Journal Watch - Chronic Kidney Disease

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  1. Somebody does it better

    Like the U.S., Australia now requires folks with CKD to be educated about all treatment options. Unlike the U.S., they are following up to see if this is happening. A new study of 721 people with CKD found that 84% had options education before starting treatment. (We'd bet that the rates here are still far, far lower!)

    Read the abstract » | (added 02/24/2011)

    Tags: Chronic Kidney Disease

  2. Toronto: 61% of dialysis patients went home

    Imagine what US dialysis would look like if we could do what our neighbors do! A study of 486 people with CKD from 2001-2007 found that, of the 153 who started dialysis, most went home (79 on PD, 15 on home HD). Why (or why not)?

    Read the abstract » | (added 02/24/2011)

    Tags: Chronic Kidney Disease

  3. Matching home dialysis to lifestyle

    A "continuum home program concept" described in a new article would help people with kidney failure continue their lifestyles with dialysis—rather than disrupt them with treatment. The aim is for a continuous flow of services from education to treatment choice, dialysis access, and option changes when needed.

    Read the abstract » | (added 02/24/2011)

    Tags: Chronic Kidney Disease

  4. Straight talk: Improve CKD outcomes by prescribing better dialysis

    Longer or more-frequent treatments, better access choices, ultrapure water, and better removal of fluid and toxic middle molecules could improve survival on dialysis, say researchers.

    Read the abstract » | (added 02/24/2011)

    Tags: Chronic Kidney Disease

  5. Better CKD care saves lives

    People who met targets for access, hemoglobin, and blood protein levels before starting dialysis were far more likely to survive the first year, finds a new study of 192,307 patients. But just 2% met all three goals—even when they'd been seeing a nephrologist for a year.

    Read the abstract » | (added 02/24/2011)

    Tags: Chronic Kidney Disease

  6. People want treatments that offer FREEDOM

    A new study interviewed 52 people who were on one of 4 types of dialysis or had a transplant—and learned that "freedom, convenience, self-care, effectiveness, and simplicity" were important. (We could have told you that.)

    Read the abstract » | (added 02/24/2011)

    Tags: Chronic Kidney Disease

  7. Need high doses of EPO? Might want to check for CMV

    A new study from the Netherlands has found that people who have ESRD and have been exposed to the cytomegalovirus (CMV) have immune changes. With fewer working T-cells, they can't respond as well to anemia drugs.

    Read the abstract » | (added 02/24/2011)

    Tags: Chronic Kidney Disease

  8. Need an MRI? Ask for NAC + bicarb

    MRI contrast dye can damage kidneys. A new meta-analysis (study of studies) has found that two approaches are better than one in preventing this damage. N-acetylcystein (NAC, or Mucomyst®) plus bicarbonate-based IV fluid reduced the risk of damage by 35%. The authors say this combo treatment should be used for all high-risk patients—including those with CKD.

    Read the abstract » | (added 02/24/2011)

    Tags: Chronic Kidney Disease

  9. CKD education saves lives

    A new study from Taiwan found that people who got CKD education were about 3 times less likely to need dialysis during the study period (about a year), and more than 5 times more likely to live than a control group that did not receive the education.

    Read the abstract » | (added 02/24/2011)

    Tags: Chronic Kidney Disease

  10. Slow the rate of CKD with baking soda?

    A small UK pilot study found that a group of people with CKD who were randomly assigned to take a tablet of sodium bicarbonate each day had kidney function that fell 2/3 more slowly than controls. The baking soda group was less likely to need dialysis. More research is needed—and a doctor should supervise any medication use in CKD. But this is promising, and more studies may prove the benefit.

    Read the abstract » | (added 02/24/2011)

    Tags: Chronic Kidney Disease