13 documents found, page 1 of 2

Clinical Characteristics of Hemodialysis Patients from African Countries of Por...

Abstract Introduction: Africa contributes to <10% of the total renal replacement therapy (RRT) patients worldwide. Due to a cooperation protocol, Portugal provides RRT and CKD care to patients from some African Countries of Portuguese Official Language (ACPOL). The purpose of this analysis was to describe the clinical characteristics and outcomes of patients from ACPOL who integrated our hemodialysis (HD) progr...

Characteristics and Mortality of Incident Haemodialysis Patients: Analysis of a...

Abstract Introduction: Portugal has one of the highest incidences and prevalence of end‑stage kidney disease in Europe, with haemodialysis (HD) being the most common modality of renal replacement therapy. The aim of our study was to analyse a cohort of patients who started HD in a large tertiary care hospital. Methods: Retrospective analysis of all adult individuals who started HD between January of 2014 and De...

Clinical Outcomes in Very Elderly Patients According to Vascular Access at Hemo...

Abstract Introduction: Vascular access (VA) has a significant impact in the quality of life and survival of patients on hemodialysis (HD). The very elderly are a subgroup of patients whose incidence of renal replacement therapy is the highest. This study aimed to evaluate the impact of the VA at HD start on one‑year mortality in this population. Methods: Retrospective analysis of patients aged 80 years or older...

How do our Dialysis Patients Die?

ABSTRACT Introduction: Elderly patients are the most frequent patients admitted to dialysis units. Relatively little is known about standards on endof-life (EOL) care among dialysis patients. From international literature, these patients are exposed to more aggressive treatments at EOL than patients with cancer or other chronic diseases and palliative referral is infrequent. This study aims to describe some end...

Dysproteinemia-Associated Kidney Disease: A Single-Center Observational Study

ABSTRACT Introduction: Dysproteinemia is associated with kidney damage and treatment of underlying conditions is crucial to minimize kidney damage. The aim of this study was to describe and analyze the characteristics and outcome of the patients diagnosed with dysproteinemia-associated kidney disease with initial renal presentation. Methods: We performed a retrospective observational study of the patients admit...

The Future of Palliative Care in Nephrology

Not Everything is as it Seems: An Unusual Case of Pyelonephritis

ABSTRACT Urinary tract infection is an important cause of hospitalization, morbidity and mortality, being responsible for an important fraction of health expenses. The main risk factors are urine flow obstruction, urinary catheters, immunosuppression and diabetes mellitus. We present a case of pyelonephritis that culminated in nephrectomy, finally unravelling an unexpected diagnosis. A 52-year-old male presente...

Rituximab in glomerular diseases: a case series and narrative review

Abstract Introduction: The use of Rituximab (RTX) in glomerular diseases (GD) has increased in the past years, although it is still only used in a small fraction of patients. Methods: A single center retrospective study of adult patients with membranous nephropathy (MN), focal segmental glomerulosclerosis (FSGS), lupus nephritis (LN), and vasculitis treated with RTX as first or second-line therapy was conducted...

Palliative interventions in outpatient dialysis network

Chronic kidney disease (CKD) is a burdensome disease that has been successfully managed with dialysis. But even if dialysis can prolong patients' survival in certain circumstances, it also brings a high burden of physical and psychosocial symptoms, poor outcomes, and high costs of care. Fragile patients may not benefit from starting dialysis. In this way, Palliative Care (PC) should be integrated into CKD care ...

Uremic lion face syndrome

Abstract Mineral bone disorder is a common feature of chronic kidney disease. Lion face syndrome is rare complication of severe hyperparathyroidism in end-stage renal disease patients, which has been less commonly reported due to dialysis and medical treatment advances in the last decade. The early recognition of the characteristic facial deformity is crucial to prompt management and prevent severe disfiguremen...