Stories from the dialysis comunity across the globe.
American Samoa dialysis patients on Day 3 without treatment - Yahoo News UK
PAGO PAGO, American Samoa (AP) — American Samoa's only dialysis clinic reopened Friday after a product recall forced it to close for two days.
LBJ Medical Center said the clinic reopened at 4 p.m. Friday and began treating patients who require dialysis. The clinic shut down Wednesday after the hospital learned of a recall of a solution used in its machines. A fresh supply arrived to the island around 2 p.m. Friday. The clinic had been scheduled to reopen at 1 a.m. Saturday.
Those being treated Friday to Sunday are patients who had appointments scheduled for Wednesday through Saturday. Regularly scheduled appointments are expected to resume Monday.
"Those who came in say that they knew that the cargo flight had landed and decided to come to the hospital — taking their chances that the clinic will open thereafter," said dialysis unit nurse manager Olita Tafiti. "I guess word got out quickly that the shipment did in fact arrive on island."
Tafiti said three dialysis patients admitted themselves to the emergency room early Friday afternoon, and they were the first to get treatment when the clinic opened.
Until Friday, there were no other options for dialysis patients on the island with a population of about 55,000, roughly 2,300 miles south of Hawaii.
The recalled solution was from off-island supplier Fresenius Medical Care. Its North American headquarters is in Waltham, Massachusetts.
The recall occurred after sample testing showed the substance — NaturaLyte Liquid Bicarbonate Concentrate — might eventually develop bacteria levels that exceed acceptable limits, Fresenius spokesman Jon Stone said.
The company expedited the shipment of replacement liquid bicarbonate to American Samoa, Stone said.
How long a patient can safely go without dialysis depends on factors such as health condition and age, said Dr. Anjay Rastogi, director the dialysis program at the University of California, Los Angeles.
Generally, patients require the treatment three times a week, with some cases requiring four treatments, Rastogi said. Some patients can go a week without dialysis, but some with no kidney function can go only three or four days, he said.
"The short end of it, it's very time-sensitive," Rastogi said, adding he's especially concerned about those who might not have had dialysis since Monday.
He noted any contamination in the solution used for dialysis could be fatal.
Another shipment is due to arrive Friday night from Honolulu on Hawaiian Airlines, the only carrier connecting American Samoa to the U.S.
Additionally, a U.S. military flight is scheduled to arrive Monday afternoon from Honolulu with the rest of the supplies, Tafiti said.
___
Associated Press writer Jennifer Sinco Kelleher in Honolulu contributed to this report.
Renal Dialysis Equipment Market to 2017- Lower Costs and Similar Efficacy ... - Medgadget.com (blog)
The Report Renal Dialysis Equipment Market to 2017- Lower Costs and Similar Efficacy Rates as Hemodialysis to Increase Adoption Rates of Peritoneal Dialysis provides information on pricing, market analysis, shares, forecast, and company profiles for key industry participants. – MarketResearchReports.biz
GBI Researchs report, Renal Dialysis Equipment Market to 2017- Lower Costs and Similar Efficacy Rates as Hemodialysis to Increase Adoption Rates of Peritoneal Dialysis shows rapid growth in the number of End Stage Renal Disease (ESRD) patients owing to the growing prevalence of diabetes, hypertension and an increasingly large elderly population are driving the market globally. Factors such as the improving standards of living in developing economies and longer life expectancies of dialysis patients, due to improved access to healthcare services are also expected to boost the market. The report provides key data, information and analysis on the global renal dialysis equipment market, covering the market landscape, competitive landscape and market trends relating to four renal dialysis equipment market categories: dialysis accessories, continuous renal replacement therapy machines, peritoneal dialysis solutions and hemodialysis machines.
Providing comprehensive information on the key trends affecting these categories, and key analytical content on the market dynamics, the report also reviews the competitive landscape and gives a detailed analysis of the pipeline products in each category. Details of important merger and acquisition deals that have taken place in the renal dialysis equipment market are also reviewed. This report is built using data and information sourced from proprietary databases, primary and secondary research and in-house analysis by GBI Researchs team of industry experts.
Key geographies: the US, Canada, the UK, Germany, France, Italy, Spain, Japan, China, India, Australia, and Brazil.
Market size for four renal dialysis equipment market categories: dialysis accessories, continuous renal replacement therapy machines, peritoneal dialysis solutions and hemodialysis machines.
Annualized market revenues data for 20032010, and forecasts for 20102017.
Qualitative analysis of key market trends, market drivers, and restraints by each category within the renal dialysis equipment market.
The report also covers information on the leading companies currently operating in the market, the competitive landscape, and the leading technologies.
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With the rise in income levels of developing countries, disease profiles are shifting to include the higher prevalence of lifestyle-related diseases such as diabetes, which can have a strong causative correlation with renal disorders. Over the past decade, developing countries have demonstrated significant growth in the prevalence of diabetes and kidney disease. These emerging markets have a strong demand for renal care-related medical devices and services. Given the high prevalence of kidney disease such as chronic and end-stage renal disease, the availability of resources for meeting the demand is still inadequate, indicating a strong presence of untapped opportunities in the global renal care market.
Several developing countries worldwide have demonstrated strong growth in renal disease cases over the past few years. Growth in causative factors such as diabetes seems to go side-by-side for these countries.
Many of these countries have low imports of renal care devices, even though they have a high prevalence of kidney disease, signaling a lack of ample facilities to meet the demand for renal care.
The lack of healthcare facilities does not ensure growth potential. Governance effectiveness, in terms of converting healthcare spending to growth in healthcare infrastructure and workforce, indicates potential for growth in healthcare business.
Turkey and Chile are destinations with a high number of patients needing renal care and with strong government support towards boosting the healthcare scenario.
Both Turkey and Chile have a high demand for renal treatment from domestic patients. In addition, these locations are sought after destinations for medical tourism for various other forms of treatment.
Given the strong inflow of medical tourists in certain cities, along with the existing number of domestic patients needing renal care, these cities are the most lucrative locations for investment in renal care.
Key Topics Covered:
1. Why You Cannot Afford to Overlook Turkey and Chile for Opportunities in the Global Renal Care Market
2. Executive Summary
- Mega Trends to Micro Booms - Definitions and Tie-ins
- Emerging Market Innovations (EMI) - A Journey from Macro to Micro
- What Are Economic Insights - Micro Booms?
- Economic Insights - Micro Booms: What is the Structured Approach?
3. Introduction - Scope and Research Methodology
- Issue-based Brainstorming around Mega Trends and Emerging Markets
- Research Methodology
4. Business Insights
- Global Kidney Disease Scenario - Where Do We Stand?
- Growth in Diabetes versus Growth in ESRD in Developing Countries
- Renal Care Market - Synopsis: 2014
- Renal Care Market - Snapshot
5. Growth Insights
- Renal Market Potential - Import/Export Story
- Argentina - Healthcare Expenditure Growth versus Infrastructure Development
- Brazil - Healthcare Expenditure Growth versus Infrastructure Development
- Chile - Healthcare Expenditure Growth versus Infrastructure Development
- Turkey - Healthcare Expenditure Growth versus Infrastructure Development
- Healthcare Industry Growth Drivers - Heat Map: 2009 to 2014
- Reimbursement Trends
6. Profit Insights
7. A Sneak Peek at Renal Care Opportunities in Turkey
- Dialysis Equipment by Ownership
- Demand/Supply Gap for Kidney Transplants
- Population Distribution in Turkey
- Regional Concentration of Hospitals and Hospital Beds
- Opportunities of Medical Tourism in Turkey
- Turkey - Growth in Demand for Healthcare from Medical Tourists
- Important Dialysis Centers
- Hospitals by Ownership
8. Renal Care Opportunities - The Case of Chile
- Demand for Renal Care in Chile
- Population Distribution in Chile
- Medical Tourism in Chile
- Hospitals in Chile
About Research and Markets
Research and Markets is the world's leading source for international market research reports and market data. We provide you with the latest data on international and regional markets, key industries, the top companies, new products and the latest trends.
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In a study of 595 patients who underwent CRRT, a team at Mayo Clinic in Rochester, Minn., led by Kianoush Kashani, MD, found that the most common clinically significant electrolyte derangements were ionized hyperphosphatemia (44% of patients) hypocalcemia (22%), and ionized hypercalcemia (23%). Additionally, 97% of patients had at least 1 additional AE, including new-onset hypotension in 43% of patients, hypothermia (44%), new-onset arrhythmias (29%), new-onset anemia (31%), and thrombocytopenia (40%), the researchers reported in Blood Purification (2015;39:333-339).
“Although the extent to which these complications are attributable to CRRT is not known, clinicians need to be cautious and aware of their high prevalence in this patient population,” the authors concluded.
Team of professionals needed for dialysis care - Chron.com
More than 2.5 million people suffer from chronic kidney failure around the world, and they rely on regular, life-saving dialysis treatment to prevent the damage of further organs that toxins can cause when they accumulate in the blood.
Dialysis is a treatment that does some of the things that are done by healthy kidneys. It keeps a body in balance by removing waste, salt and extra water to prevent these things from building up in the body. It keeps a safe level of certain chemicals in a person's blood, such as potassium, sodium and bicarbonate. It also helps to control blood pressure.
Dialysis - needed when a person develops end-stage kidney failure, usually by the time 85-90 percent of kidney function is lost - can be done in a hospital, in a dialysis unit that is not part of a hospital or at home. There are two types of dialysis treatment available. Hemodialysis accounts for about 89 percent of all dialysis therapies. In hemodialysis, blood is filtered outside the patient's body using an artificial kidney. The patient's circulation is monitored and controlled by a dialysis machine.
The lining of the abdominal wall, known as the peritoneum, also can be used as a natural filter for dialysis, and this second type of dialysis is known as peritoneal dialysis.
Deborah Muñoz, of DaVita, a nationwide provider of kidney care, said there are many health care professionals, from various backgrounds, who come together to provide care, each with a certain level of training. A social worker provides support for patients both before and after they start dialysis. Social workers are trained to help patients and their families by providing support in all areas of their lives, including emotional, financial, career, lifestyle adjustment and more.
A dietitian specializes in the nutritional needs of people with chronic kidney disease and creates individualized eating plans that address patients' specific health concerns, while a patient care technician puts patients on treatment and taking them off, and oversees their day-to-day care.
A registered nurse provides oversight of technicians and provides clinical support, and a biomed technician is responsible for maintaining the water treatment and general facility maintenance, including repairing dialysis equipment. A facility administrator oversees daily operations of the center and manages staff.
"We believe in the idea of hiring for attitude, and training for skill. We look for people who are passionate about treating people and have an unwavering commitment to patient care. Given that dialysis patients are in the center three times a week for four hours, it really becomes a second family, and so having teammates passionate about our patients is our primary concern. We offer extensive training for our teammates to succeed at their careers," Muñoz said.
She said they look for teammates who strive to make a difference in the lives of their patients, their teammates and the communities in which they live and serve.
Patricia Rodriguez, of Fresenius Medical Care, said, "We have renal social workers, registered nurses, licensed vocational nurses, patient care workers, dietitians and technicians here."
Rodriguez said technicians need a high school diploma and either receive on-the-job training there or take dialysis courses. She said someone who works at a dialysis center should have a caring attitude, to provide the best patient care.
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