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Early Dialysis Ahead of Super Storm Linked to Better Outcomes - MedPage Today PDF Print

Action Points

Patients with kidney disease who received early dialysis ahead of Sandy, the 2012 hurricane that pummeled New York and New Jersey, had better outcomes than those who didn't, says a new study.

Hurricane Sandy proved to be deadly to patients on dialysis, as their 30-day mortality rates rose after flooding and structural damage affected power and transportation. But 60% of the nearly 14,000 patients included in this latest analysis received early dialysis, and they had lower odds of going to the emergency department (odds ratio 0.80, 95% CI 0.67-0.96; P=0.01) and to the hospital (OR 0.79, 95% CI 0.66-0.94; P=0.01), and had a lower 30-day mortality (OR 0.72, 95% CI 0.52-0.997; P=0.048) in the week after the storm, according to the study.

Nicole Lurie, MD, the assistant secretary for preparedness and response at the U.S. Department of Health and Human Services (HHS) led the study, which was published in the American Journal of Kidney Diseaseslast week.

"Every disaster holds the potential to impact health and often disproportionately affect people who are medically vulnerable, including people who require dialysis," said Lurie in a press release from the HHS. "This study provides the first evidence that receiving early dialysis in advance of potential disasters helps protect health and saves lives for dialysis patients and suggests that early dialysis should become a standard practice and protective measure."

Rahul Dhawan, DO, at the University of Southern California and the White Memorial Medical Center added that education for dialysis patients and caregivers is important when there's the possibility of a natural disaster.

"This study is an excellent example of how education regarding early dialysis during a storm or natural disaster needs to be more widespread," he wrote in an email to MedPage Today.

Before Hurricane Sandy arrived, nearly 70% of dialysis centers offered early dialysis care on Sunday to their patients who usually came in on Monday, Wednesday, and Friday. Fewer than 5% of patients with end-stage renal disease had to visit the emergency department following the storm, according to the authors.

They took their data from the CMS Datalink Project. All of the patients were enrolled in Medicare and had at least one claim for maintenance dialysis treatment from Oct. 1 to Oct. 28, 2012, and a discernible dialysis schedule. Patients who received dialysis at home and patients who were in the hospital for the week of the storm were excluded.

Researchers looked at the patients' schedules in the days leading up to the storm and whether they were altered in the few days leading up to the storm. Information about age, sex, race, and onset of dialysis care was also gathered.

Most of the facilities in the analysis (92%) treated at least some patients with early dialysis in the four days before the storm, according to the study. In an unadjusted analysis that didn't control for patient characteristics, patients were also more likely to visit the emergency room (OR 0.75, 95% CI 0.63-0.89; P=0.001) and the hospital (OR 0.77, 95% CI 0.65-0.92; P=0.004), but had similar 30-day mortality rates (OR 0.80, 95% CI 0.58-1.09; P=0.2).

Patients who were eligible for both Medicare and Medicaid had worse outcomes than single eligibility patients (P<0.001). And being nonwhite was associated with a decreased odds for an emergency department visit and for hospitalization (P=0.001).

In addition:

  • Those with cardiovascular comorbid condition in the month before the storm had higher odds of hospitalization and a higher mortality.
  • Being hospitalized or visiting the emergency department before the storm was associated with likelihood of returning after the storm and with a higher 30-day mortality.
  • Being nonwhite and younger was associated with a decreased 30-day mortality rate.

There was widespread variation across the five boroughs of New York City as to the number of centers that offered early dialysis, according to Lurie and colleagues. "These findings suggest that routine availability of early dialysis in advance of a storm is generally achievable and should become standard practice," they wrote.

"These patients, especially those who are at an economic disadvantage (the dual eligible population) must be educated regarding the importance of early dialysis when a natural disaster is on the horizon," added Dhawan. "By emphasizing the importance of this to nurses, primary care doctors, and especially nephrologists, outcomes can improve dramatically during a time when we need to conserve every resource possible."

The authors also suggested that both patient and provider characteristics played a role in determining who was able to receive early dialysis. Many of the dialysis centers had emergency plans that helped them be prepared. "Ensuring that hemodialysis patients can maintain access to appropriate renal care through the duration of an emergency is important for both individual and community resilience," the authors added.

They weren't able to determine which patients were offered early dialysis and declined, an important limitation. In addition, there may have been patient character traits not taken into account that could have led them to seek early dialysis.

The research was supported through a CMS DataLink contract with Acumen.

The authors disclosed no relevant relationships with industry.

...

 
Global Dialysis Industry 2015 - Market Size, Share, Growth Drivers, Trends and ... - PharmiWeb.com (press release) PDF Print
Global Dialysis Industry 2015 - Market Size, Share, Growth Drivers, Trends and Forecasts Analysis MarketReportsOnline.com adds Global Dialysis Market Report: 2015 Edition research report of 47 pages on the Dialysis industry to the healthcare intelligence collection of its research store.

PR Newswire

DALLAS, July 5, 2015

DALLAS, July 5, 2015 /PRNewswire-iReach/ -- The report analyzes the global and regional dialysis markets. Some of the factors driving the growth of dialysis market include: growing number of diabetic patients, increasing dialysis population and incidences of chronic and infectious diseases which has further increased the healthcare expenditure and pharmaceutical sales. Market dynamics like key trends and development, challenges and growth drivers are discussed in detail. The key players having the vicious competition with each other are: DaVita, Baxter, and Fresenius. These players are being profiled in the report along with their key financials and strategies for growth.

Photo - http://photos.prnewswire.com/prnh/20150703/228021

Dialysis market is the artificial process of eliminating waste and unwanted water from the blood. It is carried out by using a special fluid called dialysate, a mixture of pure water and chemicals, is carefully controlled to pull wastes out of your blood without removing substances your body needs. There are two types of dialysis: hemodialysis and peritoneal dialysis.

Complete report available at http://www.marketreportsonline.com/401539.html.

Hemodialysis removes wastes and water by circulating blood outside the body through an external filter, called a dialyzer and in peritoneal dialysis, wastes and water are removed from the blood inside the body using the peritoneum as a natural semipermeable membrane.

End stage renal disease (ESRD) is the last stage of chronic kidney disease. This is the situation when kidney is functioning below 10% of their normal function and they can no longer support a person's day to day life. The common causes of ESRD include high blood pressure, atherosclerosis, and genetic disorders. ESRD treatment is carried out either by dialysis or kidney transplant.

By combining SPSS Inc.'s data integration and analysis capabilities with our relevant findings, we have predicted the future growth of the market. We employed various significant variables that have an impact on this industry and created regression models with SPSS Base to determine the future direction of the industry. Before deploying the regression model, the relationship between several independent or predictor variables and the dependent variable was analyzed using standard SPSS output, including charts, tables and tests.

Purchase a copy of  Dialysis Market research report at USD 800 (Single User License) http://www.marketreportsonline.com/contacts/purchase.php?name=401539.

Major points from Table of Contents (http://www.marketreportsonline.com/401539-toc.html) are listed below:

Table of Contents

1. Overview
1.1 Chronic Kidney Disease (CKD)
1.2 End Stage Renal Disease (ESRD)
1.2.1 Treatments for ESRD

2. Market Size
2.1 Global Dialysis Market
2.2 Regional Analysis

3. Market Dynamics
3.1 Key Trends and Developments
3.2 Growth Drivers
3.3 Challenges

4. Competitive Landscape
Global Market
North America
EMEA
Latin America
Asia Pacific

5. Company Profiles

6. Market Outlook
6.1 Market Forecast
6.2 Forecast Methodology

List of Tables

Other Related Reports on Dialysis Market:

Dialysis Partnering 2009-2014 (http://www.marketreportsonline.com/223648.html) The report provides an analysis of dialysis partnering deals. The majority of deals are discovery or development stage whereby the licensee obtains a right or an option right to license the licensors dialysis technology. These deals tend to be multicomponent, starting with collaborative R&D, and commercialization of outcomes.

Dialysis Corporation of America - Strategic SWOT Analysis Review (http://www.marketreportsonline.com/260872.html) Dialysis Corporation of America (DCA) is a public healthcare company based in the US. The company mainly operates as outpatient kidney dialysis center that offer dialysis and ancillary services to patients suffering from chronic kidney failure.

Explore more reports on Healthcare Market at http://www.marketreportsonline.com/cat/healthcare-market-research.html.

About Us:

MarketReportsOnline.com is an online database of regional industry research reports, company profiles and SWOT analysis studies for multiple industries, organizations and market segments. Our sales and research experts offer 24 X 7 support to our customers through phone and email communication. Not limited to the healthcare industry, MarketReportsOnline.com offers research studies on agriculture, energy and power, chemicals, retail, environment, pharmaceuticals, agriculture, food and beverages, advanced materials, medical devices and much more.

Media Contact: Ritesh Tiwari, MarketReportsOnline, + 1 888 391 5441, This e-mail address is being protected from spambots. You need JavaScript enabled to view it

News distributed by PR Newswire iReach: https://ireach.prnewswire.com

SOURCE MarketReportsOnline

PR Newswire
http://www.prnewswire.com/

Last updated on: 05/07/2015

...

 
Global Dialysis Industry 2015 - Market Size, Share, Growth Drivers, Trends and ... - SYS-CON Media (press release) PDF Print
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DALLAS, July 5, 2015 /PRNewswire-iReach/ -- The report analyzes the global and regional dialysis markets. Some of the factors driving the growth of dialysis market include: growing number of diabetic patients, increasing dialysis population and incidences of chronic and infectious diseases which has further increased the healthcare expenditure and pharmaceutical sales. Market dynamics like key trends and development, challenges and growth drivers are discussed in detail. The key players having the vicious competition with each other are: DaVita, Baxter, and Fresenius. These players are being profiled in the report along with their key financials and strategies for growth.

Photo - http://photos.prnewswire.com/prnh/20150703/228021

Dialysis market is the artificial process of eliminating waste and unwanted water from the blood. It is carried out by using a special fluid called dialysate, a mixture of pure water and chemicals, is carefully controlled to pull wastes out of your blood without removing substances your body needs. There are two types of dialysis: hemodialysis and peritoneal dialysis.

Complete report available at http://www.marketreportsonline.com/401539.html.

Hemodialysis removes wastes and water by circulating blood outside the body through an external filter, called a dialyzer and in peritoneal dialysis, wastes and water are removed from the blood inside the body using the peritoneum as a natural semipermeable membrane.

End stage renal disease (ESRD) is the last stage of chronic kidney disease. This is the situation when kidney is functioning below 10% of their normal function and they can no longer support a person's day to day life. The common causes of ESRD include high blood pressure, atherosclerosis, and genetic disorders. ESRD treatment is carried out either by dialysis or kidney transplant.

By combining SPSS Inc.'s data integration and analysis capabilities with our relevant findings, we have predicted the future growth of the market. We employed various significant variables that have an impact on this industry and created regression models with SPSS Base to determine the future direction of the industry. Before deploying the regression model, the relationship between several independent or predictor variables and the dependent variable was analyzed using standard SPSS output, including charts, tables and tests.

Purchase a copy of  Dialysis Market research report at USD 800 (Single User License) http://www.marketreportsonline.com/contacts/purchase.php?name=401539.

Major points from Table of Contents (http://www.marketreportsonline.com/401539-toc.html) are listed below:

Table of Contents

1. Overview
1.1 Chronic Kidney Disease (CKD)
1.2 End Stage Renal Disease (ESRD)
1.2.1 Treatments for ESRD

2. Market Size
2.1 Global Dialysis Market
2.2 Regional Analysis

CIO, CTO & Developer Resources

3. Market Dynamics
3.1 Key Trends and Developments
3.2 Growth Drivers
3.3 Challenges

4. Competitive Landscape
Global Market
North America
EMEA
Latin America
Asia Pacific

5. Company Profiles

6. Market Outlook
6.1 Market Forecast
6.2 Forecast Methodology

List of Tables

Other Related Reports on Dialysis Market:

Dialysis Partnering 2009-2014 (http://www.marketreportsonline.com/223648.html) The report provides an analysis of dialysis partnering deals. The majority of deals are discovery or development stage whereby the licensee obtains a right or an option right to license the licensors dialysis technology. These deals tend to be multicomponent, starting with collaborative R&D, and commercialization of outcomes.

Dialysis Corporation of America - Strategic SWOT Analysis Review (http://www.marketreportsonline.com/260872.html) Dialysis Corporation of America (DCA) is a public healthcare company based in the US. The company mainly operates as outpatient kidney dialysis center that offer dialysis and ancillary services to patients suffering from chronic kidney failure.

Explore more reports on Healthcare Market at http://www.marketreportsonline.com/cat/healthcare-market-research.html.

About Us:

MarketReportsOnline.com is an online database of regional industry research reports, company profiles and SWOT analysis studies for multiple industries, organizations and market segments. Our sales and research experts offer 24 X 7 support to our customers through phone and email communication. Not limited to the healthcare industry, MarketReportsOnline.com offers research studies on agriculture, energy and power, chemicals, retail, environment, pharmaceuticals, agriculture, food and beverages, advanced materials, medical devices and much more.

Media Contact: Ritesh Tiwari, MarketReportsOnline, + 1 888 391 5441, [email protected]

News distributed by PR Newswire iReach: https://ireach.prnewswire.com

SOURCE MarketReportsOnline

...

 
Mettur GH gets dialysis unit - The Hindu PDF Print

The long pending demand of the residents of Mettur town and the surrounding areas was met with the commissioning of a new haemodialysis unit at the Government Headquarters Hospital, Mettur, on Friday.

Cost

The new unit set up at on outlay of Rs. 20 lakh will have two dialysis machines. A spacious room at the GH has been renovated to set up the unit.

N. Vijayalakshmi, Joint Director of Health Services, inaugurated the new facility at a brief function held in the hospital in the presence of K. Senthilkumar, Superintendent of the Mettur Government Health Quarters Hospital. The Mettur GH is only the second government hospital in Salem district to get haemodialysis unit, besides the Government Mohan Kumaramangalam Hospital.

With the two machines, six patients can undergo dialysis sitting per day and they will be covered under the Chief Minister’s Health Insurance Scheme.

Dialysis sittings

Hospital sources said that a renal failure patient has to take 10 to 12 dialysis sittings per month, spending about Rs. 3,000 per sitting in private hospitals.

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Kidney dialysis patient chugging along at age 60 - Standard-Examiner PDF Print

PLEASANT VIEW — Rick Eilander has been told several times during his life that he might not live past the next morning.

The soon-to-be 60-year-old is still here, however, and he considers himself nothing short of a miracle.

For the past 25 years Eilander has been successfully treated with kidney dialysis for a condition known as chronic hydro nephritis, in which the kidneys swell due to the backup of urine. According to the Kidney Foundation, the average life expectancy of a person on dialysis is five to 10 years. On Friday, Pleasant View Dialysis Center threw him a party to celebrate his longevity and success.

“We’re having pizza, cookies and Tums,” Eilander said. “The Tums is because pizza is a No No when you’re going through dialysis, but that’s what I really wanted to have.”

Photo Galleries


His sickness all started when Eilander was diagnosed with prostate cancer at the age of 4, a disease that usually strikes men after the age of 70.

“We were in Arizona when Rick started getting sick and the doctor there told us to get him home as quickly as possible,” said his mother, Joylene Pettit. “When we got him home they took out his prostate gland. He had developed hypo nephritis and they told us he wouldn’t live very long.”

But the little boy beat the odds and continued to live. Doctors performed a urinary bypass in which a bag was placed outside of his body for the urine to flush out. There were complications and multiple surgeries. He missed numerous days of school and was home-schooled during his junior high years because he was too sick to attend. Doctors even told him he wouldn’t grow much over 4 feet 11 inches, but he grew to be 6-foot-4.

“He was the best little kid,” Pettit said. “He never complained. He just went on with his life as normally as he could and he was just a happy and positive little boy.”

Eilander said he remembers being sick as a toddler.

“I was just a little kid, so it was kind of an adventure for me,” he said. “Even though I was sick it was still an adventure.

”I had a lot of surgeries during my teenage years because I was in renal failure and at that point things could get scary. When I was 12 years old they told me I had six months to live and other times they told me I wouldn’t live to see the next morning. My dad ended up taking me to the University of Utah and they offered me a lot of different options and surgeries. I had a lot of things done between the age of 12 and 14. ”

Eilander ended up moving to Texas for a few years, where he became a minister, helping remodel churches and visiting people in hospitals, prison and rest homes.

“I wasn’t a preacher,” he said. “My ministry was more of a ministry of help. It helped me focus on other things and other people.”

Rick Eilander waits patiently for his dialysis treatment to get finished. His wife Penny and daughter Dani are his biggest support system through the last 25 years of treatment. . At the Dialysis Center in Pleasant View on July 3, 2015

He also became a role model for other dialysis patients.

“He’s been through a lot and he’s really been an example, especially for young dialysis patients,” said Eilander’s wife, Penny. “There were a few times where a patient would start and they would be so overwhelmed to the point to where they wanted to sign off and just stop, but Rick encouraged them to keep going.”

Eilander said he credits his longevity to a positive attitude, his faith in God, his sense of humor and the support of his family.

“I didn’t really ever focus on the sick part of it. My focus was more about how I could get better,” he said. “I wanted to grow up and get married and have a family. I wanted to go fishing. I just kept that positive attitude going and I really believe God continues to perform miracles.”

Eilander said it’s important to maintain a positive attitude, but it’s equally important to obtain as much knowledge as you can about your condition.

“Don’t go through it blindly. There are a lot of things they can do to help patients and caregivers,” he said. “It’s not a walk in the park. Your body gets slammed from the dialysis sometimes and I broke my hip a couple of months ago, which caused a setback, but you can have a normal life. There were times where I would go home after dialysis and mow the lawn or build a fort with my daughter. You just have to remember never to give up.”

...

 
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