A retrospective review of the two-step tuberculin skin test in dialysis patients
Conclusions The TST has limited diagnostic and clinical utility for LTBI screening in patients on dialysis. Further research into the diagnostic accuracy of interferon-gamma release assays and a revision of LTBI screening guidelines in patients on dialysis should be considered. (Source: Canadian Journal of Kidney Health and Disease)
Source: Canadian Journal of Kidney Health and Disease - June 6, 2016 Category: Urology & Nephrology Source Type: research

Conventional hemodialysis is associated with greater bone loss than nocturnal hemodialysis: a retrospective observational study of a convenience cohort
ConclusionsThis is the first study comparing bone density between hemodialysis modalities. Our study demonstrates that bone loss is less in nocturnal hemodialysis compared to that in conventional hemodialysis which may result in less fractures. Larger observational studies are ultimately needed to confirm preliminary findings from our study. (Source: Canadian Journal of Kidney Health and Disease)
Source: Canadian Journal of Kidney Health and Disease - June 1, 2016 Category: Urology & Nephrology Source Type: research

Conventional hemodialysis is associated with greater bone loss than nocturnal hemodialysis: a retrospective observational study of a convenience cohort
Conclusions This is the first study comparing bone density between hemodialysis modalities. Our study demonstrates that bone loss is less in nocturnal hemodialysis compared to that in conventional hemodialysis which may result in less fractures. Larger observational studies are ultimately needed to confirm preliminary findings from our study. (Source: Canadian Journal of Kidney Health and Disease)
Source: Canadian Journal of Kidney Health and Disease - May 31, 2016 Category: Urology & Nephrology Source Type: research

Results of the 2014 –2015 Canadian Society of Nephrology workforce survey
ConclusionsThis Canadian Society of Nephrology workforce survey demonstrated the current workforce demographics, individual nephrologist future workforce plans, and projected nephrology division requirements for the next 3 and 5  years. Further work will need to be done to refine Canadian nephrology workforce planning with the development of a robust strategy that encompasses both societal and nephrologists’ needs with the realities of employment. (Source: Canadian Journal of Kidney Health and Disease)
Source: Canadian Journal of Kidney Health and Disease - May 12, 2016 Category: Urology & Nephrology Source Type: research

Perspectives on optimizing care of patients in multidisciplinary chronic kidney disease clinics
This article summarizes the key concepts discussed at the symposium from a patient and physician perspectives. Key messages include (1) understanding patient values and preferences is important as it provides a framework as to what to prioritize in multidisciplinary CKD clinic and provincial renal program models, (2) barriers to effective communication and education are common in the elderly, and adaptive strategies to limit their influence are critical to improve adherence and facilitate shared decision-making, (3) the use of standardized operating procedures (SOPs) improves efficiency and minimizes practice variability a...
Source: Canadian Journal of Kidney Health and Disease - May 12, 2016 Category: Urology & Nephrology Source Type: research

Results of the 2014 –2015 Canadian Society of Nephrology workforce survey
Conclusions < /h3 > < p class= " a-plus-plus " > This Canadian Society of Nephrology workforce survey demonstrated the current workforce demographics, individual nephrologist future workforce plans, and projected nephrology division requirements for the next 3 and 5  years. Further work will need to be done to refine Canadian nephrology workforce planning with the development of a robust strategy that encompasses both societal and nephrologists’ needs with the realities of employment. < /p > < /span > (Source: Canadian Journal of Kidney Health and Disease)
Source: Canadian Journal of Kidney Health and Disease - May 11, 2016 Category: Urology & Nephrology Source Type: research

Perspectives on optimizing care of patients in multidisciplinary chronic kidney disease clinics
This article summarizes the key concepts discussed at the symposium from a patient and physician perspectives. Key messages include (1) understanding patient values and preferences is important as it provides a framework as to what to prioritize in multidisciplinary CKD clinic and provincial renal program models, (2) barriers to effective communication and education are common in the elderly, and adaptive strategies to limit their influence are critical to improve adherence and facilitate shared decision-making, (3) the use of standardized operating procedures (SOPs) improves efficiency and minimizes practice variability a...
Source: Canadian Journal of Kidney Health and Disease - May 11, 2016 Category: Urology & Nephrology Source Type: research

Results of the 2014–2015 Canadian Society of Nephrology workforce survey
Conclusions This Canadian Society of Nephrology workforce survey demonstrated the current workforce demographics, individual nephrologist future workforce plans, and projected nephrology division requirements for the next 3 and 5 years. Further work will need to be done to refine Canadian nephrology workforce planning with the development of a robust strategy that encompasses both societal and nephrologists’ needs with the realities of employment. (Source: Canadian Journal of Kidney Health and Disease)
Source: Canadian Journal of Kidney Health and Disease - May 11, 2016 Category: Urology & Nephrology Source Type: research

Cognitive impairment and depression in a population of patients with chronic kidney disease in Colombia: a prevalence study
ConclusionsCI and depression are prevalent conditions among patients with CKD stages 3 –4, with the greatest occurrence of CI, affecting half of the investigated Colombian patients with age ≥ 55 years. (Source: Canadian Journal of Kidney Health and Disease)
Source: Canadian Journal of Kidney Health and Disease - May 10, 2016 Category: Urology & Nephrology Source Type: research

Cognitive impairment and depression in a population of patients with chronic kidney disease in Colombia: a prevalence study
Conclusions CI and depression are prevalent conditions among patients with CKD stages 3–4, with the greatest occurrence of CI, affecting half of the investigated Colombian patients with age ≥ 55 years. (Source: Canadian Journal of Kidney Health and Disease)
Source: Canadian Journal of Kidney Health and Disease - May 9, 2016 Category: Urology & Nephrology Source Type: research

Catheter-related bloodstream infection in end-stage kidney disease: a Canadian narrative review
AbstractPurpose of the reviewPatients with end-stage renal disease (ESRD) are at a high risk of bacterial infection. We reviewed publications on risk factors, prevention, and treatment paradigms, as well as outcomes associated with bacterial infection in end-stage kidney disease. We focused in particular on studies conducted in Canada where rates of haemodialysis catheter use are high.Sources of informationWe included original research articles in English text identified from MEDLINE using search terms ‘chronic kidney failure’, ‘renal dialysis’, or ‘chronic renal insufficiency’, and ‘bacterial infection’. W...
Source: Canadian Journal of Kidney Health and Disease - May 5, 2016 Category: Urology & Nephrology Source Type: research

Catheter-related bloodstream infection in end-stage kidney disease: a Canadian narrative review
Abstract Purpose of the review Patients with end-stage renal disease (ESRD) are at a high risk of bacterial infection. We reviewed publications on risk factors, prevention, and treatment paradigms, as well as outcomes associated with bacterial infection in end-stage kidney disease. We focused in particular on studies conducted in Canada where rates of haemodialysis catheter use are high. Sources of information We included original research articles in English text identified...
Source: Canadian Journal of Kidney Health and Disease - May 4, 2016 Category: Urology & Nephrology Source Type: research

Reduction in new-onset diabetes mellitus after renal transplant with erythropoietin-stimulating agents: a retrospective cohort study
ConclusionESA exposure may be associated with a reduced incidence of NODAT in the post-renal transplant population. The role of ESA in preventing NODAT requires further investigation. (Source: Canadian Journal of Kidney Health and Disease)
Source: Canadian Journal of Kidney Health and Disease - April 26, 2016 Category: Urology & Nephrology Source Type: research

Reduction in new-onset diabetes mellitus after renal transplant with erythropoietin-stimulating agents: a retrospective cohort study
Conclusion ESA exposure may be associated with a reduced incidence of NODAT in the post-renal transplant population. The role of ESA in preventing NODAT requires further investigation. (Source: Canadian Journal of Kidney Health and Disease)
Source: Canadian Journal of Kidney Health and Disease - April 25, 2016 Category: Urology & Nephrology Source Type: research

Regional citrate anticoagulation in hemodialysis: an observational study of safety, efficacy, and effect on calcium balance during routine care
ConclusionsRegional citrate dialysis can be performed safely and effectively using a sparse plasma calcium sampling protocol. The calcium balance induced by this protocol is not different to that seen in standard heparin-anticoagulated dialysis, but in the absence of prospective studies, it is unknown whether this is optimal for patient care. (Source: Canadian Journal of Kidney Health and Disease)
Source: Canadian Journal of Kidney Health and Disease - April 20, 2016 Category: Urology & Nephrology Source Type: research