{"title":"Enhancing AMI mortality trend analysis in CKD patients: addressing code specificity, comorbidity patterns, and pandemic effects.","authors":"Yan-Bo Zhao, Hu Liu, Lin Liu","doi":"10.1007/s11255-025-04823-5","DOIUrl":"https://doi.org/10.1007/s11255-025-04823-5","url":null,"abstract":"","PeriodicalId":14454,"journal":{"name":"International Urology and Nephrology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Arienmughare Oghenetega, Syed Khooshal Fareeduddin, Shaan Huss, Tayyaba Shafiq, F N U Karishma, Ali Karim
{"title":"Comment on \"mortality trends from acute MI with underlying CKD in the US from 1999 to 2020.","authors":"Arienmughare Oghenetega, Syed Khooshal Fareeduddin, Shaan Huss, Tayyaba Shafiq, F N U Karishma, Ali Karim","doi":"10.1007/s11255-025-04837-z","DOIUrl":"https://doi.org/10.1007/s11255-025-04837-z","url":null,"abstract":"","PeriodicalId":14454,"journal":{"name":"International Urology and Nephrology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Noura A A Ebrahim, Soliman M A Soliman, Thoraya A Farghaly
{"title":"Precision nanomedicine in kidney disease: targeting inflammation and repair for clinical translation.","authors":"Noura A A Ebrahim, Soliman M A Soliman, Thoraya A Farghaly","doi":"10.1007/s11255-025-04838-y","DOIUrl":"https://doi.org/10.1007/s11255-025-04838-y","url":null,"abstract":"","PeriodicalId":14454,"journal":{"name":"International Urology and Nephrology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kamila Bołtuć-Dziugieł, Robert Dziugieł, Joanna Roskal-Wałek, Agnieszka Bociek, Sylwia Terpiłowska, Wojciech Dąbrowski, Andrzej Jaroszyński
{"title":"Cardiovascular implications of osmotic changes during hemodialysis: a potential risk factor.","authors":"Kamila Bołtuć-Dziugieł, Robert Dziugieł, Joanna Roskal-Wałek, Agnieszka Bociek, Sylwia Terpiłowska, Wojciech Dąbrowski, Andrzej Jaroszyński","doi":"10.1007/s11255-025-04817-3","DOIUrl":"https://doi.org/10.1007/s11255-025-04817-3","url":null,"abstract":"<p><strong>Purpose: </strong>End-stage renal disease (ESRD) patients undergoing hemodialysis (HD) face a significantly higher risk of cardiovascular-related mortality compared to the general population. Osmotic stress, defined as the strain caused by rapid shifts in plasma solute concentration, occurs during HD and places additional burden on the cardiovascular system. Our study aimed to assess the effect of this HD-induced osmotic stress on cardiovascular parameters.</p><p><strong>Methods: </strong>A total of 46 ESRD patients treated with HD were included in the study. For each patient, plasma osmolality, blood pressure, digital electrocardiography, and subendocardial viability ratio (SEVR) were measured before and after a single HD session.</p><p><strong>Results: </strong>Plasma osmolality decreased by 18.59 mOsm/kg (5.8%) after a single HD session (p < 0.0001), reflecting HD-related osmotic stress. A prolongation of the corrected QT (QTc) interval by 8.0 ms (p = 0.0001) and an improvement in SEVR by 14.5% (p = 0.0004) were also observed. Changes in plasma osmolality correlated with alterations in QTc interval (r = 0.434, p = 0.005), urea (r = 0.461, p = 0.002), and SEVR (r = - 0.439, p = 0.004), among others. Multiple regression analysis identified osmolality change as an independent predictor of SEVR and QTc interval changes. Interestingly, changes in urea were not significant, possibly due to urea rebound or other osmotic factors.</p><p><strong>Conclusion: </strong>Our study revealed that changes in plasma osmolality are reliable predictors of the QTc interval and SEVR. Interestingly, changes in urea were not significant, possibly due to the phenomenon of \"urea rebound\" or the influence of other osmotic factors. Hemodialysis-related osmotic changes appear to affect cardiovascular parameters, potentially predisposing patients to cardiac events.</p>","PeriodicalId":14454,"journal":{"name":"International Urology and Nephrology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145258160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Critical appraisal of \"Mortality Trends from Acute MI with Underlying CKD in the US from 1999 to 2020: A Cross-Sectional Analysis of the CDC WONDER Database\".","authors":"Hunain Shahbaz, Ibadullah Tahir","doi":"10.1007/s11255-025-04830-6","DOIUrl":"10.1007/s11255-025-04830-6","url":null,"abstract":"","PeriodicalId":14454,"journal":{"name":"International Urology and Nephrology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Muhammad Ammar Ul Hassan Khan, Muhammad Talha Hassan Khan, Farman Ullah Khan, Aimal Alam Khattak
{"title":"Comment on: Comparison of SGLT‑2i and GLP‑1RA on cardiovascular and renal outcomes in elderly patients with T2DM: a single‑center retrospective cohort study.","authors":"Muhammad Ammar Ul Hassan Khan, Muhammad Talha Hassan Khan, Farman Ullah Khan, Aimal Alam Khattak","doi":"10.1007/s11255-025-04828-0","DOIUrl":"https://doi.org/10.1007/s11255-025-04828-0","url":null,"abstract":"","PeriodicalId":14454,"journal":{"name":"International Urology and Nephrology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145250990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on the study: \"Uncovering hidden risks: metabolic and inflammatory insights in normoalbuminuric chronic kidney disease\".","authors":"Songhe Chen, XiangJing Wang, Kai Chen","doi":"10.1007/s11255-025-04822-6","DOIUrl":"https://doi.org/10.1007/s11255-025-04822-6","url":null,"abstract":"","PeriodicalId":14454,"journal":{"name":"International Urology and Nephrology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145250982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Critical insight into the methodological limitations in assessing Roxadustat's effects on copper and thyroid function during hemodialysis.","authors":"Maheen Zohra Rafique, Saim Rafique","doi":"10.1007/s11255-025-04833-3","DOIUrl":"10.1007/s11255-025-04833-3","url":null,"abstract":"","PeriodicalId":14454,"journal":{"name":"International Urology and Nephrology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}