Journal watch: CKD

New saliva test measures testosterone levels

Kidney failure and low libido often go hand in hand. Low testosterone levels can be treated--if they are found. A new study finds that a morning saliva test gives results that compare well to blood tests.

Read more | (added Feb 24, 2011)

New formula finds residual renal function with just ONE urine sample

24-hour urine tests are not a lot of fun. Japanese researchers have found that a ratio of two cystatin-C and creatinine in the urine predicts residual function just about as well, without all of the hassle.

Read more | (added Feb 24, 2011)

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 more | (added Feb 24, 2011)

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 more | (added Feb 24, 2011)

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 more | (added Feb 24, 2011)

Give me a D!

No, it's not your grade in math. A new study has found that deficiency of vitamin D (the sunshine vitamin) is present in 79% of people on dialysis—especially if they start treatment in the winter. Too-low levels have been linked to bone and heart disease. Ask your doctor if your levels are where they should be.

Read more | (added Feb 24, 2011)

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 more | (added Feb 24, 2011)

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 more | (added Feb 24, 2011)

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 more | (added Feb 24, 2011)

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 more | (added Feb 24, 2011)

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