Title |
Acidosis: progression of chronic kidney disease and quality of life
|
---|---|
Published in |
Pediatric Nephrology, August 2014
|
DOI | 10.1007/s00467-014-2873-9 |
Pubmed ID | |
Authors |
Ione de-Brito Ashurst, Emma O’Lone, Tarun Kaushik, Kieran McCafferty, Muhammad M. Yaqoob |
Abstract |
Metabolic acidosis (MA) is relatively common in patients with chronic kidney disease (CKD) particularly in stages 4 and 5. It is assumed to play a contributory role in the development of several complications including bone disease, skeletal muscle wasting, altered protein synthesis, and degradation. Recent evidence also suggests that even mild acidosis might play a role in progressive glomerular filtration rate loss. Experimental and clinical studies suggest that correction of acidosis by alkali therapy attenuates these complications and improves quality of life. Despite several recent small and single-center studies supporting this notion, more robust evidence is required with regard to the long-term benefits of alkali therapy, type of alkali supplements, and the optimal level of serum bicarbonate. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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United Kingdom | 1 | 3% |
Unknown | 31 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 6 | 19% |
Student > Postgraduate | 4 | 13% |
Student > Master | 4 | 13% |
Professor > Associate Professor | 2 | 6% |
Student > Doctoral Student | 2 | 6% |
Other | 4 | 13% |
Unknown | 10 | 31% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 14 | 44% |
Biochemistry, Genetics and Molecular Biology | 2 | 6% |
Nursing and Health Professions | 2 | 6% |
Veterinary Science and Veterinary Medicine | 1 | 3% |
Social Sciences | 1 | 3% |
Other | 1 | 3% |
Unknown | 11 | 34% |