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Sensing Savvy

Cardiovascular Disease in Patients with CKD – 2018

Posted by Susan Eymann, MS on Oct 23, 2019

(Gleaned from the 2018 USRDS Annual Data Report: Volume 1, Chapter 4: www.usrds.org)

Cardiovascular disease (CVD) remains the leading cause of death in the United States and most other developed countries. It accounts for approximately 39 percent of deaths among those on dialysis. Among patients with chronic kidney disease (CKD), death from CVD is far more common than progression to end-stage renal disease (ESRD). CKD has been identified as an independent risk factor for CVD, and arguably should be recognized as a coronary disease risk equivalent, similar to diabetes mellitus (DM). The complex relationship between CVD and kidney disease is thought to be due to shared traditional risk factors, such as DM, hypertension (HTN), physical inactivity, left ventricular hypertrophy, smoking, family history and abnormal lipid levels in the blood.

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Topics: Hemodialysis

United States Renal Data System (USRDS): What’s New from 2018

Posted by Susan Eymann, MS on Oct 16, 2019

No individual data source exists that captures the disease experiences of all Americans who live with kidney disease. A large proportion of the USRDS information is drawn from Medicare beneficiaries. However, they are not a nationally representative population. Since 2017, two new data sources have been utilized that have expanded the USRDS’s coverage of the U.S. population.

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Topics: Hemodialysis

USRDS Weighs in on the Vascular Access

Posted by Susan Eymann, MS on Oct 14, 2019

(Gleaned from the 2018 USRDS Annual Data Report: Volume II: Chapter 3)

Clinical practice guidelines from the National Kidney Foundation in 2006 recommend an autogenous arteriovenous (AV) fistula as the preferred vascular access for hemodialysis. Central venous catheters are associated with higher risks of death, infection and cardiovascular events than other types of vascular access. Patients with a usable AV fistula exhibit the lowest risks for these events.

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Topics: Hemodialysis

Healthcare Expenditures for Persons with CKD in 2018

Posted by Susan Eymann, MS on Oct 7, 2019

(Gleaned from the 2018 USRDS Annual Data Report: Volume 1, Chapter 7: www.usrds.org)

Persons with chronic kidney disease (CKD), but not end-stage renal disease (ESRD) often have extensive healthcare needs and frequently face coexisting illnesses. Medicare beneficiaries enrolled in managed care grew from 13 percent in 2004 to 33 percent in 2017. In March 2017, 19 million individuals were enrolled in a Medicare Advantage plan.

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Topics: Hemodialysis

Cardiovascular Disease in ESRD Patients

Posted by Susan Eymann, MS on Sep 23, 2019

(Gleaned from the 2018 USRDS Annual Data Report: Volume II: Chapter 8)

Patients with end-stage renal disease (ESRD) are among the highest risk populations for cardiovascular diseases (CVDs)—a major cause of death in ESRD patients. The relationship between kidney disease and acute myocardial infarction (AMI), coronary artery disease (CAD), heart failure (HF), and sudden death/cardiac arrhythmias is complex and bi-directional. ESRD often complicates disease management of CVD, influencing both medical and procedural options, thereby adversely affecting a patient’s prognosis.

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Topics: Hemodialysis

ESRD Among Children, Adolescents and Young Adults

Posted by Susan Eymann, MS on Sep 11, 2019

(Gleaned from the 2018 USRDS Annual Data Report: Volume II: Chapter 7)

In children, adolescents and young adults, end-stage renal disease (ESRD) is caused by both congenital and acquired disorders. A majority of children with ESRD will depend on the spectrum of the available renal replacement therapies throughout their lifetime, including hemodialysis, peritoneal dialysis and transplantation. Throughout their ESRD experience, children are at risk for failure to grow, frequent hospitalizations, and significantly higher mortality than the general pediatric population. Hospitalizations due to medical or surgical indications are a particular burden to the ESRD population.

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Topics: Hemodialysis

Know Your Care: Kidney Care UK

Posted by Susan Eymann, MS on Jul 17, 2019

Kidney Care UK is the United Kingdom’s leading kidney patient support association, providing practical, financial and emotional support for renal patients and their families. It campaigns to improve care services across the United Kingdom. 

For more than 40 years, the association has been working to improve the quality of life for kidney patients and their families. It works tirelessly to improve renal care policy and practice in order to improve patient lives. It gives renal patients a strong and influential voice at the highest level.

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Topics: Hospital Administration, Hemodialysis

Hemodialysis Arteriovenous Fistula or Graft? Here's What to Know

Posted by Susan Eymann, MS on May 13, 2019

A vascular access is required in order to have hemodialysis. The three most common types of vascular access are: an arteriovenous fistula (AVF) created by joining a vein and an artery, usually in the arm; an arteriovenous graft (AVG) formed by connecting an artery to a vein with a tube, or a central venous catheter (CVC). Optimally, a fistula or graft will be surgically created several months before dialysis starts, in order to ensure it is ready when it is needed. 

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Topics: CABG Surgery, Hemodialysis

What You Should Know if You Have a Hemodialysis Catheter

Posted by Susan Eymann, MS on Apr 29, 2019

A Central Venous Catheter (CVC) is a soft flexible tube that is placed into a large vein, usually in the chest. It has two openings or ports. During hemodialysis, the ports are connected to the hemodialysis machine; one to take blood from your body to be cleaned, and the other to return blood cleaned of its impurities back to the body. A CVC is often used while a patient is awaiting surgery to have an arteriovenous fistula or graft placed to be used as a permanent vascular access. Although not optimal, a CVC can also be used as a permanent vascular access.

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Topics: Hemodialysis

How Dialysis Nurses can Help Hemodialysis Patients with Self Cannulation

Posted by Deborah Brouwer-Maier RN, CNN on Feb 18, 2019

As a hemodialysis nurse, you have probably performed cannulation on hundreds of hemodialysis patients. But, did you know researchers have noted that the ideal person to do the procedure is the patient? That’s because the patient is always there for his or her hemodialysis session.

Despite the fact many patients may not have had any medical training, most can quickly achieve expert-level skill with self-cannulation, which not only makes the patient more active in his or her care and reduces the risk for complications, it also frees nursing staff up to do other pre-dialysis and dialysis tasks.

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Topics: Hemodialysis

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