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Statement from Eleanor D. Lederer, MD, FASN, President, American Society of Nephrology on Proposed FY 2018 budget

ASN Denounces Administration’s Proposed Massive Cuts for the National Institutes of Health – “Would Disrupt Medical Research”

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Kidney Transplantation, Diabetes

EMBARGOED

A reporter's PressPass is required to access this story until the embargo expires on 25-May-2017 5:00 PM EDT

Medicine

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Body Fat, Chronic Kidney Disease

Study Compares Different Measures of Body Fat for Predicting Kidney Function Decline

• In a new study, a higher amount of body fat was linked with an increased risk of developing chronic kidney disease. • Simple ways of measuring body size—such as waist circumference or body mass index—provided similar information on risk as more sophisticated methods, such as imaging scans, to measure different types of body fat.

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Acute Kidney Injury

Certain Medical Diagnoses May Increase Hospitalized Patients’ Risk of Developing Kidney Injury

• Patients who were admitted to the hospital with sepsis, heart diseases, polytrauma, liver disease, and cardiovascular surgery were at elevated risk for developing acute kidney injury (AKI). • The medical records of most patients who developed hospital-acquired AKI did not include the diagnosis code for AKI.

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fluid overload, Dialysis

Fluid Overload Linked to Premature Death in Patients on Dialysis

• Chronic fluid overload was linked with an increased risk of early death in patients undergoing hemodialysis. • The magnitude of this risk was comparable to that of coronary artery disease or congestive heart failure.

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hospital acquired complications, Kidney Disease

Hospital Acquired Complications May Be Especially Dangerous for Patients with Kidney Disease

• Potentially preventable hospital acquired complications were associated with increased risks of dying while hospitalized or within 90 days of discharge, as well as with a greater likelihood of staying longer in the hospital and needing to be readmitted. • The magnitude of these associations was larger in patients with chronic kidney disease than in those with normal kidney function.

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Kidney Donation

Study Quantifies Kidney Failure Risk in Living Kidney Donors

• Researchers have developed a risk calculator that estimates the risk of kidney failure after donation. • Overall risk was quite low, but black race and male sex were associated with increased risks of developing kidney failure in living kidney donors. • Older age was associated with greater kidney failure risk in nonblack donors, but not in in black donors. • Higher body mass index and a close biological relationship to the transplant recipient were also associated with increased risks of kidney failure.

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Fellows, Nephrology, Training

Study Evaluates How Well Fellowship Training Prepares Kidney Specialists

• Most nephrology fellows rated overall quality of teaching in fellowships as either “good” or “excellent,” and over half of second-year fellows felt “fully prepared” for independent practice. • Fellows indicated a desire for more education in several core nephrology topics, including peritoneal dialysis and home hemodialysis, ultrasound, and kidney pathology.

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Kidney, Kidney Disease, Cardiovascular Death

Kidney Disease Is a Major Cause of Cardiovascular Deaths

• In 2013, reduced kidney function was associated with 4% of deaths worldwide, or 2.2 million deaths. • More than half of these deaths were cardiovascular deaths.

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Chronic Kidney Disease, Ammonium

Low Ammonium Levels in Urine May Indicate Serious Risks for Kidney Disease Patients

In patients with chronic kidney disease, low urine ammonium excretion identified individuals at high risk of kidney disease progression or death.







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