- Dialysis and Renal Disease Management
- Central Venous Catheters and Hemodialysis
- Chronic Kidney Disease and Diabetes
- Healthcare cost, quality, practices
- Digital Mental Health Interventions
- Pharmacological Effects and Toxicity Studies
- Muscle and Compartmental Disorders
- Acute Kidney Injury Research
- Heart Failure Treatment and Management
- Vitamin D Research Studies
- Diabetes Treatment and Management
- Potassium and Related Disorders
- Cytomegalovirus and herpesvirus research
- Blood Pressure and Hypertension Studies
- Geriatric Care and Nursing Homes
- Hepatitis C virus research
- Drug-Induced Adverse Reactions
- Gout, Hyperuricemia, Uric Acid
- Systemic Lupus Erythematosus Research
- Vascular Procedures and Complications
- Parathyroid Disorders and Treatments
- Herpesvirus Infections and Treatments
- Oral and gingival health research
- Neurological Complications and Syndromes
- Parvovirus B19 Infection Studies
University of Toronto
2016-2025
Sunnybrook Health Science Centre
2019-2025
Health Sciences Centre
2019-2025
Canadian Patient Safety Institute
2024
National Patient Safety Foundation
2024
Women's College Hospital
2016-2022
St Michael’s Hospital
2022
Hospital for Sick Children
2022
SickKids Foundation
2022
Ottawa Hospital
2022
Allopurinol hypersensitivity syndrome includes Stevens–Johnson syndrome, toxic epidermal necrolysis and drug reaction with eosinophilia systemic symptoms. It affects about 1 in 1000 patients prescribed allopurinol, reported mortality is between 20% 25%.[1][1] Patients typically present
KEY POINTS A 54-year-old man was referred urgently to the nephrology clinic by his family physician for suspected acute kidney injury, with a creatinine level of 376 μmol/L. He had recently returned from trip Southeast Asia, where he spent extensive periods sunbathing (6–8 h/d) 2
Objectives Home haemodialysis (HD) and peritoneal dialysis (PD) have seen growth in utilisation around the globe over last few years. However, home dialysis, with its attendant technical complexity risk of adverse events continues to pose challenges for wider adoption. We examined whether differences patients’ learning styles are associated differing both HD PD patients. Design Retrospective cohort study. Setting Tertiary care hospital Toronto, Ontario, Canada. Participants One hundred...
KEY POINTS For many years, the universally used equation for estimating risk of kidney disease (the function estimate, Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] equation), included an adjustment Black race that led to upward correction in estimated glomerular
Incremental peritoneal dialysis (PD) offers patients newly starting less than the standard "full dose" of PD, reducing treatment burden and intrusiveness while minimizing symptoms renal failure. PD is a cost-effective approach that has been associated with slower rates decline in residual kidney function. This also produces waste turn reduces environmental footprint compared to prescriptions. It aligns International Society Peritoneal Dialysis (ISPD) Practice Recommendations for...
Elderly patients who receive home dialysis (peritoneal or hemodialysis) may have reduced survival compared to younger patients. Therefore, it is important ascertain the goals of in elderly rather than simply fixate on standard metrics such as technique survival. As Canada's population continues age, prevalence end-stage kidney disease among increasing. Patients with multiple comorbidities are now surviving long enough be started dialysis. Although has been associated better and improved...
Self-management has shown to improve the quality of life in patients with chronic kidney disease (CKD). Readily accessible self-management tools are essential promoting adherence self-care behaviors. In recognizing that digital health facilitates efficient access programs, we developed a counseling program, ODYSSEE Kidney Health, promote behaviors while supporting health-related life.To present design and development Health for CKD.The study involved an iterative process based on...
Volume overload in peritoneal dialysis (PD) is common and associated with significant morbidity mortality. If left untreated, it can result premature technique failure patients receiving PD. Practitioners should be aware of causes formulate a stepwise approach the management volume overload.La surcharge volumique est fréquente chez les traités par dialyse péritonéale (DP) et elle associée à davantage de morbidité mortalité. Une non traitée peut entraîner une défaillance prématurée sous...
In 2021, a committee was commissioned by the Canadian Society of Nephrology to comment on 2021 National Kidney Foundation-American Task Force recommendations use race in glomerular filtration rate estimating equations. The met numerous occasions and agreed several recommendations. However, did not achieve unanimity, with minority group disagreeing scope commentary. As result, this report presents viewpoint majority members. We endorsed many from Force, most importantly that should be removed...
Heart failure (HF) symptoms improve through self-care, for which adherence remains low among patients despite the provision of education these behaviours by clinical teams. Open Access Digital Community Promoting Self-Care, Peer Support and Health Literacy (ODYSSEE-vCHAT) combines automated digital counselling with social network support to mortality morbidity, engagement self-care materials, health-related quality life. Use ODYSSEE-vCHAT via Internet-connected personal computer 162 HF will...
KEY POINTS A 53-year-old man presented to hospital with a six-month history of weight gain, peripheral edema and abdominal distention. The patient’s past medical included renal cadaveric transplant in 2016, 32-year HIV infection, type 2 diabetes mellitus, coronary artery
Inotropic dependence and diuretic resistance in patients with cardiorenal syndrome (CRS) lead to frequent hospitalizations are associated high mortality. Starting peritoneal dialysis (PD) acutely (within 2 weeks of a heart failure hospitalization) offers effective volume removal without hemodynamic compromise this population. There is little data on approach the North American literature.To determine whether volume-overloaded CRS maximal doses therapy had reduced hospitalization for...
Compared with the general population, end-stage renal disease patients are at increased risk for bone loss and fractures. Nocturnal hemodialysis offers superior calcium-phosphate control improved uremic clearance compared conventional hemodialysis. Rates of by type unknown.This study aims to determine whether there differences in between frequent nocturnal hemodialysis.This is a retrospective observational study.Participants were selected from two teaching hospitals downtown Toronto.The...