Publications by authors named "R Sanchez-Villanueva"

Chronic kidney disease-associated pruritus (CKD-aP) is one of the most common and disabling comorbidities in patients with advanced CKD. In addition, it is associated with an increased risk of mortality, poorer quality of life, sleep disorders, mental health disorders, and increased use of health care resources. The clinical presentation of CKD-aP is very heterogeneous, making it difficult to diagnose and treat.

View Article and Find Full Text PDF
Article Synopsis
  • Intradialytic parenteral nutrition (IDPN) is an effective nutritional strategy for malnourished patients on hemodialysis, especially those who haven’t responded well to standard dietary methods.
  • Current guidelines for IDPN lack practical implementation strategies, which has limited its usage in clinical settings.
  • This review offers a comprehensive roadmap covering when to start IDPN, what nutrients to include, administration methods, monitoring effectiveness, and conditions for discontinuation to enhance nutritional care for hemodialysis patients.
View Article and Find Full Text PDF

Chronic kidney disease-associated pruritus is itching directly related to kidney disease that cannot be explained by any other condition. Despite technological advances in the different aspects of dialysis sessions and the best treatment for chronic kidney disease patients, it is still a common problem in our patients. The many complex physiological mechanisms involved, the different hypotheses made over the years on the aetiology of the condition, and the great clinical variability may partially explain the limited knowledge about this problem and the difficulties in treating it.

View Article and Find Full Text PDF