Global Dialysis

Dialysis industry news

Stories from the dialysis comunity across the globe.

Suspended dialysis unit worker alleged to contaminate dialysate water with bleach.

Times Union: When a kidney dialysis center accused a worker of asking patients for painkillers, authorities said he became so enraged he sneaked back into the clinic and poured bleach into dialysis machines.

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KDIGO releases new, 2012 version of anemia guidelines; 9.0 g/dL Hb is the new lower bound.

KDIGO: 3.4.3: For adult CKD 5D patients, we suggest that ESA therapy be used to avoid having the Hb concentration fall below 9.0 g/dl (90 g/l) by starting ESA therapy when the hemoglobin is between 9.0–10.0 g/dl (90–100 g/l). (2B)................................. 3.4.4: Individualization of therapy is reasonable as some patients may have improvements in quality of life at higher Hb concentration and ESA therapy may be started above 10.0 g/dl (100 g/l). (Not Graded).................

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Total nephrectomy for renal cancer associated with late erectile dysfunction.

EurekAlert: The retrospective study evaluated two cohorts of men, totaling 432 patients, who underwent surgery for renal cell carcinoma. One group underwent complete removal of the kidney while the other had kidney-sparing surgery. Sexual function was accessed pre- and post-operatively with a sexual health questionnaire known as the International Index of Erectile Function. "What we are seeing is a dramatic yet delayed effect. Approximately six years after surgery, patients who had a total nephrectomy were 3.5 times more likely to develop erectile dysfunction compared to those who had kidney reconstruction," said Derweesh.

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SPECT/CT helps to diagnose difficult cases of infectious endocarditis.

SNM: Of the 131 patients, 97 were found to have uptake indicating infection.The 99mTc-HMPAO-WBC SPECT/CT scan was true-positive in 46 of 51 patients and false negative in 5 of 51 cases (90 percent sensitivity, 94 percent negative predictive value and 100 percent specificity and positive predictor value). In addition, septic embolism was detected in 41 percent of the patients.

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Higher serum bicarbonate associated with lower type 2 diabetes risk in Nurses Health Study.

CMAJ: Interpretation: Higher plasma bicarbonate levels were associated with lower odds of incident type 2 diabetes mellitus among women in the Nurses' Health Study. Further studies are needed to confirm this finding in different populations and to elucidate the mechanism for this relation.

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