Patient perspectives are often not considered by researchers and health care providers when making decisions that are inevitably going to influence the health and well-being of patients.
• Most surveyed Canadian kidney specialists recommended follow-up kidney evaluations for the majority of patients hospitalized with acute kidney injury. • Real-world practice showed that only a minority of such patients in Alberta currently receive follow-up with a kidney specialist.
• From 2008-2015, the number of kidneys donated after circulatory death that were obtained by the country’s 58 donor service areas varied substantially. • The outcomes associated with these organs were generally excellent. • The use of these organs could be increased if “cold ischemia times” are limited.
• Among hemodialysis patients admitted to the hospital, nearly a quarter of admissions were followed by an unplanned readmission within 30 days. • Most readmissions were for a diagnosis different than the one for the initial hospitalization. • A small proportion of patients accounted for a disproportionate number of readmissions.
American Society of Nephrology (ASN) President Eleanor D. Lederer, MD, FASN, released the following statement today regarding the US Senate’s consideration of the Graham-Cassidy health care proposal:
• In a study of US veterans, researchers found a linear relationship between air pollution levels and risk of experiencing kidney function decline and of developing kidney disease or kidney failure.
• From 2006 to 2010, almost two thirds of US dialysis patients received at least one opioid prescription every year and >20% received chronic prescriptions. • More than 25% of dialysis patients using opioids received doses exceeding recommendations • Use of opioid medications was linked with higher risks of early death, discontinuation of dialysis, and the need for hospitalization in dialysis patients.
Washington, DC (September 20, 2017)—The world’s largest gathering of kidney health professionals will join forces in New Orleans from October 31–November 5, 2017, and serve as a major forum for the dissemination of advances in basic, clinical, and translational research as well as advances in clinical practice to the basic science and clinical community during the American Society of Nephrology’s Kidney Week 2017.
Advocates from the American Society of Nephrology (ASN) and the 21 other health care organizations listed below are meeting with their representatives and senators today. They will urge Congress to continue its historic support of research funding for the National Institutes of Health (NIH) and to cosponsor and pass the Living Donor Protection Act (H.R. 1270), no-cost legislation to eliminate barriers to living donation and increase access to transplants.
• In individuals with chronic kidney disease, high sleep fragmentation was associated with an elevated risk of developing kidney failure. • Higher sleep fragmentation and shorter sleep duration were each linked with steeper declines in kidney function over time. • Subjectively measured daytime sleepiness was associated with an increased risk of early death from any cause.
• In patients with chronic kidney disease and Hepatitis C virus infection, sofosbuvir-based direct-acting antiviral therapy was safe and effective. • Patients with stage 3 kidney disease who were cured of infection experienced an improvement in their kidney function following treatment.
• A particular receptor in kidney cells plays an important role in obesity-induced fat accumulation, dysfunction, injury, inflammation, and scarring in the kidney. • The receptor acts through a certain signaling pathway. • Targeting this receptor or the signaling pathway may help protect the kidneys of individuals who develop obesity.
As Houston area residents fight to survive Hurricane Harvey’s flood waters and wreckage, the American Society of Nephrology (ASN) joins efforts by the American Kidney Fund (AKF) and the Kidney Community Emergency Response (KCER) coalition to provide continuity of care for displaced kidney dialysis patients in need of treatment. ASN Supports Hurricane Harvey Kidney Patient Relief Efforts Washington, DC (August 23, 2017)—As Houston area residents fight to survive Hurricane Harvey’s flood waters and wreckage, the American Society of Nephrology (ASN) joins efforts by the American Kidney Fund (AKF) and the Kidney Community Emergency Response (KCER) coalition to provide continuity of care for displaced kidney dialysis patients in need of treatment. Today, ASN announces a $10,000 donation to the relief efforts for dialysis patients coordinated by AKF. These funds will help those affected by the catastrophic flooding and damage by helping replace medications, providing transportation t
• A tyrosine kinase inhibitor approved for the treatment of certain cases of chronic myeloid leukemia slowed cyst growth in patients with autosomal dominant polycystic kidney disease.
• In a recent study of healthy young adults, marijuana use was not associated with change in kidney function over time or the appearance of albumin in the urine, which is a sign of kidney damage. • Additional studies are needed to assess the effects of marijuana in older adults and patients with kidney disease.
• There are very few high quality studies on strategies to increase living kidney donation. • From the limited data available, educational interventions directed at potential recipients and their social networks are the most promising.
• In a new study, individuals with poor kidney function had an increased risk of developing community-acquired infections. • The relative proportion of lower respiratory tract infections, urinary tract infections, and sepsis became increasingly higher as kidney function decreased.
• Investigators observed a step-wise increase in the risk of atrial fibrillation with decreasing kidney function. Compared with patients without kidney disease, those with severe kidney disease had a two-fold higher risk for developing atrial fibrillation. • This link held even after accounting for a range of possible contributors, including measures of cardiovascular health, and it was consistent across subgroups of participants.
• Deficits in the ability to smell are common among individuals with chronic kidney disease, and the severity of these deficits increases with the severity of their disease. • Reductions in several markers of nutrition correlated with patients’ impaired sense of smell. • Treatment with intranasal theophylline, an asthma drug, led to improvements in the ability to smell in 5 of 7 patients with kidney failure.
• From 2007-2012, deceased donor kidneys in the United States were offered a median of 7 times before finally being accepted for transplantation. • Such refusals may have contributed to racial and ethnic disparities that exist in access to transplantation in the United States.
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