Archive for September, 2012

September 18, 2012

Western Canada PD Days| Conference Alert

British Columbia is pleased to host the 22nd annual Western Canada PD Days conference in Vancouver. The conference will be held on February 7–9, 2013 at the Renaissance Vancouver Harbourside Hotel located in Coal Harbour, downtown Vancouver.   Western Canada PD Days is the only Canadian conference dedicated to peritoneal dialysis. WCPD is a showcase […]

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September 18, 2012

Cardiac Disease Evaluation and Management Among Kidney and Liver Transplantation Candidates

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This guideline from the American Heart Association and the American College of Cardiology reviews preoperative cardiac evaluation in renal transplant candidates.

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September 18, 2012

Consensus Guidelines for the Prevention and Treatment of Catheter-related Infections and Peritonitis in Pediatric Patients Receiving Peritoneal Dialysis: 2012 Update

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This clinical guideline focuses on the prevention and treatment of catheter-related infections in pediatric patients on peritoneal dialysis.

1 Comment Posted in Clinical Practice Guidelines, Pediatric Nephrology, Peritoneal Dialysis
September 18, 2012

A Randomized Trial Comparing Buttonhole with Rope Ladder Needling in Conventional Hemodialysis Patients.

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This randomized controlled trial comparing button hole versus standard AV fistula needling showed an increased risk of bacteremia and localized infection with buttonhole needling.

Comments Off on A Randomized Trial Comparing Buttonhole with Rope Ladder Needling in Conventional Hemodialysis Patients. Posted in Vascular Access
September 18, 2012

KDIGO Clinical Practice Guideline for Anemia in Chronic Kidney Disease

These clinical practice guidelines provide guidance on anemia management in CKD and ESRD.

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September 18, 2012

Benefits and Harms of Statin Therapy for Persons With Chronic Kidney Disease: A Systematic Review and Meta-analysis

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This meta-analysis of statin therapy in patients with chronic kidney disease showed decreased mortality and cardiovascular events in patient with CKD, not yet on dialysis, but little or no effect in those on dialysis.

Comments Off on Benefits and Harms of Statin Therapy for Persons With Chronic Kidney Disease: A Systematic Review and Meta-analysis Posted in Internal Medicine for Nephrologists, Vascular Disease/Calcification
September 18, 2012

Lipid-Lowering Therapy in Persons With Chronic Kidney Disease: A Systematic Review and Meta-analysis.

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This meta-analysis of lipid lowering therapy (statin or statin + ezetimibe) in patients with chronic kidney disease (CKD) showed no benefit in renal outcomes but did show a decreased risk of cardiac mortality, cardiovascular events including revascularization and myocardial infarction.

Comments Off on Lipid-Lowering Therapy in Persons With Chronic Kidney Disease: A Systematic Review and Meta-analysis. Posted in Chronic Kidney Disease, Vascular Disease/Calcification
September 18, 2012

Stroke and Bleeding in Atrial Fibrillation with Chronic Kidney Disease

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This retrospective analysis indicates that atrial fibrillation results in an increased risk of bleeding as well as stroke/systemic thromboembolism in patients with chronic kidney disease. Warfarin was associated with reduced stroke or systemic thromboembolism in patients with CKD, while warfarin and aspirin were associated with an increased risk of bleeding.

Comments Off on Stroke and Bleeding in Atrial Fibrillation with Chronic Kidney Disease Posted in Chronic Kidney Disease, Internal Medicine for Nephrologists
September 18, 2012

Update in Nephrology: Evidence Published in 2011

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This review nicely summarizes the nephrology evidence published in 2011.

Comments Off on Update in Nephrology: Evidence Published in 2011 Posted in Educational Resource, General Nephrology, Review
September 18, 2012

Acute dialysis risk in living kidney donors

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This is a population-based matched cohort study of all living kidney donors in Ontario, Canada form 1992-2009. Of the 2027 donors and 20 270 matched non-donors reviewed only 1 donor required acute dialysis in the 6 year follow-up. This was not statistically significant from the non-donor rate. This study adds further reassuring evidence for the […]

Comments Off on Acute dialysis risk in living kidney donors Posted in Acute Kidney Injury, Clinical Nephrology, Renal Transplantation
September 18, 2012

Frailty, Dialysis Initiation, and Mortality in End-Stage Renal Disease

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This study using USRDS data assessed the relation between dialysis initiation and frailty. The prevalence of frailty was 73% among the participants. Multivariate analysis showed that higher eGFR at dialysis initiation was associated with higher odds of frailty. Furthermore, frailty was independent associated mortality and time to first hospitalization while eGFR was not. Clinicians need […]

Comments Off on Frailty, Dialysis Initiation, and Mortality in End-Stage Renal Disease Posted in Chronic Kidney Disease, Clinical Nephrology