Interdialytic Weight Gain: Trends, Predictors, and Associated Outcomes in the International Dialysis Outcomes and Practice Patterns Study (DOPPS) Michelle.

Slides:

Advertisements

Similar presentations

Commentary on ‘The DOPPS Practice Monitor for US Dialysis Care: Potential Impact of Recent Guidelines and Regulatory Changes on Management of Mineral.

Advertisements

Personalized Activity Intelligence (PAI) for Prevention of Cardiovascular Disease and Promotion of Physical Activity Bjarne M. Nes, PhD, Christian R.

Independent and Joint Associations of Nutritional Status Indicators With Mortality Risk Among Chronic Hemodialysis Patients in the Dialysis Outcomes and.

Adjusted all-cause mortality risk by dialysate sodium (DNa) and predialysis serum sodium (SNa). Adjusted all-cause mortality risk by dialysate sodium (DNa)

Revisiting Interdialytic Weight Gain and Mortality Association With Serum Albumin Interactions: The Japanese Dialysis Outcomes and Practice Pattern Study

Safety and Efficacy of Incretin-Based Therapies in Patients With Type 2 Diabetes Mellitus and CKD: A Systematic Review and Meta-analysis Patricia M.

Dialysis Catheter–Related Bloodstream Infections: A Cluster-Randomized Trial of the ClearGuard HD Antimicrobial Barrier Cap Jeffrey L. Hymes, MD, Ann.

Douglas S. Fuller, MS, Ronald L. Pisoni, PhD, MS, Brian A

Regional Differences in the Associations Between Prescribed Dialysate Sodium Concentration and Interdialytic Weight Gain in the Dialysis Outcomes and.

Dialysate Potassium, Serum Potassium, Mortality, and Arrhythmia Events in Hemodialysis: Results From the Dialysis Outcomes and Practice Patterns Study.

Independent Community House Hemodialysis as a Novel Dialysis Setting: An Observational Cohort Study Mark R. Marshall, BHB, MBChB, FRACP, MPH (Hons),

Volume 63, Issue 1, Pages (January 2003)

Surviving the First Year of Peritoneal Dialysis: Enduring Hard Times

Missed Hemodialysis Treatments: International Variation, Predictors, and Outcomes in the Dialysis Outcomes and Practice Patterns Study (DOPPS) Issa Al.

Dialysis Facility Ownership and Epoetin Dosing in Hemodialysis Patients: A Dialysis Provider’s Perspective J. Michael Lazarus, MD, Raymond M. Hakim,

Risk Factors for ESRD in Individuals With Preserved Estimated GFR With and Without Albuminuria: Results From the Kidney Early Evaluation Program (KEEP)

Recognition for Conservative Care in Kidney Failure

Kidney Disease Outcomes Quality Initiative (K/DOQI) and the Dialysis Outcomes and Practice Patterns Study (DOPPS): Nutrition guidelines, indicators, and.

Anne M. Butler, PhD, Andrew F. Olshan, PhD, Abhijit V

International Differences in the Location and Use of Arteriovenous Accesses Created for Hemodialysis: Results From the Dialysis Outcomes and Practice.

Personalized Activity Intelligence (PAI) for Prevention of Cardiovascular Disease and Promotion of Physical Activity Bjarne M. Nes, PhD, Christian R.

Serum Potassium and Short-term Clinical Outcomes Among Hemodialysis Patients: Impact of the Long Interdialytic Interval Steven M. Brunelli, MD, MSCE,

Volume 87, Issue 1, Pages (January 2015)

Volume 85, Issue 1, Pages (January 2014)

Hemodialysis Facility Variation in Hospitalization and Transfusions Using Medicare Claims: The DOPPS Practice Monitor for US Dialysis Care Douglas S.

Impact of Educational Attainment on Health Outcomes in Moderate to Severe CKD Rachael L. Morton, PhD, Iryna Schlackow, DPhil, Natalie Staplin, PhD, Alastair.

Erratum Regarding “Ultrasound Monitoring to Detect Access Stenosis in Hemodialysis Patients: A Systematic Review” (Am J Kidney Dis. 2008;51(4): )

Volume 94, Issue 3, Pages (September 2018)

The DOPPS Practice Monitor for US Dialysis Care: Update on Trends in Anemia Management 2 Years Into the Bundle Douglas S. Fuller, MS, Ronald L. Pisoni,

Baseline Kidney Function as Predictor of Mortality and Kidney Disease Progression in HIV-Positive Patients Fowzia Ibrahim, MSc, Lisa Hamzah, MRCP, Rachael.

Vitality Measured as Self-reported Energy Level and Clinical Outcomes in Hemodialysis Patients: The Japanese Dialysis Outcomes and Practice Pattern Study.

Volume 76, Issue 10, Pages (November 2009)

Anemia management for hemodialysis patients: Kidney Disease Outcomes Quality Initiative (K/DOQI) guidelines and Dialysis Outcomes and Practice Patterns.

Volume 81, Issue 11, Pages (June 2012)

Hemoglobin Level and Transfusions in Patients on Maintenance Dialysis: Where the Rubber Meets the Road Eduardo Lacson, MD, MPH, Franklin Maddux, MD

Iain C. Macdougall, MD American Journal of Kidney Diseases

Effect of Intensive Insulin Therapy and Pentastarch Resuscitation on Acute Kidney Injury in Severe Sepsis George Thomas, MD, MPH, Ethan M. Balk, MD,

Volume 84, Issue 1, Pages (July 2013)

David C. Mendelssohn, MD, FRCPC, Jay B. Wish, MD

Michael Copland, MD, Paul Komenda, MD, Eric D

Volume 82, Issue 5, Pages (September 2012)

Volume 92, Issue 2, Pages (August 2017)

Jennifer E. Flythe, Stephen E. Kimmel, Steven M. Brunelli

Rajiv Saran, MD, MS, Bernard J. Canaud, MD, Thomas A

Beef Tea, Vitality, Creatinine, and the Estimated GFR

Volume 85, Issue 1, Pages (January 2014)

The DOPPS Practice Monitor for US Dialysis Care: Potential Impact of Recent Guidelines and Regulatory Changes on Management of Mineral and Bone Disorder.

Christina L. Klein, MD, Daniel C. Brennan, MD, FACP

Study Designs in Patient-Oriented Research

Dialysate Sodium: Choosing the Optimal Hemodialysis Bath

The Precision of Standardized Hospitalization, Readmission, and Mortality Ratios for Dialysis Facilities Steven M. Brunelli, MD, MSCE, Adam G. Walker,

Dennis G. Moledina, MD, Mark A. Perazella, MD

Peter A. McCullough, MD, MPH, Christopher T. Chan, MD, Eric D

George L. Bakris, MD, John M. Burkart, MD, Eric D

Risk for Incident Renal Dialysis in a Managed Care Population

Volume 64, Issue 1, Pages (July 2003)

Volume 68, Issue 1, Pages (July 2005)

Removal of Dabigatran by Hemodialysis

Multidrug-Resistant Organisms Within the Dialysis Population: A Potentially Preventable Perfect Storm David P. Calfee, MD, MS American Journal of Kidney.

Volume 95, Issue 4, Pages (April 2019)

Ronald L. Pisoni, PhD, MS, Brenda W. Gillespie, PhD, David M

American Journal of Kidney Diseases

Commentary on ‘The DOPPS Practice Monitor for US Dialysis Care: Potential Impact of Recent Guidelines and Regulatory Changes on Management of Mineral.

Anil K. Saxena, MD, B.R. Panhotra, MD, PhD, MNAMS

Volume 75, Issue 1, Pages (January 2009)

Importance of blood pressure control in hemodialysis patient survival

Maristela Böhlke, PhD American Journal of Kidney Diseases

Associations of dialysis session length with mortality and hospitalizations. Associations of dialysis session length with mortality and hospitalizations.

Survival among hemodialysis patients by geographic region in DOPPS 3 (2005–2008), with and without adjustments for patient mix differences. Survival among.

Distribution of facility mean treatment time, by DOPPS region and phase. Distribution of facility mean treatment time, by DOPPS region and phase. Restricted.

Presentation transcript:

Interdialytic Weight Gain: Trends, Predictors, and Associated Outcomes in the International Dialysis Outcomes and Practice Patterns Study (DOPPS) Michelle M.Y. Wong, MD, MSc, FRCPC, Keith P. McCullough, MS, Brian A. Bieber, MPH, MS, Juergen Bommer, MD, Manfred Hecking, MD, Nathan W. Levin, MD, William M. McClellan, MD, MPH, Ronald L. Pisoni, PhD, MS, Rajiv Saran, MD, MRCP, MS, Francesca Tentori, MD, MS, Tadashi Tomo, MD, Friedrich K. Port, MD, MS, Bruce M. Robinson, MD, MS American Journal of Kidney Diseases Volume 69, Issue 3, Pages 367-379 (March 2017) DOI: 10.1053/j.ajkd.2016.08.030 Copyright © 2016 The Authors Terms and Conditions

Figure 1 Trends in interdialytic weight gain (IDWG) by region across Dialysis Outcomes and Practice Patterns Study (DOPPS) phases among 21,919 patients (phase 2: 2002-2004, phase 3: 2005-2008, phase 4: 2009-2011, phase 5: 2012-2014). (A) Relative IDWG, as percent of posthemodialysis (post-HD) weight; 95% confidence intervals are shown. (B) Absolute IDWG (kg); 95% confidence intervals are shown. (C) Proportion of patients by relative IDWG (percent age of post-HD weight) category. (D) Mean facility-level relative IDWG (percent age of post-HD weight). The box shows the 25th to 75th percentile, and the whiskers, the 5th to 95th percentile. ∗P for trend < 0.05. ∗∗P for trend < 0.001. Abbreviations: ANZ, Australia/New Zealand; US, United States. American Journal of Kidney Diseases 2017 69, 367-379DOI: (10.1053/j.ajkd.2016.08.030) Copyright © 2016 The Authors Terms and Conditions

Figure 2 Trends in systolic blood pressure (SBP) by region across Dialysis Outcomes and Practice Patterns Study (DOPPS) phases (phase 2: 2002-2004, phase 3: 2005-2008, phase 4: 2009-2011, phase 5: 2012-2014) among 21,845 patients; 95% confidence intervals are shown. (A) Prehemodialysis (pre-HD) SBP. (B) Post-HD SBP. (C) ΔSBP (pre-HD SBP – post-HD SBP). ∗P for trend < 0.05. ∗∗P for trend < 0.001. Abbreviations: ANZ, Australia/New Zealand; US, United States. American Journal of Kidney Diseases 2017 69, 367-379DOI: (10.1053/j.ajkd.2016.08.030) Copyright © 2016 The Authors Terms and Conditions

Figure 3 Trends in (A) dialysate sodium (DNa) and (B) serum sodium (SNa) and (C) sodium gradient (GNa = DNa − SNa) values by region across Dialysis Outcomes and Practice Patterns Study (DOPPS) phases (phase 2: 2002-2004, phase 3: 2005-2008, phase 4: 2009-2011, and phase 5: 2012-2014), among 19,192 patients; 95% confidence intervals are shown. ∗P for trend < 0.05. ∗∗P for trend < 0.001. Abbreviations: ANZ, Australia/New Zealand; US, United States. American Journal of Kidney Diseases 2017 69, 367-379DOI: (10.1053/j.ajkd.2016.08.030) Copyright © 2016 The Authors Terms and Conditions

Figure 4 Associations between relative interdialytic weight gain (IDWG) and risk for all-cause mortality in patients with and without residual kidney function (RKF) among 17,864 patients (4,593 with RKF and 13,271 without RKF). Fully adjusted hazard ratios with 95% confidence intervals (CIs) are shown. Abbreviation: HD, hemodialysis. American Journal of Kidney Diseases 2017 69, 367-379DOI: (10.1053/j.ajkd.2016.08.030) Copyright © 2016 The Authors Terms and Conditions

Figure 5 Associations between relative interdialytic weight gain (IDWG) and risk for all-cause and cause-specific hospitalizations (among 21,919 patients in all-cause hospitalization analysis and among 19,000 patients in cause-specific hospitalization analysis). Fully adjusted hazard ratios with 95% confidence intervals (CIs) are shown. Abbreviation: HD, hemodialysis. American Journal of Kidney Diseases 2017 69, 367-379DOI: (10.1053/j.ajkd.2016.08.030) Copyright © 2016 The Authors Terms and Conditions