Problems Related to the Start of End-Stage Renal Failure Treatment in Diabetic Patients with Advanced Nephropathy

Author(s):  
Gudrun Nyberg ◽  
Owe Larsson ◽  
Gunnela Nordén
2009 ◽  
Vol 201 (1-6) ◽  
pp. 469-480 ◽  
Author(s):  
P. Thayssen ◽  
K. Roed-Petersen ◽  
F. U. Nielsen ◽  
V. Svendsen ◽  
E. Kemp

1995 ◽  
Vol 18 (5) ◽  
pp. 254-260 ◽  
Author(s):  
M.A. Essamie ◽  
A. Soliman ◽  
T.M.S. Fayad ◽  
S. Barsoum ◽  
C.M. Kjellstrand

We studied serious renal disease in Egypt by registering all 155 patients coming to the nephrology service at the University of Cairo during a period of 62 days in 1993. The patients presented with severe uremic symptoms. Admission creatinine and urea levels were high, 804 μmol/l and 64 mmol/l. Fifteen percent of the patients died; 115 underwent dialysis. Sixty patients presented with chronic renal failure; 53 with acute renal failure, but 24 of these were later found to have end-stage renal failure. Of 29 patients with true acute renal failure, 11 (38%) had pre-renal failure and 7 (24%) postrenal failure. Twenty-one patients were followed up after transplantation and chronic dialysis, another 17 had nephrotic syndrome, 3 hypertension, and one had asymptomatic urinary abnormalities. The most common specific etiology for chronic end-stage renal failure was diabetes mellitus type II in the older patients; second most common was Schistosoma in the younger ones. Most diabetic patients came from the city. All but one Schistosoma patient came from rural Egypt. In the 22 patients who underwent renal biopsy the most common diagnosis was mesangio capillary glomerulonephritis. The prevalence of acute renal failure, particularly iatrogenic-toxic, is increasing


1997 ◽  
Vol 81 (2) ◽  
pp. 627-633 ◽  
Author(s):  
Isao Fukunishi

This study examined the clinical characteristics including stress-related factors of eating disorders in a sample of 312 diabetic patients with end-stage renal failure. The prevalence rate of bulimia nervosa was 5.1% (16 of 312 patients). The 16 patients with bulimia nervosa were 8 men and 8 women over 58 years old. Looking at the subjects by cause of end-stage renal failure, those with diabetes mellitus exhibited significantly higher prevalence rate of bulimia nervosa than two nondiabetic groups (diabetes 10%; nephritis 1.6%; others 1.9%). As for the association of bulimia nervosa and stress-related factors, end-stage renal failure patients with diabetes who exhibited bulimia nervosa showed significantly higher scores on a measure of alexithymia. These results suggest that, when liaison psychiatrists see diabetic patients with end-stage renal failure who exhibit bulimia nervosa, they should pay close attention to stress-related symptoms including alexithymia.


1994 ◽  
Vol 11 (10) ◽  
pp. 987-991 ◽  
Author(s):  
S. Kumar ◽  
M.R. Merchant ◽  
P. Dyer ◽  
S. Martin ◽  
A.J. Hutchison ◽  
...  

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