Vitreous Hemorrhage in Diabetic Patients with Proliferative Diabetic Retinopathy Undergoing Hemodialysis

AbstractAim/introductionFor diabetic patients undergoing hemodialysis, vitreous hemorrhage seems to be a hemodialysis ‐induced hemorrhagic complication because of the effect of systemic anticoagulation. But it is unclear whether hemodialysis is associated with vitreous hemorrhage in diabetic patients. We therefore conducted this cohort study to clarify the relationship between hemodialysis and vitreous hemorrhage in diabetic patients with proliferative diabetic retinopathy (PDR).Materials and MethodsThis was a single ‐center, retrospective, cohort study. We compared the incidence of vitreous hemorrhage in non‐vitrectomized PDR eyes between the hemodialysis group (145 eyes) and peritoneal dialysis group (36 eyes) which does not require the use of systemic anticoagulation (parallel‐group study), and in hemod ialysis patients in the 12‐month period before and after the start of hemodialysis (before‐after study). We also determined the risk factors for vitreous hemorrhage after the start of hemodialysis based on the patients’ systemic and ophthalmic characteristics.ResultsThere was no significant difference in the first ‐year incidence of vitreous hemorrhage between the hemodialysis (23.4%) and peritoneal dialysis groups (22.2%, P = 1.000). The incidence of vitreous hemorrhage in the dialysis period (23.4%) was significantly lower than that in the pre‐dialysis period (35.2%, P = 0.008). Only application of panr etinal photocoagulation within the last 6 month...
Source: Journal of Diabetes Investigation - Category: Endocrinology Authors: Tags: Original Article Source Type: research

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This study aimed to determine whether hemodialysis is associated with vitreous haemorrhage in patients with proliferative diabetic retinopathy. These results suggest that hemodialysis therapy does not seem to be a significant risk for vitreous haemorrhage in proliferative diabetic retinopathy patients. AbstractAims/IntroductionFor diabetes patients undergoing hemodialysis, vitreous hemorrhage seems to be a hemodialysis ‐induced hemorrhagic complication because of the effect of systemic anticoagulation. However, it is unclear whether hemodialysis is associated with vitreous hemorrhage in diabetes patients. We therefore ca...
Source: Journal of Diabetes Investigation - Category: Endocrinology Authors: Tags: Original Article Source Type: research
CONCLUSION: there was a decrease in midarm circumference and serum albumin and an increase in protein intake after dialysis. The peritoneal dialysis patients had higher muscle strength, even with lower protein intake. Resting energy expenditure was not different between dialysis methods and the moments evaluated. PMID: 31661541 [PubMed - as supplied by publisher]
Source: Jornal Brasileiro de Nefrologia - Category: Urology & Nephrology Tags: J Bras Nefrol Source Type: research
DISCUSSION: Mortality and cardiovascular disease burden have declined for dialysis patients in the United States despite an aging population that is increasingly hypertensive and diabetic. Comorbid disease burdens among HD and PD patients have diverged over time, with PD patients having fewer comorbid conditions.
. PMID: 31599226 [PubMed - as supplied by publisher]
Source: Clinical Nephrology - Category: Urology & Nephrology Authors: Tags: Clin Nephrol Source Type: research
CONCLUSION: Dialysis outcomes such as technique failure, infection, and mortality are not affected by the presence of LC. Accordingly, PD therapy is a good option in patients with LC. PMID: 31582468 [PubMed - as supplied by publisher]
Source: Peritoneal Dialysis International - Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research
The objective of this review is to show an overview to know the main UT produced in end-stage renal disease patients, and how prebiotics and probiotics intervention acts as a helpful tool in CKD treatment.
Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research
In this study, we intended to study the clinical characteristics and patient and technique survival of elderly patients on PD. In this study, data of 148 elderly patients with end-stage renal disease who initiated PD between January 2001 and December 2015 were collected. Baseline clinical characteristics and events during the study period were recorded. Overall patient and technique survival rates of diabetic and non-diabetic elderly patients on PD were analyzed. Around 128 patients who were initiated PD during the study period were included for final analysis. The mean age of the study group was 70.3 ± 5.1 years, and...
Source: Indian Journal of Nephrology - Category: Urology & Nephrology Authors: Source Type: research
Abstract INTRODUCTION: Nontraumatic acute abdomen (NTAA) in dialysis patients is a challenging issue. The aetiologies of NTAA vary considerably depending on the renal replacement therapy (RRT) modality. Although haematological parameters and contributing factors have been reported to be associated with outcomes for dialysis patients, their clinical effect on the length of hospital stay (LOS) remains unknown. METHODS: We retrospectively analysed 52 dialysis patients (peritoneal dialysis [PD], n = 33; haemodialysis [HD], n = 19) and 30 non-dialysis patients (as controls) between January 2011 and December 2014. ...
Source: Singapore Medical Journal - Category: General Medicine Authors: Tags: Singapore Med J Source Type: research
Hypertension is a risk factor for renal disease. Therefore, this study was aimedat estimating the prevalence of hypertension in renal patients in Iran through meta ‑analysis.The search was carried out using authentic Persian and English keywords in national and international databases including IranMedex, SID, Magiran, IranDoc, Medlib, ScienceDirect, Pubmed, Scopus, Cochrane, Embase, Web of Science, Medline, and Google Scholar search engine without any time limitation until 2017. Heterogeneity of studies was assessed using theI2index.Data were analyzed using STATA ver 11.In 35 reviewed studies with a sample of 39,621 sub...
Source: International Journal of Preventive Medicine - Category: International Medicine & Public Health Source Type: research
CONCLUSION: This study suggests that higher XSPI in HD patients is related to the presence of AVF. PMID: 31419806 [PubMed - as supplied by publisher]
Source: American Journal of Hypertension - Category: Cardiology Authors: Tags: Am J Hypertens Source Type: research
CONCLUSION: In all scenarios from the payer's perspective, sav-ings could be achieved through an increase in PD use. Selecting PD for ESRD patients without different expected clinical outcomes between HD and PD would be beneficial to the NHI budget. PMID: 31337696 [PubMed - as supplied by publisher]
Source: Peritoneal Dialysis International - Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research
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