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Erythropoietin hyporesponsiveness in dialysis – and the role statins play

Should hemodialysis (HD) patients take statins or not? According to Japanese researchers at the Showa University in Tokyo, there is ample evidence to support lipid-lowering therapy with statins in...

Testosterone, males and mortality

In healthy men, low circulating testosterone levels are associated with higher risk of cardiovascular disease and death. For male patients on hemodialysis (HD), in whom testosterone deficiency is......

Intradialytic cerebral ischemia: Frequent, unpredictable, significant

What is the relationship between blood pressure (BP) and downstream ischemia during hemodialysis (HD)? Researchers at Oxford University Hospitals NHS Trust instigated this pilot study to......

Fluid status, inflammation and their impact on survival

In dialysis patients, the presence of extracellular fluid overload (FO) is associated with hypertension and left ventricular hypertrophy, while reversal of FO improves blood pressure (BP) and......

Körperliche Aktivität bei CKD-Patienten und die Rolle der Dialyse

Hämodialysepatienten sind generell nur wenig körperlich aktiv, berichten brasilianische Autoren. Sie untersuchten, welche Faktoren diese körperliche Aktivität (PA) beeinflussen, und wie sich die......

Intradialytic hypertension: Pathophysiology and implications

Ten to 15 percent of hemodialysis (HD) patients regularly experience intradialytic hypertension. According to recent reports, intradialytic hypertension (of any magnitude) increases mortality risk...

Higher ultrafiltration rate > longer dialysis recovery time

What is the association between ultrafiltration rate (UFR) and dialysis recovery time (DRT)? Fairly straightforward, as scientists at Stanford University in California discovered: A higher UFR is......

Febuxostat und Endothelfunktion bei Hämodialysepatienten

Die endotheliale Dysfunktion gilt als wichtiger Risikofaktor für kardiovaskuläre Erkrankungen bei Patienten mit terminaler Niereninsuffizienz. Für Febuxostat, einen neuen Xanthinoxidasehemmer,......

Compress to avoid intradialytic hypotension

Conventional hemodialysis (HD) is associated with dialysis-induced hypotension (DIH) and ineffective phosphate removal, say Brazilian nephrologists at the University São Paulo. Their approach to......

Improving dialysis access for elderly HD patients

When commencing hemodialysis (HD) in elderly patients, there are two factors to consider say scientists at New York’s Renal Research Institute: one, using a catheter is associated with a higher......

Hemodialysis: Age, access and mortality

In Japan and elsewhere, all hemodialysis (HD) patients are generally recommended to create a fistula first. However, creating a mature arteriovenous fistula (AVF) can be challenging in elderly......

Hemodiafiltration, hemodialysis and the heart

Hemodialysis = cardiac strain: The hemodynamic stress experienced during hemodialysis (HD) results in recurrent segmental ischemic injury (myocardial stunning), and this in turn drives cumulative......

Stage 3-4 CKD: Cut the salt

Patients with chronic kidney disease (CKD) are often volume expanded and hypertensive. Could a sodium-restricted diet (SRD) help? Yes, say researchers at the University of Michigan, Ann Arbor:......

Scale UF rate target to surface area, not weight

Recent studies have suggested an association between ultrafiltration (UF) rate and poor outcome. However, none of these studies was controlled for body size, report authors from the University of......

Lung ultrasound to manage fluid volume in dialysis

Volume overload is an important, but often hidden risk factor for all-cause and cardiovascular death in end stage renal disease (ESRD) patients. Monitoring lung water could be used as a biomarker......

PD or HD for the elderly and frail: The choice between two evils?

The management of elderly, often frail patients requiring dialysis has received increasing attention in recent years, partly because of the rising numbers of this age group, and partly due to the......

Probiotics work for diabetic hemodialysis patients

Probiotic supplementation has beneficial effects on diabetes patients on hemodialysis, say Iranian researchers: According to their study, a 12-week course of probiotics improves parameters of......

Longer hemodialysis > lower mortality

The mortality of patients undergoing maintenance dialysis in the United States lies at close to 20 % per year and is therefore still “unacceptably high”, say researchers at the University of......

Die Bedeutung des Endothels für die arteriovenöse Fistel

Der optimale Gefäßzugang für die Hämodialyse ist die arteriovenöse Fistel (AVF), doch die Versagensrate ist derzeit noch suboptimal, berichtet Mary Hammes von der Universität Chicago. Ein......

Residual kidney function decline and mortality in incident hemodialysis patients

Residual kidney function (RKF) helps patients with end-stage renal disease (ESRD) to achieve adequate solute clearance. However, there is a lack of data regarding RKF in patients on hemodialysis,......

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Hämodialyse

Die Anzahl der Patienten, die auf eine dauerhafte Nierenersatztherapie angewiesen sind, nimmt ständig zu. Auf den folgenden Seiten informieren wir Sie über wichtige Studien und interessante Berichte zu den Themenkomplexen Dialysetherapie, Therapie von Begleiterkrankungen, Ursachen der terminalen Niereninsuffizienz und Besonderheiten der Patientenversorgung.

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