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    Renal Replacement

    Explore the latest in renal replacement, including recent advances in dialysis, hemofiltration, and renal transplant.

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    • Forecasting of Patient-Specific Kidney Transplant Function With a Sequence-to-Sequence Deep Learning Model
      JAMA Network Open
      Research
      December 30, 2021

      This diagnostic study assesses whether a deep learning model could accurately predict the patient-specific expected reference range of estimated glomerular filtration rate after kidney transplant.

      Nephrology Surgery Transplantation Health Informatics
      Full Text | pdf link PDF open access
    • Association of Transit Time With Cold Ischemic Time in Kidney Transplantation
      JAMA Network Open
      Research
      December 23, 2021

      This cross-sectional study examines the association between transit time and cold ischemic time for adult, deceased kidney transplant donors.

      Surgery Transplantation Nephrology
      Full Text | pdf link PDF open access
    • Comparison of SARS-CoV-2 Antibody Response 4 Weeks After Homologous vs Heterologous Third Vaccine Dose in Kidney Transplant Recipients: A Randomized Clinical Trial
      JAMA Internal Medicine
      Research
      December 20, 2021

      This randomized clinical trial evaluated the effectiveness of a third dose of mRNA-based vs a vector-based vaccine in 201 kidney transplant recipients with no SARS-CoV-2 antibodies after 2 prior doses of an mRNA vaccine.

      Nephrology Vaccination Public Health Coronavirus (COVID-19)
      Full Text | pdf link PDF open access
    • Severe Polyarthralgia After Kidney Transplant
      JAMA
      Case Report
      December 16, 2021

      A 51-year-old woman had intense and worsening polyarthralgia and swelling of bilateral fingers and toes 1 year after kidney transplant complicated by Volvariella volvacea infection of the central nervous system. Her medications included tacrolimus, prednisolone, cinacalcet, and voriconazole. Alkaline phosphatase level was elevated, and radiography of the hands revealed periostitis. What is the diagnosis and what would you do next?

      Nephrology Rheumatology Transplantation Clinical Challenge Fungal Infections
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Association of Social Risk Factors With Home Dialysis and Kidney Transplant Rates in Dialysis Facilities
      JAMA
      Research
      December 14, 2021

      This study examines rates of home dialysis and transplant at dialysis facilities that serve patients with high social risk to understand how they fare under the End-Stage Renal Disease Treatment Choices Model.

      Health Disparities Surgery Transplantation Health Inequities Diversity, Equity, and Inclusion
      Full Text | pdf link PDF
    • Evaluation of Community-Level Vulnerability and Racial Disparities in Living Donor Kidney Transplant
      JAMA Surgery
      Research
      December 1, 2021

      This cross-sectional study evaluates if racial disparities persist in living donor kidney transplant independent of community-level vulnerability.

      Surgery Transplantation Health Disparities Diversity, Equity, and Inclusion Nephrology
      Full Text | pdf link PDF has multimedia
    • Structural Barriers to African American Living Donor Kidney Transplant
      JAMA Surgery
      Opinion
      December 1, 2021
      Health Disparities Surgery Transplantation Health Inequities Nephrology
      Full Text | pdf link PDF
    • Arteriovenous Fistula Maturation, Functional Patency, and Intervention Rates
      JAMA Surgery
      Research
      December 1, 2021

      This case series examines the usability of autogenous arteriovenous fistulas for hemodialysis in patients with chronic kidney disease and kidney failure.

      Surgery Vascular Surgery Nephrology Chronic Kidney Disease
      Full Text | pdf link PDF
    • Building Systems to Measure Success and Improve Outcomes in Dialysis Access—Not a “Steal” but Probably a Bargain
      JAMA Surgery
      Opinion
      December 1, 2021
      Nephrology Surgery Vascular Surgery
      Full Text | pdf link PDF
    • COVID-19 Risk Factors and Mortality Outcomes Among Medicare Patients Receiving Long-term Dialysis
      JAMA Network Open
      Research
      November 17, 2021

      This cohort study examines risk factors associated with COVID-19 and mortality among Medicare patients receiving long-term maintenance dialysis.

      Nephrology Coronavirus (COVID-19)
      Full Text | pdf link PDF | CME & MOC open access is active quiz
    • Non–English Language Resources and Readability of Kidney Transplant Center Websites in the United States
      JAMA Network Open
      Research
      November 11, 2021

      This study examined US kidney transplant center websites for readability and for inclusion of languages other than English.

      Diversity, Equity, and Inclusion Surgery Transplantation Nephrology
      Full Text | pdf link PDF open access
    • Trends in Dialysis Industry Consolidation After Medicare Payment Reform, 2006-2016
      JAMA Health Forum
      Research
      November 5, 2021

      This cohort study aims to determine whether the introduction of the End Stage Renal Disease Prospective Payment System in 2011 was associated with an acceleration in acquisitions and closures of small dialysis chains and independently owned facilities.

      Health Policy Health Care Reform Nephrology Health Care Economics, Insurance, Payment Chronic Kidney Disease
      Full Text | pdf link PDF open access
    • How Did Medicare Payment Reform Affect Highly Concentrated Dialysis Markets?
      JAMA Health Forum
      Opinion
      November 5, 2021
      Health Policy Health Care Reform Nephrology Health Care Economics, Insurance, Payment
      Full Text | pdf link PDF open access
    • ST-Segment Elevation in a Man Receiving Peritoneal Dialysis
      JAMA Internal Medicine
      Case Report
      November 1, 2021

      This case report examines echocardiogram findings in a man with a history of chronic kidney disease, peritoneal dialysis, and myocardial infarction who presented with heart palpitations and severe weakness of the upper and lower extremities.

      Acid Base, Electrolytes, Fluids Cardiology Challenges in Clinical Electrocardiography Nephrology Rhythm Disorders
      Full Text | pdf link PDF
    • Outcomes of Kidney Transplant in Undocumented Immigrants
      JAMA Surgery
      Research
      November 1, 2021

      This cohort study investigates kidney transplant outcomes among undocumented immigrants at a single US center.

      Surgery Transplantation Nephrology
      Full Text | pdf link PDF
    • Analysis of Respiratory Fluoroquinolones and the Risk of Sudden Cardiac Death Among Patients Receiving Hemodialysis
      JAMA Cardiology
      Research
      October 20, 2021

      This cohort study compares the risk of sudden cardiac death with respiratory fluoroquinolone vs amoxicillin-based antibiotic treatment in patients with hemodialysis-dependent kidney failure.

      Clinical Pharmacy and Pharmacology Orthopedics Pulmonary Medicine Adverse Drug Events Pharmacoepidemiology
      Full Text | pdf link PDF
    • Association of Ambient Fine Particulate Matter Air Pollution With Kidney Transplant Outcomes
      JAMA Network Open
      Research
      October 7, 2021

      This cohort study investigates the association of exposure to ambient fine particulate matter air pollution with kidney transplant outcomes.

      Nephrology Surgery Transplantation Environmental Health
      Full Text | pdf link PDF open access
    • Validated Models to Estimate Probability of Dialysis After Nephrectomy and Partial Nephrectomy
      JAMA Surgery
      Research
      October 1, 2021

      This cross-sectional study aims to develop validated models to estimate the probability of dialysis after nephrectomy and partial nephrectomy.

      Nephrology Urology
      Full Text | pdf link PDF
    • Association of Public Reporting of Medicare Dialysis Facility Quality Ratings With Access to Kidney Transplantation
      JAMA Network Open
      Research
      September 24, 2021

      This cohort study examines whether patient, facility, and kidney transplant waitlisting characteristics are associated with variations in dialysis center quality.

      Health Policy Nephrology Urology Health Care Quality Surgery
      Full Text | pdf link PDF open access
    • It Is What It Is
      JAMA
      Opinion
      September 21, 2021

      In this narrative medicine essay, a critical care physician tells how plans for her sister’s kidney transplant halted last year when the COVID-19 pandemic caused the shutdown of most nonurgent medical care services and hopes the system can develop a better process for patients with chronic diseases.

      Nephrology Surgery Transplantation Urology A Piece of My Mind
      Full Text | pdf link PDF
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