Dr Andy Stein

Common causes of ESRD in children

The commonest causes of dialysis in children, leading to end-stage renal disease (ESRD), vary depending on geographic location and population demographics. However, several primary underlying causes are consistently observed in paediatric ESRD (kidney failure, CKD5) cases worldwide. These common causes include: 1. Birth defects. A birth defect occurs when part of a baby’s body does […]

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CKD facts and myths

CKD facts and myths Chronic kidney disease (CKD) means a long term impairment of kidney function, or abnormal structure (with normal GFR). There are a lot of myths and facts associated with CKD. Here goes. How common is CKD? Myth 1: Chronic kidney disease is a rare condition. Fact. You may be surprised to learn

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Stopping or not starting dialysis

I’ve heard different terms for not receiving dialysis. What do they mean? You may have heard of stopping or not starting dialysis. This is also called ‘supportive care’, ‘conservative care’, ‘medical management’ or ‘palliative care’. In advanced CKD (CKD5), it involves managing symptoms with certain medicines, fluid restriction and diet – rather than dialysis. As

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Lack of validation amongst home blood pressure devices 

Self-measured blood pressure (BP) monitoring (i.e. taking your blood pressure yourself at home) is recommended for: Long-term BP self-monitoring – of patients with high blood pressure (hypertension) Confirmation of hypertension – when 24-hour ambulatory blood pressure monitoring is unavailable. However, less than 15 percent of commercially available blood pressure devices worldwide have published information on

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