BACKGROUND AND OBJECTIVES To determine, in a national cohort of incident hemodialysis patients, whether meeting a greater number of National Kidney Foundation Kidney Disease Outcomes Quality Initiative (KDOQI) guideline goals at dialysis initiation was independently associated, in a graded manner, with lower first-year mortality rates. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS Patients wh...

Renal replacement therapy (RRT), including various delivery types of haemodialysis, has revolutionised the care of patients with end stage renal disease (ESRD). The most common RRT modality is haemodialysis (ANZ Data 2010, Boddana et al., 2009). Access for dialysis is via arteriovenous fistulae (AVF), arteriovenous grafts (AVG) or via central venous dialysis catheters. The goal of access is to ...

Glomerulonephritis (GN) is an important cause of morbidity and mortality in patients of all ages throughout the world. Because these disorders are relatively rare, it is difficult to perform randomized clinical trials to define optimal treatment for many of the specific glomerulopathies. In the absence of high-grade evidence to guide the care of glomerular diseases, in June 2012, KDIGO (Kidney ...

It is becoming increasingly more evident that accelerated atherosclerosis is a serious problem in patients with chronic kidney disease (CKD), with more patients dying prematurely from cardiovascular related diseases than progressing to end stage renal disease. A literature review was conducted to investigate the role of both traditional and non-traditional risk factors of atherosclerosis in the...

The aim of this study was to develop a tool for prediction arteriovenous fistula (AVF) outcomes and guide shared decision-making about access appropriateness futility in the context recent Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines. KDOQI guidelines discourage ongoing hemodialysis salvage attempts after two interventions prior successful use or three per year overall. data so...

BACKGROUND Adequate control of all four KDOQI biochemical targets for chronic kidney disease, bone and mineral disorder (CKD-MBD), which include parathyroid hormone (PTH), calcium (Ca), phosphorus (P) and Ca x P, remains difficult and is accomplished in <6% of patients receiving haemodialysis. The objective of the current study was to determine whether treatment with cinacalcet combined with lo...