Tag Archives: kidney disease
NKF: Drugs You May Need to Avoid or Adjust if You Have Kidney Disease
Medications save and improve lives, but it can be easy to overlook their risks and side effects, especially if you don’t think they apply to you. Twenty-six million Americans have chronic kidney disease and most don’t know it.
If you don’t know how well your kidneys are working, you may not realize that certain medications could be damaging your kidneys and other parts of your body. Both prescription and over-the-counter medications are filtered by the kidneys. This means that your kidneys degrade and remove medications from the body.
Marie Benz, MD on Google+Air Quality Index and All-Cause Mortality in Maintenance Dialysis Patients
Hemodialysis.com eInterview with: Elani Streja
Doctoral StudentHarold Simmons Center for Chronic Disease Research & Epidemiology
University of California Irvine Medical Center, Irvine, CA, USA
Hemodialysis.com: What is the Rationale for the study?
Answer: Air quality is considered an important modifier of health in the general population, as poor air quality have been associated with increased risk of heart disease, lung cancer, and respiratory infection. We explored how residential air quality correlates with mortality outcomes in maintenance hemodialysis (MHD) patients, for whom pulmonary infections and cardiovascular mortality occur far more frequently as compared to the general population. The “Air Quality Index,” a scale developed by Environmental Protection Agency (EPA) to assess ambient air quality, measures levels of five major air pollutants: ground-level ozone, particulate matter, carbon monoxide, nitrogen dioxide, and sulfur dioxide. In high amounts, these pollutants are associated with several adverse health effects in the general population, including increased risk of heart disease, lung cancer, and respiratory infections.
Pilot Study of a Physician-Delivered Education Tool to Increase Patient Knowledge About CKD
Hemodialysis.com Authors’ eInterview
J.A. Wright Nunes, MD MPH
Assistant Professor
University of Michigan Health System
Department of Internal Medicine, Division of Nephrology
Kerri Cavanaugh, MD MHS
Assistant Professor of Medicine
Vanderbilt University Medical Center
Division of Nephrology
Center for Health Services Research Nashville, TN 37232-2372
Hemodialysis.com: What are the main findings of the study?
Answer: The main finding of the study was that a simple, efficient educational worksheet designed to facilitate patient-provider communication about kidney disease, increased patient knowledge in fundamental areas related to their kidney health.
We are also encouraged by the very positive response in patients who received the educational worksheet, as well as the providers who delivered the tool in practice.
Audit-based education lowers systolic blood pressure in chronic kidney disease: the Quality Improvement in CKD (QICKD) trial results
Hemodialysis.com Author Interview:
Simon de Lusignan BSc, MB BS, MSc, MD(Res), FHEA, FBCS CITP, FRCGP
Professor of Primary Care & Clinical Informatics
Chair in Health Care Management
Department of Health Care Management & Policy
University of Surrey
GUILDFORD GU2 7XH
UK
Hemodialysis.com: What are the main findings of the study?
Dr. de Lusignan: That an educational intervention – called audit-based education – caused a modest, but statistically significant fall in blood pressure in people with chronic kidney disease (CKD). Audit-based education is comparative feedback of physician performance compared with peers, but in a non-judgemental educational context.
Predicting the prevalence of chronic kidney disease in the English population
Hemodialysis.com Author Interview: Ben Kearns, MSc.
Research Associate, School of Health and Related Research, The University of Sheffield, United Kingdom
Hemodialysis.com: What are the main findings of the study?
Ben Kearns: We used a large, representative sample of adults in England, and were able to identify undiagnosed cases of CKD. We found a sample prevalence for CKD of 6.76%; much greater than the reported national prevalence of 4.3%. The prevalence of diagnosed CKD in our sample was 3.9%; indicating that about two in every five patients with CKD are unknown to their doctor.
We developed statistical models to predict the overall prevalence of CKD. We identified increasing age, female gender and the presence of cardiovascular disease as all being risk factors that increased the odds of having CKD. In addition, we noticed that cardiovascular disease was a stronger risk factor amongst younger patients than it was amongst older patients.
Lethal cardiac arrhythmia during central venous catheterization in a uremic patient
Hemodialysis.com Interview with Jer-Ming Chang. MD. PhD
Secretary for the Superintendant, and
Attending physician, Department of Internal Medicine
Kaohsiung Municipal Hsiao-Kang Hospital
Associate professor, College of Medicine, Kaohsiung Medical University
Attending physician
Division of Nephrology, Kaohsiung Medical University Hospital
Kaohsiung 807, Taiwan
Hemodialysis.com: What are the main findings of the study?
Dr. Chang: Cardiac arrhythmia induced during the procedure of central vein catheterization might be more common than expected, especially in high-risk CKD patients (pre-existing CV diseases, electrolytes disturbances…).
Continuous monitoring during procedure is recommended for safety.
Exercise attenuates renal dysfunction with preservation of myocardial function in chronic kidney disease
Hemodialysis.com Author Interview: Dr. Rafael da Silva Luiz
Laboratório de Fisiologia e Fisiopatologia Renal
Hemodialysis.com: What are the main findings of the study?
Dr. Rafael da Silva Luiz : It was observed that exercises overload can also be a non-drug treatment options for chronic kidney disease, because have a substantial decrease in proteinuria (around 50%) and in the glomerular sclerosis (16%).
