British Journal of Renal Medicine - 2019


Dialysis catheter insertion; getting it right
John Bradley
pp 87-87

Editor John Bradley discusses dialysis catheter insertion including selecting the right side, the right place and anatomical variation. 

Weekly ‘priorities MDT’ meeting – an initiative to guide a holistic approach to care in frail, struggling renal patients. How do staff perceive this intervention three years on?
Aine Burns, Jo Wilson and Helen Jones
pp 88-92

The success of nephrology as a specialty is undeniable. Over the past 50 years, enormous strides have been made, specifically in the areas of transplantation and renal dialysis, and many patients have enjoyed an extended good quality of life. However, with increasing numbers of frail elderly patients joining renal replacement programmes, some unintended consequences of this success have emerged.

Finding ways to deal with the diagnosis of CKD
National Kidney Federation
pp 92-92

A regular update from the National Kidney Federation. 

The renal foot
Christian Pankhurst, Lesley Roberts, Neil Ashman, Stella Vig, Richard Leigh, Zabeer Rashid and Lawrence Ambrose
pp 93-97

Patients with renal disease have a high incidence of foot ulcers and amputations. In London, around 6,000 people receive dialysis at least once a week. They should also receive foot care to reduce the risk of ulceration and save life and limb, with some requiring intensive management. This article aims to provide an opportunity for healthcare professionals and commissioners to consider how patients with renal disease can access good-quality foot care in an appropriate setting that is holistically centred around the patient’s needs.

Travelling to dialysis - a way ahead?
Kidney Care UK
pp 97-97

A regular update from Kidney Care UK.

The NephWork: a national trainee network for research and audit
The Renal Association
pp 98-98

A regular update from The Renal Association.

Using gene silencing to improve kidney transplant success
Kidney Research UK
pp 98-98

A regular update from Kidney Research UK.

Kidney Kitchen: combining dietetic advice with combating social isolation
Harriet Williams, Laura Eilbeck, Ffion Hughes, Elizabeth Wynne, Alison Richards, Andrew Barnett and Jayne Davis
pp 99-100

The importance of cookery is becoming more recognised across all areas of renal care and support, from hospitals to charities such as Kidney Care UK. The North Wales Kidney Kitchen is an innovative project developed through the combination of dietetic and social work services for people in end-stage renal failure. The renal dietitians at Betsi Cadwalader University Health Board (BCUHB) in North Wales had identified that the delivery of dietary advice and information within a hospital setting was not wholly conducive to learning and, therefore, discussed with the social work team the joint benefits of learning in people’s communities. As a result, they decided to pilot a cooking skills course and evaluate its impact on empowering patients to enjoy a diet which meets their health needs and socialisation and self-efficacy. 

Management of hyperlipidaemia in nephrotic syndrome in a patient with type 2 myotonic dystrophy using PCSK9 inhibitors
Richard Bodington, Shabnam Singhal and Sophia-Nicol Anastassiadou
pp 101-104

The authors discuss a case report of a 66-year-old gentleman presenting to the nephrology service with a three week history of rapidly worsening peripheral oedema. He had a history of genetically confirmed limb-girdle muscular dystrophy type 2A and hyperlipidaemia. He had also suffered a transient ischaemic attack three years prior to this presentation. He had no family history of note.

BRS in focus: An update from the President
British Renal Association
pp 104-104

A regular update from the British Renal Association. 

Evaluation of the training in haemodialysis catheter insertion received by renal trainees in the Yorkshire and Humber region of the UK. Do we need standardised training in procedural skills?
Isma Kazmi, Helen Ford, Tom Jorna, Sunil Bhandari
pp 105-109

Competence in haemodialysis (HD) catheter insertion is a training requirement for specialty trainees in renal medicine in the UK. HD catheter insertion is a lifesaving skill but can cause serious complications, which are more likely to occur when inexperienced trainees perform the procedure. Training programmes ensuring renal trainees achieve competence in HD catheter insertion are variable nationwide but are required to ensure patient safety. Appropriate training is, therefore, required for ultrasound-guided vascular cannulation.

What have you asked Santa for? A new government?
Donal J O’Donoghue
pp 110-111

Approaching the recent general election, I was perplexed – was it about Brexit, the NHS or fake news? The pledges and rhetoric from the main parties were unhelpful, disingenuous and undeliverable. Nurses, doctors and other healthcare professionals so vital to the delivery of high-quality 21st century care cannot be knitted. If, at some point in the glorious future, NHS staff are enjoying a 32-hour week and providing a world-class service, the NHS will need considerably more people in all of the professions of the multidisciplinary team that we have previously thought and planned for. Workforce is the key issue facing the NHS and, therefore, in many ways, the health of the nation.

The British Journal of Renal Medicine was previously supported by Baxter Healthcare from 2011 to 2013, by Sandoz in 2011, by Shire Pharmaceuticals from 2006 to 2011, by Ortho Biotech and Shire Pharmaceuticals in 2005, by Ortho Biotech from 2000 to 2005 and by Janssen Cilag from 1996 to 2000.

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ISSN 1365-5604 (Print)  ISSN 2045-7839 (Online)