Dialysis vascular access management by interventional nephrology programs at University Medical Centers in the United States.

abstract：:Patients on hemodialysis are physically inactive. Less than 50% of hemodialysis patients undertake exercise once a week and such patients have increased mortality compared to patients who undertake regular exercise. The reasons for physical inactivity and reduced functional capacity are complex and inter-related, with...

journal_title：Seminars in dialysis

authors： Graham-Brown MPM,Jardine MJ,Burton JO

更新日期：2019-07-01 00:00:00

abstract：:Hospitalizations drive up to 35% of the astronomical costs of care for patients on hemodialysis and are associated with poor outcomes. We describe outpatient care-sensitive categories of hospitalization risks in an effort to engage stakeholders and patients, as stakeholders, in mitigating hospitalizations. These categ...

journal_title：Seminars in dialysis

authors： Golestaneh L

更新日期：2018-05-01 00:00:00

abstract：:Baclofen is an oral derivative of gamma-aminobutyric acid (GABA) used to treat muscular spasticity from disorders of the central nervous system. However, it is also being used for a variety of other conditions such as musculoskeletal pain, myoclonus, and alcohol withdrawal. The elimination of baclofen is heavily depen...

journal_title：Seminars in dialysis

authors： Roberts JK,Westphal S,Sparks MA

更新日期：2015-09-01 00:00:00

abstract：:Traction and cutdown techniques can successfully remove a tunneled dialysis catheter (TDC) in a great majority of patients. However, these methods may not be successful in patients with catheters that are tethered or attached to the central veins or the atrium. A forceful application of traction can lead to catheter b...

journal_title：Seminars in dialysis

authors： Carrillo RG,Garisto JD,Salman L,Merrill D,Asif A

更新日期：2009-11-01 00:00:00

abstract：:Extracorporeal elimination of drugs and toxins is a critical component in the management of poisonings, though specific techniques and indications remain a matter of debate. Conventional hemodialysis is frequently the treatment of choice because of its widespread availability and proven effectiveness for certain drugs...

journal_title：Seminars in dialysis

authors： Goodman JW,Goldfarb DS

更新日期：2006-09-01 00:00:00

abstract：:Mounting evidence supports a strong association between fluid management and outcomes among individuals receiving maintenance hemodialysis. The speed of fluid removal during dialysis (ultrafiltration, UF) is a modifiable aspect of fluid management that has attracted recent attention as a potential performance measure ...

journal_title：Seminars in dialysis

authors： Flythe JE

更新日期：2016-11-01 00:00:00

abstract：:Late referral of patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD) for evaluation of kidney transplantation is common. Even though renal transplantation offers a clear survival benefit to patients with advanced CKD and ESRD and should be considered the renal replacement therapy of choice, n...

journal_title：Seminars in dialysis

authors： Peev V

更新日期：2016-07-01 00:00:00

abstract：:Hepatitis C virus (HCV) infection is not only an important cause of chronic liver disease, but extrahepatic manifestations are common and include chronic kidney disease (CKD). HCV is classically associated with cryoglobulinemic glomerulonephritis in the context of mixed cryoglobulinemia syndrome, but other glomerular ...

journal_title：Seminars in dialysis

authors： Henson JB,Sise ME

更新日期：2019-03-01 00:00:00

abstract：:Few prospective studies have looked at the incidence of hyperkalemia in outpatient hemodialysis access procedures. Our study prospectively evaluated 167 procedures using a preadmit venous blood gas (VBG) and found that 14.3% had moderate or severe hyperkalemia. When the individual procedures were analyzed it was found...

journal_title：Seminars in dialysis

authors： Ross J,DeatherageHand D

更新日期：2015-01-01 00:00:00

abstract：:Adequate dialysis is difficult to define because we have not identified the toxic solutes that contribute most to uremic illness. Dialysis prescriptions therefore cannot be adjusted to control the levels of these solutes. The current solution to this problem is to define an adequate dose of dialysis on the basis of fr...

journal_title：Seminars in dialysis

authors： Meyer TW,Sirich TL,Hostetter TH

更新日期：2011-09-01 00:00:00

abstract：:Until the discovery of calcimimetics, the management of secondary hyperparathyroidism (SHPT) relied exclusively on treatment with phosphate binders, vitamin D derivatives or surgical parathyroidectomy with limited success. The therapeutic use of calcimimetic agents, together with a better understanding of the pivotal ...

journal_title：Seminars in dialysis

authors： Rodríguez M,Goodman WG,Liakopoulos V,Messa P,Wiecek A,Cunningham J

更新日期：2015-09-01 00:00:00

abstract：:Chronic unexplained inflammation remains a prevalent and clinically significant problem for patients with end-stage kidney disease (ESKD), especially in the dialysis population. The causes of persistent inflammation are likely to be multifactorial, but the underlying mechanisms remain to be elucidated. Endotoxins are ...

journal_title：Seminars in dialysis

authors： Wong J,Vilar E,Farrington K

更新日期：2015-01-01 00:00:00

abstract：:Calciphylaxis, a disorder of dermal arteriolar calcification with a distinct predilection for patients with advanced kidney disease, remains an enigmatic condition that challenges clinicians. Observations regarding positive associations between levels of circulating parathyroid hormone (PTH) and the risk of calciphyla...

journal_title：Seminars in dialysis

authors： Nigwekar SU,Sprague SM

更新日期：2016-07-01 00:00:00

abstract：:Hemodialysis patient outcomes are often suboptimal, with one-sixth of patients receiving an inadequate dialysis dose, one-fourth using catheters for vascular access, and more than one-half being malnourished. This review describes a four-step approach for improving dialysis patient outcomes. First, select an outcome t...

journal_title：Seminars in dialysis

authors： Sehgal AR

更新日期：2002-01-01 00:00:00

abstract：:Despite decades of research, there are few published guidelines related to the safety and efficacy of exercise training in hemodialysis patients. This has led to disparate recommendations regarding the type, intensity, and timing for exercise, especially for patients with multiple comorbidities. Many common recommenda...

journal_title：Seminars in dialysis

authors： Wilund KR,Jeong JH,Greenwood SA

更新日期：2019-07-01 00:00:00

abstract：:In the United States, presently there are more than 50,000 patients with end-stage renal disease (ESRD) awaiting a cadaveric kidney and each year less than a quarter receive kidney transplantation. Although the real incidence in unknown, a significant number of these patients die due to lack of dialysis access. While ...

journal_title：Seminars in dialysis

authors： Laskow DA,Ahsan N

更新日期：2002-01-01 00:00:00

abstract：:New advances in the pathogenesis of renal osteodystrophy (ROD) change the perspective from which many of its features and treatment are viewed. Calcium, phosphate, parathyroid hormone (PTH), and vitamin D have been shown to be important determinants of survival associated with kidney diseases. Now ROD dependent and in...

journal_title：Seminars in dialysis

authors： Hruska KA,Saab G,Mathew S,Lund R

更新日期：2007-07-01 00:00:00

abstract：:Dialysis is measured as Kt/V, which scales the dose (Kt) to body water content (V). Scaling dialysis dose to body surface area (S(dub)) has been advocated, but the implications of such rescaling have not been examined. We developed a method of rescaling measured Kt/V to S(dub) and studied the effect of such alternativ...

journal_title：Seminars in dialysis

authors： Daugirdas JT,Depner TA,Greene T,Kuhlmann MK,Levin NW,Chertow GM,Rocco MV

更新日期：2008-09-01 00:00:00

abstract：:Over the last 10 years an increasing number of patients worldwide have started dialysis or had transplantation. Many are elderly with complex comorbid conditions. Registries across the world all show a rapid and dramatic increase in the number of older patients accepted for renal replacement therapy. In addition, the ...

journal_title：Seminars in dialysis

authors： Krishnan M,Lok CE,Jassal SV

更新日期：2002-03-01 00:00:00

abstract：:Cardiac hypertrophy is a relatively common complication seen in patients with advanced chronic kidney disease (CKD) and end-stage renal disease (ESRD). Moreover, cardiac hypertrophy is even more frequently seen in patients with ESRD who have an arteriovenous (AV) access. There has been substantial evidence pertaining ...

journal_title：Seminars in dialysis

authors： Duque JC,Gomez C,Tabbara M,Alfonso CE,Li X,Vazquez-Padron RI,Asif A,Lenz O,Briones PL,Salman LH

更新日期：2015-05-01 00:00:00

abstract：:A hemodialysis access may lead to cardiac overload (CO) or hand ischemia [hemodialysis access induced distal ischemia (HAIDI). Surgical banding restricts access flow and promotes distal perfusion. Aim of the study was to investigate short- and long-term clinical success of banding in these patient groups. After evalua...

journal_title：Seminars in dialysis

authors： van Hoek F,Scheltinga M,Luirink M,Pasmans H,Beerenhout C

更新日期：2009-03-01 00:00:00

abstract：:Why do functional assessments in patients with end-stage renal disease (ESRD) matter? Multiple studies show that new dialysis patients undergo a substantial decline among activities of daily living. Moreover, poor functional status in ESRD patients is associated with early morality. That is why CMS has developed new c...

journal_title：Seminars in dialysis

authors： Saby A,Miller LS

更新日期：2016-03-01 00:00:00

abstract：:Most recent randomized controlled trials (RCTs) have found that hemodialysis graft surveillance combined with preemptive correction of stenosis does not prolong graft survival. Nevertheless, such programs may be justified if they reduce other adverse outcomes or decrease the cost of care. This study tested this hypoth...

journal_title：Seminars in dialysis

authors： Dossabhoy NR,Ram SJ,Nassar R,Work J,Eason JM,Paulson WD

更新日期：2005-11-01 00:00:00

abstract：:The author reports a case of a successful retrieval of a stent-graft in a young patient with a femoral dialysis graft. The stent-graft was used to treat a resistant occluded segment of the arterial limb of the graft. However, the stent-graft was inadvertently deployed partially into the superficial femoral artery. The...

journal_title：Seminars in dialysis

authors： Alomari AI

更新日期：2010-03-01 00:00:00

abstract：:The increasing number of patients requiring renal replacement therapy poses a challenge to maintain quality of care in the setting of limited resources. The commonly used modalities include hemodialysis and peritoneal dialysis, and using a "urea-centric" model to increase the clearance of small molecular weight uremic...

journal_title：Seminars in dialysis

authors： Thomas G,Jaber BL

更新日期：2009-11-01 00:00:00

abstract：:Iodinated contrast agents are well tolerated in ESRD patients. Certain types of ICM, i.e., LOCM and the nonionic agents are associated with better safety profiles. Current available evidence, although not optimal, does not support the need for additional hemodialysis for ICM removal to preserve residual renal function...

journal_title：Seminars in dialysis

authors： Khan SF,Kalantari K

更新日期：2014-11-01 00:00:00

abstract：:The specialty of Nephrology, by virtue of its relationship with the dialysis procedure, is highly vulnerable to litigation. As is the case with all nephrologists, a dialysis unit medical director is not immune to medical malpractice suits, and can be held liable for any act of perceived or potential harm to any dialys...

journal_title：Seminars in dialysis

authors： Vaqar S,Murray B,Panesar M

更新日期：2014-09-01 00:00:00

abstract：:There are numerous patient, provider, and health system barriers to accessing kidney transplantation. Patient barriers such as sociocultural and clinical characteristics and provider factors such as provider knowledge and awareness of transplantation play important roles in facilitating transplant. Health system facto...

journal_title：Seminars in dialysis

authors： Patzer RE,Pastan SO

更新日期：2020-01-01 00:00:00

abstract：:The treatment of chronically ill patients with end stage renal disease (ESRD) receiving dialysis therapies has advanced greatly over the years and accomplished many successes in prolonging the life of patients with ESRD, yet has had considerable failures due to the inability to compensate for all functions of the kidn...

journal_title：Seminars in dialysis

authors： Maddux FW

更新日期：2016-03-01 00:00:00

abstract：:Secondary hyperparathyroidism almost universally accompanies end-stage renal disease (ESRD). In some, but not all studies, elevated serum parathyroid hormone (PTH) concentrations are associated with increased fracture rates, cardiovascular disease, and mortality in ESRD. The serum concentration of PTH required for opt...

journal_title：Seminars in dialysis

authors： Zand L,Kumar R

更新日期：2016-05-01 00:00:00