Article title: Cardiopulmonary and metabolic physiology during hemodialysis and inter-/intra-dialytic exercise Authors: Scott McGuire, Elizabeth Jane Horton, Derek Renshaw, Klaris Chan,Read more
• An analysis of published clinical trials suggests that aerobic exercise lessens several hemodialysis-related symptoms, including restless leg syndrome, symptoms of depression, muscle cramping, and fatigue.
• More research, with more diverse patients, is needed to determine the extent of benefits from aerobic exercise for individuals with kidney failure who are undergoing dialysis.
Washington, DC (February 25, 2021) —The American Society of Nephrology (ASN) is spearheading efforts to secure direct federal allocation of COVID-19 vaccines to dialysis patients and frontline dialysis workers. This allocation would improve access for a vulnerable patient population, more than half of whom are Black, Hispanic, Asian, Native American, and Native Hawaiian or other Pacific Islanders (NHPIs).Read more
• A new patient-reported outcome measure assesses fatigue in patients receiving dialysis.
The tool gauges tiredness, energy, and the impact of fatigue on life participation.
• Over the last decade, the Department of Veterans Affairs implemented payment changes to reduce spending on community dialysis treatments and to improve access to care for Veterans with kidney failure.
• The changes led to reduced costs for dialysis sessions and less variation in payments for dialysis.
• The changes led to improved access to dialysis care without change in the quality of that care.
• An assessment of symptoms that was incorporated into routine care for patients undergoing hemodialysis successfully standardized symptom screening processes, improved patient and provider symptom awareness, and empowered patients to raise issues with providers.
• There was little, if any, improvement in the metrics used to assess symptom management, communication between patients and providers, and communication among different types of clinicians.
As COVID-19 continues to impact the world, health care professionals are finding more patients who were diagnosed with the illness but still are dealing with symptoms long after the initial infection has gone. This condition is sometimes referred to as “long COVID.”Read more
The National Kidney Foundation (NKF) in collaboration with the Academy of Nutrition and Dietetics released today the 2020 Kidney Disease Outcomes Quality Initiative (KDOQI) Clinical Practice Guideline on Nutrition in Chronic Kidney Disease that will guide health care practitioners who treat people with all stages of kidney disease.Read more
• Among US patients undergoing dialysis, those visiting dialysis facilities with higher proportions of minorities are less likely to be vaccinated against influenza, and the disparity seems to be increasing.
A $500,000 KidneyX prize has been awarded to The Kidney Project — a collaboration between Vanderbilt University Medical Center (VUMC) and UC San Francisco (UCSF) — for the development of an implantable dialysis system that would enable patients to safely and effectively treat kidney failure at home.Read more
• In a study of adults with kidney failure treated with dialysis, 21% of patients reported regret that they decided to initiate dialysis.
Certain factors were linked with a higher likelihood of experiencing regret
Red blood cells sometimes rupture when blood is sent through faulty equipment, such as a dialysis machine. This is called hemolysis. Hemolysis also can occur during blood work when blood is drawn too quickly through a needle, leading to defective laboratory samples. University of Delaware mechanical engineer Tyler Van Buren and collaborating colleagues at Princeton University have developed a method to monitor blood damage in real-time.Read more
. Ashita Tolwani, a nephrologist at the University of Alabama at Birmingham, explains how COVID-19 is impacting patients and putting a strain on the availability of dialysis supplies..Read more
• Among patients with kidney failure and atrial fibrillation, Black, Hispanic White, and Asian patients filled prescriptions of stroke-preventive medications less often than non-Hispanic White patients, and they were more likely to experience stroke.
• Equalizing the distribution of these medications would prevent 7%–12% of the stroke disparity among racial/ethnic minorities.
More than 10,000 uninsured patients sought care at Texas emergency departments for lifesaving kidney dialysis in 2017, incurring more than $21.8 million in hospital costs, according to researchers from UTHealth.Read more
In the future, robots could take blood samples, benefiting patients and healthcare workers alike. A Rutgers-led team has created a blood-sampling robot that performed as well or better than people, according to the first human clinical trial of an automated blood drawing and testing device.Read more
• Among patients who experience cardiac arrest while in the hospital, those on dialysis were less likely to have a shockable rhythm and more likely to be outside of the intensive care unit at the time of arrest compared with patients not on dialysis.
• Patients on dialysis had lower scores for resuscitation quality, and they were less likely to have defibrillation within 2 minutes.
• Patients on dialysis had a similar likelihood of surviving to hospital discharge, and they had better neurological function at the time of discharge.
This study identified the types of dialysis facilities in the United States that care for “safety-net reliant” dialysis patients—those who are uninsured or have only Medicaid coverage and do not qualify for Medicare.Read more
• In an analysis of patients treated with dialysis in the 5 U.S. territories and the 50 U.S. states between 1995 and 2012, the mortality rates were similar for Whites or Blacks, and higher for Hispanics and Asians in the territories.
• After a Medicare payment policy related to dialysis was implemented in 2011, use of home-based peritoneal dialysis increased significantly.
• Increases were seen for both “early” and “late” peritoneal dialysis: more patients initiated dialysis with peritoneal dialysis and more patients switched from hemodialysis to peritoneal dialysis.
The complex interplay among the arteriovenous grafts, the vessels they connect, and the blood they transport has been difficult to simulate with computers, but one new method provides a way. Researchers report in Physics of Fluids on a series of simulations that reconstructed the fluid dynamics affected by the insertion of an AVG.Read more