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    Geriatric Nutrition Risk and Creatinine Indexes in Estimating the Nourishment Situation of Elderly Hemodialysis Patients
    (Mattioli 1885, 2022) Yakaryilmaz, Funda Datli; Pembegul, Irem; Kara, Murat
    Objective: Malnutrition is a common complication in hemodialysis (HD) patients, although it cannot be evaluated adequately due to the limitations of available malnutrition screening tools. The aim of our study is to evaluate the relationship between Mini nutritional Assesment-Short Form (MNA-SF) and objective malnutrition tool Geriatric Nutritional Risk Index (GNRI) and Creatinine Index (CI) in HD patients. Methods: This is a cross-sectional study of 129 patients aged 65 years and older (female=61 (47.3%) and male=68 (52.7%), 68.88 ?? 7.24 years) receiving maintenance HD therapy. Malnutrition was diagnosed with MNA-SF. GNRI and CI were calculated using existing formulas. Results: Of the participants, 26 (20.15%) were diagnosed with severe malnutrition, 25 patients (19.4%) were at risk of malnutrition and 78 (60.45%) were diagnosed with normal nutritional status. The optimal cut-off value for GNRI <95 was determined in predicting malnutrition with GNRI, sensitivity and specificity 85.4% and 88.6%, respectively. CI (< 20) was not found effective in determining malnutrition patients due to its low sensitivity and specificity (sensitivity and specificity of 35.9% and 45.0%, respectively). GNRI (<95) is a better predictor of malnutrition screening than CI (<20). Conclusions: In the evaluation of undernourished elderly HD patients, GNRI was as effective as MNA-SF, but CI was insufficient in detecting malnutrition individuals.
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    Lercanidipine-induced Chyloperitoneum in a Geriatric Patient with Peritoneal Dialysis
    (Galenos Publ House, 2023) Pembegul, Irem; Yakaryilmaz, Funda Datli; Balseven, Ozgul
    Peritoneal dialysis is one of the renal replacement therapy modality for patients with end-stage renal disease. Hypertension is a common comorbidity in these patients and calcium channel blockers are the most commonly prescribed drugs. Chyloperitoneum is a non-infectious cause of cloudy peritoneal effluent. Lercanidipine is a lipophilic, third generation calcium channel blocker and a widely used antihypertensive agent. Herein, we presented a case of geriatric peritoneal dialysis patient admitted to hospital cloudy effluent after the use of lercanidipine for hypertension. The peritoneal effluent returned to normal after after the cessation of lercanidipine.
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    Uremic pruritus and its relationship with geriatric syndromes in older hemodialysis patients: analysis using the 5-D itch scale
    (Taylor and Francis Ltd., 2026) Yakaryilmaz, Funda Datli; Turkmen, Dursun; Berktas, Haci Bayram; Pembegul, Irem
    Background: Uremic pruritus (UP) is a common and distressing symptom in hemodialysis patients and may contribute to geriatric syndromes such as impaired sleep, depression, cognitive decline, and functional limitation. Evidence focusing on comprehensive geriatric assessment in older hemodialysis populations remains limited. Objectives: To evaluate the association between UP severity (5-D Itch Scale) and geriatric syndromes (functional status, cognitive function, depressive symptoms, nutritional status, and sleep quality) in older hemodialysis patients. Methods: This cross-sectional study included patients aged ≥65 years who had undergone hemodialysis for at least 6 months. UP was assessed using the 5-D Itch Scale. Comprehensive geriatric assessment comprised Activity of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), Mini-Mental State Examination (MMSE), Geriatric Depression Scale–15 (GDS-15), Mini Nutritional Assessment–Short Form (MNA-SF), and Pittsburgh Sleep Quality Index (PSQI). Group comparisons were performed using nonparametric tests, and associations were examined using Spearman correlation. Results: A total of 118 older hemodialysis patients were included; 70.4% (n = 83) reported UP. Vitamin D levels were lower in patients with UP. Compared with patients without UP, those with UP had lower MMSE scores, and higher GDS and PSQI scores. 5-D score correlated positively with age, depressive symptoms, sleep disturbance, and ADL dependency; and negatively with dialysis duration and cognitive function. Conclusions: In older hemodialysis patients, UP is common and is associated with worse sleep quality, more depressive symptoms, lower cognitive performance, and greater functional limitation. Integrating UP screening into routine geriatric assessment may help identify vulnerable patients and guide multidisciplinary symptom management strategies. © 2026 Informa UK Limited, trading as Taylor & Francis Group.