Unusual Presentation of an Access-Induced Steal Syndrome in a Chronic Hemodialysis Patient
Klaus Fuerste, Friederike Kessler and Rolf Dario Frank
Article Type: Clinical Image | First Published: June 28, 2021
A 77-year-old male presented to our hospital with a two week history of worsening ulcerations on the dorsum of his left hand (Figure 1a). No deficit in sensory or motor function was detected. The patient suffered from end-stage renal disease and was treated with hemodialysis via a tunnelled catheter in the right jugular vein. Five months before, a left brachiobasilic arteriovenous fistula (AVF) had been created. At presentation, the blood flow in the left brachial artery was 900 ml per minute. P...
Acute Kidney Injury in the Context of Inflammatory Bowel Disease - A Clinical Case
Joana Cristóvão Marques, Rui Barata, Joana Lemos Garcia, David Navarro, Mário Góis, Helena Sousa, Patrícia Cotovio, Francisco Ribeiro and Fernando Nolasco
Article Type: Case Report | First Published: April 05, 2021
Extraintestinal manifestations of inflammatory bowel disease are common and extendable to all organs. Kidney and lower genitourinary system occurs in 4-23% of cases. This may be dependent on inflammatory bowel disease activity, secondary to metabolic disorders, drugs or others. We present a case of a 68-year-old man with ulcerative colitis for 22 years admitted in our department for acute nephritic syndrome. Urinary microscopy suggested glomerular injury. A kidney biopsy was performed and was co...
Effect of Antiretrovirals on Renal Function of HIV/AIDS Patients at Two Hospitals in Yaounde, Cameroon
Mann Elate Lea Mbassi Yves, Wambe Gilles Verland and Paana Alima Marguerite Cebrael
Article Type: Original Article | First Published: February 11, 2021
Antiretroviral therapies (ART) have been reported to have renal toxicity. However, there is a lack of data on the toxicity of ART in sub-Saharan countries, especially in Cameroon. More studies on their contribution to renal dysfunction in natives from this region are required. HIV/AIDS patients undergoing eleven different first-line ART at two hospitals in Yaoundé, Cameroon, were selected in this study. Retrospective and prospective data of serum urea and creatinine were collected, and the esti...
Dialysis Center Productivity Accelerated after 2011 Payment Reform without Compromising Quality of Care
J Mark Stephens, David Barrus, PhD, Dennis Cotter, Martin J Ma, PhD, Mae Thamer and Jay B Wish, MD
Article Type: Original Research | First Published: January 11, 2021
In January 2011, the Centers for Medicare & Medicaid Services (CMS) introduced the End-Stage Renal Disease Prospective Payment System (ESRD PPS) with the goal of creating strong economic incentives for Medicare dialysis providers to improve efficiency in the delivery of dialysis treatments, but without compromising quality of care. To date, no formal evaluations have been published of the impacts of the new payment reforms on dialysis center efficiency in the quantity and quality of care deliver...