Nephrology News

Hypothyroidism Tied to Worse Quality of Life for HD Patients

High thyrotropin levels were associated with worse measures of energy/fatigue and physical functioning.
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Type of Long-term Response to Targeted mRCC Therapy Affects Outcomes

Patients who have a complete response to 2 or more years of anti-VEGF treatment have the best progression-free and overall survival.
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More Than 100 Million Americans Have Diabetes or Prediabetes: CDC

News Picture: More Than 100 Million Americans Have Diabetes or Prediabetes: CDC
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TUESDAY, July 18, 2017 (HealthDay News) -- More than 100 million U.S. adults have diabetes or prediabetes, health officials say.

As of 2015, more than 9 percent of the population -- 30.3 million -- had diabetes. Another 84.1 million had prediabetes, the U.S. Centers for Disease Control and Prevention reported Tuesday.

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Type of Long-term Response to Targeted mRCC Therapy Affects Outcomes

Patients who have a complete response to 2 or more years of anti-VEGF treatment have the best progression-free and overall survival.
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1009 Hits

Diabetes causes shift in oral microbiome that fosters periodontitis, study finds

A new study led by University of Pennsylvania researchers has found that the oral microbiome is affected by diabetes, causing a shift to increase its pathogenicity. The research, published in the journal Cell Host & Microbe this week, not only showed that the oral microbiome of mice with diabetes shifted but that the change was associated with increased inflammation and bone loss.

"Up until now, there had been no concrete evidence that diabetes affects the oral microbiome," said Dana Graves, senior author on the new study and vice dean of scholarship and research at Penn's School of Dental Medicine. "But the studies that had been done were not rigorous."

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Low Hemoglobin, Low SEVR Linked in Chronic Kidney Disease

Researchers used pulse wave analysis to measure subendocardial viability ratio, a measure of myocardial perfusion, and its association with hemoglobin.
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Optimal Iron Status for Hemodialysis Patients Reported

Japanese researchers conclude that a serum ferritin level below 90 ng/mL and TSAT of 20% or higher was optimal for achieving a hemoglobin level of 10 g/dL or higher.
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Total PTx Without Autotransplantation May Improve Outcomes

Meta-analysis reveals a lower risk of recurrence and persistence of SHPT when total parathyoidectomy is performed without transplanting parathyroid tissue.
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New way of predicting kidney function could improve chemotherapy dosing

Scientists at the University of Cambridge have developed a new statistical model which estimates kidney function in patients with cancer. This is the most accurate model for estimating kidney function yet developed and should help cancer specialists treat their patients more safely and improve the accuracy of chemotherapy dosing. The model is now available free online.

Kidneys perform a number of vital functions, including filtering waste and toxins out of the blood, producing vitamin D, and regulating blood pressure. The filtration function of the kidneys is measured by the glomerular filtration rate (GFR), the rate at which blood is passed through the glomeruli, the small blood vessel filters in the kidneys.

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Hypermagnesemia: Causes, symptoms, and treatment

Magnesium.
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Blood test analysis.
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Usually, very little magnesium is found in the blood. When magnesium levels are particularly high, it is known as hypermagnesemia.
Hypermagnesemia refers to an excess amount of magnesium in the bloodstream. It is rare and is usually caused by renal failure or poor kidney function.

Magnesium is a mineral the body uses as an electrolyte, meaning it carries electric charges around the body when dissolved in the blood.

Magnesium has a role in bone health, cardiovascular function, and neurotransmission, among other functions. Most magnesium is stored in the bones.

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Post-PCI Acute Kidney Injury Not Linked to Contrast Use

Myocardial infarction patients who underwent percutaneous coronary intervention had an AKI rate similar to those who did not have the procedure.
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Low Hemoglobin, Low SEVR Linked in Chronic Kidney Disease

Researchers used pulse wave analysis to measure subendocardial viability ratio, a measure of myocardial perfusion, and its association with hemoglobin.
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1067 Hits

Lowering Radiation Exposure Feasible in URS for Kidney Stones

Radiation dose area product fell from 318.4 to 6.4 cGy/cm2 over the study period.
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1066 Hits

Combo Immunotherapy May Herald New Standard of Care for Kidney Cancer

Newswise — DALLAS – July 05, 2017 – Combination therapy with two immunotherapy drugs produces an unprecedented doubling of response rates from 20 percent to 40 percent, a new study shows.

The multicenter trial involving 100 patients showed that the addition of ipilimumab to nivolumab, which is currently FDA-approved for treatment of kidney cancer, leads to responses that can last beyond two years. Half of the patients in the study, which appears in the Journal of Clinical Oncology, had metastases that had grown while they were on previous therapy.

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Intensive blood pressure lowering benefits patients with chronic kidney disease

Results from a recent clinical trial indicate that intensive blood pressure lowering reduces chronic kidney disease (CKD) patients' risks of dying prematurely or developing cardiovascular disease. The findings appear in an upcoming issue of the Journal of the American Society of Nephrology (JASN).

The appropriate target for blood pressure in patients with CKD and hypertension has been unclear. To examine the issue, researchers analyzed information from the Systolic Blood Pressure Intervention Trial (SPRINT), sponsored by the National Institutes of Health. SPRINT, which enrolled individuals aged ?50 years with systolic blood pressure of ?130 mm Hg and at least one additional cardiovascular disease risk factor, compared targeting a systolic blood pressure to <120 mm Hg vs. <140 mm Hg for preventing cardiovascular complications and early death. The benefits of the lower target were apparent almost a year before the study was initially planned to end.

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Education Can Improve Phosphate Control

Patients receiving educational or behavioral interventions aimed at controlling hyperphosphatemia had an average reduction in phosphate of 0.23 mmol/L more than standard care patients.
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Would you give one of your kidneys to a stranger?

kidney artwork

“I KNOW I sound kind of crazy, but I don’t have any doubts,” says Brittany Burton. “It’s a little bit of a sacrifice, but I’m sure it’s the right thing to do.” Burton, a 27-year-old high-school counsellor from Durham, North Carolina, is talking about donating one of her kidneys to someone she met on the internet.

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RBC Distribution Width, Dialysis Patient Mortality Linked

As red blood cell distribution width increases, so does the risk of death from any cause.
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Intensive Blood Pressure Reduction Benefits CKD Patients

CKD patients treated to a target systolic blood pressure of less than 120 mm Hg were 28% less likely to die early.
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Reducing Serum Phosphorus to Safer Target Range Ups Survival

Survival improved by 12% when serum phosphate levels approached a safer target range.
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