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Related Concept Videos

Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Diabetic Nephropathy01:28

Diabetic Nephropathy

Definition Diabetic nephropathy is a chronic kidney complication that results from prolonged hyperglycemia.Prevalence It is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) worldwide, affecting up to half of individuals with diabetes.Pathophysiology • Sustained hyperglycemia triggers multiple hemodynamic and metabolic changes in the kidney. • Early in the disease, increased renal blood flow and glomerular hyperfiltration occur due to afferent arteriolar...

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Updated: May 21, 2026

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
05:34

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats

Published on: April 4, 2025

Homelessness and CKD: a cohort study.

Yoshio N Hall1, Andy I Choi, Jonathan Himmelfarb

  • 1Kidney Research Institute, Department of Medicine, University of Washington, Seattle, WA 98104, USA. ynhall@u.washington.edu

Clinical Journal of the American Society of Nephrology : CJASN
|June 16, 2012
PubMed
Summary
This summary is machine-generated.

Homeless adults with chronic kidney disease (CKD) face higher risks of death and disease progression. They also utilize emergency services more frequently than housed individuals, highlighting critical unmet needs.

Related Experiment Videos

Last Updated: May 21, 2026

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
05:34

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats

Published on: April 4, 2025

Area of Science:

  • Nephrology
  • Public Health
  • Health Services Research

Background:

  • Chronic kidney disease (CKD) affects a significant population within urban healthcare systems.
  • Homelessness is a growing concern with potential impacts on health outcomes.

Purpose of the Study:

  • To investigate the association between homelessness and clinical outcomes in adults with CKD.
  • To compare healthcare utilization patterns between homeless and housed CKD patients.

Main Methods:

  • Retrospective cohort study of 15,343 adults with CKD stages 3-5.
  • Data collected from ambulatory care at the Community Health Network of San Francisco (1996-2005).
  • Outcomes included time to end-stage renal disease (ESRD) or death, and acute care utilization.

Main Results:

  • 6% of CKD patients were homeless; they were younger, more likely male, uninsured, and had higher rates of depression and substance abuse.
  • Homeless individuals had a significantly higher risk of ESRD or death (adjusted HR=1.28).
  • Homeless CKD patients used emergency services substantially more often (median 9 visits vs. 1 visit).

Conclusions:

  • Homelessness is linked to increased morbidity and mortality in CKD patients.
  • This population incurs higher healthcare costs due to increased acute care service use.
  • Further research is needed to address the unmet health needs of homeless individuals with CKD.