21. EMedicine Health - Kidney Transplant, End-Stage Renal Disease endstage renal disease is the name for kidney failure so advanced that it cannot be reversed (renal is another word for kidney). The name is appropriate http://www.emedicinehealth.com/articles/24500-1.asp

Search September 8, 2005 Registration Healthcare Professionals You are in: Procedures Kidney Transplant End-Stage Renal Disease End-stage renal disease is the name for kidney failure so advanced that it cannot be reversed ("renal" is another word for kidney). The name is appropriate: the kidneys in end-stage renal disease function so poorly that they can no longer keep you alive. End-stage renal disease cannot be treated with conventional medical treatments such as drugs. Only 2 treatments allow you to continue living when your kidneys stop functioning: dialysis and kidney transplantation. Dialysis is the term for several different methods of artificially filtering the blood. People who require dialysis are kept alive but give up some degree of their freedom because of their dialysis schedule, fragile health, or both. Kidney transplantation means replacement of the failed kidneys with a working kidney from another person, called a donor. Kidney transplantation is not a complete cure, although many people who receive a kidney transplant are able to live much as they did before their kidneys failed. People who receive a transplant must take medication and be monitored by a physician who specializes in kidney disease (nephrologist) for the rest of their lives. The National Kidney Foundation estimates that about 350,000 people in the United States have end-stage renal disease and about 67,000 people die of kidney failure every year.

22. ► End-stage Renal Disease A medical encycopedia article on the topic end-stage renal disease. http://www.umm.edu/ency/article/000500.htm

var MenuLinkedBy='AllWebMenus [2]', awmBN='530'; awmAltUrl=''; Disease Nutrition Surgery Symptoms Injury ... Encyclopedia (English) Toggle English Spanish End-stage renal disease Overview Symptoms Treatment Prevention Definition: A complete or near complete failure of the kidneys to function to excrete wastes, concentrate urine, and regulate electrolytes Alternative Names: Renal failure - end stage; Kidney failure - end stage; ESRD Causes, incidence, and risk factors: End-stage renal disease (ESRD) occurs when the kidneys are no longer able to function at a level that is necessary for day to day life. It usually occurs as chronic renal failure progresses to the point where kidney function is less than 10% of baseline. At this point, the kidney function is so low that without dialysis or kidney transplantation, complications are multiple and severe, and death will occur from accumulation of fluids and waste products in the body. In the United States, nearly 300,000 people are on chronic dialysis and more than 20,000 have a functioning transplanted kidney. The most common cause of ESRD in the US is diabetes mellitus . ESRD almost always follows chronic kidney failure , which may exist for 10 to 20 years or more before progression to ESRD.

23. End-stage Renal Disease endstage renal disease (ESRD) occurs when the kidneys are no longer able to function at a level that is necessary for day to day life. http://www.shands.org/health/information/article/000500.htm

Disease Injury Nutrition Poison ... Kidney anatomy End-stage renal disease Definition: A complete or near complete failure of the kidneys to function to excrete wastes, concentrate urine, and regulate electrolytes Alternative Names: Renal failure - end stage; Kidney failure - end stage; ESRD Causes, incidence, and risk factors: End-stage renal disease (ESRD) occurs when the kidneys are no longer able to function at a level that is necessary for day to day life. It usually occurs as chronic renal failure progresses to the point where kidney function is less than 10% of baseline. At this point, the kidney function is so low that without dialysis or kidney transplantation, complications are multiple and severe, and death will occur from accumulation of fluids and waste products in the body. In the United States, nearly 300,000 people are on chronic dialysis and more than 20,000 have a functioning transplanted kidney. The most common cause of ESRD in the US is diabetes mellitus . ESRD almost always follows chronic kidney failure , which may exist for 10 to 20 years or more before progression to ESRD.

24. End Stage Renal Disease (ESRD) Detailed information on endstage renal disease, including renal failure symptoms, diagnosis, and treatment. http://www.healthsystem.virginia.edu/uvahealth/adult_urology/endstage.cfm

[ Skip Navigation ] Health System Home For Health Answers Healthcare Professionals ... Advanced Search Health System Search Search for Information People UVa Home Health System News Health System Events (all) Health System Publications ... Making a Gift Topics All About Cancer Blood Disorders Bone Disorders Breast Health Cancer Cardiovascular Disease Dermatology Diabetes Digestive Disorders Endocrinology Environmental Medicine Eye Care Glossary Gynecological Health Infectious Diseases Kidney Disease Men's Health Mental Health Nervous System Disorders Non-Trauma Emergency Oral Health Orthopaedics Otolaryngology Pathology Pediatrics, General Health Prostate Health Radiology Respiratory Disorders Skin Cancer Surgical Care Urology Women's Health UVa Health Topics A to Z FIND A DOCTOR Bladder Cancer Erectile Dysfunction Female Pelvic Medicine and Surgery ... WHY CHOOSE UVA Search This Site End-Stage Renal Disease (ESRD) What is renal failure? Renal failure refers to temporary or permanent damage to the kidneys that results in loss of normal kidney function. There are two different types of renal failure - acute and chronic. Acute renal failure has an abrupt onset and is potentially reversible. Chronic failure progresses slowly over at least three months and can lead to permanent renal failure. The causes, symptoms, treatments, and outcomes of acute and chronic are different. Conditions that may lead to acute or chronic renal failure may include, but are not limited to, the following:

25. Postgraduate Medicine: End-stage Renal Disease endstage renal disease Introduction to a three-article symposium by Paul G. Schmitz, MD; TRENDS IN end-stage renal disease Epidemiology, morbidity, http://www.postgradmed.com/issues/2000/07_00/schmitz_intro.htm

End-stage renal disease A three-article symposium Symposium coordinator Paul G. Schmitz, MD Associate Professor of Internal Medicine Program Director Department of Internal Medicine Saint Louis University School of Medicine St Louis, Missouri VOL 108 / NO 1 / JULY 2000 / POSTGRADUATE MEDICINE END-STAGE RENAL DISEASE : Introduction to a three-article symposium by Paul G. Schmitz, MD TRENDS IN END-STAGE RENAL DISEASE : Epidemiology, morbidity, and mortality by Sanford T. Reikes, MD PROGRESSIVE RENAL INSUFFICIENCY : Office strategies to prevent or slow progression of kidney disease by Paul G. Schmitz, MD RENAL TUBULOINTERSTITIAL FIBROSIS : New thoughts on its development and progression by Michael P. O'Donnell, PhD The incidence of terminal renal failure is rising at an alarming rate, in spite of impressive advances in the management of end-stage renal disease (ESRD). Particularly distressing is the number of older patients who need renal replacement therapy. In fact, more than 50% of patients undergoing renal dialysis or transplantation for ESRD are age 65 or older. This symposium looks at several important aspects of ESRD. The morbidity and mortality associated with this problem are highlighted in the discussion on epidemiology, morbidity, and mortality of ESRD by Sanford T. Reikes, MD. For example, the extraordinary mortality among patients with underlying comorbid conditions, such as diabetes or atherosclerotic vascular disease, points to areas needing special attention. Some studies have shown that mortality rates for ESRD in these patients exceed those of advanced colon and breast cancer.

26. Postgraduate Medicine: July 2000 Table Of Contents endstage renal disease Introduction to a three-article symposium TRENDS IN end-stage renal disease Epidemiology, morbidity, and mortality http://www.postgradmed.com/issues/2000/07_00/jul00.htm

Table of Contents VOL 108 / NO 1 / JULY 2000 / POSTGRADUATE MEDICINE SYMPOSIUM ON END-STAGE RENAL DISEASE END-STAGE RENAL DISEASE Introduction to a three-article symposium Paul G. Schmitz, MD TRENDS IN END-STAGE RENAL DISEASE Epidemiology, morbidity, and mortality Sanford T. Reikes, MD PROGRESSIVE RENAL INSUFFICIENCY Office strategies to prevent or slow progression of kidney disease Paul G. Schmitz, MD RENAL TUBULOINTERSTITIAL FIBROSIS New thoughts on its development and progression Michael P. O'Donnell, PhD CLINICAL ARTICLES THE MANY FORMS OF TREMOR Precise classification guides selection of therapy Greg Cooper, MD, PhD, Robert Rodnitzky, MD MANAGING OBESITY LIKE ANY OTHER CHRONIC CONDITION Long-term therapy may reduce comorbidity as well Mamatha Agrawal, MD, Michael Worzniak, MD, Larry Diamond, RPh Women's Health Series MANAGEMENT OF THE CLIMACTERIC Options abound to relieve women's midlife symptoms Douglas R. Morrissey, MD, Jeffrey T. Kirchner, DO DIAGNOSIS OF VENOUS THROMBOEMBOLISM Step-by-step approach to a still lethal disease Jeffrey B. Rubins, MD, Kathryn Rice, MD

27. Baxter U.S. - Kidney Disease It is estimated that more than 1.2 million people worldwide suffer from endstage renal disease (ESRD), a number that is growing at a rate of approximately http://www.baxter.com/conditions/sub/renal_failure.html

Conditions Therapies Products Services ... Baxter Worldwide > United States Training and Education Sustainability Contact Us < Back To Conditions ... Kidney Disease Kidney Disease Home Conditions It is estimated that more than 1.2 million people worldwide suffer from end-stage renal disease (ESRD), a number that is growing at a rate of approximately six-to-seven percent annually. Additionally, the National Kidney Foundation (NKF) predicts that the number of kidney failure patients in the U.S. will double in the next ten years. This growth is influenced in part by diseases associated with the aging population such as diabetes and high blood pressure, two leading causes of ESRD. Current treatment options for ESRD include peritoneal dialysis (PD), hemodialysis (HD) and kidney transplantation. Worldwide, more than one million people suffering from chronic kidney failure are treated with some form of dialysis. However, approximately three million people with kidney failure currently go undiagnosed or untreated, particularly in developing countries. Baxter is committed to helping kidney disease patients across the globe receive the best treatment options available to them. Chronic Kidney Failure Chronic kidney failure occurs when the kidneys are slowly damaged - this damage is over the long term and is not reversible. Most people with chronic kidney failure will require treatment to replace the function of their own kidneys.

28. End-Stage Renal Disease: Choosing A Treatment That's Right For You This condition is called endstage renal disease (ESRD). Today, there are new and better treatments for ESRD that replace the work of healthy kidneys. http://www.kidneydoctor.com/esrd.htm

End-Stage Renal Disease: Choosing a treatment that is right for you Ari Kostadaras, M.D. CONTENTS Introduction When Your Kidneys Fail Treatment Choices Hemodialysis Peritoneal Dialysis Kidney Transplantation Conclusion Paying for Treatment Other Sources of Information Introduction This etext is for people whose kidneys fail to work. This condition is called end-stage renal disease (ESRD). Today, there are new and better treatments for ESRD that replace the work of healthy kidneys. By learning about your treatment choices, you can work with your doctor to pick the one that's best for you. No matter which type of treatment you choose, there will be some changes in your life. But with the help of your health care team, family, and friends, you may be able to lead a full, active life. This etext describes the choices for treatment: hemodialysis, peritoneal dialysis, and kidney transplantation. It gives the pros and cons of each. It also discusses diet and paying for treatment. It gives tips for working with your doctor, nurses, and others who make up your health care team. It provides a list of groups that offer information and services to kidney patients. It also lists magazines, books, and brochures that you can read for more information about treatment. You and your doctor will work together to choose a treatment that's best for you. This etext can help you make that choice.

29. Renal Cystic Disease It is perhaps the most common form of inherited cystic renal disease. to renal failure produce small, shrunken kidneys with endstage renal disease. http://www-medlib.med.utah.edu/WebPath/TUTORIAL/RENCYST/RENCYST.html

Pathology of Renal Cystic Disease Return to the tutorial menu. Images available as described below range in file size from 50 to 250k. Recessive Polycystic Kidney Disease (RPKD) This condition is inherited in an autosomal recessive pattern, giving a 25% recurrence risk for parents having subsequent children. The kidneys are affected bilaterally, so that in utero, there is typically oligohydramnios because of poor renal function and failure to form significant amounts of fetal urine. The most significant result from oligohydramnios is pulmonary hypoplasia, so that newborns do not have sufficient lung capacity to survive, irrespective of any attempt to treat renal failure. RPKD may be termed "Type I" cystic disease in the Potter's classification. Grossly, the kidneys are markedly enlarged and tend to fill the retroperitoneum and displace abdominal contents. The kidneys tend to be symmetrically enlarged. The cysts are quite small and uniform, perhaps 1 to 2 mm on average. Microscopically, the characteristic finding in the later third trimester is cystic change with the cysts elongated and radially arranged. The few remaining glomeruli are not involved by the cysts, and the intervening parenchyma is not increased. In the second trimester, the cysts may not be as well-developed. A helpful finding at autopsy is the presence of congenital hepatic fibrosis, which accompanies RPKD. Normal fetal kidneys, gross

30. End-Stage Renal Disease Facilities (ESRDs) endstage renal disease Facilities (ESRDs). The State of Michigan, Survey Procedures And Interpretive Guidelines For end-stage renal disease Facilities http://www.michigan.gov/mdch/0,1607,7-132-27417__27655-92568--,00.html

Skip Navigation Michigan.gov Home MDCH Home Sitemap ... Contact MDCH document.form2.SearchCriteria.size=10; Contact Us Radiation Safety Health Professions Programs Licensing for Health Care Professionals ... [Text Version] End-Stage Renal Disease Facilities (ESRDs) Each facility desiring to furnish renal transplantation or dialysis services is required to meet all health and safety requirements and perform required medical reviews of patient care. The regulations also require such facilities to participate in network activities and pursue network goals. The Medical Review Board of each network assures review of the quality of patient care and services. Click here for information regarding initial approval to furnish services to beneficiaries of the Medicare end-stage renal disease (ESRD) program. USEFUL ESRD LINKS Clarification of Certification Requirements and Coordination of Care for Residents of Long-Term Care Facilities Who Receive End Stage Renal Disease Services (3/11/04 CMS Letter) Conditions of Participation ESRD Information Resource (CMS) Fact Sheet On Dialysis Coverage in SNFs ... Survey Procedures And Interpretive Guidelines For End-Stage Renal Disease Facilities Related Content Michigan.gov Home

31. Discovery Health :: Diseases & Conditions :: End-stage Renal Disease endstage renal disease (ESRD) is a condition in which there is a permanent and almost complete loss of kidney function. The kidney functions at less than http://health.discovery.com/encyclopedias/illnesses.html?article=623&page=1

32. UAB Health System | End-Stage Renal Disease (ESRD) endstage renal disease is when the kidneys permanently fail to work. What are the symptoms of renal failure? The symptoms for acute and chronic renal http://www.health.uab.edu/show.asp?durki=60444

33. End-Stage Renal Disease Program - Children's Hospital Boston Down Arrow, endstage renal disease Program The End Stage Renal Program provides an expert team (physicians, surgeons, nurses, nutritionist, http://www.childrenshospital.org/clinicalservices/Site1876/mainpageS1876P0.html

or find by letter: A-F G-L M-R S-Z End-Stage Renal Disease Program End-Stage Renal Disease Program Meet the Team Contact Us Return to Nephrology Home Clinical Services End-Stage Renal Disease Program The End Stage Renal Program provides an expert team (physicians, surgeons, nurses, nutritionist, social worker) with experience in all aspects of chronic renal failure and who cooperatively plan therapy to preserve growth and development, integrate schooling, provide guidance on behavioral and financial issues and assist in arranging transport and home help support and visiting nursing services. In addition, the Division of Nephrology provides expert review, expert opinion, specialized dialysis and vascular access services together with living related donor transplantation to international patients. For families residing outside the United States, please contact Children's International Center, which provides interpreter services and assistance with immigration and customs, hotel or housing reservations, and financial arrangements. Related Topics Dialysis Kidney Failure Kidney Transplantation von Willebrand Disease minimize list Related Topics Dialysis Kidney Failure Kidney Transplantation see entire list Children's Hospital Boston is the primary pediatric teaching hospital of Harvard Medical School Contact Us Privacy Accessibility Give Now Children's Hospital Boston 300 Longwood Avenue Boston MA 02115

34. End Stage Renal Disease (ESRD) endstage renal disease (ESRD) occurs when approximately 90% of normal kidney function fails. Common causes of kidney failure include diabetes (type I and http://www.columbiasurgery.org/programs/tx_renal/dis_esrd.html

Shortcuts Directions Events Find the Right Doctor Directory Risk Assessments Search Second Opinion Send for Info Site Map End stage renal disease (ESRD) Each year more than 50,000 people in the United States are diagnosed with end-stage renal disease (ESRD). End-stage renal disease occurs when approximately 90% of normal kidney function has been lost. Symptoms include nausea, vomiting, weakness, fatigue and sluggishness, confusion and difficulty concentrating, decreased urine output, anemia, and loss of appetite. It can cause complications such as high blood pressure and congestive heart failure (a buildup of fluid in the heart). There are two accepted treatments for ESRD: Dialysis , which substitutes for the kidneys in filtering body waste, and Transplantation , in which a failed kidney is replaced with a healthy donor kidney. For eligible patients, kidney transplantation offers freedom from dependence on dialyis machines, and breakthroughs in surgical techniques and immunosuppresion therapy afford this opportunity to more people than ever before. Kidney transplant recipients today can expect to lead normal, productive lives for decades. Diseases of the Kidneys: The most common causes of kidney failure that necessitate kidney transplantation include: Diabetes , whether Type I (juvenile) or Type II (adult-onset), is the leading cause of kidney failure in the U.S. Diabetes may cause many other diseases and complications, and should be monitored carefully.

35. Bone Densitometry: Patients With End-Stage Renal Disease Bone Densitometry Patients with endstage renal disease. Title Patients with end-stage renal disease. Agency Agency for Health Care Policy and http://www.ahrq.gov/clinic/esrdbone.htm

Bone Densitometry: Patients with End-Stage Renal Disease Title: Patients with End-Stage Renal Disease. Agency: Agency for Health Care Policy and Research/Center for Health Care Technology (formerly the Office of Health Technology Assessment). Contact: Martin Erlichman, M.S., and Thomas V. Holohan, M.D., FACP. Status: Technology Assessment: Published, 1996. Language: English. Primary Objective: To assess which techniques, if any, are clinically useful in the medical management of patients with bone loss due to end-stage renal disease. Methods Used: Review of published literature, collection of information from major institutions and Federal agencies and interested parties in response to a Federal Register notice of intent to undertake assessment. Data Identification: Published literature identified by search of the MEDLINE database of articles published between 1986 and 1994. Study Selection: All published material of primary data addressing bone mineral density in ESRD patients and studies reporting BMD measurements and the incidence of fractures. Data Extraction: Type of study, size of sample, method and site of measurement, bone loss measured and fracture incidence compared to controls.

36. End-Stage Renal Disease CAHPS(R) Technical Experts Panel: Meeting Summary endstage renal disease CAHPS® Technical Experts Panel assess the feasibility and value of a CAHPS® survey for end-stage renal disease (ESRD) patients, http://www.ahrq.gov/qual/cahps/esrdcahps.htm

Meeting Summary Contents Purpose Overview Meeting Highlights Issue 1. Input to the Feasibility Study ... Technical Expert Panel and Staff Purpose What content would need to be covered in the questionnaire? Specifically, what items and/or domains should the questionnaire include? What are the methodological issues that the survey would need to address? Return to Contents Overview Deborah Carpenter from Westat reviewed the results of the literature search. Cara James from Harvard relayed the results of the interviews with administrators of dialysis facilities and ESRD network organizations. Roger Levine from the American Institutes for Research (AIR) presented the findings from the initial set of focus groups. Finally, Brady Augustine, senior advisor to the administrator at CMS, discussed the agency's interest in improving its oversight of dialysis facilities and using payment incentives to reward high quality. He noted that the agency feels a special responsibility to protect ESRD patients because of their vulnerability and the constraints they face. Through the use of this survey tool, CMS hopes to fill in gaps in its knowledge of patients' experiences and promote improvements in the quality of care they receive. Because the agency wants the survey results to be useful for quality improvement (QI) at the dialysis facility and the ESRD network organizational level, it is particularly interested in learning what would meet the needs of these stakeholders. Return to Contents Meeting Highlights ESRD Network Organizations and Dialysis Facilities

37. Kidney Transplant Information endstage renal disease (ESRD) is that stage of kidney impairment which is irreversible, cannot be controlled by conservative management alone, and requires http://www.kidneytransplant.org/article-end-stagerenaldisease.html

End-stage Renal Disease Definition End-stage renal disease (ESRD) is that stage of kidney impairment which is irreversible, cannot be controlled by conservative management alone, and requires dialysis or kidney transplantation to maintain life. Description There are two types of kidney failure: acute and chronic. Acute kidney failure is a temporary decline in kidney function that can most often be corrected. Chronic kidney failure, on the other hand, is a permanent condition, meaning that once it occurs, the kidneys cannot be made to function again. Chronic kidney failure may be the result of heredity, as with polycystic kidney disease, or may be caused by prolonged medical conditions, such as high blood pressure or diabetes. Persons with chronic renal failure are referred to as having end-stage renal disease. The term indicates that the patient must rely on some type of medical treatment to help replace the loss of kidney function. Treatment The treatment alternatives for ESRD include hemodialysis, peritoneal dialysis, and kidney transplantation. These are all viable treatment alternatives. Hemodialysis This is a procedure that cleans and filters the blood. It rids the body of harmful wastes and extra salt and fluids. It also controls blood pressure and helps the body keep the proper balance of potassium, sodium, and chloride.

38. Pre-End Stage Renal Disease Preend-stage renal disease (ESRD) Cllinical Practice Guidelines. CPG ESRD. Guideline Reference. Download Center. View Online. word http://www.oqp.med.va.gov/cpg/ESRD/ESRD_Base.htm

CPG Home CPG ESRD Guideline Reference Download Center View Online word pdf Overview Information about the ESRD guideline Guideline Complete guideline online (Interactive site) Algorithms The ESRD-CPG algorithms Summary Summary of recommendations Pocket Card ESRD-Pocket Card - [PDF format] Key Points The key points addressed by the ESRD guideline Reminders N/A Archive N/A Related Performance Issues Measures N/A Database Questions N/A Other N/A Related Guidelines Hypertension Diabetes Mellitus Guideline Community Related Resources Diabetes Mellitus VHA/DoD Pocket Card Hypertension VHA/DoD Pocket Card Benchmark Feedback Innovations Guideline Chat March 22, 2002 OQP Home Page OQP Site Map About OQP Contact OQP Webmaster ... US Government Official Web Portal

39. UpToDate Myocardial Dysfunction In End-stage Renal Disease Myocardial dysfunction in endstage renal disease. William L Henrich, MD. UpToDate performs a continuous review of over 330 journals and other resources. http://patients.uptodate.com/topic.asp?file=dialysis/13279

40. End-stage Renal Disease Definition - Medical Dictionary Definitions Of Popular M Online Medical Dictionary and glossary with medical definitions. http://www.medterms.com/script/main/art.asp?articlekey=33640

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