Article
Public, Environmental & Occupational Health
Lourdes Marie S. Tejero, Kathryn Lizbeth L. Siongco, Paul Adrian V. Pinlac, Kim Carmela D. Co, Ma. Carmen C. Tolabing
Summary: This study conducted a baseline assessment of functional health literacy level using the FHL-5 Test among adults in the Philippines, revealing that majority of participants demonstrated FHL adequacy. Participants with higher education, involved in domestic service occupation, and residing in urban areas were more likely to exhibit FHL adequacy, while male participants and individuals aged 60 years or above were less likely to demonstrate FHL adequacy. The measurement of FHL adequacy can inform policies on health education methods and communication strategies.
Article
Cardiac & Cardiovascular Systems
Astrid K. Wahl, Richard H. Osborne, Marie H. Larsen, Marit H. Andersen, Ingrid A. Holter, Christine R. Borge
Summary: This study highlights the importance of psychological factors in determining the health literacy needs among people with COPD. The results showed that higher levels of psychological well-being and education were associated with higher levels of health literacy.
Article
Urology & Nephrology
M. S. Gurgel do Amaral, S. A. Reijneveld, L. M. G. Meems, J. Almansa, G. J. Navis, A. F. de Winter
Summary: This study found that low health literacy is associated with more multimorbidity in CKD patients. Health literacy is not associated with patterns of multimorbidity in younger patients, but it is slightly in older ones.
JOURNAL OF NEPHROLOGY
(2022)
Article
Psychology, Clinical
Jonathan P. Rogers, Thomas A. Pollak, Nazifa Begum, Anna Griffin, Ben Carter, Megan Pritchard, Matthew Broadbent, Anna Kolliakou, Jessie Ke, Robert Stewart, Rashmi Patel, Adrian Bomford, Ali Amad, Michael S. Zandi, Glyn Lewis, Timothy R. Nicholson, Anthony S. David
Summary: Catatonia occurred in approximately 1 per 10,000 person-years in this study. Patients with catatonia had longer duration of hospitalisation, but there was no increase in mortality after adjustment.
PSYCHOLOGICAL MEDICINE
(2023)
Article
Medical Laboratory Technology
Yung-Chuan Lu, Cheng-Ching Wu, Ting Tsai, Wei-Chin Hung, Thung-Lip Lee, Chin-Feng Hsuan, Teng-Hung Yu, Ching-Ting Wei, Fu-Mei Chung, Yau-Jiunn Lee, Chao-Ping Wang
Summary: This study demonstrated correlations between uremic toxins (IS and HA) and HD quality indicators, as well as differences in these associations among maintenance HD patients based on sex and age.
CLINICA CHIMICA ACTA
(2021)
Article
Medicine, General & Internal
Yuqiu Liu, Canlin Yang, Xin Yang, Xiaotong Xie, Hong Liu, Liuping Zhang, Jianming Ye, Dongsheng Jiang, Xiaoliang Zhang, Bicheng Liu
Summary: Calciphylaxis is a grievous vascular disease commonly found in dialysis patients. The first epidemiological survey in China revealed a prevalence of 1.24% in hemodialysis patients, suggesting a need for improved clinical understanding and multifaceted diagnostic methods for early screening. High-risk factors identified for calciphylaxis included increased BMI, prolonged dialysis duration, warfarin therapy, hyperparathyroidism, diabetes, tumors, low serum albumin, and high serum alkaline phosphatase levels.
FRONTIERS IN MEDICINE
(2022)
Article
Nutrition & Dietetics
Loan T. Dang, Thuc C. Luong, Dung H. Nguyen, Trung A. Hoang, Hoai T. Nguyen, Hoang C. Nguyen, Thai H. Duong, Tu T. Tran, Linh Pham, Tuan Ngo, Hoi T. Nguyen, Nga T. Trieu, Thinh Do, Manh Trinh, Tung H. Ha, Dung T. Phan, Binh N. Do, Shwu-Huey Yang, Tsae-Jyy Wang, Tuyen Van Duong
Summary: During the COVID-19 pandemic, evaluating the dietary knowledge of hemodialysis patients, especially those with COVID-19 related symptoms, is crucial. This study aimed to test the psychometric properties of the hemodialysis dietary knowledge (HDK) scale and investigate its impact on the association between suspected COVID-19 symptoms and anxiety and depression in hemodialysis patients. The findings suggest that a higher HDK score is associated with a lower likelihood of anxiety and depression, indicating the importance of dietary knowledge in protecting hemodialysis patients from mental health issues during the pandemic.
Article
Nutrition & Dietetics
Lan T. H. Le, Loan T. T. Dang, Tsae-Jyy Wang, Tuyen G. G. Do, Dung H. H. Nguyen, Trung A. A. Hoang, Minh D. D. Pham, Binh N. N. Do, Hoang C. C. Nguyen, Tu T. T. Tran, Linh V. V. Pham, Lien T. H. Nguyen, Hoi T. T. Nguyen, Nga T. T. Trieu, Thinh V. V. Do, Manh V. V. Trinh, Tung H. H. Ha, Dung T. T. Phan, Shwu-Huey Yang, Ngoc N. M. Le, Kien T. T. Nguyen, Tuyen Van Duong
Summary: This study aimed to investigate the factors associated with osteoporosis in hemodialysis patients and found that women, patients with rheumatoid arthritis and stomach ulcers were more likely to develop osteoporosis. In addition, improving health literacy, digital healthy diet literacy, education, waist circumference, and controlling blood parameters such as hemoglobin, hematocrit, and albumin levels can reduce the risk of osteoporosis in hemodialysis patients.
Article
Urology & Nephrology
Linfang Zhu, Yang Liu, Fengxue Yang, Shaobin Yu, Ping Fu, Huaihong Yuan
Summary: This study assessed medication literacy in MHD patients and explored the relationship between frailty and medication literacy. The study found that medication literacy levels in MHD patients needed improvement and were associated with certain patient characteristics, including age, education level, presence of caregiver support, beta 2-microglobulin levels, and risk of frailty. These findings highlight the importance of routine screening and targeted interventions to improve medication literacy in this population.
Article
Urology & Nephrology
Kelly H. Beers, C. John Sperati, David S. Weisman, Khaled Abdel-Kader, Sandeep Soman, Laura Plantinga, Michael J. Choi, Bernard G. Jaar, Raquel C. Greer
Summary: The article discusses the role, challenges, and improvement strategies of primary care for patients receiving hemodialysis, while also suggesting future research needs for enhancing primary care delivery for this high-risk population.
AMERICAN JOURNAL OF KIDNEY DISEASES
(2021)
Article
Rheumatology
Anne Gorter, Mark M. Bakker, Peter M. ten Klooster, Annelies Boonen, Harald E. Vonkeman
Summary: The aim of this study was to explore the longitudinal associations between health literacy profiles and disease activity and medication prescription in patients with RA. Significant differences in longitudinal disease activity and medication prescription were observed between groups with different health literacy levels. These results stress the importance of insights into the role of health literacy in treatment and outcomes in patients with RA.
Article
Public, Environmental & Occupational Health
Milena Maricic, Goran Stojanovic, Vanja Pazun, Milos Stepovid, Ognjen Djordjevic, Ivana Zivanovic Macuzic, Vesna Milicic, Veroljub Vucic, Svetlana Radevic, Snezana Radovanovic
Summary: This study in Serbia found that women's health literacy is related to their socio-demographic characteristics and reproductive health behaviors. Women with inadequate health literacy were more likely to live in rural areas and come from poorer classes. Employed women, those with good health, and those with higher education had higher odds of having adequate health literacy.
FRONTIERS IN PUBLIC HEALTH
(2021)
Article
Public, Environmental & Occupational Health
Myung Jin Jung, Young Sook Roh
Summary: This study aimed to investigate the mediating effect of health literacy on the relationship between healthcare providers' support and patient outcomes among hemodialysis patients. A cross-sectional survey was conducted with a convenience sample of 149 hemodialysis patients. Mediation analysis showed that health literacy mediated the relationship between healthcare providers' support and patient outcomes. It is crucial for patient educators to implement a multifaceted health literacy-tailored intervention strategy to improve the health literacy of hemodialysis patients.
PATIENT EDUCATION AND COUNSELING
(2023)
Article
Psychology, Clinical
In Ju Yoon, Su Jung Lee
Summary: The aim of this study was to investigate anxiety levels among hemodialysis patients during the COVID-19 pandemic and explore the relationship between health literacy and anxiety. The results showed that health literacy increased with decreasing age and increasing educational level. Patients with comorbidities had higher levels of general anxiety. Patients who spent more time searching for health information had higher levels of coronavirus disease-related anxiety. This study highlights the need for further research on the effectiveness of health literacy programs in reducing anxiety levels and the importance of social support for patients with comorbidities.
PSYCHOLOGY RESEARCH AND BEHAVIOR MANAGEMENT
(2023)
Article
Multidisciplinary Sciences
Seok Hui Kang, Jun Young Do, Jun Chul Kim
Summary: This study demonstrates that the phase angle is associated with muscle mass, strength, physical performance, quality of life assessment, and hospitalization-free survival in hemodialysis patients.
Review
Critical Care Medicine
Srijan Tandukar, Paul M. Palevsky
Editorial Material
Urology & Nephrology
Josephine P. Briggs, Paul M. Palevsky
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2019)
Editorial Material
Urology & Nephrology
Paul M. Palevsky
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2020)
Editorial Material
Urology & Nephrology
Jeffrey Silberzweig, T. Alp Ikizler, Holly Kramer, Paul M. Palevsky, Joseph Vassalotti, Alan S. Kliger
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2020)
Review
Urology & Nephrology
Paul M. Palevsky
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2021)
Editorial Material
Urology & Nephrology
Susan E. Quaggin, Paul M. Palevsky
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2021)
Article
Urology & Nephrology
Qandeel H. Soomro, Sonia T. Anand, Steven D. Weisbord, Martin P. Gallagher, Ryan E. Ferguson, Paul M. Palevsky, Deepak L. Bhatt, Chirag R. Parikh, James S. Kaufman
Summary: Contrast-associated AKI is associated with periprocedure fluid administration. The study found that smaller volume of fluid administration may increase the risk of adverse outcomes.
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2022)
Article
Medicine, General & Internal
Hsin-Hsiung Chang, Jung-Hsien Chiang, Chi-Shiang Wang, Ping-Fang Chiu, Khaled Abdel-Kader, Huiwen Chen, Edward D. Siew, Jonathan Yabes, Raghavan Murugan, Gilles Clermont, Paul M. Palevsky, Manisha Jhamb
Summary: This study developed machine learning models to predict mortality among AKI patients receiving RRT and compared their performance to existing scoring systems. The results showed that the XGBoost model had the highest performance in mortality prediction.
JOURNAL OF CLINICAL MEDICINE
(2022)
Editorial Material
Urology & Nephrology
Paul M. M. Palevsky
Summary: The choice of kidney replacement therapy modality has been a long-standing debate. While the KDIGO guideline recommends using continuous KRT for hemodynamically unstable patients, there are advocates who argue that intermittent hemodialysis should be the only modality used for critically ill patients with AKI. In this CJASN issue, a virtual debate is provided for these opposing viewpoints, ultimately calling for more data and a patient-focused approach to KRT delivery for critically ill patients with AKI.
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2023)
Article
Urology & Nephrology
Ashutosh M. Shukla, Kerri L. Cavanaugh, Huanguang Jia, Jennifer Hale-Gallardo, Anuradha Wadhwa, Michael J. Fischer, Scott Reule, Paul M. Palevsky, Linda F. Fried, Susan T. Crowley
Summary: Kidney health advocacy organizations and leaders in the nephrology community have highlighted the importance of increasing home dialysis utilization in the United States. Limited awareness and understanding of kidney failure management options among patients with advanced CKD is a significant obstacle. Studies have shown that targeted comprehensive patient education can improve awareness of kidney disease and increase the use of home dialysis. This review provides practical guidance on establishing effective patient-centered education programs to empower patients and increase home dialysis use.
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2023)
Article
Urology & Nephrology
Pavan K. K. Bhatraju, Ian B. B. Stanaway, Melody R. R. Palmer, Rajasree Menon, Jennifer A. A. Schaub, Steven Menez, Anand Srivastava, F. Perry Wilson, Krzysztof Kiryluk, Paul M. M. Palevsky, Abhijit S. S. Naik, Sana S. S. Sakr, Gail P. P. Jarvik, Chirag R. R. Parikh, Lorraine B. B. Ware, T. Alp Ikizler, Edward D. D. Siew, Vernon M. Chinchilli, Steve G. G. Coca, Amit X. X. Garg, Alan S. S. Go, James S. S. Kaufman, Paul L. L. Kimmel, Jonathan Himmelfarb, Mark M. M. Wurfel
Summary: Although common genetic risks for CKD are well established, genetic factors influencing risk for AKI in hospitalized patients are poorly understood. Through a genome-wide association study, two genetic variants were found to have the strongest association with AKI risk. Functional annotation of these variants using kidney biopsy data suggests a potential role in AKI susceptibility.
Article
Urology & Nephrology
Paul M. M. Palevsky, Ron Wald
Article
Urology & Nephrology
Jaclyn R. Daniels, Jennie Z. Ma, Zhijun Cao, Richard D. Beger, Jinchun Sun, Laura Schnackenberg, Lisa Pence, Devasmita Choudhury, Paul M. Palevsky, Didier Portilla, Li-Rong Yu
Summary: This study analyzed serum samples from 72 patients with AKI-D and identified potential novel predictive biomarkers of kidney recovery. The levels of certain proteins were significantly associated with kidney recovery, indicating potential mechanisms of kidney recovery.
Article
Urology & Nephrology
Siddharth Verma, Paul M. Palevsky
Summary: This narrative review summarizes critical aspects of CKRT management in critically ill patients with acute kidney injury, including selection of treatment modality, choice of hemofilter/hemodialyzer, determination of blood flow rate, composition and flow rates of dialysate and/or replacement fluids, ultrafiltration rate, and use and methods of anticoagulation.
Review
Urology & Nephrology
Raghavan Murugan, Rinaldo Bellomo, Paul M. Palevsky, John A. Kellum
Summary: Management of fluid overload is crucial in critically ill patients with acute kidney injury, but both slow and fast rates of net fluid removal during kidney replacement therapy are associated with increased mortality. Ultrafiltration rate should be prescribed based on patient body weight with close monitoring of patient hemodynamics and fluid balance.
NATURE REVIEWS NEPHROLOGY
(2021)