Tag Archives: hemodialysis

When to Start Dialysis in Patients with Acute Kidney Injury

When to start renal replacement therapy in patients with AKI has been a serious and incompletely answered question for as long as dialysis has been available to treat it. The seriousness of this disorder derives from its frequency, associated mortality, and cost. The JAMA contains a new study, Effect of Early vs Delayed Initiation of Renal…

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The Obesity Paradox in Patients on Hemodialysis

I don’t wish to appear fixated on fat, but another paper on the relationship between obesity and survival has appeared. This one is easier to understand than those that have preceded it. The Obesity Paradox and Mortality Associated With Surrogates of Body Size and Muscle Mass in Patients Receiving Hemodialysis examines if an increase in…

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Hemodialysis Update

Two new articles discuss important aspects of hemodialysis in the US. One is in the lay press, the other in the New England Journal. The lay article, in the Atlantic Magazine, is an exercise in yellow journalism. If you or someone in your family needs dialysis it will scare you to death – perhaps literally….

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