Adequacy of Peritoneal Dialysis
Some have suggested that this increased rate of mortality in dialysis patients is due to inadequacies in the prescribed dose of dialysis (4,5). However, it is acknowledged that there is…
Depurative Modality Options
LIFE PLANNING A patient facing ESKD must understand that no matter how successful his or her therapy (dialysis and/or transplantation), life span is less than if ESKD were not present….
Hemodialysis Vascular Access
BRIEF HISTORY OF VASCULAR ACCESS The history of vascular access for hemodialysis is closely tied to the history of dialysis. In 1924, Georg Haas in Giessen, Germany, performed the first…
Chronic Kidney Disease-Mineral Bone Disorder in Patients with End-Stage Kidney Disease
BIOCHEMICAL ABNORMALITIES IN PATIENTS WITH CHRONIC KIDNEY DISEASE-MINERAL AND BONE DISORDER The first component of CKD-MBD is abnormal mineral metabolism including that of serum calcium, phosphate, PTH, vitamin D, and…
The Geriatric Dialysis Patient
DEMOGRAPHIC CHARACTERISTICS OF THE GERIATRIC POPULATION WITH END-STAGE KIDNEY DISEASE Incidence and Prevalence of End-Stage Kidney Disease in the Elderly When the Medicare end-stage kidney disease (ESKD) program was funded…
Coronary Artery Disease and Sudden Cardiac Death in Patients with End-Stage Kidney Disease
Some of the factors that contribute to the high prevalence of CAD in patients with ESKD include advancing age and diabetes. The average age of dialysis patients has increased steadily…
The Business of Nephrology
BUSINESS AS USUAL The majority of physicians have little to no formal training in business or business principles. As mentioned earlier, this was not necessary or relevant to running a…
Quality of Life and Rehabilitation in Dialysis Patients
Related posts: High-Efficiency and High-Flux Hemodialysis Neurologic Complications Associated with Dialysis and Chronic Kidney Disease Preparing Dialysis Patients for Renal Transplantation Hemodynamic Stability and Autonomic Dysfunction in End-Stage Kidney Disease…
Malnutrition and Intradialytic Parenteral Nutrition in End-Stage Kidney Disease Patients
PROTEIN-ENERGY WASTING IN MAINTENANCE DIALYSIS PATIENTS Causes and Treatment of Protein-Energy Wasting Protein-energy wasting (PEW) refers to the loss or reduced amounts of protein, fat, and/or carbohydrates in the body…
Hemodynamic Stability and Autonomic Dysfunction in End-Stage Kidney Disease
A second type of dialysis-related hypotension is a chronic, persistent form of hypotension that occurs in approximately 5% of dialysis patients (1). This second form of hypotension is usually observed…
