Related Experiment Video
Updated: Sep 6, 2025
08:39
A Murine Model of Hemodialysis Access-Related Hand Dysfunction
Published on: May 31, 2022
1.8K
Gender-specific differences in hemodialysis patients: a multicenter longitudinal study from Serbia
Ljubica Djukanović1,2, Višnja Ležaić3,4, Nada Dimković3,4
1Academy of Medical Sciences of Serbian Medical Society, Belgrade, Serbia. ljubicadjukanovic@yahoo.com.
International Urology and Nephrology
|July 2, 2022
Summary
Gender differences exist in hemodialysis (HD) patients, impacting blood pressure and treatment, but not due to unequal care. These findings are crucial for understanding HD patient outcomes.
Area of Science:
- Nephrology
- Clinical Medicine
- Public Health
Background:
- Hemodialysis (HD) is a critical treatment for end-stage renal disease.
- Understanding gender-specific factors in HD patients is essential for optimizing care.
- Previous research has not fully elucidated longitudinal gender differences in HD populations.
Purpose of the Study:
- To investigate gender-specific differences in incident hemodialysis patients.
- To analyze how these differences evolve over time during hemodialysis treatment.
- To identify factors influencing outcomes in male and female HD patients.
Main Methods:
- Retrospective longitudinal closed cohort study.
- Involved 441 incident hemodialysis patients followed for 1-59 months.
- Data abstracted included demographics, clinical characteristics, treatment, labs, and outcomes.
Main Results:
- Males constituted about twice the number of females on HD.
- Females showed a greater decrease in systolic blood pressure over time.
- Females generally had higher spKt/V, while males had higher creatinine and CRP levels.
Conclusions:
- Significant gender differences were observed in hemodialysis patients.
- Some differences emerged during the study period.
- Observed differences were not attributable to gender-based treatment inequalities.
Related Concept Videos
01:25Hemodialysis I: Introduction
271
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
271
01:24Hemodialysis II: Procedure and Complications
124
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
124
01:25Hemodialysis III: Nursing Management
170
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
170
01:27Dialysis
462
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
462
01:24Serum Studies: Renal Function Tests
39
Renal function tests are crucial for assessing kidney health, monitoring disease progression, and evaluating the kidneys' efficiency in waste elimination, fluid balance, and electrolyte regulation. These tests offer critical insights into kidney function, even though routine measurements may appear normal until there is a significant decline in the glomerular filtration rate or GFR. Typically, signs of kidney impairment only become evident when the GFR falls to about 50% of its normal level.
39
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
56
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...
56