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Nephrology News
Centers decline 15 to 17 donor kidney offers before transplant, removal from waitlist or death
A recently published study found transplant centers refuse many deceased donor kidney offers — over periods of several years in some cases — prior to candidates either receiving the transplant, being removed from the waitlist or dying.
Early, frequent nephrology care improves cardiovascular outcomes post-dialysis initiation
Patients who had frequent nephrologist appointments several months before beginning dialysis had reduced risk for adverse cardiovascular events 1 year after initiation, according to a published study.
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Hemodialysis for children with AKI has increased despite high 30-day mortality risk
Recently published findings from Canada suggest use of hemodialysis for children hospitalized with acute kidney injury has increased in 2 decades and is associated with a high risk for short-term mortality.
Using French transplant criteria, 62% of discarded donor kidneys could be used
Designing policies that encourage greater acceptance of lower quality deceased donor kidneys in the United States — similar to the French transplant system — could increase the number of transplants performed and provide survival benefits to wait-listed patients.
Psychiatric illnesses prevalent in hospitalized patients with ESKD, associated with increased mortality
A recently published study found psychiatric illnesses, common among patients with ESKD hospitalized within their first year of dialysis treatment, were associated with higher patient mortality after discharge.
Medicaid expansion states see 66% increase in covered kidney transplants
States that implemented Medicaid expansion under the Affordable Care Act saw greater increases in covered preemptive kidney transplants than did non-expansion states, according to a recently published study.
EHR-based tool may accurately identify patients likely to have CKD
A tool that used data from electronic health records accurately diagnosed chronic kidney disease in patients treated at five diverse health care organizations, according to a published study.
Risk for kidney scarring spikes with two or more febrile UTIs
Children with more than one febrile UTI are at a significantly increased risk for kidney scarring, according to findings published in JAMA Pediatrics. Researchers wrote that the risk for scarring increases with each additional febrile infection.
Racial disparities exist in use of palliative care for patients with ESKD
While the use of palliative care increased for all hospitalized patients with ESKD, black and Hispanic patients were significantly less likely to receive palliative care referrals and services than white patients, according to a recently published study.
Extreme heat events may increase ESRD hospital admission, mortality risks
Extreme heat events were associated with an increased risk for hospital admissions and mortality among patients with end-stage renal disease, according to a recently published study. Researchers also found these risks may vary by geographic location, race/ethnicity and comorbidities.