BACKGROUND: To explore the use of Geriatric Nutritional Risk Index (GNRI) to screen maintenance hemodialysis patients at nutritional risk in Taiwan. METHODS: GNRI was used to assess nutritional risk in 179 hemodialysis patients. Two sets of GNRI cutoff values and a ‘no nutrition-related’ risk assessment were used to divide patients into groups with different nutrition-related risks. For each cl...

Chronic kidney disease (CKD) is featured by a progressive decline of function and mainly caused chronic diseases such as diabetes mellitus hypertension. CKD complex due to cardiovascular complications high morbidity; however, there no single treatment improve in patients. Since biological markers representing oxidative stress are significantly elevated patients, receiving attention contributing...

Background: Chronic kidney disease is a major risk factor for dementia, but the influence of hemodialysis itself on the development of dementia remains unclear. We previously reported that non-diabetic patients on maintenance hemodialysis have preserved cognitive function; hemodialysis removes blood amyloid β (Aβ), which is a major cause of Alzheimer’s disease in the brain; and the number of Aβ...

Sodium is the principal solute in the extracellular compartment and the major component of serum osmolality. In normal persons in the steady state, sodium homeostasis is achieved by a balance between the dietary intake and the urinary output of sodium, whereas in intermittent hemodialysis patients, sodium balance depends on dietary intake and sodium removal during hemodialysis. Thus, the main g...

Haemodialysis in India is a viable modality of renal replacement in India in select centres and should be offered to patients in whom trans-Sir, plantation is not a possible alternative. Management of end stage renal disease (ESRD) varies in different parts of the world. The overriding factor is the Manipal Institute of Nephrology H. Sudarshan Ballal economic status of the community which is se...

INTRODUCTION Purine metabolites constitute a major class of uremic toxins, and reliable characterization of which helps nephrologists to choose the most appropriate treatment for the patients individually. In the present study, we assessed plasma concentrations of hypoxanthine and uric acid as purine metabolites in patients on maintenance hemodialysis, before and after a dialysis session. MAT...

BACKGROUND Non-tunneled (temporary) hemodialysis catheters (NTHCs) are the least-optimal initial vascular access for incident maintenance hemodialysis patients yet little is known about factors associated with NTHC use in this context. We sought to determine factors associated with NTHC use and examine regional and facility-level variation in NTHC use for incident maintenance hemodialysis patie...

BACKGROUND AND OBJECTIVES Body mass index (BMI), determined as kilograms in body weight divided by the square of the height in meters (m(2)), is inversely associated with mortality in patients undergoing maintenance hemodialysis (MHD). It is commonly inferred that differences in the weight component of the BMI equation are responsible for this negative correlation. However, there are almost no ...

To consider the correlation of serum leptin with dyslipidemia in hemodialysis patients. For maintenance hemodialysis patients levels of serum, lipid profiles and serum leptin were measured. Stable hemodialysis patients enrolled to the study. In all patients (36) a near significant,inverse correlation of serum leptin with serum LDL-C was seen. In male hemodialysis group a near significant positi...

OBJECTIVE The aim of this study was to analyze the factors that are associated with the response to erythropoiesis-stimulating agents (ESAs) and its association with hospitalization and mortality rates; to evaluate the serum hepcidin level and its associations with iron profile, inflammatory markers, ESA responsiveness, and mortality; and to determine independent factors affecting ERI and hepci...