Prevalence of Arterial Stiffness and Associated Factors in Thai Patients with Chronic Kidney Disease and Kidney Transplant Recipients.

Prevalence of Arterial Stiffness and Associated Factors in Thai Patients with Chronic Kidney Disease and Kidney Transplant Recipients. J Med Assoc Thai. 2017 Feb;100 Suppl 1:S56-69 Authors: Thanakitcharu P, Jitsuparat Y, Jirajan B Abstract Background: Patients with chronic kidney disease (CKD), end-stage renal disease (ESRD) with dialysis, and kidney transplant (KT) recipients are associated with increased cardiovascular (CV) morbidity and mortality. Arterial stiffness is a major nontraditional risk factor of CV disease, and increased aortic pulse wave velocity (PWV), the gold standard for arterial stiffness assessment, may predict CV morbidity and mortality in these patients. Objective: The purpose of the present study was to evaluate the prevalence of arterial stiffness in pre-dialysis CKD, ESRD with dialysis patients and KT recipients, and associated factors that exacerbate the condition in order to serve as evidence to search for appropriate therapeutic options. Material and Method: This was a cross-sectional study of 169 patients including cases of pre-dialysis CKD stages 3-5, ESRD with hemodialysis (HD), continuous ambulatory peritoneal dialysis (CAPD), kidney transplant (KT) recipients and healthy volunteers. Central blood pressure (BP) and aortic PWV were assessed using the SphygmoCor® CPV Pulse Wave Velocity system (AtCor Medical, Sydney, Australia). Increased arterial stiffness was defined as aortic PWV of ≥12 m/s. Results: Th...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - Category: General Medicine Tags: J Med Assoc Thai Source Type: research

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CONCLUSION: The absolute number and the prevalence and incidence rates of patients on dialysis continue to rise steadily; the gross mortality rate remained stable. Regional inequities are evident in these rates. PMID: 29044335 [PubMed - in process]
Source: Jornal Brasileiro de Nefrologia - Category: Urology & Nephrology Tags: J Bras Nefrol Source Type: research
Abstract The incidence of acute kidney injury (AKI) is high in the elderly, who comprise an ever-growing segment of the population. Elderly patients pose a different set of diagnostic and therapeutic challenge owing to their associated comorbidities. AKI in the elderly is associated with an increased risk of mortality, morbidity, prolonged length of stay, and progression to chronic kidney disease. Data regarding the clinical profile of AKI in the elderly from the South Indian population are limited. Hence, we present this analysis of the etiological and prognostic factors associated with AKI in elderly population ...
Source: Saudi Journal of Kidney Diseases and Transplantation - Category: Urology & Nephrology Authors: Tags: Saudi J Kidney Dis Transpl Source Type: research
A 60-year-old man with diabetes and chronic kidney disease undergoing maintenance hemodialysis presented to our hospital with chronic nail changes that had been present for at least 2  years. He had not experienced any previous fingernail injuries. The nail examination showed the whiteness of the proximal portion of the nail bed and reddish-brown discoloration of the distal half of the nail bed in all his fingernails (Figure 1). The discoloration of the nails did not fade with pressure. On the basis of the clinical history, the patient was diagnosed as having Lindsay ’s nails. Although the pathophysiological m...
Source: QJM - Category: Internal Medicine Source Type: research
Background Diabetic kidney disease is the leading cause of stage 5 chronic kidney disease (CKD) in India. Renal replacement therapy (RRT) is accessible to very few patients because of socioeconomic deprivation. We studied the effect of diabetes and socioeconomic status on the outcome of patients on maintenance hemodialysis (MHD). Methods We retrospectively analyzed the outcome of 897 patients (629 males/268 females; mean age ± standard deviation 48.69 ± 14.27 years) initiated on MHD from 2003 to 2009 at five dialysis centers in south India. There were 335 type 2 diabetic patients and 562 non-diabetic patient...
Source: CKJ: Clinical Kidney Journal - Category: Urology & Nephrology Authors: Tags: HAEMODIALYSIS Source Type: research
This study compares two methods to follow-up patients with chronic renal insufficiency, stages 3 or 4: one called “télésuivi” (tele-monitoring), including tele-home care and the other one called “suivi conventionnel” (“standard follow-up”), within the scope of current HAS’ recommendations. Our hypothesis: tele-home care of patients with chronic renal insufficiency at stages 3 and 4 would improve the safety of health care by strengthening the monitoring of high-risk patients. Besides, it would provide a higher satisfaction regarding patients’ care ...
Source: European Research in Telemedicine - Category: Information Technology Source Type: research
Abstract Chronic kidney disease (CKD) is a significant cause of morbidity and mortality in sub-Saharan Africa. This, along with other noncommunicable diseases like hypertension, diabetes, and heart diseases, poses a double burden on a region that is still struggling to cope with the scourge of communicable diseases like malaria, tuberculosis, HIV, and more recently Ebola. Causes of CKD in the region are predominantly glomerulonephritis and hypertension, although type 2 diabetes is also becoming a significant cause as is the retroviral disease. Patients are generally younger than in the developed world, and there i...
Source: Clinical Nephrology - Category: Urology & Nephrology Authors: Tags: Clin Nephrol Source Type: research
DISCUSSION: Despite the increase in RRT services, the prevalence is lower than the Latin American average (660 pmp). Three quarters of HD and PD patients are under-dialysed. Obsolete RRT techniques are still used. The presence of Mesoamerican nephropathy influences the demographic characteristics (many young patients, two-thirds male, high prevalence in lowlands and coastlands). PMID: 27267915 [PubMed - as supplied by publisher]
Source: Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia - Category: Urology & Nephrology Tags: Nefrologia Source Type: research
Authors: Sesso RC, Lopes AA, Thomé FS, Lugon JR, Martins CT Abstract INTRODUCTION: National chronic dialysis data have had impact in the treatment planning. OBJECTIVE: To report data of the annual survey of the Brazilian Society of Nephrology about chronic kidney disease patients on dialysis in July 2014. METHODS: A survey based on data of dialysis units from the whole country. The data collection was performed by using a questionnaire filled out on-line by the dialysis units. RESULTS: Three hundred twelve (44%) of the dialysis units in the country answered the questionnaire. In July 2014, the to...
Source: Jornal Brasileiro de Nefrologia - Category: Urology & Nephrology Tags: J Bras Nefrol Source Type: research
BackgroundTo evaluate osteoprotegerin (OPG) levels in relation to cardiovascular (CV) risk factors in patients with chronic kidney disease (CKD) on different regimens of renal replacement therapy. MethodsA total of 143 patients with CKD and 30 healthy controls were included in this study and divided into five categories, including predialysis patients with chronic renal failure (preD; n = 36), chronic peritoneal dialysis patients (PD; n = 36), hemodialysis patients (HD; n = 35), renal transplant patients (RT; n = 36), and controls (n = 30). Data on demographics, concomitant diseases and CV risk factors, serum OPG levels, a...
Source: Journal of Clinical Laboratory Analysis - Category: Laboratory Medicine Authors: Tags: Original Article Source Type: research
Authors: Ostermann M, Palchaudhuri P, Riding A, Begum P, Milburn HJ Abstract The risk of tuberculosis (TB) is significantly increased in chronic kidney disease (CKD). Data on TB in CKD in the UK are sparse; most information stems from countries with high background prevalence. The aim of this study was to estimate the incidence of TB in CKD patients in South East London and to describe the epidemiology, treatment, and outcome. CKD patients with TB between 1994 and 2010 were identified retrospectively. Data were collected on type of renal replacement therapy, the method of TB diagnosis, disease site, treatment regim...
Source: Renal Failure - Category: Urology & Nephrology Tags: Ren Fail Source Type: research
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