CKJ: Clinical Kidney Journal




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سفارش

Practical ethical concerns in allocation of pig kidneys to humans

George Bayliss

doi : 10.1093/ckj/sfac125

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2161–2168

The fundamental ethical question of whether pig organs should be transplanted into humans has been settled, as recent surgeries demonstrating proof of concept demonstrate. Other issues need to be considered and reconciled before xenotransplantation of pig kidneys becomes a solution to the organ shortage for people waiting for a kidney transplant or as a viable alternative to the deceased donor or living donor human kidneys. Human trials will be needed beyond brain-dead individuals to show that xenotransplantation is safe from immunologic and infectious standpoints.

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Who killed Bruce Lee? The hyponatraemia hypothesis

Priscila Villalvazo, Raul Fernandez-Prado, Maria Dolores Sánchez Niño, Sol Carriazo, Beatriz Fernández-Fernández, Alberto Ortiz, Maria Vanessa Perez-Gomez

doi : 10.1093/ckj/sfac071

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2169–2176

Bruce Lee brought attention to martial arts in the Western world and popularized the quote ‘Be water, my friend’. Lee died at the age of 32 years in Hong Kong on 20 July 1973, under mysterious circumstances. The cause of death is unknown, although numerous hypotheses have been proposed, from assassination by gangsters to the more recent suggestion in 2018 that he died from heatstroke. The necropsy showed cerebral oedema.

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Peritoneal catheter insertion: combating barriers through policy change

Vivekanand Jha, Alferso C Abrahams, Abdullah Al-Hwiesh, Edwina A Brown, Brett Cullis, Frank J M F Dor, Mallika Mendu, Daniela Ponce, José Carolino Divino-Filho

doi : 10.1093/ckj/sfac136

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2177–2185

Barriers to accessing home dialysis became a matter of life and death for many patients with kidney failure during the coronavirus disease 2019 (COVID-19) pandemic.

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Left ventricular dysfunction with preserved ejection fraction: the most common left ventricular disorder in chronic kidney disease patients

Patrick B Mark, Kenneth Mangion, Alastair J Rankin, Elaine Rutherford, Ninian N Lang, Mark C Petrie, Sokratis Stoumpos, Rajan K Patel

doi : 10.1093/ckj/sfac146

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2186–2199

Chronic kidney disease (CKD) is a risk factor for premature cardiovascular disease. As kidney function declines, the presence of left ventricular abnormalities increases such that by the time kidney replacement therapy is required with dialysis or kidney transplantation, more than two-thirds of patients have left ventricular hypertrophy.

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Repurposing drugs for highly prevalent diseases: pentoxifylline, an old drug and a new opportunity for diabetic kidney disease

Javier Donate-Correa, María Dolores Sanchez-Niño, Ainhoa González-Luis, Carla Ferri, Alberto Martín-Olivera, Ernesto Martín-Núñez, Beatriz Fernandez-Fernandez, Víctor G Tagua, Carmen Mora-Fernández, Alberto Ortiz, Juan F Navarro-González

doi : 10.1093/ckj/sfac143

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2200–2213

Diabetic kidney disease is one of the most frequent complications in patients with diabetes and constitutes a major cause of end-stage kidney disease. The prevalence of diabetic kidney disease continues to increase as a result of the growing epidemic of diabetes and obesity. Therefore, there is mounting urgency to design and optimize novel strategies and drugs that delay the progression of this pathology and contain this trend. The new approaches should go beyond the current therapy focussed on the control of traditional risk factors such as hyperglycaemia and hypertension.

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Decreasing microbiota-derived uremic toxins to improve CKD outcomes

Braian M Beker, Iara Colombo, Henry Gonzalez-Torres, Carlos G Musso

doi : 10.1093/ckj/sfac154

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2214–2219,

Chronic kidney disease (CKD) is set to become the fifth-leading global cause of death by 2040. This illustrates the many unknowns regarding its pathogenesis and therapy. A key unknown relates to the therapeutic impact of the interaction between CKD and the gut microbiome.

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Point-of-care ultrasonography in nephrology comes of age

Daniel W Ross, Andrew A Moses, Vandana Dua Niyyar

doi : 10.1093/ckj/sfac160

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2220–2227

The physical exam is changing. Many have argued that the physical exam of the 21st century should include point-of-care ultrasound (POCUS). POCUS is being taught in medical schools and has been endorsed by the major professional societies of internal medicine. In this review we describe the trend toward using POCUS in medicine and describe where the practicing nephrologist fits in.

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Probability of chronic kidney disease and associated risk factors in Chinese adults: a cross-sectional study of 9 million Chinese adults in the Meinian Onehealth screening survey

Zhenhuang Zhuang, Mingkun Tong, Robert Clarke, Bo Wang, Tao Huang, Liming Li

doi : 10.1093/ckj/sfac176

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2228–2236

Chronic kidney disease (CKD) is an increasing global health problem, but little is known about the age- and sex-specific prevalence of CKD and the associated risk factors in low- and middle-income populations. We examined the age- and sex-specific prevalence of CKD and the associated risk factors in a population-based study of 9 million Chinese adults.

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Infectious consequences of the AKI-to-CKD transition

Ana Sánchez Horrillo, Laura Salanova Villanueva, Alicia Cabrera Cárdenas, Patricia Muñoz Ramos, Alberto Ortiz, Borja Quiroga

doi : 10.1093/ckj/sfac178

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2237–2244

Acute kidney injury (AKI) is associated with short- and long-term complications but the consequences of the AKI-to-CKD transition are still poorly understood. We aimed to evaluate the association between the AKI-to-CKD transition and the long-term risk of infection.

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Association between cause of kidney failure and fracture incidence in a national US dialysis population cohort study

Susan Ziolkowski, Sai Liu, Maria E Montez-Rath, Michelle Denburg, Wolfgang C Winkelmayer, Glenn M Chertow, Michelle M O'Shaughnessy

doi : 10.1093/ckj/sfac193

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2245–2257

Whether fracture rates, overall and by fracture site, vary by cause of kidney failure in patients receiving dialysis is unknown.

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Standardization of serum creatinine is essential for accurate use of unbiased estimated GFR equations: evidence from three cohorts matched on renal function

Hans Pottel, Etienne Cavalier, Jonas Björk, Ulf Nyman, Anders Grubb, Natalie Ebert, Elke Schaeffner, Björn O Eriksen, Toralf Melsom, Edmund J Lamb, Christophe Mariat, Laurence Dubourg, Magnus Hansson, Karin Littmann, Per-Ola Sundin, Anna ?kesson, Anders Larsson, Andrew Rule, Pierre Delanaye

doi : 10.1093/ckj/sfac182

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2258–2265,

Differences in the performance of estimated glomerular filtration rate (eGFR) equations have been attributed to the mathematical form of the equations and to differences between patient demographics and measurement methods. We evaluated differences in serum creatinine (SCr) and eGFR in cohorts matched for age, sex, body mass index (BMI) and measured GFR (mGFR).

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Machine learning models for predicting acute kidney injury: a systematic review and critical appraisal

Iacopo Vagliano, Nicholas C Chesnaye, Jan Hendrik Leopold, Kitty J Jager, Ameen Abu-Hanna, Martijn C Schut

doi : 10.1093/ckj/sfac181

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2266–2280

The number of studies applying machine learning (ML) to predict acute kidney injury (AKI) has grown steadily over the past decade. We assess and critically appraise the state of the art in ML models for AKI prediction, considering performance, methodological soundness, and applicability.

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Associations of time-dependent changes in phosphorus levels with cardiovascular diseases in patients undergoing hemodialysis: results from the Japan Dialysis Active Vitamin D (J-DAVID) randomized clinical trial

Eri Koshi-Ito, Daijo Inaguma, Haruka Ishii, Yukio Yuzawa, Daijiro Kabata, Ayumi Shintani, Masaaki Inaba, Masanori Emoto, Katsuhito Mori, Tomoaki Morioka, Shinya Nakatani, Tetsuo Shoji

doi : 10.1093/ckj/sfac172

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2281–2291

While the risk of exceeding the standard range of phosphorus levels has been investigated, the impact of the degree of fluctuations has not been investigated.

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Comparison of four medium cut-off dialyzers

Francisco Maduell, José Jesús Broseta, Diana Rodríguez-Espinosa, Jimena del Risco, Lida María Rodas, Marta Arias-Guillén, Manel Vera, Néstor Fontseré, Maria del Carmen Salgado, Nayra Rico

doi : 10.1093/ckj/sfac167

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2292–2299

Recently, several pharmaceutical companies have developed new medium cut-off (MCO) dialyzers for expanded hemodialysis (HDx). This study aimed to compare the safety and efficacy of four MCO dialyzers, against each other and versus high-flux hemodialysis (HD) and post-dilution hemodiafiltration (HDF).

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Vitamin K1 and progression of cardiovascular calcifications in hemodialysis patients: the VitaVasK randomized controlled trial

Turgay Saritas, Sebastian Reinartz, Thilo Krüger, Markus Ketteler, Orfeas Liangos, Laura Labriola, Peter Stenvinkel, Christoph Kopp, Ralf Westenfeld, Pieter Evenepoel, Robert Siepmann, Stephanie Wied, Ralf-Dieter Hilgers, Leon Schurgers, Jürgen Floege, VitaVasK Investigators

doi : 10.1093/ckj/sfac184

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2300–2311

Cardiovascular calcifications are prevented by matrix Gla protein (MGP), a vitamin K–dependent protein. Haemodialysis patients exhibit marked vitamin K deficiency. The randomized, prospective, open-label, multicentre VitaVasK trial analysed whether vitamin K1 supplementation reduces progression of coronary artery calcifications (CACs) and thoracic aortic calcifications (TACs).

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Comparison of the profiles of patients defined by age-adapted and fixed threshold CKD criteria: a nationwide, cross-sectional study

Yixin Ma, Jianfeng Lin, Peng Xia, Hua Zheng, Xinqi Cheng, Peili Ji, Wei Wu, Lian Hou, Li Wang, Guangjin Zhu, Ling Qiu, Yali Zheng, Limeng Chen

doi : 10.1093/ckj/sfac188

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2312–2321

Kidney function declines naturally with advancing age. Therefore an age-adapted estimated glomerular filtration rate (eGFR) threshold has been proposed instead of the fixed threshold for CKD definition. This study aims to describe and compare the profile of CKD patients defined by these two criteria in a Chinese population.

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Dysnatremia and risk of bloodstream infection in dialysis patients

Robin H Lo, Kamyar Kalantar-Zadeh, Amy S You, Juan Carlos Ayus, Elani Streja, Christina Park, Peter Sohn, Tracy Nakata, Yoko Narasaki, Steven M Brunelli, Csaba P Kovesdy, Danh V Nguyen, Connie M Rhee

doi : 10.1093/ckj/sfac197

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2322–2330

Emerging data suggest that sodium disarrays including hyponatremia are potential risk factors for infection ensuing from impairments in host immunity, which may be exacerbated by coexisting conditions (i.e. mucosal membrane and cellular edema leading to breakdown of microbial barrier function). While dysnatremia and infection-related mortality are common in dialysis patients, little is known about the association between serum sodium levels and the risk of bloodstream infection in this population.

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Visit-to-visit variability in blood pressure and kidney disease progression in IgA nephropathy

Chen Tang, Xiao-Yan Zhang, Ji-Cheng Lv, Su-Fang Shi, Xu-Jie Zhou, Li-Jun Liu, Hong Zhang

doi : 10.1093/ckj/sfac200

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2331–2339

The visit-to-visit variability (VVV) in blood pressure (BP) is an important risk factor for stroke and coronary heart disease and may also be associated with kidney damage and the development of chronic kidney disease (CKD). Data on the association between VVV in BP and the risk of CKD progression among patients with immunoglobulin A nephropathy (IgAN) are limited. We aimed to evaluate the relationships of VVV in BP with the progression of IgAN.

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Development of crescentic membranoproliferative glomerulonephritis after COVID-19 vaccination

Gabor Göndör, Sara H Ksiazek, Heinz Regele, Andreas Kronbichler, Maarten Knechtelsdorfer, Marcus D Säemann

doi : 10.1093/ckj/sfac222

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2340–2342

Membranoproliferative glomerulonephritis (MPGN) comprises a histologic pattern of glomerular injury with different underlying diseases. Here we report on a 47-year-old female with rapidly progressive glomerulonephritis (RPGN) on top of a previously diagnosed idiopathic MPGN after receiving the first dose of the Pfizer-BioNTech coronavirus disease 2019 (COVID-19) mRNA vaccine.

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Humoral response to a fourth dose of mRNA vaccine in kidney transplant recipient responders to three doses of mRNA vaccine

Tristan de Nattes, Sophie Candon, Véronique Lemée, Charlotte Laurent, Dominique Guerrot, Dominique Bertrand

doi : 10.1093/ckj/sfac183

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2343–2345

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Increasing but insufficient neutralizing activity against Omicron-BA.1 after a second booster dose of mRNA-1273 vaccine in chronic haemodialysis patients

Eugen Ovcar, Sammy Patyna, Niko Kohmer, Elisabeth Heckel-Kratz, Sandra Ciesek, Holger F Rabenau, Ingeborg A Hauser, Kirsten de Groot

doi : 10.1093/ckj/sfac211

Clinical Kidney Journal, Volume 15, Issue 12, December 2022, Pages 2346–2348

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