Discontinuing Hemodialysis with Patient Care and a Successful 9-Year Follow-up in a Patient Presumed to have End-Stage Kidney Disease Scheduled to Lifelong Hemodialysis: A Case Report

Toprak, Ömer; Bozyel, Emel Aslan; Alp, Burak

doi:10.3390/clinpract11010019

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…Based on our 17 years of nephrology experience, we have also added alternative therapies, resulting in the emergence of Toprak's Kidney Care (Fig. 1) [7,11]. Nephrologists are currently not adequately informed about complementary and alternative medicine consumption by their patients.…”

Section: Depression/anxietymentioning

confidence: 99%

“…Toprak's Kidney Care is a newly defined care model for CKD patients, which may facilitate the termination of HD in some patients [7,11,24]. The care model includes nutritional care of the patient, and spiritual care of patients and their caregivers; depression and anxiety in both the patient and the caregiver are treated without medication.…”

Section: Depression/anxietymentioning

confidence: 99%

“…One study showed that a low protein diet led to the cessation of HD in three CKD patients [9]. We recently reported that a 71-year-old patient with ESKD was removed from HD due to Toprak's Kidney Care after 6 months of HD; the patient did not need HD for the following 9 years [11]. In another case, we reported that a 77-year-old man who had undergone HD 3 times weekly for 75 months, after which HD sessions were gradually decreased and terminated within 21 months while undergoing Toprak's Kidney Care.…”

Section: Depression/anxietymentioning

confidence: 99%

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Successful discontinuation after 7 years of hemodialysis following Toprak’s kidney care: A case report

Toprak

Bozyel

Akgün

2023

Ukr. J. Nephrol. and Dial.

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Patients with end-stage kidney disease, who require hemodialysis for more than three months, have little chance of terminating dialysis. The purpose of this case report is to show the effects of patient kidney care and nutrition on the termination of dialysis and patient follow-up. We present a 74-year-old end-stage kidney disease patient who underwent hemodialysis 3 times a week for 7 years. After the patient underwent a special kidney care and nutrition program called Toprak's Kidney Care, hemodialysis was terminated by gradually reducing the dialysis sessions over 2.5 months. During the 62-month follow-up after discontinuing dialysis, the patient required no kidney replacement therapy. The glomerular filtration rates were stable at 8-10 mL/min/1.73 m2. During the follow-up period, the patient was not hospitalized and no major adverse cardiac events occurred. To date, the patient remains in good health. Toprak’s Kidney Care and nutritional support may be considered during the termination of HD in ESKD patients. The discontinuation of HD in ESKD patients who have adequate urine output may be considered, even after 7 years of HD. Consensus and clinical guidelines regarding the termination of chronic HD in ESKD patients are needed

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Section: Depression/anxietymentioning

confidence: 99%

Section: Depression/anxietymentioning

confidence: 99%

Section: Depression/anxietymentioning

confidence: 99%

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Successful discontinuation after 7 years of hemodialysis following Toprak’s kidney care: A case report

Toprak

Bozyel

Akgün

2023

Ukr. J. Nephrol. and Dial.

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Advances in Exercise Therapy in Hemodialysis: A Systematic Review

Wang

Pei

Liu

2023

MRMC

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Background: The main and common treatment of renal replacement therapy (RRT) for chronic kidney disease (CKD) especially in end-stage kidney disease (ESKD) patients is hemodialysis (HD). Many reports have shown that exercise therapy is good for HD patients. This review aims to describe recent advances in exercise therapy in HD patients. Objective: Our key opinions have focused on varied types of exercise therapy and identified barriers to exercise therapy among HD patients. Exercise implementation includes aerobic exercise training, resistance exercise training, combined exercise training, and novel exercise interventions. Barriers include internal and external distress such as HD patients' restrictions and environmental problems. Methods: This review is based on the novel/ most findings in PubMed, Web of Science, Google Scholar, and MEDLINE from the inception of every database until August 2022. Results: The systematic search strategy identified 6 articles that met the inclusion criteria. Four were specific to exercise therapy in HD and three to exercise barriers in HD. Massive evidence has demonstrated exercise therapy for HD has specific benefits and neglectful causes of exercise barriers. Conclusion: In this review, we aimed to summarize recent advances in individual exercise therapy recommendations

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Cigarette Producers and Smokers are Responsible for Smoking-Related Deaths in the World and Commit a Crime Against Humanity: Smoking and Chronic Kidney Disease

2021

J Urol Ren Dis

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Discontinuing Hemodialysis with Patient Care and a Successful 9-Year Follow-up in a Patient Presumed to have End-Stage Kidney Disease Scheduled to Lifelong Hemodialysis: A Case Report

Cited by 3 publications

References 13 publications

Successful discontinuation after 7 years of hemodialysis following Toprak’s kidney care: A case report

Successful discontinuation after 7 years of hemodialysis following Toprak’s kidney care: A case report

Advances in Exercise Therapy in Hemodialysis: A Systematic Review

Cigarette Producers and Smokers are Responsible for Smoking-Related Deaths in the World and Commit a Crime Against Humanity: Smoking and Chronic Kidney Disease

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