Journal of the American Society of Nephrology : JASN
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J. Am. Soc. Nephrol. · Sep 2019
Trends and Racial Disparities of Palliative Care Use among Hospitalized Patients with ESKD on Dialysis.
Study findings show that although palliative care decreases symptom burden, it is still underused in patients with ESKD. Little is known about disparity in use of palliative care services in such patients in the inpatient setting. ⋯ Despite a clear increase during the study period in provision of palliative care for inpatients with ESKD, significant racial disparities occurred and persisted across all hospital subtypes. Further investigation into causes of racial and ethnic disparities is necessary to improve access to palliative care services for the vulnerable ESKD population.
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J. Am. Soc. Nephrol. · Sep 2019
Long-Term Outcomes after Acute Rejection in Kidney Transplant Recipients: An ANZDATA Analysis.
Declining rates of acute rejection (AR) and the high rate of 1-year graft survival among patients with AR have prompted re-examination of AR as an outcome in the clinic and in trials. Yet AR and its treatment may directly or indirectly affect longer-term outcomes for kidney transplant recipients. ⋯ AR is associated with increased risks of longer-term graft failure and death, particularly death from cardiovascular disease and cancer. The results suggest AR remains an important short-term outcome to monitor in kidney transplantation and clinical trials.