Frail Patient in Hemodialysis: A New Challenge in Nephrology-Incidence in Our Area, Barcelonès Nord and Maresme.

Introduction: Labeling a patient as "frail" may be useful in assessing the prognosis and therapeutic approach.

Objective: The aim of the study is to define a pattern of frailty among our dialysis population, to analyse the incidence and clinical evolution of these patients.

Materials And Methods: We analysed a total of 320 patients with stage V chronic kidney disease (CKD) who were on hemodialysis between September 2014 and September 2015.

Cinacalcet may reduce arterial stiffness in patients with chronic renal disease and secondary hyperparathyroidism - results of a small-scale, prospective, observational study.

Aims: This study evaluated the impact of cinacalcet on arterial stiffness, determined by pulse wave velocity (PWV), in patients with chronic renal disease and secondary hyperparathyroidism (SHPT).

Patients And Methods: This prospective, observational study included, SHPT patients with chronic renal disease on dialysis undergoing cinacalcet treatment with a follow-up of 12 months.

Results: 21 patients, 62% males, with a mean age of 51.

[Preliminary results of the Spanish Society of Nephrology multicenter study of quality performance measures: hemodialysis outcomes can be improved].

Introduction: The Spanish Society of Nephrology "Quality in Nephrology Working Group" (QNWG) was created in 2002. The aims of this group are the identification, diffusion, implementation and consolidation of a systematic, objective and comprehensive set of quality performance measures (QPMs) to help along the improvement of patient care and outcomes on hemodialysis, by means of strategies of feedback and benchmarking, and the design of quality improvement projects. The objective of this study is to present the preliminary results of a set of quality performance measures obtained in a group of Spanish hemodialysis centers, as well as to evaluate the repercussion of the application of the aforementioned thecniques on the observed results.

Metabolic index in peritoneal dialysis.

To define protein anabolism or catabolism in our patients we retrospectively studied the 24-hour balances (B24 h), dietary protein intake (DPI), anthropometric parameters [body mass index (BMI), tricipital skin fold thickness (TF), and muscular arm circumference (MAC), using the rating scheme: undernourished (U): percentile (pc) < 15; normal (N): pc > 15 to pc < 85; obese (O): pc > 85], and urea kinetics (protein equivalent of nitrogen appearance) [PNA = PCR according to the Gotch-Borah (G), Blumenkrantz (B), and Randerson (R) formulas]. Nitrogen-balance [N-B = DPI(N)-PNA(N)], metabolic ratio (MR = DPI/PNA), and metabolic index (MI = IDPI/nPNA) were calculated as metabolic indicators. There were 215 evaluations (B24 h) in 44 patients, of whom 29 were male and 15 female, 35 on continuous ambulatory peritoneal dialysis (PD), 9 on automated PD, age 58.