Management of blood pressure (BP) in patients with chronic kidney disease receiving dialysis (stage 5D) provides a significant challenge for healthcare professionals. The association between BP and cardiovascular disease risk has been well studied in the general population; however, in dialysis patients, physiological and dialysis-related mechanisms influencing BP are complex, and the associate...

The timing for dialysis initiationis still debated. The aim of this study was to compare mortality rates, using a propensity-score approach, in dialysis patients with early or late starts. From January 2000 to June 2009, incident adult patients (n = 836) starting dialysis for end-stage renal disease (ESRD) were enrolled. The patients were assigned to either an early- or late-start group dependi...

Determinants of nonfunctional arteriovenous (AV) access, including timing of AV access creation, have not been sufficiently described. We studied 29 945 patients who had predialysis AV access placement and were included in the French REIN registry from 2005 through 2013. AV access was considered nonfunctional when dialysis began with a catheter. We estimated crude and adjusted odds ratio (OR) w...

Abstract Background Autonomic disturbance is common in end stage renal disease (ESRD) and may be responsible for mortality these patients. Heart rate variability (HRV) the useful tool to assess autonomic function. The predictive value of HRV on overall-mortality proper timing measurement chronic hemodialysis patients remain determined. Propose To evaluate all-cause explore assessment by perform...

the concentrations of serum calcitonin', parathormone (pth), amylase, alkaline phosphatase (alkp), calcium and phosphorus were studied in pre-and post-dialysis patients with chronic renal failure. all patients had extremely elevated serum urea and creatinine concentrations with the mean values of143.8 and 10.5 mg/dl respectively. the plasma amylase activity was higher than normal with a me...

background and objectives: hemodialysis (hd) is one of the therapeutic modalities patients. since inadequate dialysis increases mortality and morbidity of patients, therefore, assessment of dialysis adequacy is clinically important. for this reason, hemodialysis adequacy was determined in patients undergoing maintenance hd at the mostafa khomeini hospital, tehran, iran. materials and methods: t...

Among critically ill patients, acute kidney injury (AKI) is a relatively common complication that is associated with an increased risk for death and other complications. To date, no treatment has been developed to prevent or attenuate established AKI. Dialysis often is required, but the optimal timing of initiation of dialysis is unknown. Data from the Program to Improve Care in Acute Renal Dis...

BACKGROUND The optimal timing of initiating renal replacement therapy in patients with chronic renal failure remains uncertain. The primary objective of our study is to determine whether delaying dialysis initiation as a result of patients' choice may have any impact on survival in subjects with end-stage renal disease. METHODS We prospectively studied the clinical outcome during the first ye...

BACKGROUND In clinical practice, there is considerable variation in the timing of the initiation of maintenance dialysis for patients with stage V chronic kidney disease, with a worldwide trend toward early initiation. In this study, conducted at 32 centers in Australia and New Zealand, we examined whether the timing of the initiation of maintenance dialysis influenced survival among patients w...