Publications by authors named "H Kawarazaki"
Article Synopsis
- Higher levels of hope in patients with chronic kidney disease (CKD) are linked to lower distress from fluid and dietary restrictions, especially in the first year of dialysis.
- The study included 444 CKD patients undergoing various types of dialysis in Japan and measured hope using a specific health-related hope scale.
- While increased hope positively affected patient distress levels at one year, it showed no significant effect on distress at the two-year mark, suggesting that hope may have a short-term impact on managing restrictions.
Background: Polymyxin-B direct hemoperfusion (PMX-DHP) is an endotoxin adsorption column-based blood purification therapy. Since one of the most potent effects of PMX-DHP is blood pressure elevations, it may be the most effective when it is introduced at the time when the need for vasopressors is the greatest, which, in turn, may reduce mortality.
Methods: A multicenter retrospective study was conducted at 24 ICUs in Japan.
Background: The characteristics of patients with advanced chronic kidney disease (CKD) who are recipients of public assistance in Japan, and the adequacy of their medical care have not been reported previously.
Methods: The records of patients with CKD stage G5 who visited nine facilities in Japan from April to June 2013 were retrospectively reviewed to compare the characteristics and care of recipients of public assistance with those of non-recipients. Receiving a presentation of kidney replacement therapy (KRT) options and polypharmacy were used as indicators of suboptimal medical care.
Article Synopsis
- The study found that most dialysis patients and doctors in Japan support starting discussions about advance care planning early, particularly when dialysis begins.
- Despite this preference, only 11% of the surveyed patients had actually engaged in such discussions with their clinicians.
- The research highlights a significant gap between the desire for proactive planning and the current practice regarding advance care discussions in dialysis care.
Introduction: The aim of the study was to explore the association between urate-lowering agents and reduced response to erythropoietin-stimulating agents in patients suffering from chronic kidney disease G5.
Methods: We conducted a cross-sectional, multicenter study in Japan between April and June 2013, enrolling patients aged 20 years or older with an estimated glomerular filtration rate of ≤15 mL/min/1.73 m2.