Kidney Week 2017

Trends in Comorbidities with Hemodialysis and Peritoneal Dialysis

New Orleans—Beginning in 1995, the US Renal Data System has collected data on comorbid conditions in patients receiving hemodialysis or peritoneal dialysis. Rita L. McGill, MD, and colleagues utilized the data to assess the prevalence of various comorbidities in those patient populations over 20 years; trends in both groups were compared. The researchers reported results during a poster session at ... Read More »

Nocturnal Hypertension in Pediatric Transplant Recipients

New Orleans—Pediatric kidney transplant recipients commonly exhibit nocturnal hypertension and non-dipper status during ambulatory blood pressure monitoring, both of which are associated with cardiovascular risk in adults. Christine B. Sethna, MD, and colleagues conducted an open label, blinded end point clinical trial to examine the chronotherapeutic alteration of anti-hypertensive medication on nocturnal hypertension and non-dipper status in a cohort of ... Read More »

Bariatric Surgery Improves Kidney Function via Reduced Systemic Inflammation

New Orleans—Obese patients are at risk for renal disease, including proteinuria, chronic kidney disease (CKD), and progression to end-stage renal disease. Proteinuria can be reduced and renal function can be improved with bariatric surgery; other benefits associated with weight loss include improved blood pressure, improved glucose homeostasis, and reduced systemic inflammation. It is unclear whether the mechanism by which bariatric ... Read More »

Hyponatremia in Newly Diagnosed Dengue Infection

New Orleans—Guidelines from the Pan American Health Organization/World Health Organization issued in 2016 regarding dengue infection and recommendations for the US Centers for Disease Control and Prevention call for high water intake in patients with dengue virus infection. However, there are few data available on the prevalence of hyponatremia in patients newly infected with the virus. Researchers in Argentina, led ... Read More »

Use of Statins in Patients with Non-Dialysis Dependent CKD

New Orleans—Among adults with non-dialysis dependent chronic kidney disease (CKD), morbidity and mortality is strongly associated with cardiovascular disease. The risk of atherosclerotic cardiovascular disease is significantly reduced with the use of statins, especially when combined with ezetimibe, in this patient population. Renal guidelines call for use of statins in all patients with non-dialysis dependent CKD ≥50 years of age ... Read More »

Patient Networks Promote Living Donor Transplantation Conversations

New Orleans—Ideas, attitudes, and behaviors are known to spread within social networks; however, there are few available data on the structure and influence of social networks within the framework of hemodialysis clinics. Avrum Gillespie, MD, and colleagues utilized a survey and observational data to examine the role of patient hemodialysis social networks and discussions of living donor kidney transplantation. Results ... Read More »

BMI and the Risk of Graft and Patient Failure in Kidney Transplantation

New Orleans—Previous studies in kidney transplant recipients with high body mass index (BMI) have yielded conflicting results; some studies reported inferior outcomes compared with patients with lower BMI and others reported superior outcomes in patients with high BMI compared with lower BMI. Whether BMI is a significant independent risk factor for graft failure and patient death in the modern immunosuppressive ... Read More »

Case Report: Patient with Hyponatremia after New Anti-VEGF Therapy

New Orleans—Various chemotherapeutic agents are associated with the development of hyponatremia. Despite good overall outcomes, use of those agents may be limited by severe, symptomatic hyponatremia. During a poster session at Kidney Week 2017, Ari B. Geller, MD, reported a case study of a patient with a history of metastatic renal cell carcinoma with sarcomatoid who presented to the emergency ... Read More »

Renal Recovery after AKI-D Associated with Reduced Risk of Death

New Orleans—Acute kidney injury that requires renal replacement therapy (AKI-D) is associated with increased risk of death, even after hospital discharge, as well as higher rates of cardiovascular disease. A recent study in a diverse community-based cohort examined whether renal recovery after AKI-D mitigates those risks. The study included all adult members of Kaiser Permanente Northern California who experienced AKI-D ... Read More »

Waist-to-Hip Ratio Predictor of Sudden Cardiac Death in Hemodialysis Patients

New Orleans—In the general population, waist-to-hip ratio (WHR) is a predictor of cardiovascular disease and mortality. In a recent study, researchers examined the association of WHR and the risk of mortality in patients with chronic kidney disease; sudden cardiac death among end-stage renal disease patients receiving hemodialysis was of particular interest. The study included 379 incident hemodialysis patients enrolled in ... Read More »