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Thyroid Problems May Make Things Worse for Dialysis Patients

Posted 9 days ago by Drugs.com

THURSDAY, July 13, 2017 – Poor thyroid function may diminish kidney dialysis patients' health and quality of life, a new study suggests. Hypothyroidism – a condition in which the thyroid gland does not produce enough thyroid hormone – is common in dialysis patients, but how it affects them has been unclear. Dialysis is treatment for kidney failure, where patients need a machine to filter their blood of wastes, salts and extra fluids. This study included 450 dialysis patients who completed questionnaires every six months and had their thyroid function assessed. Poor thyroid function was associated with poorer health-related quality of life, including low energy, increased fatigue, reduced physical function and greater pain. "Given the high prevalence of thyroid dysfunction and low levels of quality of life in dialysis patients, future research is needed to determine the underlying ... Read more

Related support groups: Thyroid Disease, Hypothyroidism, Underactive Thyroid, Renal Failure, Hyperthyroidism, Chronic Kidney Disease, Goiter, Hemodialysis, Peritoneal dialysis, Renal and Genitourinary Disorders, Hemodialysis Anticoagulation

Are Doctors Discarding Donor Kidneys That Could Save Lives?

Posted 16 days ago by Drugs.com

THURSDAY, July 6, 2017 – U.S. doctors are discarding donated kidneys that could keep people alive for years, simply because the organs are not top-quality, a new study claims. "Suboptimal" kidneys from older donors with health problems perform much better than expected, and would preserve a patient's life much longer than dialysis, said lead researcher Dr. Sumit Mohan, an assistant professor at Columbia University's Mailman School of Public Health. About 73 percent of lower-quality kidneys received by Columbia patients were still functioning five years after transplant, Mohan and his colleagues found. "To our surprise, yes, they did worse than the best-quality kidneys, but they didn't do that poorly," Mohan said. By comparison, the five-year survival rate for kidney patients on dialysis is about 35 percent, Mohan said. "If I don't get a kidney, my alternative is to stay on dialysis," ... Read more

Related support groups: Renal Failure, Renal Transplant, Chronic Kidney Disease, Peritoneal dialysis, Organ Transplant, Kidney Transplant, Organ Transplant - Rejection Reversal, Nephropathy, Rejection Prophylaxis, Renal and Genitourinary Disorders, Hyperphosphatemia of Renal Failure, Rejection Reversal

1 in 7 Americans Has Kidney Disease: CDC

Posted 9 Jun 2017 by Drugs.com

FRIDAY, June 9, 2017 – Thirty million American adults have chronic kidney disease – but many don't know it. That rate – one in seven – is higher than previously estimated, according to an analysis of data from the U.S. Centers for Disease Control and Prevention. The findings, based on 2011-2014 statistics, should "serve as a warning bell that a major public health challenge is right in front of our eyes and more must be done to address it," Kevin Longino, CEO of the National Kidney Foundation, said in a news release from the group. Chronic kidney disease occurs when the kidneys are damaged or can't filter blood as well as healthy kidneys. As a result, the body retains excess fluid and waste from the blood, which can cause other health problems. About 96 percent of those with early kidney disease don't know they have it. The same is true of nearly half who have severely reduced ... Read more

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

Kidney Disease a Big Contributor to Heart-Related Deaths: Study

Posted 15 Apr 2017 by Drugs.com

THURSDAY, April 13, 2017 – Kidney disease is a major cause of heart-related deaths worldwide, a new study reports. Based on data from 188 countries at six time points between 1990 and 2013, the researchers estimated that in 2013, reduced kidney function was associated with 4 percent of deaths worldwide, or 2.2 million deaths. More than half of these deaths (1.2 million) were heart-related, while nearly 1 million were caused by kidney failure, according to the report. The findings provide new insight into the significant impact of kidney disease, also called "renal" disease, and highlight the importance of screening for kidney problems, the study authors said. "Understanding the true health impact of kidney disease on society necessitates considering cardiovascular as well as end-stage renal disease deaths and disability," said Dr. Bernadette Thomas, of the University of Washington in ... Read more

Related support groups: High Blood Pressure, Hypertension, High Cholesterol, Renal Failure, Chronic Kidney Disease, Peritoneal dialysis, Hypertensive Heart Disease

Many Dialysis Patients Get Unnecessary Colonoscopies

Posted 24 Mar 2017 by Drugs.com

FRIDAY, March 24, 2017 – Older Americans on kidney dialysis have high rates of colonoscopy screening for colon cancer, but most get little benefit from the screening, a new study suggests. Dialysis patients have high rates of death, so routine colon cancer screening doesn't improve survival for most dialysis patients who don't qualify for a kidney transplant. Therefore, dialysis patients who have a limited life expectancy and no signs or symptoms of colon cancer shouldn't undergo screening for the disease, according to the American Society of Nephrology. "Physicians should carefully evaluate patients' prognoses and consider the likelihood that they will truly benefit before ordering screening tests," said study co-leader Dr. Christopher Carlos, from the University of California, San Francisco. In this study, researchers reviewed data from more than 469,000 Medicare beneficiaries. They ... Read more

Related support groups: Colonoscopy, Renal Failure, Colorectal Cancer, Renal Transplant, Chronic Kidney Disease, Peritoneal dialysis, Hemodialysis

Cutting Salt a Health Boost for Kidney Patients

Posted 17 Feb 2017 by Drugs.com

THURSDAY, Feb. 16, 2017 – Encouraging people with kidney disease to reduce their salt intake may help improve blood pressure and cut excess fluid retention, at least for a while, a new study suggests. Study participants lowered their systolic blood pressure (the top number) by almost 11 points, on average, on a salt-restricted diet versus their usual diet. They also flushed out a liter of water (about one-quart) from their bodies, on average, by slashing salt in their diets, researchers said. Having high blood pressure and retaining excess salt and water in the body stresses the heart and blood vessels, explained lead author Dr. Rajiv Saran of the University of Michigan. For kidney disease patients, high blood pressure (or "hypertension") and excess fluid in the body can be a toxic combination. "They die predominantly of cardiovascular disease," said Saran, a professor of internal ... Read more

Related support groups: High Blood Pressure, Hypertension, Renal Failure, Chronic Kidney Disease, Sodium Chloride, Diabetic Kidney Disease, Peritoneal dialysis, Diabetic Nephropathy, Anemia Associated with Chronic Renal Failure, HalfLytely and Bisacodyl, Renal Osteodystrophy, Hyper-Sal, Rhinaris, Ayr Saline Nasal, ENTsol, Dextrose/Sodium Chloride, Hypertensive Heart Disease, Saline Nasal Mist, Thermotabs, Potassium Chloride/Sodium Chloride

Undocumented Immigrants Often Face Tough Health Care Choices

Posted 6 Feb 2017 by Drugs.com

MONDAY, Feb. 6, 2017 – Two new studies offer insights into the medical plights facing undocumented immigrants in the United States. One finds that some hospice programs often refuse to accept these immigrants in the final days of their lives. The other reveals the hardships faced by those suffering from kidney failure who can't get regular dialysis, the study authors said. Dialysis rids the body of toxins when the kidneys don't work properly. The laws limiting dialysis for immigrants who are in the country illegally "have a profound impact," said Dr. Lilia Cervantes, a Colorado researcher who interviewed 20 kidney failure patients about their experiences. "They have immense distress," she said. At issue: The limitations of publicly funded health care for poor undocumented immigrants for routine dialysis and hospice care. The Medicaid programs in some states like California and New York ... Read more

Related support groups: Cancer, Renal Failure, Chronic Kidney Disease, Peritoneal dialysis, Hyperphosphatemia of Renal Failure

Depression Often Untreated in Dialysis Patients

Posted 27 Jan 2017 by Drugs.com

THURSDAY, Jan. 26, 2017 – Depression is common among kidney failure patients undergoing dialysis. But efforts to get them on antidepressants often fail, a new study finds. Many patients refuse to start or modify depression treatment. And in some cases kidney specialists don't want their patients taking antidepressant medication, researchers reported. "Our study demonstrated that many patients on chronic hemodialysis have depressive symptoms but do not wish to receive aggressive treatment to alleviate these symptoms," said study co-leader Dr. Steven Weisbord. "We also noted that when patients are willing to accept treatment, renal [kidney care] providers commonly do not prescribe treatment," said Weisbord, who's with the VA Pittsburgh Healthcare System. When kidneys fail, dialysis treatment is needed to remove wastes and salt from the blood. It's often done at a hospital, dialysis ... Read more

Related support groups: Depression, Lexapro, Zoloft, Cymbalta, Effexor, Prozac, Celexa, Major Depressive Disorder, Citalopram, Paxil, Sertraline, Pristiq, Amitriptyline, Venlafaxine, Fluoxetine, Effexor XR, Mirtazapine, Escitalopram, Savella, Remeron

Native Americans Make Progress Against Diabetes Complication

Posted 10 Jan 2017 by Drugs.com

TUESDAY, Jan. 10, 2017 – Diabetes-related kidney failure among Native American adults fell by more than half over almost 20 years, a U.S. Centers for Disease Control and Prevention report shows. The change is due to improvements in diabetes and kidney care, according to the report. The new research also found that among these patients, blood sugar control improved 10 percent between 1996 and 2014, and the use of medicine to protect kidneys rose from 42 percent to 74 percent over 5 years. Average blood pressure in Native Americans with diabetes and high blood pressure was well controlled (133/76 in 2015), the findings showed. In addition, more than 60 percent of Native Americans aged 65 and older with diabetes had a urine test for kidney damage in 2015, compared with 40 percent of Medicare patients with diabetes in 2013, the researchers said. "The Indian Health Service (IHS) has made ... Read more

Related support groups: Diabetes, Type 2, Metformin, Insulin, Lantus, Renal Failure, Glucophage, Glipizide, Novolog, Humalog, Insulin Resistance, Janumet, Glyburide, Lantus Solostar, Levemir, Pre-Diabetes, Glimepiride, Chronic Kidney Disease, Novolin R, Amaryl, Novolin N

Don't Rule Out Kidneys From Elderly Donors

Posted 16 Dec 2016 by Drugs.com

THURSDAY, Dec. 15, 2016 – Healthy kidneys from elderly donors are often rejected, but even kidneys from donors 80 and older can function for years after transplantation, Italian researchers report. The results were published online Dec. 15 in the Clinical Journal of the American Society of Nephrology. "The results of this study support the use of extended criteria donors, even donors older than 80 years, but they have to be accurately selected and managed with dedicated protocols," Dr. Luigi Biancone, of the University of Turin, said in a journal news release. Researchers analyzed results of deceased donor kidney transplants performed at the Turin University Renal Transplant Center between 2003 and 2013. They focused on almost 650 transplants from so-called "extended criteria" donors – donors older than 60 and those aged 50 to 59 with certain risk factors. After a follow-up of nearly ... Read more

Related support groups: Renal Failure, Renal Transplant, Chronic Kidney Disease, Organ Transplant - Rejection Prophylaxis, Peritoneal dialysis, Organ Transplant, Kidney Transplant, Graft-versus-host disease, Rejection Prophylaxis, Hyperphosphatemia of Renal Failure

Healthy Diet May Mean Longer Life for Kidney Patients

Posted 9 Dec 2016 by Drugs.com

THURSDAY, Dec. 8, 2016 – A healthy diet may help people with kidney disease live longer, researchers report. They analyzed seven studies that included more than 15,000 people with chronic kidney disease, to assess the effects of a diet high in fruits, vegetables, fish, legumes, cereals, whole grains and fiber. In six of the studies, a healthy diet was consistently associated with a 20 percent to 30 percent lower rate of early death, and with 46 fewer deaths per 1,000 people over five years. But the study did not directly prove that a healthy diet would lengthen life. The international team of researchers found no significant association between a healthy diet and risk of kidney failure. The findings were published Dec. 8 in the Clinical Journal of the American Society of Nephrology. "Chronic kidney disease now affects about 10 percent to 13 percent of the adult population and ... Read more

Related support groups: Dietary Supplementation, Renal Failure, Vitamin/Mineral Supplementation and Deficiency, Chronic Kidney Disease, Peritoneal dialysis, Dietary Fiber Supplementation, Renal Osteodystrophy, Hyperphosphatemia of Renal Failure

Dialysis Patients May Walk Their Way to Better Health

Posted 2 Dec 2016 by Drugs.com

THURSDAY, Dec. 1, 2016 – Improved mental and physical health may just be steps away for people on kidney dialysis, a new study suggests. A simple program that includes a few minutes of walking a day appears to benefit these patients, a team of Italian researchers concluded. One kidney disease expert in the United States applauded the new research. "It is encouraging to see that our minds and bodies can still be adaptable to physical effort," even when dialysis is needed, said Dr. Maria DeVita, associate chief of nephrology at Lenox Hill Hospital in New York City. "This program should be immediately implemented in all our patients," she added. "What's there to lose? Just do it!" According to the study authors, prior research has shown that exercise has a positive impact on dialysis patients. In the new study, researchers led by Dr. Carmine Zoccali wanted to see if that was true for even ... Read more

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

Kidney Cancer Drug Shows Promise in Early Trial

Posted 30 Nov 2016 by Drugs.com

WEDNESDAY, Nov. 30, 2016 – An experimental drug may show promise in treating kidney cancer, researchers say. The drug CB-839 is the first to target an enzyme that cancer cells require to stay alive, researchers said. This stage 1 clinical trial found that the drug was effective in most patients with advanced kidney cancer when used in combination with another cancer drug called everolimus (Afinitor, Zortress). In the 15 patients in the study, the dual treatment controlled tumors in 93 percent of the patients, who had either clear cell or papillary renal cell cancer. Tumors shrank by more than 30 percent in one patient, were stable in 13 patients, and grew by more than 20 percent in one patient. Clear cell is the most common form of kidney cancer, accounting for 75 percent of cases, the researchers said. All 12 patients with this type of kidney cancer had their disease controlled. ... Read more

Related support groups: Renal Failure, Renal Cell Carcinoma, Chronic Kidney Disease, Afinitor, Peritoneal dialysis, Renal Osteodystrophy, Everolimus, Wilms' Tumor, Zortress, Hyperphosphatemia of Renal Failure, Afinitor Disperz

Concern About Dialysis Safety Spurs CDC Action

Posted 29 Sep 2016 by Drugs.com

THURSDAY, Sept. 29, 2016 – Steps to reduce bloodstream infections in dialysis patients will be mapped out Thursday at a meeting of the U.S. Centers for Disease Control and Prevention and a coalition of kidney and dialysis groups. Dialysis treatment – either in a hospital, a dialysis unit or at home – is needed when the kidneys cannot filter wastes from the body sufficiently. Each year, about 37,000 dialysis patients in the United States develop potentially deadly bloodstream infections associated with their treatment, the CDC says. That number could be cut in half if dialysis facilities implemented CDC guidelines for dialysis safety, according to the agency. "Making evidence-based safety steps a routine part of patient care is a proven strategy to keep dialysis patients safe from bloodstream infections," CDC Director Dr. Tom Frieden said in an agency news release. "We appreciate the ... Read more

Related support groups: Infections, Renal Failure, Chronic Kidney Disease, Peritoneal dialysis, Hemodialysis

3-D Printed Model Helps Delicate Kidney Surgery

Posted 9 Jul 2016 by Drugs.com

FRIDAY, July 8, 2016 – Cutting-edge 3-D technology is making more inroads in medicine, this time helping doctors save a patient's kidney during difficult tumor-removal surgery. Patient Linda Green's tumor was located in a challenging location next to vital arteries and veins, explained doctors at Intermountain Medical Center in Salt Lake City. To prepare for the surgery, CT scans were used to produce an exact 3D-printed model of the patient's kidney. The model had two halves, which enabled the doctors to determine exactly how the tumor was attached to the patient's kidney. Based on this information, the patient's surgical team was able to work around the sensitive areas, successfully remove the tumor, and save the kidney. The model helped them spot a small "nub" of the tumor that had grown up into a pocket of the kidney. "Without the 3D model, the visual images of the CT scans would ... Read more

Related support groups: Renal Failure, Renal Transplant, Chronic Kidney Disease, Peritoneal dialysis, Organ Transplant, Kidney Transplant, Hyperphosphatemia of Renal Failure

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