OBJECTIVE To provide an overview of the course of systemic lupus erythematosus (SLE) following the onset of end-stage lupus nephropathy, regarding clinical and serological manifestations, survival on dialysis, and renal transplant outcomes. METHODS A review of the pertinent literature, identified by a comprehensive Grateful Med search, was performed. RESULTS There is a tendency for decrease...

OBJECTIVE To evaluate the use of the EuroSCORE as a predictor of postoperative morbidity after cardiac surgery. METHODS We retrospectively analyzed the charts of 900 patients operated on and admitted to the intensive care unit postoperatively at the Royal Portuguese Hospital of Recife. We included all patients with complete medical records, excluding those who died during surgery, underwent t...

Temporary renal replacement therapy (RRT) facilitates recovery from a major perioperative renal injury and, although RRT can improve the hospital outcome, it is not known as to whether it mitigates long-term renal sequelae. Therefore, we investigated the risk of long-term dialysis after RRT post-cardiac surgery. We analysed prospectively the data collected for all hospital survivors who receive...

Acute renal failure (ARF) requiring dialysis is a common complication of patients in intensive care unit (ICU). Dialysis can be performed with either intermittent hemodialysis (IHD) or continuous renal replacement therapy (CRRT). CRRT is associated with less hemodynamic instability. Therefore, it is preferred in critically ill and hypotensive patients in ICU. However, current evidence does not ...

PURPOSE In a group of surgery patients diagnosed with renal cell cancer, those who underwent dialysis were compared with those who received a kidney transplant. MATERIALS AND METHODS The 43 subjects included in this study were patients who had been undergoing dialysis because of end-stage renal disease or had undergone kidney transplantation. The patients were diagnosed with renal cell carcin...

This paper describes three recent, related surveys of anaemia management practice in patients with chronic kidney disease, with particular emphasis on initiation of epoetin therapy. It also compares current practice with the European Best Practice Guidelines (EBPG) for anaemia management. The European Survey of Anaemia Management (ESAM) was a 6 month, longitudinal prospective survey of anaemia ...

Department of Renal Medicine, Leeds Teaching Hospitals NHS Trust, Leeds, UK, Renal and Diabetes Department, St Georges Healthcare NHS Trust, London, UK, Department of Renal Technology, Guy’s and St Thomas’ NHS Foundation Trust, London, UK, Renal Dialysis Unit, Glasgow Royal Infirmary, Glasgow, UK, Renal Department, Salford Royal NHS Foundation Trust, Salford, UK, Institute for Cell and Molecula...

CONTEXT Renal failure places people at particularly high risk of hip fracture. However, the possible differential impact of dialysis and renal transplantation on this risk is not well understood. OBJECTIVE To determine if patients who receive kidney transplants are at greater risk of hip fracture compared with those who continue to undergo dialysis. DESIGN, SETTING, AND PARTICIPANTS Cohort ...