Findings

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A new “six-risk-stage model” provides useful prognostic information for estimating time to end stage renal disease (ESRD) in children with chronic kidney disease (CKD), reports a study in the American Journal of Kidney Diseases.

Close to 60% of patients undergoing placement of an indwelling urethral catheter experience complications—mainly noninfectious—within 30 days, reports a study in JAMA Internal Medicine.

Fibroblast growth factor 23 (FGF-23) does not consistently predict declining kidney function or development of CKD in healthy older adults, reports a study in Kidney International.

A teen adherence intervention improves the use of prescribed immunosuppressive medications in adolescent and young adult kidney transplant recipients, reports a randomized trial in the American Journal of Kidney Diseases.

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Following emergency-only hemodialysis (EOHD) policies for undocumented immigrants causes moral distress and may contribute to burnout among healthcare professionals at safety-net hospitals, reports a qualitative study in Annals of Internal Medicine.

For patients receiving targeted therapies for metastatic renal cell carcinoma, outcomes are similar with sunitinib alone versus nephrectomy followed by sunitinib, concludes a trial in The New England Journal of Medicine.

Kidney function declines twice as rapidly in adults with versus without diabetes, according to a population-based study in Diabetes Care.

One out of every five patients with non–dialysis-dependent CKD has some form of cognitive impairment. A new study finds that these individuals may experience important differences in their transition to dialysis compared with patients without cognitive impairment.

Patients with advanced CKD are at risk for cognitive impairment, which is commonly underdiagnosed in clinical practice. It is unknown how cognitive deficits may affect planning and preparation for progression to ESRD, so the authors of the American Journal of Kidney Diseases study set out to investigate.

The oral antidiabetic drug metformin does not increase the risk of hospitalization for acidosis in patients with mild to moderate CKD, according to a “real world” study in JAMA Internal Medicine.

A new “AMI READMITS” score—based on renal function, diabetes, and low blood pressure, among other factors in the first 24 hours in the hospital—identifies patients at high risk of readmission after acute myocardial infarction, reports a study in the open-access Journal of the American Heart Association.

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