Improving Communication About Serious Illness
Critical IllnessChronic Disease12 moreThe purpose of this study is to improve care delivered to patients with serious illness by enhancing communication among patients, families, and clinicians in the outpatient setting. We are testing a new way to help patients share their preferences for talking about end-of-life care with their clinicians and families. To do this we created a simple, short feedback form. The form is designed to help clinicians understand what patients would like to talk about. The goal of this research study is to show that using a feedback form is possible and can be helpful for patients and their families.
PK of Serelaxin in Severe Renal Impairment and ESRD
Renal FailureChronic1 moreThe study is designed to evaluate the pharmacokinetics, safety and tolerability, immunogenicity and pharmacogenetics of a single dose of serelaxin/RLX030 in patients with severe renal impairment and end-stage-renal-disease (ESRD) compared to healthy volunteers.
Monitoring in Dialysis -- a Prospective, Multi-center, Single-arm, Non-randomized, Observational...
End Stage Renal DiseaseThe primary objective of this study is to estimate the proportion of hemodialysis patients experiencing clinically significant cardiac arrhythmias over a 6-month period using continuous cardiac monitoring with an implanted Medtronic Reveal Insertable Cardiac Monitor (ICM) device.
Effect of Restriction of Foods Containing Phosphorus Additives
End-stage Renal DiseaseHyperphosphatemiaHyperphosphatemia is related to the increase in morbidity and mortality. There is greater risk for cardiovascular disease, atherosclerotic disease, secondary hyperparathyroidism, and bone disease . The serum phosphorus level can be controlled by a combination of factors, such as: reduction of ingestion, reduction of intestinal absorption with chelating agents and increase in elimination by dialysis. The purpose of this study is to evaluate the effect of dietary intervention consisting of the restriction of industrialized foods with phosphorus additives in chronic kidney disease patients treated with hemodialysis.
Pharmacokinetics and Excretion of [¹⁴C]Etelcalcetide (AMG 416) in Patients With End Stage Renal...
Secondary Hyperparathyroidism in Patients With ESRD on HemodialysisThe primary objectives of this study were to determine the rate, extent, and routes of radioactivity excretion of [¹⁴C]etelcalcetide in feces, dialysate, and urine over time and to measure radioactivity concentrations in whole blood and plasma over time.
Analysis of CRBSI Rates in Patients With a NexSite™ HD (Hemodialysis) Catheter
End Stage Renal DiseaseA U.S. multi-centre post approval registry to analyse the CRBSI rate in patients with the NexSite HD Catheter for long term vascular access for hemodialysis.
Assessment of Dolutegravir Removed by Hemodialysis in HIV-infected Patients With End-stage Renal...
HIVData on the capacity of hemodialysis to remove dolutegravir (DTG) from plasma in patients with end-stage renal disease (ESRD) on hemodialysis (HD) are lacking. If DTG was removed from plasma by HD, it would be possible to have subtherapeutic drug concentrations at the end of HD sessions.
Dietary Protein Requirements in Hemodialysis Patients
Chronic Renal FailureEnd-Stage Renal DiseaseThe primary purpose of this study is to assess dietary protein requirements in clinically stable maintenance hemodialysis (MHD) patients. It is hypothesized that the average dietary protein intake (DPI) that will maintain nitrogen balance is 1.00 g protein/kg/day, but that a safe intake that maintains balance in almost all MHD patients is about 1.25g protein/kg/day.
Effects of a Transitional Palliative Care Model on Patients With End-stage Renal Failure
Palliative CareRenal Failure1 morePrimary aim: To compare the effects of customary care and an interventional Home-based Palliative Renal Program (HBPRP) for ESRF patients To compare the effects of customary care and Home-based Palliative Program (HBPP) for ESRF patients Secondary aim: To explore the lived experiences of patients with ESRF. Hypothesis The transitional renal palliative care model is associated with decreased in unscheduled hospital readmission, reduce length of stay as well as improved quality of life for patients with end-stage renal failure.
The Effect of Fructose on Blood Fats in Dialysis Patients and Healthy Volunteers
End-stage Renal DiseaseThis study will evaluate how a common dietary sugar (fructose) raises blood fats (triglycerides). We will determine whether the production of fat from fructose is higher in dialysis patients compared to healthy volunteers. Dialysis patients have high levels of hormone-like substances called cytokines that may increase blood fats. The results will help set better guidelines for diets for the general population and patients with kidney disease who are at high risk for heart attack and stroke. There will be one or two outpatient screening visit(s) and a one-week (6 nights) stay at the Rockefeller University Hospital.