Dialysis News

• Early Dialysis Not Better for Septic Shock Patients With Acute Kidney Injury Early renal-replacement therapy for patients in the initial phase of septic shock who have severe acute kidney injury is no better than delayed therapy, according to a French study of 488 patients that was stopped early for futility.
  Reuters Health Information, October 2018
• Physician-Dialysis Clinic Joint Ventures Need Transparency Nephrologists who participate in a joint venture with dialysis companies should disclose that to their patients, experts argue.
  Medscape Medical News, October 2018
• Caffeine Linked to Lower Mortality in CKD A large observational study finds a significant inverse relationship between consuming caffeine and all-cause mortality among US patients with chronic kidney disease (CKD).
  Medscape Medical News, September 2018
• Patient Satisfaction Lower in Certain Dialysis Settings For-profit, freestanding, and large dialysis chains scored lower on patient satisfaction than their counterparts; an expert said the results are important, but further study is needed.
  Medscape Medical News, September 2018
• ESC 2018TRICS 3: Restrictive Transfusion Appears Safe in CV Surgery At what point do the risks of transfusion outweigh the risks of anemia? Is a hemoglobin threshold of 7.5 g/dL safe? Six-month findings of TRICS3 suggest this type of restrictive strategy is safe.
  Medscape Medical News, August 2018
• Apixaban for AF in ESRD: Fewer Strokes, Major Bleeds vs Warfarin 'I think this is the best data we have so far' supporting the use of apixaban in the especially high-risk population with atrial fibrillation, the lead researcher concludes. A randomized trial is forthcoming.
  Medscape Medical News, July 2018
• Canagliflozin Renal Outcomes Study Is Halted Early for Efficacy Hope that observed renoprotective effects of SGLT2 inhibitors will delay worsening of kidney disease in type 2 diabetes seems to be borne out, as the CREDENCE trial is stopped early.
  Medscape Medical News, July 2018
• HCV-Positive Kidneys Cost-Effective for HCV-Positive Recipients Quality-adjusted life expectancy is greater and costs are lower when kidney transplant candidates infected with hepatitis C virus (HCV) receive HCV-positive kidneys than when they receive HCV-negative kidneys, according to a cost-effectiveness analysis.
  Reuters Health Information, July 2018
• Rates of Lower Extremity Amputation Decline in Dialysis Patients Rates of lower extremity amputation declined over the past 15 years in Medicare patients with end-stage renal disease (ESRD) receiving dialysis, according to a new study.
  Reuters Health Information, July 2018
• CKD: Emotional Toll Underappreciated Emotional toll from chronic kidney disease tallied as patients cite alienation, mistrust arising from encounters with providers and the healthcare system itself.
  Medscape Medical News, July 2018
• EuroPCR 2018Implantable Devices May Ease Fluid Load in Heart Failure Two systems, both under development, exploit pressure gradients to remove excess fluid from the body via bladder drainage.
  Medscape Medical News, July 2018
• U.S. Jury Orders DaVita to Pay $383.5 Mln in Wrongful Death Lawsuits A federal jury in Colorado has awarded $383.5 million to the families of three patients who they said suffered cardiac arrests and died soon after receiving dialysis treatments at clinics run by DaVita Inc.
  Reuters Health Information, June 2018
• ED Docs Often Miss Community-Acquired Kidney Injury in Kids Community-acquired acute kidney injury (CA-AKI) often goes unrecognized in the pediatric emergency department (PED), new research shows.
  Reuters Health Information, May 2018
• Clinicians Share Agony When Emergency Dialysis Is Only Option Clinicians reported frustration, burnout, and sadness over loss of patient trust from systems that deny regular care to undocumented patients with end-stage renal disease.
  Medscape Medical News, May 2018
• Restricting Fluids During Abdominal Surgery Shows No Benefit, Possible Renal Risk In a discovery that goes against emerging surgical wisdom, a new study suggests that restricting intravenous fluids before major abdominal surgery not only fails to make the operation safer for higher-risk patients, it may cause short-term kidney injury.
  Reuters Health Information, May 2018
• Few Patients With ESRD Receive Hospice Care Relatively few patients with end-stage renal disease receive hospice care, and many who do receive it enter hospice just days before death.
  Medscape Medical News, May 2018
• ACIP Recommends Heplisav-B Vaccine for Adults Heplisav-B, a yeast-derived hepatitis B vaccine made with a novel adjuvant, is recommended for individuals aged 18 years and older, according to the Advisory Committee on Immunization Practices.
  Medscape Medical News, April 2018
• Puerto Rico's Slow Recovery Means New Hardship for Dialysis Patients Since massive Hurricane Maria struck in September and knocked out the dialysis center on the tiny satellite island of Vieques, more than a dozen patients needing treatment now must fly several times a week to the main island.
  Kaiser Health News, April 2018
• Many Providers at Dialysis Centers Unaware of Racial Disparities in Kidney Transplantation
  Reuters Health Information, April 2018
• New Staging System Estimates Time to Kidney Failure in Children
  Reuters Health Information, April 2018