Kidney Dialysis: Challenges and Opportunities

A special issue of Kidney and Dialysis (ISSN 2673-8236).

Deadline for manuscript submissions: closed (1 July 2024) | Viewed by 787

Special Issue Editors


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Guest Editor
Department of Nephrology, Leiden University Medical Center (Building 1, C7-Q), Albinusdreef 2, 2333 ZA Leiden, The Netherlands
Interests: epidemiology; prevention; chronic kidney disease; cardiovascular risk factors; hemodialysis; obesity

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Guest Editor
Department of Internal Medicine, Division of Nephrology, University Medical Center Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands
Interests: hemodialysis; intradialytic hypotension; cognition; nutrition; acute effects of hemodialysis on perfusion and function of heart and brain; nutritional status in CKD and dialysis patients

Special Issue Information

Dear Colleagues,

Globally, we are facing a dramatic ecologic disaster caused by man. Healthcare is an important part of this problem. Nephrology care, especially dialysis, creates an excessive burden via water and energy consumption, greenhouse gas emission, and waste production. In this Special Issue, potential solutions related to the prevention of kidney disease, kidney transplantation, and green dialysis for both Western as well as non-Western countries will be discussed. For dialysis, suggestions include lowering water consumption, implementing energy-neutral policies, waste triage, and recycling of materials. Proposals such as dialysate regeneration, dialysate flow reduction, water distillation systems for dialysate production, heat pumps for unit climatization, heat exchangers for dialysate warming, biodegradable and bio-based polymers, alternative power sources, repurposing of plastic waste (e.g., incorporation in concrete), registration systems of ecologic burden, and platforms to exchange ecologic best practices are addressed. Submissions for this Special Issue could relate but are not limited to the above-mentioned topics.

Dr. Ellen K. Hoogeveen
Dr. Casper F. M. Franssen
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Kidney and Dialysis is an international peer-reviewed open access quarterly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • circular dialysis concept
  • ecology
  • environment
  • green nephrology
  • waste control

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Published Papers (1 paper)

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Review

9 pages, 565 KiB  
Review
Is There Gender Disparity in Vascular Access for Hemodialysis with New Percutaneous Systems? A Systematic Review
by Hugo Vergara-Pérez, Alejandro Pérez Alba, Pablo Baliño, Asunción Rius Peris and Javier Reque
Kidney Dial. 2024, 4(3), 163-171; https://doi.org/10.3390/kidneydial4030014 - 23 Sep 2024
Abstract
Background: Historically, a large gender-related disparity in vascular access (VA) has been demonstrated, with there being a lower prevalence of women with arteriovenous fistula (AVF) compared to men, and women have worse maturity rates. The cause of this difference is not entirely clear, [...] Read more.
Background: Historically, a large gender-related disparity in vascular access (VA) has been demonstrated, with there being a lower prevalence of women with arteriovenous fistula (AVF) compared to men, and women have worse maturity rates. The cause of this difference is not entirely clear, although several reasons that could contribute to it have been hypothesized. The emergence of new percutaneous FAV (pFAV) systems could be an alternative for reducing these differences. Objective: This study aims to determine whether there is a gender difference in the creation of AVFs using new percutaneous systems. Material and Methods: A systematic review of the literature was conducted by searching PubMed and Google Scholar using the following terms: “percutaneous arteriovenous fistula”, “endovascular arteriovenous fistula”, and “hemodialysis”. All clinical trials, comparative studies, and descriptive studies involving patients who underwent a pAVF were included. Results: Finally, the review includes 19 studies, comprising 14 retrospective studies and 5 prospective studies. Of these, six studies are comparative, five of which compare pAVFs with surgically created AVFs (sAVFs), and one compares pAVFs performed using different systems with each other. A total of 1269 patients were included in the review. Of the total number of patients, only 414 were women, representing 32.62% of patients. Conclusions: The number of women included in the various studies analyzing pAVF remains very low, representing less than one-third of all patients. Although the causes of this difference are not entirely clear, several reasons have been hypothesized, such as socioeconomic factors, anatomical factors, or even patients’ preferences. Given these results, further studies are needed to try to clarify the reasons for this gender disparity and to establish different strategies to mitigate the barriers faced by women in accessing AVFs. Full article
(This article belongs to the Special Issue Kidney Dialysis: Challenges and Opportunities)
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