A ‘normal’ human being (with CKD) People with CKD are normal human beings. They happen to have a long-term kidney disease. But what do normal human beings with and without CKD look like? What are their physiological variables? We will explain in this article. Back to the Renaissance. An ideal perfect man, with perfect classical […]
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GPs now working on average 26 hours a week A recent study (Rosa Parisi, 2024) has shown the contracted hours fulfilled by each fully qualified GP has fallen from 30 a week on average in 2015, to 26 a week in 2022. This may have a significant effect on CKD patients, and all those with
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Factors affecting efficacy (in terms of weight loss) of GLP-1 agonists A recent study from the USA identified key factors that can impact the long-term weight loss of patients with obesity who were prescribed injectable semaglutide or liraglutide for the treatment of type 2 diabetes or obesity (Gasoyan, 2024). Key points In the study, the
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How long is the wait for a kidney in the UK? Key points The average wait for a deceased donor kidney transplant (DDTx) in the UK is 16 months There are many factors that can influence how long you might wait for a kidney transplant from a deceased donor If you have a living donor,
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Pros and cons of the NHS – for a CKD patient The UK’s NHS is a socialised healthcare system, and was one of the first in the world, when it started in 1948. It certainly has strengths, and these are felt by CKD patients. We will now go through the pros and cons, with a focus
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Do hospital computer systems link up? No. This is especially relevant for CKD patients who are usually being looked after by different groups of doctors, in different hospitals, as well as their GP. Key points The NHS is very big, perhaps too big. The biggest employer in Europe, 5th biggest in the world. This is
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Weight loss drug’s heart benefits extend to people with heart failure In a recent study (Lincoff, 2023) in The Lancet, found similar cardiovascular benefits for a subgroup of study participants who were also judged to have heart failure at the start of the trial. Why is this important? Semaglutide, a glucagon-like peptide-1 (GLP-1) receptor agonist,
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Sodium bicarbonate treatment and clinical outcomes in CKD with metabolic acidosis: a meta-analysis In a recent study by Ting-Ya, 2024, 14 studies looking at the effects of sodium bicarbonate on outcomes in CKD were combined, in what is called a meta-analysis. Why is this important? In patients with chronic kidney disease (CKD), impaired acid excretion
Association of deprivation on outcomes in people with chronic kidney disease (CKD) In a recent study by Al-Chalabi, 2024 the association of CKD with deprivation was investigated. Why is this important? Due to the high correlation of chronic kidney disease (CKD) with other comorbidities (e.g. diabetes/obesity), the effect of CKD on deprived people is not clear.
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What is the meaning of fluid overload (hypervolaemia)? Fluid overload, also known as hypervolaemia, is a medical condition characterised by an excessive accumulation of fluid in the body. Treatment aims to the amount of fluid in your body. Pulmonary oedema on CXR, with pleural effusion arrowed. Here are 10 key facts about fluid overload. 1.
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