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Meet the Competitors: SLED in Sepsis vs Conventional RRT in Sepsis - Medscape PDF Print

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Cardio-Nephrology Region - Medscape PDF Print

Cardio-Nephrology Region
Editor's Note: The following "Scouting Report" will help you complete your bracket in the NephMadness Tournament. Read it carefully to make your selections, and discuss your thoughts in our Comments section.

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Renovations planned at Niagara Falls dialysis center - Buffalo Business First PDF Print


The national operator of group of dialysis centers in the region is planning a renovation at its site at Niagara Falls Memorial Medical Center.

Liberty RC Inc., doing business as Cleve Hill Dialysis Center, filed plans with the state Department of Health for $528,500 in facility maintenance and interior renovations at the extension clinic on Tenth Street in Niagara Falls. The company took over the operation from the hospital in 2011.

First opened by the hospital in 2007, it is the largest dialysis facility in Niagara County.

Plans call for renovations to floors, walls and millwork as well as replacements to the nursing station and some equipment.

Liberty RC, part of DaVita of New York Inc., is licensed to operate 13 chronic renal dialysis sites across the state. It is a subsidiary of DaVita HealthCare Partners Inc. in Denver, Colo., one of the nation's largest dialysis companies, which is funding the project.

Earlier this month, another DaVita subsidiary filed plans for a similar renovation at a Williamsville site.

Construction is estimated to take three months to complete. Approval is required by DOH administrative staff through the certificate of need program.

Tracey Drury covers health/medical, nonprofits and insurance


Clinical and prognostic factors for renal parenchymal, pelvis, and ureter ... - UroToday PDF Print

BACKGROUND: The American Joint Committee on Cancer's (AJCC) 7th edition cancer staging manual reflects recent changes in cancer care practices.

This report assesses changes from the AJCC 6th to the AJCC 7th edition stage distributions and the quality of site-specific factors (SSFs).

METHODS: Incidence data for renal parenchyma and pelvis and ureter cancers from 18 Surveillance, Epidemiology, and End Results (SEER) registries were examined, including staging trends during 2004-2010, stage distribution changes between the AJCC 6th and 7th editions, and SSF completeness for cases diagnosed in 2010.

RESULTS: From 2004 to 2010, the percentage of stage I renal parenchyma cancers increased from 50% to 58%, whereas stage IV and unknown stage cases decreased (18% to 15%, and 10% to 6%, respectively). During this period, the percentage of stage 0a renal pelvis and ureter cancers increased from 21% to 25%, and stage IV and unknown stage tumors decreased (20% to 18%, and 7% to 5%, respectively). Stage distributions under the AJCC 6th and 7th editions were about the same. For renal parenchymal cancers, 71%-90% of cases had known values for 6 required SSFs. For renal pelvis and ureter cancers, 74% of cases were coded as known for SSF1 (WHO/ISUP grade) and 47% as known for SSF2 (depth of renal parenchymal invasion). SSF values were known for larger proportions of cases with reported resections.

CONCLUSIONS: Stage distributions between the AJCC 6th and 7th editions were similar. SSFs were known for more than two-thirds of cases, providing more detail in the SEER database relevant to prognosis.

Written by:
Altekruse SF, Dickie L, Wu XC, Hsieh MC, Wu M, Lee R, Delacroix S Jr.   Are you the author?
National Cancer Institute, Division of Cancer Control and Population Sciences, Rockville, Maryland.

Reference: Cancer. 2014 Dec 1;120 Suppl 23:3826-35.
doi: 10.1002/cncr.29051

PubMed Abstract
PMID: 25412394

UroToday.com Renal Cancer Section


New dialysis center expands services to patients in northern Richland County - ColaDaily.com PDF Print

ColaDaily.com is your source for free news and information in Columbia and the Midlands.

Fresenius Medical Care, a leading provider of products and services for individuals who receive dialysis for kidney disease, celebrated the grand opening of its newest center in the northern part of Richland County last week.

The newest Fresenius Medical Care clinic off of Farrow Road (photo by Kelly Petty).

The newest Fresenius Medical Care clinic off of Farrow Road (photo by Kelly Petty)

“They do not have to travel as far as they used to,” said Cassandra Rhodes, clinical director of operations. “It was important for us to be here and available for the northeast community. We want them to have less stress in regards to transportation from home to dialysis.”

Rhodes said many patients had to travel long distances to receive dialysis treatments. The new facility allows Fresenius to shift some of its patient load and serve more clients.

“We have so many patients that need us three days a week who have had chronic end stage renal disease that travel from the northeast, sometimes upwards of 24 miles to, our other dialysis clinics,” Rhodes said.

Fresenius has 14 dialysis clinics, including a home dialysis facility for patients who want to receive their treatment in their home. The new location at the corner of Hardscrabble and Farrow roads can serve up to 100 patients a day.

Rhodes said the Midlands has a diverse and growing population of individuals who have been diagnosed with kidney disease. The region is expected to experience a 4 percent increase in the number of people with end-stage renal disease, according to the Southeastern Kidney Council.

Kidney disease is defined as the loss of renal functions and can be recognized by feeling generally unwell and having a loss of appetite.

The demographics vary, according to Rhodes, and can include patients who are dealing with kidney problems associated with diabetes and high blood pressure, those suffering kidney problems because of a cardiac surgery or women whose bodies have not fully recovered from pregnancy and need temporary dialysis.

“Unfortunately the choice is either come see us or possibly pass away,” Rhodes said. “So we want them to come see us, but we have those preventative talks and preventative measures in place in order for our patients to have a healthier life in our dialysis chairs or in the end-stage renal disease community.”

Rhodes said education is a priority for Fresenius. The clinic offers its Treatment Options Program, which are free classes for patients with chronic kidney disease or kidney failure to teach them about choices to improve their quality of life.

Patients will get information about in-center hemodialysis, home dialysis and kidney transplants. They’ll also learn preventative measures so they can continue their daily activities.

“Many people do not realize that kidney disease for the most part is chronic and they have to do something to support life which is dialysis or transplant options,” said Samondra Carter, the clinic’s TOPs Specialist. “Our ultimate goal is for patients to have a plan with managing their kidney failure.”

Rhodes said patients should expect a comfortable experience under the leadership of clinical manager Kimberly Craig and her staff.

“The customer service will be superb,” said Rhodes. “Our patients who are here with us, whether it’s temporary or permanently, until they transition to transplantation, I feel that they will be very satisfied.”

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