Blood pressure measured before and after dialysis does not agree well with those recorded outside the dialysis unit. Whether recordings obtained outside the dialysis unit are of greater prognostic value than blood pressure obtained just before and after dialysis remains incompletely understood. Among 326 patients on long-term hemodialysis, blood pressure was self-measured at home for 1 week, ov...

BACKGROUND Although End Stage Renal Disease (ESRD) is a disease of increasing epidemiological relevance very little is known about the cost of providing the respective dialysis services in Tanzania. This paper estimates the costs of dialysis for ESRD patients at Muhimbili National Hospital (MNH) in Tanzania in the year 2014. METHODS Cost calculations are based on the provider perspective and ...

INTRODUCTION Chronic hemodialysis patients experience frequent and varied mucocutaneous manifestations in addition to hair and nail disorders. The aim of this study was to evaluate the prevalence of dermatological changes among patients with end-stage renal disease under hemodialysis in a hemodialysis unit in Tanta University hospitals over a period of 6 months, and to evaluate the relations of...

BACKGROUND AND OBJECTIVES Among people with essential hypertension, ambulatory BP measurement is superior to BP obtained in the clinic in predicting cardiovascular outcomes. In part, this is because it can detect white-coat hypertension and masked hypertension. Whether the same is true for hemodialysis patients is not known. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS Using a threshold of 1...

This study used principles and methods of good ecological restoration, including participatory photographic research methods, to explore perceptions of safety and quality in one hemodialysis unit. Using a list of potential safety and quality issues developed during an initial focus group, a practitioner-led photo walkabout was conducted to obtain photographs of the patient care unit and nurses’...

Background In patients undergoing incident hemodialysis, increased fibroblast growth factor-23 (FGF-23) levels are associated with the development of cardiovascular disease (CVD), but influence residual kidney function (RFK) on this association is unclear. This study aimed to investigate between FGF-23 levels, RKF, and CVD in prevalent hemodialysis. Methods cross-sectional longitudinal observat...

Cognitive impairment and dementia commonly occur in individuals with chronic kidney disease, especially in advanced stages, but are still poorly diagnosed. OBJECTIVE To evaluate the cognitive ability of patients with chronic kidney disease on hemodialysis and its relationship with sociodemographic and clinical characteristics. METHODS A cross-sectional study was carried out in a Renal Repla...