Urology Today.net

Site updated at Thursday, 12 May 2016

Common Urological Problems

Dialysis

Community poverty impacts pre-dialysis care

The wealth or poverty of kidney disease patients’ communities impacts the quality of care patients receive before starting dialysis, according to a study appearing in an upcoming issue of the Journal of the American Society Nephrology (JASN). The results suggest that medical professionals need to improve care for patients who have not yet started… Community poverty impacts pre-dialysis care   



Equation Provides Practical Approach to Monitoring Arteriovenous Fistula Function in Dialysis Patients

A simple equation provides real-time feedback to detect access recirculation in arteriovenous fistulas (AVFs) during hemodialysis, reports a study in the September/October issue of ASAIO Journal, Official Journal of the American Society of Artificial Internal Organs. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health, a leading… Equation Provides Practical Approach to Monitoring Arteriovenous Fistula Function in Dialysis Patients   



How to Improve Health and Reduce Risk for Dialysis Patients

1. Depression Symptoms and Low Physical Activity May Keep Dialysis Patients from Working
Efforts to Improve Mood and Activity Might Help Patients Remain Employed

Many patients with kidney failure employed during the year before beginning dialysis are no longer employed early in their first year of treatment. A recent survey… How to Improve Health and Reduce Risk for Dialysis Patients   



Why Do Some Dialysis Centers Have Higher Survival Rates?

Characteristics such as patient engagement, physician communication, and staff coordination may help to explain why some dialysis centers achieve higher patient survival rates than others, according to a study appearing in an upcoming issue of the Clinical Journal of the American Society of Nephrology (CJASN).

“The purpose of this study was simple: to figure… Why Do Some Dialysis Centers Have Higher Survival Rates?   



Specific kidney cell could be key in the treatment of kidney failure in diabetes

Diabetes is the leading reason for kidney failure in the world, resulting in patients requiring dialysis or kidney transplantation. New research has found a cell in the kidney called the podocyte could be the key to understanding why this happens.

The study led by Dr Richard Coward, in the School of Clinical Sciences at… Specific kidney cell could be key in the treatment of kidney failure in diabetes   



Kidney Disease Patients Require Individualized Care

1. One-Size-Fits-All Blood Pressure Recommendations Won’t Suit All Dialysis Patients

Age, Race, and Diabetes Status Affect Blood Pressure’s Link to Premature Death

Previous research indicates that mild to moderate hypertension may not increase dialysis patients’ risk of dying prematurely. These findings contrast with those found in the general population and are generalized to diverse… Kidney Disease Patients Require Individualized Care   



Pomegranate juice: Beyond antioxidants, potential benefits for dialysis patients

Studies in recent years have claimed multiple health benefits of pomegranate juice, including that it is a good source of antioxidants and lowers both cholesterol and blood pressure, especially in diabetic and hypertensive patients. A preliminary study now suggests that it can ward off a number of complications in kidney disease patients on dialysis,… Pomegranate juice: Beyond antioxidants, potential benefits for dialysis patients   



New Approach May Help Dialysis Patients Fight Anemia

A new drug called FG-2216 can stimulate production of the hormone erythropoietin (EPO) in dialysis patients - possibly offering a new approach to treatment of kidney disease-related anemia, according to a study appearing in an upcoming issue of the Journal of the American Society of Nephrology (JASN).

Anemia is a major problem in patients… New Approach May Help Dialysis Patients Fight Anemia   



Starting dialysis too early can increase risk of death

Patients who are starting dialysis too early are at an increased risk of death, found an article in CMAJ (Canadian Medical Association Journal) (pre-embargo link only) http://www.cmaj.ca/embargo/cmaj100349.pdf.

Glomerular filtration rate (eGFR) is a test that describes the flow rate of fluid going through the kidneys and is associated with early dialysis initiation. Current… Starting dialysis too early can increase risk of death   



Children with Lupus Have More Lethal Form of Kidney Disease

Kidney disease caused by the autoimmune disease lupus may be twice as lethal in children as kidney disease caused by other disorders, according to research led by Johns Hopkins Children’s Center investigators.

The findings, published online in the journal Pediatric Nephrology, are based on analysis of records of more than 98,000 children and adults… Children with Lupus Have More Lethal Form of Kidney Disease   



Why Does Dialysis Fail?

A protein implicated in the development of vascular diseases may also contribute to the failure of arteriovenous (AV) fistulas created for vascular access in dialysis patients, according to a study appearing in an upcoming issue of the Journal of the American Society of Nephrology (JASN).

“Our findings raise the possibility that monocyte chemoattractant protein-1… Why Does Dialysis Fail?   



Despite the challenges, collaboration is key in kidney disease care

Most primary care physicians (PCPs) and kidney specialists favor collaborative care for a patient with progressive chronic kidney disease (CKD), but their preferences on how and when to collaborate differ, according to a study appearing in an upcoming issue of the Clinical Journal of the American Society Nephrology (CJASN). PCPs and kidney specialists need… Despite the challenges, collaboration is key in kidney disease care   



Canadian researchers discover new way to prevent infections in dialysis patients

Researchers have discovered that a drug used to treat dialysis catheter malfunction in kidney dialysis patients may now also help prevent both malfunction as well as infections.

Dr. Brenda Hemmelgarn from the University of Calgary Faculty of Medicine and her colleague Dr. Nairne Scott-Douglas, both members of the Libin Cardiovascular Institute of Alberta, undertook… Canadian researchers discover new way to prevent infections in dialysis patients   



Radiation increases cancer risk for dialysis patients

High radiation doses put a significant number of dialysis patients at increased risk of cancer, according to a study appearing in an upcoming issue of the Journal of the American Society Nephrology (JASN). The results suggest that clinicians should consider scaling back on radiation for purposes of diagnosis in this patient population.

Many kidney… Radiation increases cancer risk for dialysis patients   



Gene Variant Influences Chronic Kidney Disease Risk

A team of researchers from the United States and Europe has identified a single genetic mutation in the CUBN gene that is associated with albuminuria both with and without diabetes. Albuminuria is a condition caused by the leaking of the protein albumin into the urine, which is an indication of kidney disease.

The research… Gene Variant Influences Chronic Kidney Disease Risk   



UCSB Scientists Discover New Drug Target for Kidney Disease

Two discoveries at UC Santa Barbara point to potential new drug therapies for patients with kidney disease. The findings are published in this week’s issue of the Proceedings of the National Academy of Sciences.

Over 600,000 people in the U.S., and 12 million worldwide, are affected by the inherited kidney disease known as autosomal-dominant… UCSB Scientists Discover New Drug Target for Kidney Disease   



Aboriginal children less likely to receive kidney transplants

Aboriginal children with kidney failure were less likely to receive a kidney transplant compared to white children, found an article in CMAJ (Canadian Medical Association Journal) (pre-embargo link only).

Compared with non-Aboriginal people, Aboriginal adults with kidney failure in Canada have lower rates of kidney transplantation, the best treatment for kidney failure.… Aboriginal children less likely to receive kidney transplants   



Student team invents device to cut dialysis risk

Johns Hopkins University graduate students have invented a device to reduce the risk of infection, clotting and narrowing of the blood vessels in patients who need blood-cleansing dialysis because of kidney failure.

The device, designed to be implanted under the skin in a patient’s leg, would give a technician easy access to the patient’s… Student team invents device to cut dialysis risk   



Low blood pressure during dialysis increases risk of clots, according to Stanford-led study

A sudden drop in blood pressure while undergoing dialysis has long vexed many kidney patients. Side effects associated with this situation over the long term range from stroke to seizure to heart damage to death. Patients also suffer in the short term with gastrointestinal, muscular and neurologic symptoms.

Now one more disturbing side effect… Low blood pressure during dialysis increases risk of clots, according to Stanford-led study   



Scientists make strides toward drug therapy for inherited kidney disease

Scientists at UC Santa Barbara have discovered that patients with an inherited kidney disease may be helped by a drug that is currently available for other uses. The findings are published in this week’s issue of the Proceedings of the National Academy of Sciences.

Over 600,000 people in the U.S., and 12 million worldwide,… Scientists make strides toward drug therapy for inherited kidney disease   



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