Author Archives: Shane Whitney

Outcomes of Left Ventricular Assist Device Placement in Patients with ESRD

For patients with advanced heart failure, left ventricular assist devices (LVADs) are used as a bridge to heart transplant as well as destination therapy to prolong survival and improve quality of life. In results of the REMATCH (Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure) trial, compared with medical therapy alone, survival was improved with placement ... Read More »

From the Field: Losing Money by “Saving” Money

By Rick Collins and Sarah Tolson It is a saying I have never forgotten. “For a company to make a profit, you can cut costs or bring in more money. I prefer to bring in more money.” These words were spoken by the owner of a small company that was struggling to make ends meet. Over the years, I have ... Read More »

From the Board: My Perspective

By Kenneth A. Liss, DO Ironically, the request from the editorial staff for 250 to 500 words coincides with day five of our electronic records being disabled. We have been informed that a “ransomware attack” has forced our service provider to block access to our digital records in the name of privacy and security. Unable to get medication lists, labs, ... Read More »

Gender-Related Differences in Hypoglycemia with Glucose-Lowering Treatment

New Orleans—Treatment recommendations for lowering glucose vary by chronic kidney disease (CKD) stage. Despite possible differences in efficacy, there are no differences in treatment recommendations by gender, raising the possibility of differences in glucose control and hypoglycemia by gender. In a French study conducted by Marie Metzger, MD, and colleagues, 3033 patients with CKD stages 3 to 5 were recruited; ... Read More »

Continuation of Loop Diuretics Beneficial in First Year after Dialysis Initiation

New Orleans—Patients with non-dialysis dependent chronic kidney disease are often managed with use of loop diuretics. Upon initiation of hemodialysis, loop diuretics are often discontinued, despite potential benefits of augmented urine output. Researchers, led by Steven M. Brunelli, MD, recently conducted an analysis designed to examine the association between the early decision to continue versus discontinue loop diuretics at start ... Read More »

Survival with Intensive Home Hemodialysis Similar to Deceased Donor Kidney Transplantation

New Orleans—For patients with end-stage renal disease (ESRD), the treatment of choice is kidney transplantation; however, there is a shortage of available kidney donors. Results of a previous study in Canada suggested that intensive home hemodialysis had similar survival rates to that of recipients of deceased donor kidney transplantation. Angie G. Nishio-Luca, MD, and colleagues conducted a study in the ... Read More »

Statin Therapy Reduces Occurrence of AKI after Angiography

New Orleans—The diagnosis and treatment of cardiovascular diseases is often complicated by the presence of acute kidney injury (AKI). Previous studies have demonstrated a significant decrease in the occurrence of AKI when patients were treated with statin therapy prior to coronary angiography and/or intervention; however, the association between pretreatment statin therapy and the occurrence of AKI in patients with peripheral ... Read More »

Spousal Donor Kidney Transplantation Outcomes

New Orleans—Even with poor histocompatibility and older age, it is known that the rate of graft survival in transplantations involving spousal kidney donation is similar to that of living related donor kidney transplantation. Marriage is the distinctive feature in spousal kidney donation (SKD) and other living unrelated kidney donation. Married people live longer and have better health than single people ... Read More »

Donor-Recipient Size Mismatch and Rates of Graft Survival

New Orleans—Poorer kidney graft survival is associated with advanced donor age, recipient age, and donor-recipient size mismatch. However, there are few available data on the interaction among these variables. Researchers in Canada conducted a retrospective cohort study designed to examine those interactions. Fanny Lepeytre, MD, reported results of the study during a poster session at Kidney Week 2017 in a ... Read More »