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end-stage renal disease

AJKD Bundling Editorials

This month’s issue of AJKD includes an enlightening group of 6 editorials, each written from a unique perspective (e.g., the perspective of large dialysis corporations, the perspective of the ESRD Networks, the perspective of non-profit dialysis corporations, etc.),…

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The Business of Dialysis

An interesting figure in this month’s ASN Kidney News details the quarterly earnings for three major dialysis companies in the U.S.: DaVita, Dialysis Corporation of America (DCA), and Fresenius. Also included in the figure (not shown here) is…

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The Undocumented ESRD Population

Although it is difficult to provide exact number, there are approximately 11 million illegal immigrants residing within the United States. Many of these individuals come from Mexico and other Latin American countries; since there appears to be a…

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Carotid Endarterectomy for CKD Patients

Cardiovascular complications are the major cause of morbidity and mortality in patients with CKD and ESRD. Although myocardial infarction and sudden cardiac death get a lot of attention, stroke is also extremely important in this population. How should…

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Poll Results & Post-Boards Weariness

First things first:  last week’s poll results showed that the majority of individuals were wary of using physician “Pay For Performance” as a strategy towards increasing AV fistula placement rates.  Proponents of this strategy (see editorial by Hakim…

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A Wide Range of Potassium Behaviors

Very interesting results of the RFN Poll of the Week regarding different opinions regarding managing the potassium bath in a patient with hyperkalemia! Of the options give, there was a near three-way split between the first three answers…

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Bone Scan for Diagnosis of Calciphylaxis?

Calciphylaxis (also called calcific uremic arteriolopathy) is a syndrome of vascular calcification, thrombosis, and necrosis, occurring almost exclusively in ESRD patients.  The diagnosis is typically achieved by clinical exam–demonstrating painful, necrotic, and sometimes ulcerating lesions usually on the…

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