A5060907331- Dialysis and Renal Disease Management
- Chronic Kidney Disease and Diabetes
- Acute Kidney Injury Research
- Palliative Care and End-of-Life Issues
- Pelvic and Acetabular Injuries
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- Blood Pressure and Hypertension Studies
- Healthcare Policy and Management
- Healthcare cost, quality, practices
- Total Knee Arthroplasty Outcomes
- Hip and Femur Fractures
- Patient Dignity and Privacy
- Primary Care and Health Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Patient-Provider Communication in Healthcare
- Renal Transplantation Outcomes and Treatments
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Spinal Fractures and Fixation Techniques
- Diabetes Treatment and Management
- Organ Donation and Transplantation
- Electronic Health Records Systems
- Pharmacology and Obesity Treatment
- Pregnancy-related medical research
- Pharmaceutical Practices and Patient Outcomes
Cairo University
2019-2024
Vanderbilt University Medical Center
2014-2023
Royal Berkshire Hospital
2023
Hurley Medical Center
2023
Michigan State University
2023
Armed Forces College of Medicine
2022
Cairo University hospitals
2022
Vanderbilt University
2014-2021
National Kidney Foundation
2020
Vanderbilt Health
2016-2019
While many patients with end-stage renal disease (ESRD) have impaired physical and psychologic well-being, less is known about these health domains in advanced chronic kidney (CKD). The authors sought to compare symptoms, depression, quality of life ESRD those CKD.Patients subjects CKD were enrolled. Patients' assessed using the Dialysis Symptom Index (DSI), Patient Health Questionnaire-9 (PHQ-9), Short Form 36 (SF-36), respectively, compared between patient groups.Ninety 87 There no...
Recurrent AKI is common among patients after hospitalized and associated with progressive CKD. In this study, we identified clinical risk factors for recurrent present during index hospitalizations that occurred between 2003 2010 using a regional Veterans Administration database in the United States. was defined as 0.3 mg/dl or 50% increase from baseline creatinine measure. The primary outcome hospitalization within 12 months of discharge hospitalization. Time to examined Cox regression...
Electronic health record (EHR) patient portals allow individuals to access their medical information with the intent of empowerment. However, little is known about portal use in nephrology patients. We addressed this gap by characterizing adoption an EHR portal, assessing secular trends, and examining association BP control (<140/90 mmHg).Patients seen between January 1, 2010, December 31, 2012, at any four university-affiliated offices who had least one additional follow-up visit before...
Background Older adults with advanced CKD have significant pain, other symptoms, and disability. To help ensure that care is consistent patients’ values, nephrology providers should understand their priorities when they make clinical recommendations. Methods Patients aged ≥60 years (stage 4 or 5) non–dialysis-dependent receiving at a clinic completed validated health outcome prioritization tool to ascertain priorities. For each patient, the provider same tool. also answered questions...
Background Given the high prevalence of chronic kidney disease (CKD), primary care physicians (PCPs) frequently manage early stage CKD. Nonetheless, there are challenges in providing optimal CKD setting. This study sought to understand PCPs' perceptions barriers and facilitators management Study design Mixed methods Settings participants Community-based PCPs four US cities: Baltimore, MD; St. Louis, MO; Raleigh, NC San Francisco, CA. Methodology We used a self-administered questionnaire...
ContextAlthough symptom clusters have been studied in the context of cancer, few data exist chronic and end-stage kidney disease (CKD/ESKD) patients.ObjectivesThe objectives this study were to 1) characterize compare cluster phenotypes patients with advanced CKD, ESKD, cancer 2) explore predictors clusters.MethodsWe conducted secondary analysis three prospective studies which pain, depression, fatigue assessed Stage 4–5 gastrointestinal cancer. Tetrachoric correlations between these symptoms...
Background and objectives: Novel individualized quality-of-life (IQOL) measures permit patients with chronic kidney disease (CKD) to nominate unique areas of their lives that contribute well-being. This study assessed for differences in domains nominated by CKD. We also examined the strength association between (<i>1</i>) multidimensional health-related IQOL (<i>2</i>) psychosocial factors IQOL. Design, setting, participants, & measurements: performed a cross-sectional 151 who were...
Objectives: To explore the relationship between obstructive sleep apnea (OSA) and resistant hypertension in chronic kidney disease (CKD) end-stage renal (ESRD). Methods: We examined parameters blood pressure (BP) 224 community-based, non-CKD participants from Sleep-SCORE study: 88 nondialysis-dependent CKD 95 ESRD participants. Unattended home polysomnography with standardized scoring protocols automated BP monitors were used. Resistant was defined as a of at least 140/90 mmHg despite three...
Most non-dialysis dependent chronic kidney disease (CKD) patients are cared for by their primary care physicians (PCPs). Studies suggest many CKD receive suboptimal care. Recently, clinical practice guidelines were updated with additional emphasis on albuminuria. We performed an internet-based, cross-sectional survey of active PCPs in the United States using American Medical Association Physician Masterfile. explored guideline familiarity, self-reported behaviors, and attitudinal external...
Many patients on maintenance dialysis experience significant sleepiness and fatigue. However, the influence of hemodialysis (HD) day circadian rhythms patients’ symptoms have not been well characterized. We sought to use ecological momentary assessment evaluate day-to-day diurnal variability fatigue, sleepiness, exhaustion related in thrice-weekly HD patients. Subjects used a modified cellular phone access an interactive voice response system that administered Daytime Insomnia Symptom Scale...
Non-steroidal anti-inflammatory drugs (NSAIDs) are widely used and have been linked to acute kidney injury (AKI), chronic disease (CKD) cardiovascular (CVD). Patients who survive an AKI episode at risk for future adverse outcomes. The objective of our study was examine the prevalence predictors NSAID use among survivors. Southern Community Cohort Study is a prospective low-income adults aged 40–79 in southeastern US. Through linkage with Centers Medicare Medicaid Services, 826 participants...
Despite the potential benefits of conservative management, providers rarely discuss it as a viable treatment option for patients with advanced CKD. This survey was to describe knowledge, attitudes, and practices nephrologists primary care regarding management CKD in United States.We developed questionnaire on basis literature review include items assessing self-reported Potential participants were identified using American Medical Association Physician Masterfile. We then conducted web-based...
This paper discusses the theory and practice of tax design to achieve an efficient equitable outcome, i.e. in support inclusive growth. It starts with a discussion key principles from guide practical design. Then, it elaborates on more granular policy, discussing choices structure personal income labor capital income, taxes wealth, corporate tax, consumption taxes. The concludes by highlighting political economy considerations issues concrete recommedtions as how implement reform.
OBJECTIVE Hypoglycemia is common in patients with diabetes. The risk of hypoglycemia after acute kidney injury (AKI) not well defined. purpose this study was to compare the for postdischarge among hospitalized diabetes who do and experience AKI. RESEARCH DESIGN AND METHODS We performed a propensity-matched analysis diabetes, without AKI, using retrospective national cohort veterans between 2004 2012. AKI defined as 0.3 mg/dL or 50% increase serum creatinine from baseline peak during...
Acute kidney injury frequently complicates critical illness and is associated with high morbidity mortality. Frailty common in survivors, but little known about the impact of acute injury. We examined association frailty within a year hospital discharge survivors illness.Secondary analysis prospective cohort study.Medical/surgical ICU U.S. tertiary care medical center.Three hundred seventeen participants respiratory failure and/or shock.None.Acute was determined using Kidney Disease...
Burnout decreases job satisfaction and leads to poor patient outcomes but remains underinvestigated in nephrology. We explored the prevalence determinants of burnout among a sample nephrologists.Cross-sectional.The nephrologists were approached via American Medical Association Physicians Masterfile, National Kidney Foundation listserv, email, social media between April August 2019. The predictors demographics practice characteristics. outcome was burnout, defined as responding "once week" or...