Estimated glomerular filtration rate in clinical practice: Consensus positioning of the Brazilian Society of Nephrology (SBN) and Brazilian Society of Clinical Pathology and Laboratory Medicine (SBPC/ML)
J Bras Nefrol. 2024 Apr 5;46(3):e20230193. doi: 10.1590/2175-8239-JBN-2023-0193en. eCollection 2024.ABSTRACTChronic kidney disease (CKD) represents one of today's main public health problems. Serum creatinine measurement and estimation of the glomerular filtration rate (GFR) are the main tools for evaluating renal function. There are several equations to estimate GFR, and CKD-EPI equation (Chronic Kidney Disease - Epidemiology) is the most recommended one. There are still some controversies regarding serum creatinine measurement and GFR estimation, since several factors can interfere in this process. An important recent ch...
Source: Jornal Brasileiro de Nefrologia - April 9, 2024 Category: Urology & Nephrology Authors: Gianna Mastroianni Kirsztajn Geraldo Bezerra da Silva Junior Artur Quintiliano Bezerra da Silva Hugo Abensur Jo ão Egídio Romão Junior Marcus Gomes Bastos Viviane Calice-Silva Lilian Pires de Freitas do Carmo Tain á Veras de Sandes-Freitas Patr ícia Source Type: research
Analysis of neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios as inflammatory biomarkers in chronic kidney disease: impact of parathyroidectomy
CONCLUSION: N/L and P/L ratios are not reliable biomarkers of inflammation in SHPT patients undergoing PTX. Uremia, which induces a state of chronic inflammation in dialysis patients, and the use of immunosuppression in kidney transplant recipients are some of the confounding factors that prevent the use of this tool in clinical practice.PMID:38591824 | DOI:10.1590/2175-8239-JBN-2023-0175en (Source: Jornal Brasileiro de Nefrologia)
Source: Jornal Brasileiro de Nefrologia - April 9, 2024 Category: Urology & Nephrology Authors: Andre Kakinoki Teng Eduardo Jorge Duque Shirley Ferraz Crispilho Wagner Domingues Vanda Jorgetti Luciene M Dos Reis Rosilene M Elias Rosa Maria Affonso Moys és Source Type: research
Estimated glomerular filtration rate in clinical practice: Consensus positioning of the Brazilian Society of Nephrology (SBN) and Brazilian Society of Clinical Pathology and Laboratory Medicine (SBPC/ML)
J Bras Nefrol. 2024 Apr 5;46(3):e20230193. doi: 10.1590/2175-8239-JBN-2023-0193en. eCollection 2024.ABSTRACTChronic kidney disease (CKD) represents one of today's main public health problems. Serum creatinine measurement and estimation of the glomerular filtration rate (GFR) are the main tools for evaluating renal function. There are several equations to estimate GFR, and CKD-EPI equation (Chronic Kidney Disease - Epidemiology) is the most recommended one. There are still some controversies regarding serum creatinine measurement and GFR estimation, since several factors can interfere in this process. An important recent ch...
Source: Jornal Brasileiro de Nefrologia - April 9, 2024 Category: Urology & Nephrology Authors: Gianna Mastroianni Kirsztajn Geraldo Bezerra da Silva Junior Artur Quintiliano Bezerra da Silva Hugo Abensur Jo ão Egídio Romão Junior Marcus Gomes Bastos Viviane Calice-Silva Lilian Pires de Freitas do Carmo Tain á Veras de Sandes-Freitas Patr ícia Source Type: research
Risk of Relapse of Antineutrophil Cytoplasmic Antibody –Associated Vasculitis in a Randomized Controlled Trial of Plasma Exchange and Glucocorticoids
ConclusionIn patients with severe ANCA-associated vasculitis, relapses remain common; neither the use of PLEX nor an initial glucocorticoid tapering regimen impacted relapse risk. (Source: Arthritis and Rheumatology)
Source: Arthritis and Rheumatology - April 9, 2024 Category: Rheumatology Authors: Mats L. Junek,
Peter A. Merkel,
Eswari Vilayur,
Ron Wald,
Nader Khalidi,
David Jayne,
Michael Walsh,
for the PEXIVAS Investigators,
Kathy Paizis,
Donna Reidlinger,
Alicia Morrish,
Sunil V Badve,
Elaine Pascoe,
Peta ‐Anne Paul‐Brent,
Laur Tags: Brief Report Source Type: research
Calcium-based phosphate binders and bone mineral density in patients undergoing hemodialysis: a retrospective cohort study
ConclusionCBPB administration may be associated with BMD maintenance. (Source: Clinical and Experimental Nephrology)
Source: Clinical and Experimental Nephrology - April 9, 2024 Category: Urology & Nephrology Source Type: research
MSCTA imaging analysis of autologous arteriovenous fistula dysfunction in maintenance hemodialysis patients
CONCLUSION: MSCTA can be used to evaluate the dysfunction of autologous arteriovenous fistula in patients undergoing maintenance hemodialysis, and provide important reference information for the formulation of the next best clinical treatment plan.PMID:38586097 | PMC:PMC10994794 | DOI:10.62347/YEGN9292 (Source: American Journal of Translational Research)
Source: American Journal of Translational Research - April 8, 2024 Category: Research Authors: Yingjie Wang Yanlei Qin Xiaolu Huang Weihong Liu Source Type: research
The Gap in Attitudes Toward Withholding and Withdrawing Life-Sustaining Treatment Between Japanese Physicians and Citizens
CONCLUSIONS: A significant proportion of Japanese physicians and citizens were reluctant to withhold or withdraw life-sustaining treatment, even in cases where the patient had indicated their wishes in writing. They were more likely to withhold than withdraw treatment, and more likely to withdraw artificial nutrition than mechanical ventilation. Japanese physicians gave significant weight to family views about treatment but were less likely to agree to withdraw treatment than citizens, indicating a potential source of conflict in clinical settings.PMID:38588396 | DOI:10.1080/23294515.2024.2336907 (Source: AJOB Primary Research)
Source: AJOB Primary Research - April 8, 2024 Category: Medical Ethics Authors: Yoshiyuki Takimoto Tadanori Nabeshima Source Type: research
Progression of valvular heart disease in dialysis patients: how to stop it?
J Bras Nefrol. 2024 Apr 8;46(2):e2024E005. doi: 10.1590/2175-8239-JBN-2024-E005en. eCollection 2024.NO ABSTRACTPMID:38588378 | DOI:10.1590/2175-8239-JBN-2024-E005en (Source: Jornal Brasileiro de Nefrologia)
Source: Jornal Brasileiro de Nefrologia - April 8, 2024 Category: Urology & Nephrology Authors: Eduardo Leal Adam Source Type: research
Home versus in-centre haemodialysis for people with kidney failure
CONCLUSIONS: Based on low to very low certainty evidence, HHD, compared with ICHD, has uncertain associations or may be associated with decreased cardiovascular and all-cause death, hospitalisation rate, slower post-dialysis recovery time, and decreased SBP and LVMI. HHD has uncertain cost-effectiveness compared with ICHD in the first and second years of treatment. The majority of studies included in this review were observational and subject to potential selection bias and confounding, especially as patients treated with HHD tended to be younger with fewer comorbidities. Variation from study to study in the choice of outc...
Source: Cochrane Database of Systematic Reviews - April 8, 2024 Category: General Medicine Authors: Melissa S Cheetham Isabelle Ethier Rathika Krishnasamy Yeoungjee Cho Suetonia C Palmer David W Johnson Jonathan C Craig Paul Stroumza Luc Frantzen Jorgen Hegbrant Giovanni Fm Strippoli Source Type: research
MSCTA imaging analysis of autologous arteriovenous fistula dysfunction in maintenance hemodialysis patients
CONCLUSION: MSCTA can be used to evaluate the dysfunction of autologous arteriovenous fistula in patients undergoing maintenance hemodialysis, and provide important reference information for the formulation of the next best clinical treatment plan.PMID:38586097 | PMC:PMC10994794 | DOI:10.62347/YEGN9292 (Source: American Journal of Translational Research)
Source: American Journal of Translational Research - April 8, 2024 Category: Research Authors: Yingjie Wang Yanlei Qin Xiaolu Huang Weihong Liu Source Type: research
The Gap in Attitudes Toward Withholding and Withdrawing Life-Sustaining Treatment Between Japanese Physicians and Citizens
CONCLUSIONS: A significant proportion of Japanese physicians and citizens were reluctant to withhold or withdraw life-sustaining treatment, even in cases where the patient had indicated their wishes in writing. They were more likely to withhold than withdraw treatment, and more likely to withdraw artificial nutrition than mechanical ventilation. Japanese physicians gave significant weight to family views about treatment but were less likely to agree to withdraw treatment than citizens, indicating a potential source of conflict in clinical settings.PMID:38588396 | DOI:10.1080/23294515.2024.2336907 (Source: AJOB Primary Research)
Source: AJOB Primary Research - April 8, 2024 Category: Medical Ethics Authors: Yoshiyuki Takimoto Tadanori Nabeshima Source Type: research
MSCTA imaging analysis of autologous arteriovenous fistula dysfunction in maintenance hemodialysis patients
CONCLUSION: MSCTA can be used to evaluate the dysfunction of autologous arteriovenous fistula in patients undergoing maintenance hemodialysis, and provide important reference information for the formulation of the next best clinical treatment plan.PMID:38586097 | PMC:PMC10994794 | DOI:10.62347/YEGN9292 (Source: American Journal of Translational Research)
Source: American Journal of Translational Research - April 8, 2024 Category: Research Authors: Yingjie Wang Yanlei Qin Xiaolu Huang Weihong Liu Source Type: research
The Gap in Attitudes Toward Withholding and Withdrawing Life-Sustaining Treatment Between Japanese Physicians and Citizens
CONCLUSIONS: A significant proportion of Japanese physicians and citizens were reluctant to withhold or withdraw life-sustaining treatment, even in cases where the patient had indicated their wishes in writing. They were more likely to withhold than withdraw treatment, and more likely to withdraw artificial nutrition than mechanical ventilation. Japanese physicians gave significant weight to family views about treatment but were less likely to agree to withdraw treatment than citizens, indicating a potential source of conflict in clinical settings.PMID:38588396 | DOI:10.1080/23294515.2024.2336907 (Source: AJOB Primary Research)
Source: AJOB Primary Research - April 8, 2024 Category: Medical Ethics Authors: Yoshiyuki Takimoto Tadanori Nabeshima Source Type: research
