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26 results on '"Kurnikowski, Amelie"'

2. Chronic kidney disease is more prevalent among women but more men than women are under nephrological care: Analysis from six outpatient clinics in Austria 2019

Author

Lewandowski, Michal J., Krenn, Simon, Kurnikowski, Amelie, Bretschneider, Philipp, Sattler, Martina, Schwaiger, Elisabeth, Antlanger, Marlies, Gauckler, Philipp, Pirklbauer, Markus, Brunner, Maria, Horn, Sabine, Zitt, Emanuel, Kirsch, Bernhard, Windpessl, Martin, Wallner, Manfred, Aringer, Ida, Wiesholzer, Martin, Hecking, Manfred, and Hödlmoser, Sebastian

Published
2023
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8. International consensus on post-transplantation diabetes mellitus

Author

Sharif, Adnan, primary, Chakkera, Harini, additional, de Vries, Aiko P J, additional, Eller, Kathrin, additional, Guthoff, Martina, additional, Haller, Maria C, additional, Hornum, Mads, additional, Nordheim, Espen, additional, Kautzky-Willer, Alexandra, additional, Krebs, Michael, additional, Kukla, Aleksandra, additional, Kurnikowski, Amelie, additional, Schwaiger, Elisabeth, additional, Montero, Nuria, additional, Pascual, Julio, additional, Jenssen, Trond G, additional, Porrini, Esteban, additional, and Hecking, Manfred, additional

Published
2024
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10. Influence of Early Postoperative Basal Insulin Treatment and Post-Transplant Diabetes Mellitus Risk on Health-Related Quality of Life in Kidney Transplant Recipients—An Analysis of Data From a Randomized Controlled Trial

Author

Odler, Balazs, primary, Huemer, Matthias, additional, Schwaiger, Elisabeth, additional, Borenich, Andrea, additional, Kurnikowski, Amelie, additional, Krall, Marcell, additional, Hafner-Giessauf, Hildegard, additional, Eleftheriadis, Georgios, additional, Bachmann, Friderike, additional, Faura, Anna, additional, José Pérez-Sáez, María, additional, Pascual, Julio, additional, Budde, Klemens, additional, Rosenkranz, Alexander R., additional, Hecking, Manfred, additional, and Eller, Kathrin, additional

Published
2023
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12. Criteria for prediabetes and posttransplant diabetes mellitus after kidney transplantation: A 2-year diagnostic accuracy study of participants from a randomized controlled trial

Author

Kurnikowski, Amelie, primary, Nordheim, Espen, additional, Schwaiger, Elisabeth, additional, Krenn, Simon, additional, Harreiter, Jürgen, additional, Kautzky-Willer, Alexandra, additional, Leutner, Michael, additional, Werzowa, Johannes, additional, Tura, Andrea, additional, Budde, Klemens, additional, Eller, Kathrin, additional, Pascual, Julio, additional, Krebs, Michael, additional, Jenssen, Trond Geir, additional, and Hecking, Manfred, additional

Published
2022
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13. Experiences and challenges faced by patients with COVID-19 who were hospitalised and participated in a randomised controlled trial: a qualitative study

Author

Hofstetter, Lukas, primary, Tinhof, Viktoria, additional, Mayfurth, Hannah, additional, Kurnikowski, Amelie, additional, Rathkolb, Vincent, additional, Reindl-Schwaighofer, Roman, additional, Traugott, Marianna, additional, Omid, Sara, additional, Zoufaly, Alexander, additional, Tong, Allison, additional, Kropiunigg, Ulrich, additional, and Hecking, Manfred, additional

Published
2022
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14. Chronic kidney disease is more prevalent among women but more men than women are under nephrological care

Author

Lewandowski, Michal J., primary, Krenn, Simon, additional, Kurnikowski, Amelie, additional, Bretschneider, Philipp, additional, Sattler, Martina, additional, Schwaiger, Elisabeth, additional, Antlanger, Marlies, additional, Gauckler, Philipp, additional, Pirklbauer, Markus, additional, Brunner, Maria, additional, Horn, Sabine, additional, Zitt, Emanuel, additional, Kirsch, Bernhard, additional, Windpessl, Martin, additional, Wallner, Manfred, additional, Aringer, Ida, additional, Wiesholzer, Martin, additional, Hecking, Manfred, additional, and Hödlmoser, Sebastian, additional

Published
2022
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15. Sex Differences in Kidney Transplantation: Austria and the United States, 1978–2018

Author

Hödlmoser, Sebastian, primary, Gehrig, Teresa, additional, Antlanger, Marlies, additional, Kurnikowski, Amelie, additional, Lewandowski, Michał, additional, Krenn, Simon, additional, Zee, Jarcy, additional, Pecoits-Filho, Roberto, additional, Kramar, Reinhard, additional, Carrero, Juan Jesus, additional, Jager, Kitty J., additional, Tong, Allison, additional, Port, Friedrich K., additional, Posch, Martin, additional, Winkelmayer, Wolfgang C., additional, Schernhammer, Eva, additional, Hecking, Manfred, additional, and Ristl, Robin, additional

Published
2022
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16. Sex Differences in Kidney Transplantation: Austria and the United States, 1978-2018

Author

Hödlmoser, Sebastian, Gehrig, Teresa, Antlanger, Marlies, Kurnikowski, Amelie, Lewandowski, Michał, Krenn, Simon, Zee, Jarcy, Pecoits-Filho, Roberto, Kramar, Reinhard, Carrero, Juan Jesus, Jager, Kitty J., Tong, Allison, Port, Friedrich K., Posch, Martin, Winkelmayer, Wolfgang C., Schernhammer, Eva, Hecking, Manfred, Ristl, Robin, Medical Informatics, ACS - Pulmonary hypertension & thrombosis, APH - Aging & Later Life, APH - Quality of Care, and APH - Global Health

Subjects
gender, Medicine, USRDS, dialysis, kidney transplantation, sex, ADTR, chronic kidney disease, Original Research
Abstract

Background: Systematic analyses about sex differences in wait-listing and kidney transplantation after dialysis initiation are scarce. We aimed at identifying sex-specific disparities along the path of kidney disease treatment, comparing two countries with distinctive health care systems, the US and Austria, over time. Methods: We analyzed subjects who initiated dialysis from 1979–2018, in observational cohort studies from the US and Austria. We used Cox regression to model male-to-female cause-specific hazard ratios (csHRs, 95% confidence intervals) for transitions along the consecutive states dialysis initiation, wait-listing, kidney transplantation and death, adjusted for age and stratified by country and decade of dialysis initiation. Results: Among 3,053,206 US and 36,608 Austrian patients starting dialysis, men had higher chances to enter the wait-list, which however decreased over time [male-to-female csHRs for wait-listing, 1978–1987: US 1.94 (1.71, 2.20), AUT 1.61 (1.20, 2.17); 2008–2018: US 1.35 (1.32, 1.38), AUT 1.11 (0.94, 1.32)]. Once wait-listed, the advantage of the men became smaller, but persisted in the US [male-to-female csHR for transplantation after wait-listing, 2008–2018: 1.08 (1.05, 1.11)]. The greatest disparity between men and women occurred in older age groups in both countries [male-to-female csHR for wait-listing after dialysis, adjusted to 75% age quantile, 2008–2018: US 1.83 (1.74, 1.92), AUT 1.48 (1.02, 2.13)]. Male-to-female csHRs for death were close to one, but higher after transplantation than after dialysis. Conclusions: We found evidence for sex disparities in both countries. Historically, men in the US and Austria had 90%, respectively, 60% higher chances of being wait-listed for kidney transplantation, although these gaps decreased over time. Efforts should be continued to render kidney transplantation equally accessible for both sexes, especially for older women.

Published
2021

17. Country-specific sex disparities in living kidney donation

Author

Kurnikowski, Amelie, primary, Krenn, Simon, additional, Lewandowski, Michal J, additional, Schwaiger, Elisabeth, additional, Tong, Allison, additional, Jager, Kitty J, additional, Carrero, Juan Jesus, additional, Hecking, Manfred, additional, and Hödlmoser, Sebastian, additional

Published
2021
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18. Early Postoperative Basal Insulin Therapy versus Standard of Care for the Prevention of Diabetes Mellitus after Kidney Transplantation: A Multicenter Randomized Trial

Author

Schwaiger, Elisabeth, primary, Krenn, Simon, additional, Kurnikowski, Amelie, additional, Bergfeld, Leon, additional, Pérez-Sáez, María José, additional, Frey, Alexander, additional, Topitz, David, additional, Bergmann, Michael, additional, Hödlmoser, Sebastian, additional, Bachmann, Friederike, additional, Halleck, Fabian, additional, Kron, Susanne, additional, Hafner-Giessauf, Hildegard, additional, Eller, Kathrin, additional, Rosenkranz, Alexander R., additional, Crespo, Marta, additional, Faura, Anna, additional, Tura, Andrea, additional, Song, Peter X. K., additional, Port, Friedrich K., additional, Pascual, Julio, additional, Budde, Klemens, additional, Ristl, Robin, additional, Werzowa, Johannes, additional, and Hecking, Manfred, additional

Published
2021
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20. Sex differences in chronic kidney disease awareness among US adults, 1999 to 2018

Author

Hödlmoser, Sebastian, primary, Winkelmayer, Wolfgang C., additional, Zee, Jarcy, additional, Pecoits-Filho, Roberto, additional, Pisoni, Ronald L., additional, Port, Friedrich K., additional, Robinson, Bruce M., additional, Ristl, Robin, additional, Krenn, Simon, additional, Kurnikowski, Amelie, additional, Lewandowski, Michał, additional, Ton, Allison, additional, Carrero, Juan Jesus, additional, Schernhammer, Eva S., additional, and Hecking, Manfred, additional

Published
2020
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22. Corrigendum to ‘Criteria for prediabetes and posttransplant diabetes mellitus after kidney transplantation: A 2-year diagnostic accuracy study of participants from a randomized controlled trial’ [American Journal of Transplantation 22 (2022)2880-2891]

Author

Kurnikowski, Amelie, Nordheim, Espen, Schwaiger, Elisabeth, Krenn, Simon, Harreiter, Jürgen, Kautzky-Willer, Alexandra, Leutner, Michael, Werzowa, Johannes, Tura, Andrea, Budde, Klemens, Eller, Kathrin, Pascual, Julio, Krebs, Michael, Jenssen, Trond Geir, and Hecking, Manfred

Published
2024
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23. Corrigendum to ‘Criteria for prediabetes and posttransplant diabetes mellitus after kidney transplantation: A 2-year diagnostic accuracy study of participants from a randomized controlled trial’ [American Journal of Transplantation 22 (2022)2880-2891]

Author

Kurnikowski, Amelie, Nordheim, Espen, Schwaiger, Elisabeth, Krenn, Simon, Harreiter, Jürgen, Kautzky-Willer, Alexandra, Leutner, Michael, Werzowa, Johannes, Tura, Andrea, Budde, Klemens, Eller, Kathrin, Pascual, Julio, Krebs, Michael, Jenssen, Trond Geir, and Hecking, Manfred

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24. Patient and Caregiver Perspectives on Gender Disparity in Chronic Kidney Disease: Questionnaire Survey, Based on an Interview Study.

Author

Vanek L, Gülmez D, Kurnikowski A, Krenn S, Mussnig S, Lewandowski M, Gauckler P, Pirklbauer M, Horn S, Brunner M, Zitt E, Kirsch B, Windpessl M, Eller K, Odler B, Aringer I, Wiesholzer M, Stamm T, Jauré A, and Hecking M

Abstract

Introduction: Chronic kidney disease (CKD) in stages 3-5 without albuminuria occurs more often in women than in men; however, most patients initiating and receiving kidney replacement therapy are men. Sex-determined biological factors and gender-related aspects both likely account for this discrepancy. Patient opinions on gender-related discrepancies in kidney care have not been investigated., Methods: Building upon the findings of semi-structured interviews previously conducted with CKD patients and their caregivers, two questionnaires were developed to investigate patient behavior and opinions relating to gender and CKD. These questionnaires containing 39 items were distributed to eight outpatient clinics in Austria. Responses were descriptively analyzed and compared between genders, as well as between age-groups and CKD stages., Results: Questionnaires from 783 patients and 98 caregivers were included in the analysis and covered health awareness and self-management of disease, the impact of gender roles and gender equality, and patient autonomy and trust in the health-care system. A total of 56.1% of men patients and 63.1% of women patients found that women were better at looking after their health compared to men (41.1%/34.3% no difference, 2.8%/2.6% men better). A total of 95.4% of men patients, 95.0% of women patients, 100% of men caregivers, and 95.5% of women caregivers stated that all patients with kidney disease were treated completely equally, irrespective of gender., Conclusion: Neither the patients nor the caregivers stated gender-determined treatment decisions in CKD care. Both men and women however agreed that women are better at maintaining their own health and excel in disease self-management., (© 2024 The Author(s). Published by S. Karger AG, Basel.)

Published
2024
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25. Kidney Function, Kidney Replacement Therapy, and Mortality in Men and Women.

Author

Hödlmoser S, Carrero JJ, Kurnikowski A, Fu EL, Swartling O, Winkelmayer WC, Schernhammer ES, and Hecking M

Abstract

Introduction: Women are more likely to have chronic kidney disease (CKD), compared with men, yet they are less likely to receive dialysis. Whether this sex disparity, which has predominantly been observed in nephrology-referred or CKD-specific cohorts so far, has a biological root cause remains unclear., Methods: We extracted general population data from the Stockholm CREAtinine Measurements project (SCREAM) ( N = 496,097 participants, 45.5% men, 54.5% women). We used Cox regression to model male-to-female cause-specific hazard ratios (csHRs) for the competing events kidney replacement therapy (KRT, by dialysis or transplantation) and pre-KRT death, adjusted for baseline age, baseline kidney function (assessed via estimated glomerular filtration rate [eGFR] and eGFR slope), and comorbidities. Furthermore, we modeled sex-specific all-cause mortality by eGFR, again adjusted for age, eGFR slope, and comorbidities at baseline., Results: Compared with women, men were significantly more likely to receive KRT (fully adjusted male-to-female csHR for KRT 1.41 [95% CI 1.13-1.76]) but also more likely to experience pre-KRT death (csHR 1.36 [95% CI 1.33-1.38]). Differences between men and women regarding all-cause mortality by eGFR indicated a higher mortality in men at low eGFR values., Conclusion: Our data show that sex differences in CKD outcomes persist even after controlling for important comorbidities and kidney function at baseline. While future studies with a wider range of biological factors are warranted, these data suggest that nonbiological factors may be more important in explaining existing sex disparities in CKD progression and therapy., (© 2021 International Society of Nephrology. Published by Elsevier Inc.)

Published
2021
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26. Nephrologists' Perspectives on Gender Disparities in CKD and Dialysis.

Author

Tong A, Evangelidis N, Kurnikowski A, Lewandowski M, Bretschneider P, Oberbauer R, Baumgart A, Scholes-Robertson N, Stamm T, Carrero JJ, Pecoits-Filho R, and Hecking M

Abstract

Introduction: Globally, there are more women with chronic kidney disease (CKD), yet they comprise only 40% of patients receiving kidney replacement therapy by dialysis. We aimed to describe the perspectives of nephrologists on gender disparities in access to care and outcomes in CKD and dialysis., Methods: We conducted semistructured interviews with 51 nephrologists (28, 55% women) from 22 countries from October 2019 to April 2020. Transcripts were analyzed thematically., Results: We identified 6 themes. Related to women were primary commitment to caregiving (with subthemes of coordinating care, taking charge of health management, deprioritizing own health, centrality of family in decision-making); vigilance and self-reliance (diligence and conscientiousness, stoicism and tolerating symptoms, avoiding burden on family, isolation and coping alone); and stereotyping, stigma, and judgment (body image, dismissed as anxiety, shame and embarrassment, weakness and frailty). Related to men was protecting masculinity (safeguarding the provider role, clinging to control, self-regard, and entitled). Decisional power and ownership included men's dominance in decision-making and women's analytical approach in treatment decisions. Inequities compounded by social disadvantage (financial and transport barriers, without social security, limited literacy, entrenched discrimination, vulnerability) were barriers to care for women, particularly in socioeconomically disadvantaged communities., Conclusion: Nephrologists perceived that women with CKD faced many challenges in accessing care related to social norms and roles of caregiving responsibilities, disempowerment, lack of support, stereotyping by clinicians, and entrenched social and economic disadvantage. Addressing power differences, challenging systemic patriarchy, and managing unconscious bias may help to improve equitable care and outcomes for all people with CKD., (© 2021 International Society of Nephrology. Published by Elsevier Inc.)

Published
2021
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