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Medicare Spends Billions on Chronic Kidney Disease, Study Finds

Posted 29 Mar 2016 by Drugs.com

TUESDAY, March 29, 2016 – Chronic kidney disease affects nearly 14 percent of Americans and costs Medicare billions of dollars a year, a new study reveals. In 2013, Medicare spent $50 billion on chronic kidney disease among people 65 and older, and $31 billion on those with kidney failure, the researchers found. "This report is a one-stop shop to try to understand the prevalence of kidney disease, how it's being treated and how the burden affects various populations," researcher Rajesh Balkrishnan, a professor of public health sciences at the University of Virginia School of Medicine, said in a university news release. "If we can identify which treatment modalities are working and how they're used and link these treatments to outcomes, we can inform the government of the most cost-effective ways to manage and treat the growing burden of kidney disease in the U.S.," he added. The study ... Read more

Related support groups: Renal Failure, Chronic Kidney Disease, Diabetic Kidney Disease, Peritoneal dialysis, Diabetic Nephropathy, Anemia Associated with Chronic Renal Failure, Renal Osteodystrophy, Renal Artery Atherosclerosis, Renal and Genitourinary Disorders, Hypertensive Renal Disease, Renovascular Hypertension, Anuria, Hyperphosphatemia of Renal Failure, Hypertensive Heart (w/ CHF) and Renal Disease

Many Kidney Transplant Patients Land in ER Within 2 Years: Study

Posted 28 Mar 2016 by Drugs.com

THURSDAY, March 24, 2016 – More than half of kidney transplant recipients wind up in an emergency department within two years of their operation, a new study finds. The researchers looked at more than 10,500 kidney transplant patients in California, Florida and New York. The investigators found that ER visits were made by 12 percent of patients within one month, 40 percent of patients within one year and 57 percent of patients within two years. Forty-eight percent of those ER visits led to hospital admission, according to the study published online March 24 in the Clinical Journal of the American Society of Nephrology. Risk factors for ER visits included: younger age; being female; being black or Hispanic; having public insurance; having depression, diabetes or peripheral vascular disease; and use of ERs before the transplant. The findings shed light on the need to coordinate care for ... Read more

Related support groups: Diabetic Kidney Disease, Organ Transplant - Rejection Prophylaxis, Diabetic Nephropathy, Organ Transplant

Kidney Dialysis Might Not Extend Survival of Elderly

Posted 18 Mar 2016 by Drugs.com

THURSDAY, March 17, 2016 – Dialysis does not significantly improve survival for elderly kidney failure patients, a new study indicates. The findings suggest that conservative care may be a reasonable option for some kidney failure patients over 80. The researchers don't say that dialysis treatment should not be given to anybody older than 80 or with severe co-occurring conditions. "But we show that the treatment is on average of little advantage regarding survival," said study co-leader Dr. Wouter Verberne of St. Antonius Hospital in Nieuwegein, the Netherlands. The findings were published online March 17 in the Clinical Journal of the American Society of Nephrology. "Our next task is to predict who benefits and who does not," Verberne said in a journal news release. "Until we are able to give a better prediction of the results of dialysis treatment at high age, we can merely suggest ... Read more

Related support groups: Renal Failure, Chronic Kidney Disease, Diabetic Kidney Disease, Peritoneal dialysis, Hemodialysis, Diabetic Nephropathy, Hyperphosphatemia of Renal Failure, Renal and Genitourinary Disorders

Poor Leg Circulation Hits Women With Kidney Disease Earlier Than Men

Posted 23 Feb 2016 by Drugs.com

TUESDAY, Feb. 23, 2016 – Compared to men, women under the age of 70 who have kidney disease are at higher odds for peripheral arterial disease (PAD), an often disabling impairment of blood flow in the legs. That's the finding from a new study of almost 3,200 people with chronic kidney disease. Researchers led by Dr. Grace Wang, of the Hospital of the University of Pennsylvania in Philadelphia, found that women under 70 with kidney disease had a 53 percent higher risk of PAD compared to their male peers. However, after age 70 the difference between the sexes evened out, the researchers noted. Why would PAD affect women earlier? According to the study authors, "females are known to have smaller diameter vessels compared to men." That could mean that, given similar amounts of plaque buildup in vessels, women's might close off earlier than men's. The findings show that women with kidney ... Read more

Related support groups: Renal Failure, Chronic Kidney Disease, Raynaud's Syndrome, Diabetic Kidney Disease, Peripheral Arterial Disease, Peritoneal dialysis, Diabetic Nephropathy, Intermittent Claudication, Renal Osteodystrophy, Arterial Thrombosis, Renal and Genitourinary Disorders

Diabetic Kidney Damage May Start Earlier Than Thought

Posted 30 Dec 2015 by Drugs.com

TUESDAY, Dec. 29, 2015 – Kidney damage from diabetes may begin much sooner than previously thought, according to a new study. Researchers found that higher-than-normal blood sugar levels associated with prediabetes increase the risk of kidney abnormalities that could lead to kidney failure. "Our research shows that the pathological process of kidney injury caused by elevated blood glucose levels starts in prediabetes, well before the onset of diabetes," study author Dr. Toralf Melsom said in a National Kidney Foundation news release. Melsom is an associate professor and senior consultant in the nephrology department at University Hospital of North Norway. The study involved over 1,300 patients aged 50 to 62 who were followed for a median of 5.6 years. Of those people, 595 had prediabetes when the study began. Prediabetes affects up to 35 percent of adults – twice as many people as ... Read more

Related support groups: Diabetic Kidney Disease, Diabetic Nephropathy

Do Taller Patients Fare Worse on Dialysis?

Posted 1 Oct 2015 by Drugs.com

THURSDAY, Oct. 1, 2015 – Tallness may be linked with an increased risk for premature death in kidney failure patients on dialysis, a new study suggests. While the researchers only found an association and not a cause-and-effect link, tall people on dialysis appeared to have higher rates of premature death than people in the general population. The risk was higher in men than in women, and among patients with shorter dialysis treatment times, the researchers said. The researchers analyzed data from just over 1 million Americans who began dialysis between 1995 and 2008 and were followed for up to five years. Being tall was associated with increased risk of premature death among dialysis patients who were American Indian/Alaska natives, Asians and whites, but this was not the case among black patients in the study. Tall black dialysis patients' risk of premature death was the same as in ... Read more

Related support groups: Renal Failure, Chronic Kidney Disease, Diabetic Kidney Disease, Hemodialysis, Diabetic Nephropathy, Anemia Associated with Chronic Renal Failure, Anuria, Hemodialysis Anticoagulation, Renal and Genitourinary Disorders

Too Few Kidney Dialysis Patients Referred for Organ Transplant, Study Finds

Posted 11 Aug 2015 by Drugs.com

TUESDAY, Aug. 11, 2015 – Although a kidney transplant is considered the best hope for people struggling with end-stage renal disease, a new study conducted in Georgia found three-quarters of these patients weren't even evaluated for a possible transplant within their first year of dialysis. That finding flies in the face of U.S. regulations that require all dialysis centers to fully inform these patients about all available treatment options. Those options include kidney transplantation, a typically less expensive intervention than ongoing dialysis and one that also promises greater longevity and a better quality of life, the researchers noted. What's more, the team found a huge variation in statewide referral rates. Some dialysis centers failed to send even a single first-year patient for a transplant consultation, while others referred 75 percent of their new patients. It remains ... Read more

Related support groups: Renal Failure, Renal Transplant, Chronic Kidney Disease, Diabetic Kidney Disease, Peritoneal dialysis, Diabetic Nephropathy, Organ Transplant, Renal Osteodystrophy, Hyperphosphatemia of Renal Failure, Hypertensive Renal Disease, Anuria, Renal and Genitourinary Disorders

Kidney Problems Linked to Brain Disorders: Study

Posted 6 Aug 2015 by Drugs.com

THURSDAY, Aug. 6, 2015 – Kidney problems can increase the risk of brain disorders, a new study finds. The findings suggest that protecting kidney health may also benefit the brain, the researchers said. They studied data from more than 2,600 people in the Netherlands, and found that poor kidney function was strongly associated with decreased blood flow to the brain. They also saw an increased risk of stroke and memory and thinking problems (dementia) in people with kidney problems. The association was independent of known heart disease risk factors, the researchers said. The study was published Aug. 6 in the Journal of the American Society of Nephrology. "Our findings provide a possible explanation linking kidney disease to brain disease," Dr. M. Arfan Ikram, an assistant professor of neuroepidemiology at Erasmus University Medical Center in the Netherlands, said in a journal news ... Read more

Related support groups: Dementia, Renal Failure, Alzheimer's Disease, Kidney Infections, Chronic Kidney Disease, Diabetic Kidney Disease, Mild Cognitive Impairment, Peritoneal dialysis, Diabetic Nephropathy, Anemia Associated with Chronic Renal Failure, Polycystic Kidney Disease, Renal Osteodystrophy, Pyelonephritis, Hyperphosphatemia of Renal Failure, Renal Vein Thrombosis, Lewy Body Dementia, Renal and Genitourinary Disorders, Renovascular Hypertension

Uncontrolled Diabetes May Boost Dementia Risk

Posted 9 Jul 2015 by Drugs.com

THURSDAY, July 9, 2015 – Diabetes patients with high rates of complications from the disease may face increased risk for dementia, a new study suggests. "We found that as diabetes progresses and an individual experiences more complications from the disease, the risk of dementia rises as well," wrote Dr. Wei-Che Chiu, of the National Taiwan University College of Public Health, in Taipei. Better blood sugar control can help prevent the mental decline associated with diabetes, he and his colleagues said. They examined data from more than 431,000 people in Taiwan who were older than 50 and newly diagnosed with diabetes. Complications of diabetes include vision loss, kidney failure and nerve damage. Over 12 years of follow-up, more than 6 percent of the patients were diagnosed with dementia. Those with a greater number of diabetes complications were at higher risk for mental decline than ... Read more

Related support groups: Diabetes, Type 2, Peripheral Neuropathy, Dementia, Diabetes, Type 1, Alzheimer's Disease, Diabetic Neuropathy, Diabetic Nerve Damage, Pre-Diabetes, Diabetic Kidney Disease, Diabetes Mellitus, Mild Cognitive Impairment, Diabetic Nephropathy, Arteriosclerotic Dementia, Diabetic Retinopathy, Abnormal Glucose Tolerance, Retinopathy Prophylaxis, Lewy Body Dementia

U.S. Dialysis Patients Increasingly Live in Poor Areas

Posted 24 Jun 2015 by Drugs.com

WEDNESDAY, June 24, 2015 – More than one-third of kidney dialysis patients in the United States live in poor neighborhoods, a study finds. Kidney dialysis rates in the United States are higher in poor neighborhoods, and they're increasing in those areas, the 15-year analysis shows. Dialysis is used to treat people with kidney failure. Researchers analyzed U.S. Centers for Medicare and Medicaid Services data to assess overall dialysis rates and those in poor areas, defined as having a a zip code where at least 20 percent of people live below the federal poverty line. The results showed that 27.4 percent of adults who began dialysis between 1995 and 2004 lived in poor neighborhoods, compared with about 11 percent of adults in the general population. Those percentages increased to 34 percent and 12.5 percent, respectively, between 2005 and 2010, said the researchers from Loyola University ... Read more

Related support groups: Renal Failure, Chronic Kidney Disease, Diabetic Kidney Disease, Peritoneal dialysis, Diabetic Nephropathy, Renal Osteodystrophy, Hyperphosphatemia of Renal Failure

Abnormal Test Results in Hospital Signal Raised Kidney Injury Risk

Posted 13 May 2015 by Drugs.com

WEDNESDAY, May 13, 2015 – Common kidney function tests using blood or urine can help doctors identify hospitalized patients at risk for acute kidney injury, researchers say. Acute kidney injury is a sudden loss of kidney function that can develop within a few hours or over a few days. As many as 10 percent of hospitalized patients and up to 22 percent of intensive care unit (ICU) patients worldwide experience acute kidney injury, according to the study authors. For the study, the researchers reviewed information from more than 1.3 million hospital patients. Nearly 19,000 had acute kidney injury, the investigators found. The study showed that having diabetes or being older, male or black was tied to an increased risk of acute kidney injury. But the strongest risk factor was abnormal results on blood and urine tests of kidney function. And this was true even if the tests were only mildly ... Read more

Related support groups: Renal Failure, Kidney Infections, Chronic Kidney Disease, Diabetic Kidney Disease, Diabetic Nephropathy, Diagnosis and Investigation, Pyelonephritis, Renal and Genitourinary Disorders

Weight-Loss Surgery May Improve Diabetes-Related Kidney Damage

Posted 20 Jun 2012 by Drugs.com

WEDNESDAY, June 20 – Weight-loss surgery may reduce the risk of kidney disease in obese people with diabetes, according to a small study. The study included 52 patients, mostly female, who were obese and had type 2 diabetes. Nearly 40 percent of the patients had diabetic nephropathy, a form of kidney damage that can require dialysis and lead to kidney failure. All of the patients underwent bariatric surgery, intended to help people lose weight. Most had a type of bariatric surgery known as gastric bypass, in which the stomach is stapled to make it smaller, and the small intestine is rerouted to the smaller pouch. Five years after surgery, nearly 60 percent of the patients who'd had diabetic nephropathy no longer had the condition, the researchers said. They also found that only 25 percent of those who did not have diabetic nephropathy at the time of surgery eventually developed the ... Read more

Related support groups: Gastric Bypass Surgery, Diabetic Kidney Disease, Diabetic Nephropathy

Diabetic Kidney Disease Rising in the U.S.

Posted 22 Jun 2011 by Drugs.com

TUESDAY, June 21 – The frequency of diabetic kidney disease has increased in line with rising rates of diabetes in the United States over the past two decades, a new study finds. About 40 percent of people with diabetes develop diabetic kidney disease (DKD), which is a leading cause of chronic kidney disease and accounts for nearly half of all new cases of kidney failure in the United States, according to background information in the study in the June 22/29 issue of the Journal of the American Medical Association. The researchers analyzed national data from the past two decades, and found that the prevalence of DKD in the U.S. population was 2.2 percent in 1988-94, 2.8 percent in 1999-2004 and 3.3 percent in 2005-08. The demographically adjusted increase in DKD prevalence was 18 percent from 1988-94 to 1999-2004 and 34 percent from 1988-94 to 2005-08. The estimated number of people ... Read more

Related support groups: Diabetic Kidney Disease, Diabetic Nephropathy

High-Dose Vitamin B Risky for Diabetics With Kidney Disease

Posted 27 Apr 2010 by Drugs.com

TUESDAY, April 27 – High-dose vitamin B therapy is dangerous for diabetics with kidney disease, and patients on this regimen should stop immediately, says a new study. When the researchers began the study, they believed it would show that high-dose vitamin B therapy (folic acid, vitamin B6 and vitamin B12) would improve patients' kidney function and reduce their risk of heart attack and stroke. But it turned out that patients on high-dose vitamin B therapy had significant worsening of kidney function, and twice as many heart and stroke incidents as patients taking a placebo. "Because B vitamins are water soluble, we suspect that while healthy people would excrete excess vitamins in urine, those with renal failure would not be able to do so, perhaps causing the adverse effects we have seen in this study," Dr. David Spence, of the University of Western Ontario in Canada, said in a ... Read more

Related support groups: Diabetic Kidney Disease, Diabetic Nephropathy

Diabetics Less Prone Now to End-Stage Kidney Disease

Posted 29 Dec 2009 by Drugs.com

TUESDAY, Dec. 29 – The incidence of end-stage kidney disease, one of the most serious complications of diabetes, rose steadily in people with diabetes for decades. But, in 1996, the rate of diabetes-related end-stage kidney disease finally began to decline. Since that time, the incidence has dropped steadily – about 3.9 percent a year, a new government study finds. "The incidence had decreased for all age groups and for both men and women," noted study author Nilka Rios Burrows, an epidemiologist with the U.S. Centers for Disease Control and Prevention. Although the study was not designed to find the cause behind the decline, Burrows said that based on other studies, they believe that early detection and treatment of kidney disease in people with diabetes is likely one factor behind the decline. In addition, better control of diabetes and high blood pressure – especially the use of ... Read more

Related support groups: Diabetes, Type 2, Diabetes, Type 1, Diabetic Kidney Disease, Diabetes Mellitus, Diabetic Nephropathy

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