced vascular surgeon. In spite of transfusing fresh frozen plasma, packed cells and cryoprecipitate, her prothrombin time (PT), activated partial thromboplastin time and international normalized ratio became progressively worse which were normal at the beginning of the surgery. She had profound hypotension and succumbed within 8 hours. Read More

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http://dx.doi.org/10.1111/hdi.12671DOI Listing
September 2018
4 Reads

Regional anesthesia with epinephrine-containing lidocaine reduces pericatheter bleeding after tunneled hemodialysis catheter placement.

Hemodial Int 2018 Sep 21. Epub 2018 Sep 21.

Department of Diagnostic and Interventional Radiology, Istanbul Training and Research Hospital, Istanbul, Turkey.

Introduction: Pericatheter bleeding (PB) following tunneled hemodialysis catheter (THC) placement is a common phenomenon. In addition to complicating securement of the THC, the PB may loosen the adhesive catheter dressing and delay wound healing. The primary aim of this study was to determine whether epinephrine-containing local anesthetics rather than plain ones reduce superficial PB after THC placement. Read More

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http://dx.doi.org/10.1111/hdi.12686DOI Listing
September 2018
1 Read

Investigation of small intestinal lesions in dialysis patients using capsule endoscopy.

Hemodial Int 2018 Sep 20. Epub 2018 Sep 20.

Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan.

Introduction: Although gastrointestinal hemorrhage is an important complication for dialysis patients, the details of many points remain unclear with regard to small intestinal lesions.

Methods: Capsule endoscopy was performed in fecal occult blood-positive dialysis (n =16) and non-dialysis (n = 20) patients after upper and lower gastrointestinal endoscopies failed to reveal hemorrhagic lesions.

Findings: Erosive lesions were observed in 50. Read More

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http://doi.wiley.com/10.1111/hdi.12683
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http://dx.doi.org/10.1111/hdi.12683DOI Listing
September 2018
18 Reads

Hepatitis C virus infection in patients with end-stage renal disease.

Hemodial Int 2018 07;22(3):297-307

DaVita, Inc., Denver, Colorado, USA.

Chronic hepatitis C virus (HCV) infection is a major global health problem affecting 3-5 million people in the United States and over 100 million worldwide. Chronic HCV infection, which can lead to cirrhosis and hepatocellular carcinoma, also results in numerous other complications, including impairment of renal function. Because HCV is most often transmitted via parenteral exposure to blood or blood products, patients with end-stage renal disease (ESRD) treated with hemodialysis are at particular risk for infection. Read More

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http://dx.doi.org/10.1111/hdi.12672DOI Listing

Consumption of phosphorus-containing beverages as a potential aggravating cause of Mesoamerican nephropathy.

Hemodial Int 2018 07;22(3):421-422

Advocate Illinois Masonic Medical Center, Chicago, Illinois, USA.

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http://dx.doi.org/10.1111/hdi.12678DOI Listing
July 2018
1 Read

After parathyroidectomy: difficult short-term medical management in patients with end-stage renal disease?

Hemodial Int 2018 07 23;22(3):419-420. Epub 2018 May 23.

Endocrinology-Nutrition-Diabetology Department, CHU Saint-Pierre, La Réunion, France.

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http://dx.doi.org/10.1111/hdi.12670DOI Listing

Comparison of creatinine index and geriatric nutritional risk index for nutritional evaluation of patients with hemodialysis.

Hemodial Int 2018 Oct 18;22(4):507-514. Epub 2018 May 18.

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

Introduction: Malnutrition is prevalent in hemodialysis (HD) patients, and the risk of mortality is strongly correlated with malnutrition. Current methods of nutritional evaluation are mostly subjective, time-consuming, and cumbersome. Creatinine index (CI) and geriatric nutritional risk index (GNRI) are very simple and objective methods to assess the nutritional status of HD patients. Read More

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http://dx.doi.org/10.1111/hdi.12674DOI Listing
October 2018
22 Reads