Publications by authors named "P Ravani"
Importance: People with kidney failure have a high risk of death and poor quality of life. Mortality risk prediction models may help them decide which form of treatment they prefer.
Objective: To systematically review the quality of existing mortality prediction models for people with kidney failure and assess whether they can be applied in clinical practice.
People with kidney failure who undergo hemodialysis treatment and experience chronic fatigue identify negative effects on occupational performance and participation as a key aspect of their illness experience. To describe the occupational performance and participation problems of people treated with hemodialysis who live with debilitating fatigue. Fifteen participants, who were randomized to participate in an energy management intervention as part of a randomized controlled trial, completed two occupation-based assessments at baseline and chose three priority occupational performance or participation problems to address as goals during the intervention.
View Article and Find Full Text PDFPopulation-wide eGFR percentiles in younger adults and clinical outcomes.
Nephrol Dial Transplant
July 2024
Article Synopsis
- The study aims to identify significant reductions in estimated glomerular filtration rate (eGFR) among younger adults (<65 years) to help guide prevention strategies for kidney and cardiovascular diseases.
- A retrospective analysis of 8.7 million adults in Ontario, Canada, revealed that lower eGFR percentiles (especially ≤10th) are linked to worse health outcomes, including increased risk of kidney failure and all-cause mortality, particularly in younger individuals.
- Findings suggest that a population-based understanding of eGFR percentiles can enhance the recognition and management of at-risk younger adults, as those with lower eGFR values are often not referred for further evaluation.
Background: IgA nephropathy (IgAN) is the most common cause of primary glomerulonephritis. It is a heterogeneous disease with different presentations and high morbidity. Thirty per cent of adults and 20% of children (followed into adulthood) will have a 50% decline in kidney function or develop kidney failure after 10 years.
View Article and Find Full Text PDFBackground: There is a lack of contemporary data describing global variations in vascular access for hemodialysis (HD). We used the third iteration of the International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) to highlight differences in funding and availability of hemodialysis accesses used for initiating HD across world regions.
Methods: Survey questions were directed at understanding the funding modules for obtaining vascular access and types of accesses used to initiate dialysis.