CKD-Associated Complications: Progress in the Last Half Century

CKD-Associated Complications: Progress in the Last Half Century
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This publication is a record of some of the outstanding presentations given at the 63rd Annual Meeting of the Japanese Society for Dialysis Therapy (JSDT). The meeting was held in Kobe in 2018, celebrating the 50-year anniversary of the founding of the JSDT as a voluntary academic association. Therapy for end-stage kidney disease (ESKD) now faces vital issues besides the management of renal anemia and chronic kidney disease-mineral and bone disorder and the selection of the optimal treatment modality for each patient. These issues include the increasing incidence of malnutrition and frailty in the elderly, fragile vascular access, and the balance between medical costs and budgets. Expert members of the JSDT present 15 articles that address these issues. This book serves to promote further progress in understanding the pathogenesis of complications associated with ESKD and providing optimal therapy for patients.

Оглавление

Группа авторов. CKD-Associated Complications: Progress in the Last Half Century

Contributions to Nephrology

CKD-Associated Complications: Progress in the Last Half Century

Contents

Preface

Current Topics in Vascular Access: Superficialization of Arteriovenous Fistula

Abstract

Introduction

Superficialization of the Basilic Vein for Autologous AVF Construction. Transposed Brachial-Basilic AVF

Comparison between TBBAVF and AVG

One- and Two-Step TBBAVF

TBBAVF Construction Using Tunnel Transposition or Elevation

Tunnel Transposition of the Cephalic Vein

Methodological Diversity of the Superficialization Procedure. Elevation

Lipectomy and Liposuction

Conclusion

Acknowledgments

Disclosure Statement

Funding Source

References

Malnutrition-Wasting Conditions in Older Dialysis Patients: An Individualized Approach

Abstract

Introduction

Malnutrition-Wasting Conditions

Sarcopenia

Protein-Energy Wasting

Frailty

Management of Malnutrition-Wasting Conditions

Nutritional Management

Exercise Training

Individualized Management of Older Dialysis Patients

Conclusions

Disclosure Statement

Funding Source

References

Blood Purification for Paediatric Patients

Abstract

Introduction

Catheterization Site in Acute eBPT

Internal Jugular Vein

Femoral Vein

Subclavian Vein

Size of the Catheter

Blood Priming

Small Circuit

Circuit Life Span

Modalities of eBPT

Concurrence with Other eBPT. ECMO with CRRT

Therapeutic Plasma Exchange + CRRT

Blood Flow

Solutions and Effluent Dose

Dialysate and Replacement Fluid

Anticoagulants

Complications during eBPT

Indications for the Use of CRRT

Conclusions

Acknowledgements

Disclosure Statement

Funding Source

References

Chronic Inflammation and Progression of Diabetic Kidney Disease

Abstract

Introduction

DKD as an Inflammatory Renal Disease

Clinical Trials

Conclusion

Disclosure Statement

Funding Source

References

Correlation between Aortic Calcification Score and Biochemical Parameters in Hemodialysis Patients

Abstract

Introduction

Material and Methods. Subjects and Study Design

Statistical Analysis

Results

Correlation Analysis

Multivariate Analysis

Discussion

Disclosure Statement

Funding Source

References

New Japanese Society of Dialysis Therapy Guidelines for Peritoneal Dialysis

Abstract

Introduction

Process of Developing CPGs and Global Trend toward Using CPGs

Parts of the New PD Guidelines (Table 2)

Summary of Part 1 of the New PD Guidelines

Chapter 1: Initiation of PD

Chapter 2: Adequacy of PD

Chapter 3: Adequate Nutrition in PD Patients

Chapter 4: Evaluation of Peritoneal Membrane Function

Chapter 5: Discontinuation of PD for Prevention of Encapsulating Peritoneal Sclerosis

Chapter 6: Management of Peritonitis

Chapter 7: Management of the PD Catheter and Exit Site

Disclosure Statement

Funding Source

References

Recent Advances in the Management of Vascular Calcification in Patients with End-Stage Renal Disease

Abstract

Introduction

Intimal and Medial Arterial Calcification

Mineral Metabolism and VC

Evaluation of VC

Treatment of VC

Conclusion

Acknowledgments

Disclosure Statement

Funding Source

References

Carnitine Profile by Tandem Mass Spectrometry and Dialysis Patients

Abstract

Introduction

Tandem Mass Spectrometry

Factors Influencing Tandem Mass Spectrometry Results

Dialysis Patients and Carnitine Profiling

Conclusion

Disclosure Statement

Funding Source

References

The Current Status and Future of Peritoneal Dialysis in Japan

Abstract

Introduction

Issues Concerning Dialysis Therapy in Japan

A Shift toward Comprehensive Community-Based Care

What Are the Benefits of PD in the Elderly?

Why Is the Number of Patients on PD Not Increasing in Japan?

Conclusion

Disclosure Statement

Funding Source

Permissions for Image Reproduction

References

Economic Issues of Chronic Kidney Disease and End-Stage Renal Disease

Abstract

Introduction

Medical Costs for CKD Patients and Timing of Dialysis Initiation

Dialysis-Related Medical Costs in Japan

Comparison of Dialysis-Related Medical Costs between Japan and Advanced Countries

References

Clinical Benefit of an Adsorptive Technique for Elderly Long-Term Hemodialysis Patients

Abstract

Introduction

Potential Adsorbent Capacity of Dialysis Membranes in Elderly HD Patients

Clinical Implications of β2MG Adsorption Columns in Elderly Dialysis-Related Amyloidosis Patients

Possibility of Absorbent HD Membrane and β2MG-Adsorbent Column Combination Therapy

Importance of the Selection of Dialysis Modality for Elderly HD Patients

Disclosure Statement

Funding Source

Permissions for Image Reproduction

Prior Publication

References

Iron Metabolism in Chronic Kidney Disease Patients

Abstract

Introduction

Factors Associated with Iron Metabolism

Ferritin

Transferrin Saturation

Reticulocyte Hemoglobin and Hypochromic Red Cells

Soluble Transferrin Receptor

Hepcidin 25

Erythroferrone

Changes in Biomarkers of Iron Metabolism during Erythropoiesis with ESA Administration

Conclusion

Acknowledgment

Disclosure Statement

Funding Source

References

Hypoxia-Inducible Factor-Prolyl Hydroxylase Domain Inhibitors to Treat Anemia in Chronic Kidney Disease

Abstract

Introduction

Impaired Erythropoiesis in CKD

HIF-PHD Pathways

HIF-PHD Axis in the Kidney

HIF and Iron Metabolism

Adverse Effects of EPO

Clinical Trials of PHD Inhibitors

Roxadustat (FG-4592 or ASP1517)

Daprodustat (GSK1278863)

Vadadustat (AKB-6548)

Possible Harmful Side Effects and Disadvantages

Conclusion

Disclosure Statement

Funding Source

References

The Hepcidin-Anemia Axis: Pathogenesis of Anemia in Chronic Kidney Disease

Abstract

Erythropoietin Deficiency Is Not a Mainstay of Anemia in CKD

Role of Hepcidin and Iron Metabolism in CKD-Associated Anemia

Comparison of Anemia in Erythropoietin Knockout and CKD Models Using Flow Cytometry

EPO-KO Mice

Adenine-Induced CKD Mice

A New Treatment Strategy for CKD-Associated Anemia

Conclusion

Disclosure Statement

Funding Source

References

Anemia Management Considering the Pathophysiology of Elderly Chronic Kidney Disease Patients

Abstract

Introduction

Target Hb Levels in Elderly CKD Patients

Responsiveness to ESA in Elderly CKD Patients

Iron Metabolism in Elderly CKD Patients

Iron Management in Elderly CKD Patients

Conclusion

Disclosure Statement

Funding Source

References

Author Index

Subject Index

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CKD-Associated Complications: Progress in the Last Half Century

Series Editor

.....

Nakamoto, H. (Saitama)

Economic Issues of Chronic Kidney Disease and End-Stage Renal Disease

.....

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