journal
https://read.qxmd.com/read/37816682/the-relationship-between-skeletal-muscle-mass-and-exercise-capacity-in-patients-undergoing-hemodialysis-an-exploratory-secondary-analysis
#21
JOURNAL ARTICLE
Xuanrui Zhang, Yan Zhuang, Wen Qin, Lun Yang, Yan Song
BACKGROUND: Protein-energy wasting is commonly observed in patients undergoing hemodialysis, leading to reduced muscle mass and, in severe cases, sarcopenia, which significantly impacts the patients' quality of life and clinical outcomes. Exercise interventions are frequently employed to address muscle loss in these patients. However, the relationship between exercise capacity and skeletal muscle mass in this context remains uncertain. In this study, researchers conducted a series of body composition analysis and exercise capacity test to explore the relationship between exercise capacity and skeletal muscle mass...
January 2024: Hemodialysis International
https://read.qxmd.com/read/37813476/the-effect-of-teach-back-versus-pictorial-image-educational-methods-on-knowledge-of-renal-dietary-restrictions-in-elderly-hemodialysis-patients-with-low-baseline-health-literacy
#22
RANDOMIZED CONTROLLED TRIAL
Mohammad Sadegh Mozafari, Fereshteh Besharati, Parand Pourghane, Bahareh Gholami-Chaboki
INTRODUCTION: Adherence to renal dietary restrictions is an important method for minimizing complications in dialysis patients. This study aimed to investigate the effect of teach-back versus pictorial image educational methods on knowledge of renal dietary restrictions among elderly hemodialysis patients in Iran. Selected markers of diet and kidney function were also measured. METHODS: Sixty-nine elderly hemodialysis patients with a low level of health literacy were randomly divided into three groups: pictorial image education, teach-back education, and usual care (controls)...
January 2024: Hemodialysis International
https://read.qxmd.com/read/37962053/effect-of-conventional-hemodialysis-on-the-apixaban-plasma-concentration
#23
JOURNAL ARTICLE
Tim Poel, Nikki de Rouw, Nathalie C V Péquériaux, Daan van de Kerkhof, Annemieke M A Vermeulen Windsant, Rob J van Marum, Angele P M Kerckhoffs
PURPOSE: Apixaban is a factor Xa inhibitor used in patients undergoing hemodialysis treatment. The objective of this study is to investigate the effect of hemodialysis on apixaban plasma concentrations. METHODS: This observational study is on patients treated with apixaban 2.5 mg twice daily on conventional hemodialysis with standard low-molecular-weight heparin (LMWH) anticoagulation (nadroparin 3800-7600 IU). Plasma blood samples were collected before starting dialysis (t1), 2 h after starting dialysis (t2), and directly after dialysis (t3)...
November 14, 2023: Hemodialysis International
https://read.qxmd.com/read/37936554/chronic-kidney-disease-and-value-based-care-lessons-from-innovation-iteration-and-ideation-in-primary-care
#24
JOURNAL ARTICLE
Matthew E Berman, Joshua E Lowentritt
Value-based primary care has reduced health care costs, improved the quality of rendered care, and enhanced the patient experience. Value-based care emphasizes prevention, outreach, follow-up, patient engagement, and comprehensive, whole-person health. Primary care Accountable Care Organizations have leveraged technology-enabled workflows, practice transformation, and cutting-edge data and analytics to achieve success. These efforts are increasingly aided by predictive modeling used in the context of patient identification and prioritization algorithms...
November 7, 2023: Hemodialysis International
https://read.qxmd.com/read/37935650/age-associated-effects-of-intradialytic-exercise-on-physical-function-and-nutritional-status-in-patients-receiving-ambulatory-hemodialysis-a-multicenter-cohort-study
#25
JOURNAL ARTICLE
Ren Takahashi, Hiroki Yabe, Hideaki Ishikawa, Takashi Hibino, Tomoya Yamaguchi, Sayumi Morishita, Kenichi Kono, Yoshifumi Moriyama, Tetsuya Yamada
INTRODUCTION: Intradialytic exercise is essential for improving physical function for older patients. This study aimed to examine the relationship between the effects of exercise therapy and aging. METHODS: This multicenter cohort study included 1176 patients aged 40-89 years, who participated in an intradialytic exercise program, comprising stretching and resistance training, three times per week for 12 months. Isometric knee extension strength (IKES), 10-m walking speed, Short Physical Performance Battery (SPPB), and Geriatric Nutritional Risk Index (GNRI) were measured at baseline and after 12 months...
November 7, 2023: Hemodialysis International
https://read.qxmd.com/read/37875435/myocardial-markers-are-highly-altered-by-higher-rates-of-fluid-removal-during-hemodialysis
#26
JOURNAL ARTICLE
Junko Goto, Michael Ott, Bernd Stegmayr
INTRODUCTION: Although hemodialysis is lifesaving in patients with kidney failure extensive interdialytic weight gain (IDWG) between dialyses worsens the prognosis. We recently showed a strong correlation between IDWG and predialytic values of cardiac markers. The aim of the present study was to evaluate if the cardiac markers N-terminal pro-B-type natriuretic peptide (proBNP) and troponin T were influenced by IDWG and speed of fluid removal (ultrafiltration-rate). METHODS: Twenty hemodialysis patients performed in total 60 hemodialysis (three each)...
October 24, 2023: Hemodialysis International
https://read.qxmd.com/read/37875433/dr-andreas-pierratos-md-frcpc
#27
JOURNAL ARTICLE
Christopher T Chan
No abstract text is available yet for this article.
October 24, 2023: Hemodialysis International
https://read.qxmd.com/read/37872102/elevated-intraneural-vascularization-of-the-median-nerve-proximal-to-the-arteriovenous-fistula-in-hemodialysis-patients-suspected-of-carpal-tunnel-syndrome-a-case-series
#28
Carina N Bagge, Kristine Lindhard, Ylian S Liem, Janus Kaufmann Lindquist, Eszter Balazs-Becsi, Nils Wolfram
Patients with end-stage kidney disease may require creation of an arteriovenous fistula in order to receive hemodialysis treatment. The creation may result in several complications, including carpal tunnel syndrome. Early diagnosis and treatment are essential to relieve symptoms, prevent permanent nerve damage, and improve quality of life. However, the sensory and motor disturbances resembling carpal tunnel syndrome could be related to other etiologies than external compression of the median nerve underneath the transverse ligament...
October 23, 2023: Hemodialysis International
https://read.qxmd.com/read/37852938/the-role-of-calcitonin-gene-related-peptide-and-substance-p-in-the-pathogenesis-of-dialysis-headache
#29
JOURNAL ARTICLE
Gizem Gürsoy, Serhat Karadağ, Şennur Köse, Tamer Şakacı, Sibel Yücel Koçak, Yasemin Erdoğan Döventaş, Ayla Çulha Oktar, Muhammet Duran Bayar
AIM: The present study aims to establish the role of serum CGRP and SP levels in the disease pathophysiology in patients with dialysis headache not accompanied by primary or secondary headaches, and also whether there is a correlation between these vasoactive peptides and the severity of headache. METHOD: This study was designed as prospective and multicenter. A total of 30 dialysis headache patients and 30 patients without headache as the control group in the Nephrology outpatient clinics which implement similar dialysis procedures were included in the study...
October 18, 2023: Hemodialysis International
https://read.qxmd.com/read/37827985/intravascular-volumes-and-the-influence-on-anemia-assessed-by-a-carbon-monoxide-rebreathing-method-in-patients-undergoing-maintenance-hemodialysis
#30
JOURNAL ARTICLE
Vårin Vinje, Tobias Bomholt, Carsten Lundby, Peter Oturai, Marianne Rix, Kristine Lindhard, Mads Hornum
INTRODUCTION: Fluid overload is a major challenge in hemodialysis patients and might cause hypervolemia. We speculated that hemodialysis patients reaching dry weight could have undetected hypervolemia and low hemoglobin (Hb) concentration (g/dL) due to hemodilution. METHODS: The study included hemodialysis patients (n = 22) and matched healthy controls (n = 22). Blood volume, plasma volume, red blood cell volume, and total Hb mass were determined using a carbon monoxide (CO)-rebreathing method in hemodialysis patients reaching dry weight and controls...
October 12, 2023: Hemodialysis International
https://read.qxmd.com/read/37798865/comparison-of-supraclavicular-brachiocephalic-and-femoral-vein-approaches-for-tunneled-dialysis-catheter-placement-in-patients-with-thrombosed-internal-jugular-veins
#31
JOURNAL ARTICLE
Umut Oguslu, Burçak Gümüş, Murat Yalçin, Osman Zikrullah Sahin, Gökalp Yilmaz
INTRODUCTION: There is still debate on the best access route in case of bilateral internal jugular vein thrombosis. We aimed to compare the safety, effectiveness, and outcomes of tunneled dialysis catheter placement via supraclavicular brachiocephalic and femoral vein approaches in patients with bilateral internal jugular vein thrombosis. METHODS: Between January 2018 and December 2021, data of the patients in whom tunneled dialysis catheters were placed via the supraclavicular brachiocephalic vein (n = 42) and femoral vein (n = 57) approaches were extracted...
October 5, 2023: Hemodialysis International
https://read.qxmd.com/read/37793912/prosthesis-use-and-the-change-in-activities-of-daily-living-following-below-knee-amputation-in-patients-undergoing-hemodialysis
#32
JOURNAL ARTICLE
Hayato Yamazaki, Shota Matsufuji, Aina Nishikawa, Masahiro Ashida, Masao Yamaguchi, Motohiko Sato, Nobuhiro Tanimura, Yoshihiro Tsujimoto, Takanobu Ubai, Tetsuo Shoji
INTRODUCTION: Patients undergoing hemodialysis are at an increased risk of peripheral arterial disease, amputation of lower extremities, and decline of activities of daily living. Although a prosthesis is used to support activities of daily living, no previous study reported the association of prosthesis use with the change in activities of daily living following leg amputation in hemodialysis patients. The purpose of this study was to compare the changes in activities of daily living following amputation between those who created a prosthesis and those who did not...
October 4, 2023: Hemodialysis International
https://read.qxmd.com/read/37544885/long-term-patency-of-arteriovenous-fistulas-for-hemodialysis-a-decade-s-experience-in-a-transplant-unit
#33
JOURNAL ARTICLE
Matthias Pfister, Lorenzo Viggiani d'Avalos, Philip C Müller, Olivier de Rougemont, Marco Bonani, Adrian Kobe, Gilbert Puippe, Felix Nickel, Fabian Rössler
BACKGROUND: The heterogeneous quality of studies on arteriovenous fistulas outcome, with variable clinical settings and large variations in definitions of patency and failure rates, leads to frequent misinterpretations and overestimation of arteriovenous fistula patency. Hence, this study aimed to provide realistic and clinically relevant long-term arteriovenous fistula outcomes. METHODS: We retrospectively analyzed all autologous arteriovenous fistulas at our center over a 10-year period (2012-2022)...
October 2023: Hemodialysis International
https://read.qxmd.com/read/37415403/effect-of-needle-orientation-during-arteriovenous-access-puncture-on-needed-compression-time-after-hemodialysis-a-randomized-controlled-trial
#34
RANDOMIZED CONTROLLED TRIAL
Valérie Loizeau, Hanan Tanouti, Audrie Marcheguet, Guillaume Loubière, Philippe Aegerter, Hocine Drioueche, Sandra Pembebjoglou
BACKGROUND: There are two techniques for puncturing an arteriovenous fistula: one where the needle is inserted bevel up and then rotated to a bevel down position, and another where the needle is inserted bevel down. The aim of this study was to compare these two methods of needle insertion on minimum compression time required for hemostasis after needle removal. METHODS: This was a prospective, randomized, cross-over, blinded, single-center, routine care study. Each patient's average post-dialysis puncture site compression time was determined during a 2-week baseline period while using bevel-up access puncture...
October 2023: Hemodialysis International
https://read.qxmd.com/read/37380364/a-phase-3b-multicenter-open-label-single-arm-study-of-roxadustat-aspen-operational-learnings-within-united-states-dialysis-organizations
#35
MULTICENTER STUDY
Steven Fishbane, Mark Vishnepolsky, Yemmie Oluwatosin, Jacqueline Nolen, Lixia Zhu, Kerry Cooper, Amy Young
INTRODUCTION: Roxadustat is an oral hypoxia-inducible factor prolyl hydroxylase inhibitor approved in several regions for the treatment of anemia of chronic kidney disease (CKD). ASPEN evaluated the efficacy, safety, and feasibility of roxadustat in patients with anemia of CKD in US dialysis organizations. METHODS: This open-label, single-arm study (NCT04484857) comprised a 6-week screening period, followed by 24 weeks of treatment (with optional extension ≤1 year) and a 4-week follow-up...
October 2023: Hemodialysis International
https://read.qxmd.com/read/37776126/metformin-associated-lactic-acidosis-mala-is-it-an-underestimated-entity-a-retrospective-single-center-case-series
#36
JOURNAL ARTICLE
Susan Kim, Amara Sarwal, Xin Tan Yee, Sebastian A Gandarillas Fraga, Vincent Campion, Isaiarasi Gnanasekaran
INTRODUCTION: Metformin is widely considered a first-line antiglycemic agent due to its cost-effectiveness and favorable adverse effect profile. However, its use is prohibited in patients with an estimated glomerular filtration rate <30 mL/min/1.73 m2 , due to the risk of potentially lethal metformin-associated lactic acidosis (MALA). We sought to evaluate MALA cases and outcomes at our institution. METHODS: In this observational, retrospective case series, we reviewed our EMR for all patients who had a metformin level drawn between January 2013 and May 2022 to identify individuals who met the diagnostic criteria for MALA...
September 30, 2023: Hemodialysis International
https://read.qxmd.com/read/37592414/longitudinal-micro-incision-creation-prior-to-balloon-angioplasty-for-treatment-of-arteriovenous-access-dysfunction-in-a-real-world-patient-population-6-month-cohort-analysis
#37
JOURNAL ARTICLE
John Aruny, Jeffrey E Hull, Alexander Yevzlin, Alejandro C Alvarez, Jason D Beaver, Robert W Heidepriem, Michael T Serle
INTRODUCTION: Routine hemodialysis depends on well-functioning vascular access. In the event of vascular access dysfunction, percutaneous transluminal balloon angioplasty (PTA) is conducted to restore patency. Although an angioplasty procedure can provide an excellent immediate result by opening the access to allow dialysis to continue, the long-term patency rates are less than satisfactory. The goal of this study was to assess the outcomes of patients who underwent a novel vessel preparation via longitudinal, controlled-depth micro-incisions prior to PTA...
August 17, 2023: Hemodialysis International
https://read.qxmd.com/read/37563763/improved-nursing-home-end-stage-renal-disease-patient-participation-in-physical-therapy-with-onsite-more-frequent-dialysis
#38
JOURNAL ARTICLE
Eran Y Bellin, William T Markis, Alice M Hellebrand, Christine M Busby, Katy A Wane, Camille R Jordan, Jordan G Ledvina, Steven M Kaplan, Todd R Metzroth, Greg S Williams, Arif Nazir, Nathan W Levin, Allen M Kaufman
INTRODUCTION: For end-stage renal disease (ESRD) patients residing in skilled nursing facilities (SNFs), the logistics and physical exhaustion of life-saving hemodialysis therapy often conflict with rehabilitation goals. Integration of dialysis care with rehabilitation programs in a scalable and cost-efficient manner has been a significant challenge. SNF-resident ESRD patients receiving onsite, more frequent hemodialysis (MFD) have reported rapid post-dialysis recovery. We examined whether such patients have improved Physical Therapy (PT) participation...
August 10, 2023: Hemodialysis International
https://read.qxmd.com/read/37474300/glucose-variability-in-maintenance-hemodialysis-patients-with-type-2-diabetes
#39
LETTER
Lucia Fačkovcová, Drazenka Pongrac Barlovic, Jan Brož
No abstract text is available yet for this article.
July 20, 2023: Hemodialysis International
https://read.qxmd.com/read/37464987/international-society-for-hemodialysis-a-new-horizon
#40
EDITORIAL
Christopher Chan
No abstract text is available yet for this article.
July 2023: Hemodialysis International
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