Author Archives: Kerri Fitzgerald

Fall Injury Risk in Older Adults Increases after Dialysis Therapy Initiation

Among community-dwelling older adults, falls are the leading cause of injury-related hospitalizations and may lead to disability and death. More than one in three older adults fall each year, and nearly half of those falls result in injury. Earlier studies have demonstrated that serious fall injuries commonly occur among older adults with chronic kidney disease (CKD); higher levels of albuminuria ... Read More »

Associations between eGFR and Reduced Cognitive Function Stronger in Older Individuals

Reduced estimated glomerular filtration rate (eGFR) and albuminuria have both been shown to be associated with lower cognitive performance in older individuals. The association is not consistent, however. Reduced eGFR may lead to the accumulation of neurotoxins or it may represent lifetime exposure to cardiovascular disease (CVD) risk factors to CVD itself. Albuminuria may be a biomarker of generalized endothelial ... Read More »

Complications of Urgent-Start Peritoneal Dialysis

Peritoneal dialysis offers benefits to patients with end-stage renal disease (ESRD) in terms of lifestyle flexibility and preservation of residual kidney function. However, worldwide, most patients with uremia are treated with hemodialysis. Reasons for the underutilization of peritoneal dialysis include a low level of experience initiating the modality in patients with ESRD, particularly those with severe symptoms of uremia and ... Read More »

Home Telemonitoring of Patients with Chronic Kidney Disease

Worldwide, the majority of healthcare expenditures are attributed to chronic illness. Management of patients with chronic illness involves multiple care providers, often at multiple locations. Coordination of care in the nephrology setting is particularly important; studies have documented that coordinating care between healthcare providers is associated with earlier nephrology referral, resulting in reduced morbidity, mortality, overall cost, and the number ... Read More »

Incidence of Renal Replacement Therapy in Elderly Patients in Nephrology Care

Recent estimates put the population prevalence of chronic kidney disease (CKD) in the United States at 13%. CKD affects patients of all ages, but there is a strong positive association of CKD with age; the prevalence of CKD among individuals >70 years of age is 50%. Among elderly patients diagnosed with stable CKD stage 3, management by the primary care ... Read More »

PCI versus Optimal Medical Management in Patients with Advanced Chronic Kidney Disease

Coronary artery disease is a common comorbidity in individuals with advanced chronic kidney disease (CKD). Patients with CKD and coronary artery disease may benefit from cardiovascular procedures, such as percutaneous coronary intervention (PCI), that require use of intravenous contrast. However, use of contrast dye may result in contrast-induced nephrology (CIN). In patients with advanced CKD, CIN may precipitate the need ... Read More »

September 2017: Abstract Roundup

ACUTE KIDNEY INJURY Diagnoses Associated with Hospital-Acquired AKI Clinical Journal of the American Society of Nephrology. 2017;12(6):874-884 Researchers in France conducted a retrospective analysis of the association between hospital-acquired acute kidney injury (AKI) and each International Classification of Diseases-Tenth Revision (ICD-10) category to identify the diagnoses associated with AKI. The analysis included data on hospital stays for 126,736 unique individuals. ... Read More »

September 2017: News Briefs

Veltassa Approved in European Union Market In late July, Relypsa, Inc., announced that Veltassa® (patiromer) received approval from the European Commission for its Marketing Authorization Application. Patiromer is indicated for the treatment of hyperkalemia (elevated levels of blood potassium). Veltassa is the brand name for patiromer in both the United States and Europe; it is approved for marketing in all ... Read More »

From the Field: New Bill Cuts Facility Certification Delays and Expands Telehealth Options

Rick Collins Ridiculously lengthy delays in getting new dialysis facilities certified might finally be going away. H.R. 3178, sponsored by ten members of the House of Representatives, would allow new facilities to be certified by government-approved agencies other than Medicare. In this age of few agreements between political parties, this bill appears to have great appeal to both parties as ... Read More »

Education Program Helps Patients Make Modality Decisions

Orlando—In the United States, end-stage renal disease (ESRD) represents a burden to public health and increases pressure on healthcare costs. Data from 2014 identified approximately 680,000 prevalent cases of ESRD in the United States; up to 38% of incident patients did not receive care from a nephrologist prior to renal replacement therapy initiation. Percentages of treatment modalities in the United ... Read More »