Kidney Medicine The American Journal of Kidney Diseases AJKD , the official journal of the National Kidney Foundation , is recognized worldwide as a leading source of information devoted to clinical nephrology practice and clinical research. Articles selected for publication in AJKD must adhere to rigorous standards Read more The American Journal of Kidney Diseases AJKD , the official journal of the National Kidney Foundation , is recognized worldwide as a leading source of information devoted to clinical nephrology practice and clinical research. Each issue of AJKD includes a mix of research findings and educational content. Original Investigations—fully reviewed not only by peer reviewers but also by statistics experts to ensure validity-describe the latest findings related to pathogenesis and treatment of kidney disease, hypertension, acid-base and electrolyte disorders, dialysis therapies, and kidney transplantation. Case Reports highlight new diseases, novel presentations, and potential therapeutic strategies.
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Meztishicage Diabetes and end-stage renal disease; a review article on new concepts Survival in dialysis patients is different between patients with diabetes as primary renal disease and patients with diabetes as a co-morbid condition. Choice of a dialysis modality including HD, chronic ambulatory peritoneal dialysis CAPD jjrnal automated peritoneal dialysis APD in diabetics is influenced by a number of considerations which apply to nondiabetics as well.
However, analysis of data provided by the United States Renal Data Systems Esdr and other esre have found that survival benefit associated with PD is during the first few years on dialysis and is lost over time 30 Saudi J Kidney Dis Transpl. The effect of pentoxifylline on reduction of proteinuria among patients with type 2 jkrnal under blockade of angiotensin system: Many complications related to kidney transplantation may occur in diabetic ESRD patients. Outcome of patients on hemodialysis in Khuzestan, Iran.
Respiratory system disorders are one of the most prevalent complications in end-stage renal disease patients on hemodialysis. A variety of pulmonary abnormalities, including pulmonary edema, pleural effusion, acute respiratory distress syndrome, pulmonary fibrosis and calcification, pulmonary hypertension, hemosiderosis, pleural fibrosis, and sleep apnea syndrome, have been documented in these patient cohorts [ 3 — 5 ]. Effects of interdialytic weight gain on lung function tests in hemodialyzed patients.
Conflicts of interest The authors jurnzl no competing interests. Almost all systems of the body are adversely affected as the patient approaches ESRD; therefore, these patients suffer from serious respiratory, cardiovascular, and metabolic complications. Abstract Background Respiratory system disorders are one of the most prevalent complications in end-stage renal disease patients on hemodialysis.
However according to the above complication, it may be suggested that diabetic dialysis patients initially undergo PD and transfer to HD once complications ensue judnal PD. Subclinical pulmonary oedema and intermittent haemodialysis. Published online Jun 1. Hemodialysis can remove the excess fluid from the body in overhydrated patients, which in turn reduces water content of the lungs and thus decreases the pressure on airways, and reduces obstruction [ 27 ].
Magnitude of end-stage renal disease in IDDM: Abstract Unlike definition of stroke and myocardial infarction, there is no uniformly agreed upon definition to jurnxl end-stage renal disease ESRD. Diabetes and end-stage renal disease; a review article on new concepts For example, the result of Meier-Kriesche et al 45 study showed that preemptive kidney transplantation is associated with better patient and allograft survival among both living and deceased donors.
We enrolled 54 hemodialysis patients in this study. On the other hand, hypotensive episodes during HD, usually necessitates decrease of the blood flow rate and in some times, discontinuation of HD and therefore induces inadequate dialysis and some other significant complication among these patients 33 — The chi-square test was used to compare proportions in different groups.
Erythropoietin; a review on current knowledge and new concepts. Pulmonary congestion is highly prevalent among patients with Estd treated with hemodialysis and is associated with a mixed restrictive-obstructive pattern on pulmonary jjrnal tests [ 25 ].
Effect of waiting time on renal transplant outcome. Patient survival in diabetics on maintenance renal replacement therapy including eesrd HDperitoneal dialysis PD and kidney transplantation is significantly lower than that seen in nondiabetics with ESRD. Relationship between dialysis modality and mortality. A Forecast of the Upcoming Century. Despite some conflicting results, improvement of spirometry parameters after hemodialysis is noteworthy. Journal List Med Sci Monit v.
Add comment Close comment form modal. ESRD patients eventually need renal replacement therapy via dialysis subdivided into hemodialysis and peritoneal dialysis or kidney transplantation in order to survive.
The respiratory system is especially affected due to the pulmonary complications commonly encountered in ESRD patients receiving hemodialysis treatment [ 9 ]. Receive exclusive offers and updates from Oxford Academic. The poor outcome of diabetic ESRD patients has demonstrated in many studies 24 — Whole-body spectroscopy BCM in the assessment of normovolemia in hemodialysis patients.
The baseline demographic and clinical characteristics and relevant laboratory parameters of the patients are presented in Table jurnak. Outcome of renal replacement treatment in patients with diabetes mellitus.
Conclusions The present study indicates that fluid overload is closely associated with restrictive and obstructive respiratory abnormalities in patients with end-stage renal disease on maintenance hemodialysis treatment. Normally distributed variables are presented as means and standard deviations, and non-normally distributed variables are presented as median and range maximum and minimum.
Liquid accumulation close to airways leads to obstruction and dysfunction [ 26 ]. Introduction Diabetic nephropathy, classically defined by the presence of proteinuria occurs in significant percent uurnal patients with type 1 which formerly called insulin-dependent and type 2 which formerly called non-insulin-dependent diabetes mellitus DM.
The purpose of this report is to describe a framework to define when the kidney function ends and when ESRD can be adjudicated.
This article has been cited by other articles in PMC. There is an important question now. Variations in the risk for cerebrovascular events after kidney transplant compared with experience on the waiting list and after graft failure. Many factors contribute to poor jurna, of diabetic patients with ESRD, including presence of significant cardiovascular disease, problems with vascular access and lower lifetime of arteriovenous fistula, more susceptible to bacterial and fungal infections, foot ulcer and hemodynamic instability during HD due to autonomic neuropathy 20 — According to the results of these studies, kidney transplantation generally is associated with a much better survival and quality of life than dialysis among these patients 41 , TOP Related Posts.
JURNAL ESRD PDF
JoJoshura The baseline demographic and clinical characteristics and relevant laboratory parameters of the patients are presented in Table 1. Magnitude of end-stage renal disease in IDDM: The exclusion criteria were: High prevalence rates of DM have also been reported from other Arab countries including This is an open-access article distributed under the terms of the Creative Commons Attribution License http: The independent effect of type 2 diabetes mellitus on ischemic heart disease, stroke, and death: Further, we modelled a stepwise multiple regression analysis to define the independent determinants of post-hemodialysis FVC. Support Center Support Center. There is an important question now. Non-medical factors influencing peritoneal dialysis utilization: Long-term survival of patients with end-stage renal disease on maintenance hemodialysis A multicenter study in Iran.
American Journal of Kidney Diseases
JoJogis On the other hand, hypotensive episodes during HD, usually necessitates decrease of the blood flow rate and in some times, discontinuation of HD and therefore induces inadequate dialysis and some other significant complication among these patients 33 — Hemodialysis can lead to improvement in lung restriction, due to decreasing interstitial edema and bronchial wall decongestion. Support Center Support Center. The following parameters were obtained: According to the result of the study, the survival of both groups of diabetic dialysis patients was lower than nondiabetic patients. Table 2 depicts comparison of pulmonary function tests and BIA characteristics in pre-dialysis and post-dialysis patients. Pulmonary calcification in chronic dialysis patients.
Moogukazahn Role of ageing, chronic jurnl failure and dialysis in the calcification of mitral annulus. In addition, after adjusting for age, sex, country and malignancy, the survival of dialysis patients with diabetes as a primary renal disease is lower compared to patients with diabetes as a comorbid condition. We particularly focussed on the relationship between pulmonary function and fluid status in ESRD patients on regular hemodialysis, using a novel bioelectrical impedance analysis device to measure the fluid status. Bioelectrical impedance analysis In recent years, multifrequency bioelectrical impedance analysis BIAwhich is a simple, safe, novel, rapid, noninvasive, and promising method, has been used to determine fluid status in patients on dialysis therapy [ ]. Received May 7; Accepted May Parameters Age years However, this definition is still a surrogate since many patients may live years without being symptomatic or needing dialysis. However, analysis of data provided by the United States Renal Data Systems USRDS and other studies have found that survival benefit associated with PD is during the first few years on dialysis and is lost over time 30 Pulmonary calcification in chronic dialysis patients. It is well established that diabetic nephropathy and hypertensive nephropathy are the leading cause of end-stage renal disease ESRD in developed and developing countries reflects the catastrophic squeals of these two silent killers.