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RECENT NEWS ARCHIVES

Fri./Sat., July 11-12

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  July 11, 2014
bullet point Offering Options for Dialysis: 'We Need to Do a Better Job'
(Registration required, but free.)
Berns on Nephrology video blog from Medscape Nephrology.

"I queried the audience at the talk I gave at the Spring Clinical Meeting, and absolutely no one indicated that they would be willing to do 3-times-weekly, in-center hemodialysis as their own initial dialysis modality.

There is clearly a tremendous disconnect between what we as nephrologists would opt to do if we needed renal replacement therapy and what our patients end up doing. This is troubling and disconcerting."

Editor's comment: Unfortunately, the kind of medicine that nephrologists want to practice is not the kind of medicine that dialysis patients need. Nephrologists, being gods of internal medicine alchemy, disdain dealing with patients' psychosocial needs. Nephrology much prefers a formulaic/alchemical approach to medicine and has successfully avoided a whole-patient approach to dialysis care for forty years.

Adding to the problem, business leaders and the government have created systems that enable and richly reward nephrologists for practicing a perverse form of medicine and for being lousy physicians. These systems don't respond to patients' needs, they ignore them. As a result, after forty years we have the wrong machines, wrong clinics, wrong care teams, wrong quality measures, and wrong reimbursement incentives, as well as no significant employment or rehabilitation programs.

While I commend Dr. Berns for speaking out, I don't believe he — or any other prominent nephrologist — has come close to understanding the depth and true nature of the problems. New thinking and ideas in nephrology are badly needed. As a start, we should no longer allow nephrology to hide behind its alchemical knowledge and command of statistics. They need to evolve into being better physicians.

Nephrology needs to embrace approaches to dialysis care that continually balance the patients' preferences, their psychosocial needs, and their medical needs. After 40 years, we should be restoring a large percentage of dialysis patients to health who are also living as normal lives as possible. That's what nephrologists would do for themselves. What are we paying them for?

Tell Medicare, Patients Deserve Access to Home Hemodialysis!
Press release from Home Dialyzors United.
bullet point Report: Adults With Serious Mental Illnesses Face 80% Unemployment
Posting from the Kaiser Health News blog.

Editor's note: This is the same unemployment rate as working-age dialysis patients. Does any other field of medicine besides nephrology have no emphasis on patient employment and rehabilitation?
Erythropoiesis-Stimulating Agent Use Among Non-Dialysis-Dependent CKD Patients Before and After the Trial to Reduce Cardiovascular Events With Aranesp Therapy (TREAT) Using a Large US Health Plan Database
Press release from Medical Technology and Practice Patterns Institute, Inc.
The Mental Health Comorbidities of Diabetes
Free, full-text Online First viewpoint article from the Journal of the American Medical Association.
AKI: What Do the Nephrologists Think?
Posting from the eAJKD blog.
Predictors of Progression to Chronic Dialysis in Survivors of Severe Acute Kidney Injury: a Competing Risk Study
Provisional abstract and full-text article (18-page pdf) from BMC Nephrology.
JASN Express Abstracts:
bullet point Hyponatremia Is a Surrogate Marker of Poor Outcome in Peritoneal Dialysis Related Peritonitis
Provisional abstract and full-text article (13-page pdf) from BMC Nephrology.
Serum Metabolomic Profiling and Incident CKD among African Americans
CJASN Express abstract.
bullet point The Effect of Biocompatible Peritoneal Dialysis Solutions on Neutrophil to Lymphocyte Ratio
Early Online abstract from Renal Failure.
bullet point

Critical Appraisal of Biomarkers of Dietary Intake and Nutritional Status in Patients Undergoing Dialysis
Early View extract from Seminars In Dialysis.

bullet point Interleukin-6 in Renal Disease and Therapy
Advance Access abstract from NDT.
bullet point EU Nations Join Forces against 'Exorbitant' Hepatitis C Drug
Article from AFP.
bullet point FDA Recall Notice: Baxter, MiniCap with Povidone-Iodine solution, 5C4466P, for Dialysis
bullet point Kidney Institute in India To Get 600 Beds
bullet point Hotter Weather May Bring More Kidney Stones
bullet point Bridging the Patient-Doctor Communication Gap: Interview with DoctorBase CEO John Kim
Article from MedGadget.
bullet point Uninsured Rate Sinks to Record Low
bullet point Study: Anti-Obamacare Ads Might Have Increased Sign-Ups
bullet point

Mississippi Girl Thought Cured of HIV Shows Signs of Infection

bullet point CMS Proposed Rules Published in the Federal Register:


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Thursday, July 10

Tell Medicare, Patients Deserve Access to Home Hemodialysis!
Press release from Home Dialyzors United.
Erythropoiesis-Stimulating Agent Use Among Non-Dialysis-Dependent CKD Patients Before and After the Trial to Reduce Cardiovascular Events With Aranesp Therapy (TREAT) Using a Large US Health Plan Database
Press release from Medical Technology and Practice Patterns Institute, Inc.
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  July 10, 2014
bullet point Transplant Champ Goes Nuts Begging for Pills
Article from Bloomberg.
bullet point Dr. Martin Schreiber Joins DaVita To Lead Home Dialysis Program
Press release.
bullet point Advance Online Abstracts from Kidney International:
bullet point Mortality and Cardiovascular Disease Among Older Live Kidney Donors
Early View abstract and press release from American Journal of Transplantation. Article from HealthDay.
bullet point European Renal Best Practice Guideline on Kidney Donor and Recipient Evaluation and Perioperative Care
Advance Access abstract from NDT.
bullet point Gelsolin and Adipokines Are Associated With Protein-Energy Wasting in Hemodialysis Patients
Early View
abstract from Artificial Organs.
bullet point Provisional Abstracts and Full-Text PDFs from BMC Nephrology:
bullet point Renal Denervation for Resistant Hypertension
Correspondence from the New England Journal of Medicine.
bullet point Organ Transplants Up for Eighth Straight Year in UK
bullet point Drug Companies' Patient-Assistance Programs — Helping Patients or Profits?
Free, full-text, perspective piece from the New England Journal of Medicine.
bullet point Health Affairs Articles Highlight Opportunities for Patients, Other Stakeholders to Shape Health Research
Press release from the Patient-Centered Outcomes Research Institute (PCORI).
bullet point

Rehabilitation Helps Prevent Depression from Age-Related Vision Loss
Press release from the National Institutes of Health.

Editor's comment: Why is there no rehabilitation in dialysis care?

bullet point Health Care Innovation Awards To Provide Better Health Care and Lower Costs
Press release.
bullet point The Medicare Physician-Data Release — Context and Rationale
Free, full-text, perspective piece from the New England Journal of Medicine.


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Wednesday, July 9

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  July 9, 2014
bullet point Keys to a Successful Home Dialysis Program
(Registration required, but free.)
Video blog from Berns on Nephrology via Medscape Nephrology.
bullet point UAB Celebrates Nation's Longest Kidney Transplant Chain (21)
Article and video from WSFA.com. Web page from the University of Alabama Birmingham.
bullet point Home Visit Program Improves Technique Survival in Peritoneal Dialysis
Free, full-text, Issue in Progress article from Blood Purification.
bullet point Vegan, Vegetarian, & Variety: What You Need to Know!
KidneyTalk podcast from Renal Support Network.
bullet point Articles in Press Abstract from American Journal Of Kidney Diseases:
bullet point Warfarin Tied to Progression of Aortic Stiffness in Dialysis Patients
(Registration required, but free.)
Article from Reuters Health via Medscape Nephrology News.
bullet point An Error Taxonomy System for Analysis of Hemodialysis Incidents
Early View abstract from Journal of Renal Care.
bullet point Articles in Press Abstracts from the Journal of Vascular Access:
bullet point Early View Abstracts from American Journal of Transplantation:
bullet point Study Finds Kidney Donation Safe for Healthy Older Adults
bullet point AAMI Publishes User Guide for Dialysis Facilities
bullet point Inactivity May Be Main Culprit in Obesity Epidemic: Study
Article from HealthDay.
bullet point When Religious Freedom Clashes with Access to Care
Free, full-text, Online First perspective piece from the New England Journal of Medicine.
bullet point NIH Study Finds Extreme Obesity May Shorten Life Expectancy up to 14 Years
bullet point VA Apologizes to Whistleblowers Facing Retaliation
bullet point  


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Tuesday, July 8

UAB Celebrates Nation's Longest Kidney Transplant Chain (21)
Article and video from WSFA.com. Web page from the University of Alabama Birmingham.
AAMI Publishes User Guide for Dialysis Facilities
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  July 8, 2014
bullet point Stem Cell Research May Unlock Cures for Kidney Disease and More
Article from USC News.
bullet point Consumer Advocate: House Innovation Initiative Getting One-Sided Patient View
Pay-for-view article extract from InsideHealthPolicy.com.

"Some patients advocates worry that the House Energy and Commerce Committee is favoring industry-backed patient groups as part of its new medical production innovation initiative, said Diana Zuckerman, president of the National Center for Health Research, which advocates consumer health and safety through medical research.
bullet point Renal Support Network's 12th Annual Essay Contest
This year's theme is "Explain a choice you've made to improve your health and how it could benefit others."
bullet point Medical Inventions from MedGadget:
bullet point Does a Fasting Phosphorus Predict Mortality?
Posting from the eAJKD blog.
bullet point Evidence for the Prevention and Treatment of Stroke in Dialysis Patients
Early View abstract from Seminars in Dialysis.
bullet point Early View Extracts from Seminars in Dialysis:
bullet point Hemodialysis-Specific Factors Associated With Salivary Flow Rates
Early View abstract from Artificial Organs.
bullet point Big Data in Organ Transplantation: Registries and Administrative Claims
Early View abstract from American Journal of Transplantation.
bullet point Effects of Ghrelin on Sepsis Induced Acute Kidney Injury: One Step Forward
Online First abstract from Clinical and Experimental Nephrology.
bullet point Ahead of Print Abstracts from the International Journal of Artificial Organs:
bullet point Peritoneal Microvascular Endothelial Function and the Microinflammatory State Are Associated with Baseline Peritoneal Transport Characteristics in Uremic Patients
Online First abstract from International Urology and Nephrology.
bullet point An Epidemiologic Model to Project the Impact of Changes in Glomerular Filtration Rate on Quality of Life and Survival among Persons with Chronic Kidney Disease
Abstract from International Journal of Nephrology and Renovascular Disease.
bullet point Association of Leptin With Mortality in Patients on Maintenance Hemodialysis: a Prospective Study
Abstract from Iranian Journal of Kidney Diseases.
bullet point Spring/Summer 2014 Live & Give Newsletter
16-page newsletter from Renal Support Network.
bullet point ASN Foundation Provides $2.8 million for Kidney Research
bullet point Avoiding Nocebo Effects to Optimize Treatment Outcome
Free, full-text, Online First viewpoint article from the Jounal of the American Medical Association.
bullet point A Guide to Reading Health Care News Stories
Free, full-text article from JAMA Internal Medicine.
bullet point Alzheimer's Research in 'Major Step' Towards Blood Test
Article from the BBC.
bullet point Experts Reject Routine Screening for Narrowed Neck Arteries
bullet point Medicare Proposes Dollar Figure for New Chronic-Care Code
(Registration required, but free.) Article from Medscape Medical News.


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Monday, July 7

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  July 7, 2014
bullet point British Woman Is First To Give Birth To Twins While on Dialysis
Article from The Daily Mail (UK).
bullet point Independence and Dialysis
July 4th-themed video and press release from NxStage.
bullet point Acute Kidney Injury, Chronic Kidney Disease Each a Risk of the Other
Press release from the National Institutes of Health.
bullet point ISN Position Statement on Chronic Kidney Disease of Uncertain Cause
News release from the International Society of Nephrology.
bullet point Articles in Press Abstracts from American Journal of Kidney Diseases:
bullet point Patient Attitudes Towards Kidney Transplant Listing: Qualitative Findings from the ATTOM Study
Advance Access abstract from NDT.
bullet point Increasing Access to Kidney Transplantation in Countries with Limited Resources: the Indian Experiencw with Kidney Paired Donation
Accepted Article abstract and full-text PDF from Nephrology.
bullet point CJASN Express Abstracts:
bullet point Avoidance of Systemic Anticoagulation during Intermittent Hemodialysis with Heparin Grafted Polyacrilonitrile Membrane and Citrate Enriched Dialysate: a Retrospective Cohort Study
Provisional abstract and full-text article (12-page pdf) from BMC Nephrology.
bullet point Effects of Hemodialysis on Ventricular Activation Time in Children with End-Stage Renal Disease
Early View abstract from Hemodialysis International.
bullet point The Relationship of Cystatin-C Change and the Prevalence of Death or Dialysis Need after Acute Kidney Injury: a Meta-Analysis
Accepted Article abstract from Nephrology.
bullet point FDA Finalizes Guidance on Medical Device ID Database
bullet point The Latest In Medical Convenience: ER Appointments
Article from Kaiser Health News.
bullet point No Practicing on Patients: New Docs Get Boot Camp
Article from AP.
bullet point Sharp Rise of Chikungunya Virus Cases in the Caribbean
bullet point

Medicare Proposes To Slightly Raise Kidney Care Payments

bullet point Kidney Care Community Plans Careful Review of CMS' Proposed Rule


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Thursday, July 3

Articles in Press Abstracts from American Journal of Kidney Diseases:
Patient Attitudes Towards Kidney Transplant Listing: Qualitative Findings from the ATTOM Study
Advance Access abstract from NDT.
CJASN Express Abstracts:
British Woman Is First To Give Birth To Twins While on Dialysis
Article from The Daily Mail (UK).
Kidney Care Community Plans Careful Review of CMS' Proposed Rule
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  July 3, 2014
bullet point Survival of Propensity Matched Incident Peritoneal and Hemodialysis Patients in a United States Health Care System
Advance Online abstract from Kidney International.

"The cumulative hazard ratio for death at one year was 2.38 (95% CI 1.68–3.40) and 2.10 (1.50–2.94) for HD relative to PD patients in the as-treated and intent-to-treat analyses, respectively. The cumulative risk of death, as estimated by the cumulative hazard ratio, favored PD for almost up to 3 years of follow-up in the as-treated analysis and nearly 2 years of follow-up in the intent-to-treat analysis with no differences thereafter."
bullet point Antibiotic Therapy Reduces Mortality by 68 Percent in Hemodialysis Patients
Press release from the Henry Ford Health System. CJASN Express abstract.
bullet point A Missing Ingredient in Diabetes Care Today
Free, full-text article from Diabetes Technology & Therapeutics.

Editor's note: Please read the 10 commandments for improving communication in the diabetes clinic. A similar list is badly needed for the dialysis clinic.
bullet point Multinational Inventory on Chronic Kidney Disease Is Released
Article from the International Society of Nephrology.
bullet point Eight NxStage Product Recall Notices in FDA Enforcement Report for July 2, 2014
#1, #2, #3, #4, #5, #6, #7 and #8.
bullet point Advance Online Abstracts from Kidney International:
bullet point Special Issue: Clinical Findings of Lanthanum Carbonate in Japan
6 abstracts from a supplemental issue of Therapeutic Apheresis and Dialysis.
bullet point Is the Staple Diet Eaten in Medawachchiya, Sri Lanka, a Predisposing Factor in the Development of Chronic Kidney Disease of Unknown Etiology? - A Comparison Based on Urinary Beta2-Microglobulin Measurements
Provisional abstract and full-text article (16-page pdf) from BMC Nephrology.
bullet point Issue in Progress Abstracts from Blood Purification:
bullet point Early Online Abstracts from Renal Failure:
bullet point Low Bicarbonate Predicts Rapid Renal Function Decline
bullet point Insulin Pumps May Outperform Daily Injections for Type 2 Diabetes: Study
bullet point Japanese Stem-Cell 'Breakthrough' Findings Retracted
Article from the BBC.
bullet point Chronic Diseases Are Main US Public Health Concern
(Registration required, but free.) Article from Medscape Medical News. The Health of Americans reviews from The Lancet.
bullet point

Transplant Reverses Sickle Cell in Adults
Article from The Boston Globe. News release from the National Institutes of Health.

bullet point CMS Proposal To Update Policies and Payment Rates for End-Stage Renal Disease Providers for CY 2015
(5-page pdf)

“CMS projects that the ESRD bundled market basket adjusted for multifactor productivity (MFP) update would have been 1.6 percent. However, section 217(b) of the Protecting Access to Medicare Act requires the CY 2015 ESRD payment update to be 0.0 percent. In addition, CMS would apply a proposed wage index budget-neutrality adjustment factor of 1.001306, resulting in a CY 2015 ESRD PPS base rate of $239.33.”

CMS estimates this will increase payments by about 0.3%, or $30 million, in 2015.

bullet point CMS Proposal To Update Quality Measures for End-Stage Renal Disease Prospective Payment System for CY 2015
(3-page pdf)

CMS will accept comments on both proposed rules until September 2, 2014.


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Wednesday, July 2

CMS Proposal To Update Policies and Payment Rates for End-Stage Renal Disease Providers for CY 2015
(5-page pdf)

“CMS projects that the ESRD bundled market basket adjusted for multifactor productivity (MFP) update would have been 1.6 percent. However, section 217(b) of the Protecting Access to Medicare Act requires the CY 2015 ESRD payment update to be 0.0 percent. In addition, CMS would apply a proposed wage index budget-neutrality adjustment factor of 1.001306, resulting in a CY 2015 ESRD PPS base rate of $239.33.”

CMS Proposal To Update Quality Measures for End-Stage Renal Disease Prospective Payment System for CY 2015
(3-page pdf)

CMS will accept comments on both proposed rules until September 2, 2014.
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  July 2, 2014
bullet point New Joint Position Paper Published — Renal Physicians and Physician Assistants: Excellence in Team-Based Medicine
"Store" item for purchase ($50!!) from the Renal Physicians Association.
bullet point A Regulated System of Incentives for Living Kidney Donation: It Is Time for Opposing Groups to Have a Meaningful Dialogue!
Free, full-text Letter to the Editor from American Journal of Transplantation.
bullet point Dialysis Patients Complain of Negligence at Jeddah (Saudi Arabia) Center
Article from Saudi Gazette.
bullet point Phosphate Binders and Metabolic Acidosis in Patients Undergoing Maintenance Hemodialysis-Sevelamer Hydrochloride, Calcium Carbonate, and Bixalomer
Free, full-text, Early View article from Hemodialysis International.
bullet point Chronic Kidney Disease Results in Deficiency of ABCC6, the Novel Inhibitor of Vascular Calcification
Issue in Progress abstract from American Journal of Nephrology.
bullet point Differences between Pediatric and Adult Presentation of ESKD in Attainment of Adult Social Goals
Online First abstract from Pediatric Nephrology.
bullet point Mechanisms of Muscle Wasting in Chronic Kidney Disease
Advance Online abstract from Nature Reviews Nephrology.
bullet point Evaluation of Nutritional Status with Different Methods in Geriatric Hemodialysis Patients: Impact of Gender
Online First abstract from International Urology and Nephrology.
bullet point Early View Abstracts from Journal of Renal Care:
bullet point Initial Experience with the Gore® Acuseal Graft for Prosthetic Vascular Access
Ahead of Print abstract from the Journal of Vascular Access.
bullet point FDA Safety Alert: Coumadin (warfarin sodium) for Injection by Bristol-Myers Squibb: Recall - Particulate Matter
Posting from the MedWatch web site.
bullet point HCV Infection Raises Kidney Failure Risk
bullet point In China, Surveyed Nephrologists Report Significant Declines in the Use of ESAs in Stage 3, 4 and 5 Chronic Kidney Disease Non-Dialysis Patient Populations, Compared with 2011
bullet point Inhaled Insulin Afrezza: FAQ
bullet point Childhood Malnutrition May Raise HTN Risk
bullet point Anemia Treatments Don't Boost Recovery From Brain Injury, Study Finds
bullet point Staff Motivation Key to Change
Article from HFMA.
bullet point American College Of Physicians: Doctors Should Not Perform Routine Pelvic Exams
News summary from Kaiser Health News.
bullet point Former O-Care Adviser: Health Insurers Will Be 'Dead' by 2025
Article from The Hill.
bullet point Ebola: WHO Calls Emergency Talks on Outbreak
bullet point CMS Extends Joint Commission's Deeming Authority for Six Years


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Tuesday, July 1

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  July 1, 2014
bullet point Three Times a Week Dialysis: Is There Evidence for This Dogma
Posting from the eAJKD blog.
bullet point Most Chronic Kidney Disease Patients Misunderstand Palliative and Hospice Care
(Registration required, but free.) Article from Reuters Health. Abstract from BMJ Supportive & Palliative Care.
bullet point Free, Full-Text Articles from Kidney International:
bullet point Measuring Pain in Patients Undergoing Hemodialysis: a Review of Pain Assessment Tools
Advance Access abstract from Clinical Kidney Journal.
bullet point Tuberculosis Screening in a Dialysis Unit: Detecting Latent Tuberculosis Infection Is Only Half the Problem
Abstract from Journal of Hospital Infection.
bullet point Rapid Access to Renal Transplant Waiting List in Children: Impact of Patient and Center Characteristics in France
Advance Access abstract from NDT.
bullet point

Development and Psychometric Evaluation of the Chronic Kidney Disease Screening Index
Early Online abstract from Renal Failure.

bullet point Free, Full-Text Articles from Annals Of Internal Medicine:
bullet point Update in Nephrology: Evidence Published in 2013
First Page Preview from Annals of Internal Medicine.
bullet point Concerns Rise About Delays In Getting Generic Drugs To Market
bullet point Xenetic Biosciences Announces Ongoing Safety Data From Phase 2 Trial of ErepoXen(R)
bullet point Insulin, Other Drugs May Do More Harm Than Good for Some Type 2 Diabetes Patients
bullet point Fresenius Sells Its 5 Pct Stake in Rhoen-Klinikum
bullet point Rockwell Medical Announces FDA Approves $2.2 Million Application Fee Refund for Triferic(TM) New Drug Application
bullet point Birth Control Ruling Sparks Political Clash
Articles from AP, The Hill, and Kaiser Health News.
bullet point Medical Boards Draft Plan To Allow Greater Use Of Telemedicine
News summary from Kaiser Health News.
bullet point Obama To Name Former P&G Chief To Head VA
bullet point  


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Monday, June 30

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  June 30, 2014
bullet point Louisiana Files Lawsuit Against Fresenius Medical Care
Article from The Advocate.
bullet point Organ Transplants: 'Supercooling' Keeps Organs Fresh
Article from the BBC.
bullet point Television Viewing Time Linked to All-Cause Mortality
Article with CME information from HealthDay. Full-text article from the Journal of the American Heart Association.
bullet point

FDA Approves Inhaled Diabetes Medication
Articles from HealthDay and Bloomberg.

bullet point Trace Elements in Dialysis
Free, full-text educational review from Pediatric Nephrology.
bullet point Abstracts from Pediatric Nephrology:
bullet point Oregon State University Researchers Build Novel Sepsis Filter
Article from MedGadget.com.
bullet point Flawed Saudi Response Fueled Outbreak of MERS, Middle East Virus
Article from The New York Times.
bullet point Court: Patients Responsible for Outcomes of Risky Behavior
Article from HealthDay.
bullet point Nurse Practitioners to Play Vital Role in Healthcare Reform
Article from Nurse.com.
bullet point For Heat Stroke Victims, Cool First, Then Transport
bullet point  


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Fri./Sat., June 27-28

Louisiana Files Lawsuit Against Fresenius Medical Care
Article from The Advocate.
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  June 27, 2014
bullet point Fresenius Medical Care Takes $600M Majority Stake in Sound Physicians; Also Buys MedSpring Urgent Care Centers
Article from Reuters. Press release from Fresenius Medical Care. Sound Physicians website. MedSpring Urgent Care Centers website.
bullet point CKD and the Interdisciplinary Team: The Logic Behind the Trend
Free, full-text article from Advances in Chronic Kidney Disease.

"In considering the high rates of depression associated with a diagnosis of CKD, Schell and others outline the evaluation and management of depression in patients with CKD. All too often, we are occupied with the medical management of our patients, and we fall short of addressing their emotional needs. Although resources do exist for depression assessment and counseling of patients with ESKD on dialysis, these resources have not been routinely extended to patients with CKD before onset of dialysis."

Editor's comment: Neither the 2009 Boston meeting on improving dialysis mortality nor the recent Chief Medical Officers Initiative meetings have dealt with psychosocial issues.

Nephrology has not seen the value in improving the psychosocial health of dialysis patients. Nephrologists must stop being internal medicine alchemists and instead become dialysis patients' PHYSICIANS. It is time to them to end their collective disdain of the importance of psychosocial health in dialysis care.

Over several decades, this has led to the wrong machines, the wrong clinics, the wrong dialysis therapy for most patients, wrong interdisciplinary teams, wrong nephrology training, wrong dialysis products and companies, as well as entrenched medical, regulatory, and business models that do not value patient rehabilitation or employment. Virtually no professional expertise in dialysis patient psychosocial health exists.

It has been a perfect storm for creating and sustaining widespread depression amongst dialysis patients. Nothing will change until the nephrologists change. New leadership in nephrology — and especially in dialysis care — is badly needed.
bullet point Abstracts from Advances in Chronic Kidney Disease:
bullet point Nepal's Organ Trail: How Traffickers Steal Kidneys
Article and video from CNN.
bullet point Big Jump in Mers Cases Reported in Saudi Arabia
Article from the BBC.
bullet point Primary Prevention of Diabetic Kidney Disease: Thumbs Up/Down
(Registration required, but free.) Article from Internal Medicine News Digital Network.

"Contrary to conventional wisdom, neither ACE inhibitors nor angiotensin receptor blockers have any role to play in primary prevention of diabetic kidney disease, according to Dr. Robert C. Stanton, chief of nephrology at the Harvard University's Joslin Diabetes Center, Boston."
bullet point Free, Full-Text Articles from the Saudi Journal of Kidney Diseases and Transplantation:
bullet point Small Changes to US Kidney Allocation Policy May Help Reduce Geographic Disparities
Press release and CJASN Express abstract from the American Society of Nephrology.
bullet point Risk Factors for Chronic Kidney Disease Are Present Decades before Diagnosis
Press release and JASN Express abstract from the American Society of Nephrology.
bullet point CJASN Express Abstracts:
bullet point Outcomes of Arteriovenous Grafts Following Simultaneous Thrombectomy and Stent Graft Placement Across the Venous Anastomosis
Early View abstract from Seminars in Dialysis.
bullet point Amelioration of Uremic Tumoral Calcinosis with High Flux Hemodialysis Treatment
Online First letter to the editor from International Urology and Nephrology.
bullet point 'Big Data' Technique Improves Monitoring of Kidney Transplant Patients
Press release from PLOS.
bullet point Low Sodium Diet May Not Reduce Renal Risks
bullet point Vitamin D Blog: Could Vitamin D Play a Role in BP?
bullet point ACOs' Advantages and Drawbacks
Article from Medical Economics.
bullet point Health Care System Needs To Prepare For Global Warming
Article from Kaiser Health News.
bullet point After Stroke, Spouse May Also Need Care
bullet point Special Fraud Alert: Laboratory Payments to Referring Physicians
(7-page pdf) Memo from the U.S. Department of Health and Human Services Office of Inspector General. (There are no direct references to dialysis or ESRD in the memo.)


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Thursday, June 26

Nepal's Organ Trail: How Traffickers Steal Kidneys
Article and video from CNN.
Special Fraud Alert: Laboratory Payments to Referring Physicians
(7-page pdf) Memo from the U.S. Department of Health and Human Services Office of Inspector General. (There are no direct references to dialysis or ESRD in the memo.)
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  June 26, 2014
bullet point Rounding on Dialysis: Quality Over Quantity
(Registration required, but free.) Skype chat with text from Medscape Nephrology.

"I have been interested in this for a long time because of the for-profit/not-for-profit dialysis unit controversy, in which not-for-profit dialysis units in the States had better outcomes, and the for-profit dialysis units seemed to do a better job at reaching their benchmarks of care, probably because of their fabulous IT systems.

"How can you reach better outcomes and get better grades on your benchmarks of care, but then have poor outcomes in your dialysis units?"

Editor's comment: Nephrologists do not seem able to see beyond biochemical markers, hospitalizations, and mortality. Once they enter the world of internal medicine, they seem to put on blinders to seeing the needs of the whole patient — as well as the negative effects of providing care that does not meet their patients' psychosocial needs.

Does becoming a nephrologist mean disdaining the importance of psychosocial and mind/body-connection health? Is this the "group think" factor that has been holding this field of medicine back for so long?

bullet point DaVita Kidney Care Outperforms All Dialysis Providers in Quality Incentive Program
Press release.

Editor's comment: These are "quality" markers of dialysis care that only a corporate nephrologist and CMS could love.

How can DaVita use the word "holistic" without mentioning any psychosocial outcomes that are important to patients?

Successful major organ replacement therapy requires that you treat the whole patient. After 50 years of chronic dialysis treatments, nephrologists (and CMS) still do not understand this.
bullet point "He's the Bravest Kid I've Ever Seen" - Boo's Kidney Transplant
Video from the Mayo Clinic.
bullet point Free, Full-Text Articles from NDT:
bullet point Incidence and Prediction of Ischemic Stroke among Atrial Fibrillation Patients with End-Stage Renal Disease Requiring Dialysis
Abstract from Heart Rhythm.
bullet point Issue in Progress Abstracts from Blood Purification:
bullet point Online First Abstracts from International Urology And Nephrology:
bullet point Novel Hemoglobin Particles—Promising New-Generation Hemoglobin-Based Oxygen Carriers
Early View abstract from Artificial Organs.
bullet point Effectiveness of Integrated Care on Delaying Chronic Kidney Disease Progression in Rural Communities of Thailand (ESCORT study): Rationale and Design of the Study
Provisional abstract and full-text article (16-page pdf) from BMC Nephrology.
bullet point Effect of Chitosan Chewing Gum on Reducing Serum Phosphorus in Hemodialysis Patients: a Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial
Provisional abstract and full-text article (17-page pdf) from BMC Nephrology.
bullet point A Predictive Model of Chronic Kidney Disease in Patients with Congenital Anomalies of the Kidney and Urinary Tract
Online First abstract from Pediatric Nephrology.
bullet point FDA Drug Safety Communication: FDA Review of Cardiovascular Risks for Diabetics Taking Hypertension Drug Olmesartan Not Conclusive; Label Updates Required
bullet point 5 Ways You Can Conquer Restless Legs at Night
bullet point Relation of Completeness of Reporting of Health Research to Journals' Endorsement of Reporting Guidelines: Systematic Review
Free, full-text article from British Medical Journal.

"Reporting of health research is, in general, bad."
bullet point Shortage Of Saline Solution Has Hospitals On Edge
Article from NPR, KQED, and Kaiser Health News.
bullet point Boosting Diversity and Reducing Disparities
Video from Hospitals & Health Networks.
bullet point MLN Connects™ National Provider Calls: Dialysis Facility Compare: Rollout of Five Star Rating — Registration Now Open
Call is scheduled for July 10, 2:30 - 4:00 PM.
bullet point CMS Fraud Prevention System Identified or Prevented $210 Million in Improper Medicare Payments in 2nd Year of Operations


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Wednesday, June 25

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  June 25, 2014
bullet point Decline in Estimated Glomerular Filtration Rate and Subsequent Risk of End-Stage Renal Disease and Mortality
Free, full-text article from the Journal of the American Medical Association.
bullet point Q & A: Living Donor Kidney Donation Starts with Thorough Medical Evaluation
Article from the Mayo Clinic.
bullet point Affymax Board Approves Dissolving Troubled Company
Article from Genetic Engineering & Biotechnology News.
bullet point Stem Cell Advances May Quell Ethics Debate
Article from the Lafayette Journal & Courier.
bullet point Early View Abstracts from Artificial Organs:
bullet point Significant Racial Differences in the Key Factors Associated with Early Graft Loss in Kidney Transplant Recipients
Article in Press abstract from American Journal of Nephrology.
bullet point Thrombosis in the Uremic Milieu — Emerging Role of “Thrombolome”
Early View abstract from Seminars in Dialysis.
bullet point Blood Pressure Kiosks May Not Always Give Accurate Readings
bullet point Healthy People 2020: A Report Card on the Health of the Nation
Free, full-text viewpoint article from the Journal of the American Medical Association.
bullet point Blistering Review Criticizes VA For Downplaying Whistleblower Reports Of Deficient Patient Care
News summary from Kaiser Health News.
bullet point  


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Tuesday, June 24

FacebookTwitter
  June 24, 2014
bullet point Depression and All-Cause Mortality in Hemodialysis Patients
Issue in Progress abstract from American Journal of Nephrology.

"After adjusting for age, sex, race, primary cause of kidney failure, dialysis vintage and access, baseline depression was associated with an increased risk of all-cause mortality (HR 1.51 and 95% CI 1.06-2.17)."
bullet point Page the Renal Fellow, Please!
Posting from the eAJKD blog.

"...nearly a quarter of fellows in other internal medicine subspecialties indicated that they did not choose nephrology for concerns about negative lifestyle perception."

Editor's comment: And how much training do nephrology fellows receive in coordinating and facilitating dialysis patients' care so that they lead as fulfilling and normal lives as possible?

Virtually none.

Yet, nephrologists consider themselves the "captains of the ships" of dialysis patient care.
bullet point 2014 Hemodialysis University (HDU) in Chicago
Scheduled for Aug. 15-16.
bullet point The Sodium Conundrum
Fun with Twitter from the Precious Bodily Fluid blog.
bullet point Rockwell Medical Receives FDA Approval for Calcitriol
Press release.
bullet point Drinking (How Much) Water: What's the Science?
(Registration required, but free.) Berns on Nephrology video from Medscape Nephrology.
bullet point Physical Fitness Level Affects Kidney Function in Type 2 Diabetes
bullet point Common BPA-like Chemical, BPS, Disrupts Heart Rhythms in Females
bullet point QardioArm Ultra-Portable Blood Pressure Cuff Now Available for Purchase
bullet point Ebola Epidemic in West Africa Is 'Out of Control'
Articles from CNN, the BBC, and AFP.
bullet point Nurses Prove to be Powerful Allies in Improving Quality, Bolstering Bottom Line
Article from Hospitals & Health Networks.
bullet point Screening for Abdominal Aortic Aneurysm: U.S. Preventive Services Task Force Recommendation Statement
Free, full-text, Online First article and Summary for Patients from Annals of Internal Medicine.
bullet point Mustaches, Home Oxygen Therapy, Sparks Do Not Mix
bullet point  


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Monday, June 23

Rockwell Medical Receives FDA Approval for Calcitriol
FacebookTwitter
  June 23, 2014
bullet point Medicare Cuts Payments to 11 Ohio Dialysis Centers
Article from the Columbus Dispatch.
bullet point Now Is the Time To Take Kidney Care in America to the Next Level
Commentary in Roll Call by the chair of Kidney Care Partners.

Editor's comment: Contrary to Dr. Jones' comments, few dialysis patients thrive. The nephrology community places little emphasis on restoring dialysis patients to health. Nephrologists, internal medicine specialists that excel at addressing biochemical imbalances, are perhaps the worst physicians and advocates to oversee the care of people who need a balanced, whole-patient, whole-life approach to their care. Nephrologists have not focused on real-life outcomes such as employment and rehabilitation. They have not demanded better technology and smaller and easier-to-use machines which are essential to patients living as normal lives as possible. And why has nephrology lagged so far behind the rest of medicine in improving mortality rates? Shouldn't nephrologists simply be consultants in long-term dialysis patient care?

This legislation continues nephrology's awful legacy of providing a level of care to the vast majority of dialysis patients that nephrologists would never accept for themselves. Truly taking kidney care to the next level would mean that nephrologists would finally recognize that they have been failing dialysis patients for decades... and are finally willing to change the deeply entrenched corporate economics that reward them for doing so.
bullet point Tributes to Karl Nolph
News item from the International Society of Nephrology.
bullet point Deadline for 2014 ICH-CAHPS Registration is June 30, 2014
In-Center Hemodialysis (ICH) Consumer Assessment of Healthcare Providers and Systems (CAHPS) web site.
bullet point Interventions to Improve Medication Adherence in Adult Kidney Transplant Recipients: a Systematic Review
Advance Access abstract from NDT.
bullet point Combined Evaluation of Nutrition and Hydration in Dialysis Patients with Bioelectrical Impedance Vector Analysis (BIVA)
Abstract from Clinical Nutrition.
bullet point Tunneled Catheters with Taurolidine-Citrate-Heparin Lock Solution Significantly Improve the Inflammatory Profile of Hemodialysis Patients
Abstract from Antimicrobial Agents and Chemotherapy.
bullet point Pyogenic Liver Abscess in End-Stage Renal Disease Patients: a Nationwide (Taiwan) Longitudinal Study
Early View abstract from Hemodialysis International.
bullet point Articles in Press Abstracts from American Journal Of Kidney Diseases:
bullet point What Is the Real Impact of Acute Kidney Injury?
Provisional abstract and full-text article (20-page pdf) from BMC Nephrology.
bullet point Shortage Of Saline Solution Has Hospitals On Edge
Article from NPR.
bullet point Breakthrough Development in Kidney Fibrosis Could Be Worth $600M
Article from Herald Sun (Melbourne, Australia).
bullet point DaVita Names Chief Medical Officer for Saudi Operations
bullet point Survey: Nurses Harsh on Overweight Patients
(Registration required, but free.) Article from MedPage Today.
bullet point Mosquito-Borne Chikungunya Virus May Be Headed for U.S.
Article from HealthDay.
bullet point CDC: 14.4% of Americans Uninsured in 2013, Down from 16% in 2010
bullet point Burwell Announces CMS Management Changes


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Fri./Sat., June 20-21

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  June 20, 2014
bullet point Important Differences in Hospitalization Rates among Racial and Ethnic Groups on Dialysis
Press release and CJASN Express abstract from the American Society of Nephrology.
bullet point Optimal Care of the Infant, Child, and Adolescent on Dialysis: 2014 Update
Free, full-text article from American Journal of Kidney Diseases.
bullet point Bone Mineral Density and Serum Biochemical Predictors of Bone Loss in Patients with CKD on Dialysis
CJASN Express abstract.
bullet point Nephropathy in Illicit Drug Abusers: A Postmortem Analysis
(Registration required, but free. Free is one article from American Journal of Kidney Diseases via Medscape Nephrology.
bullet point Lower Serum Fibroblast Growth Factor-23 Levels May Suggest Malnutrition in Maintenance Hemodialysis Patients
Accepted Article abstract from Nephrology.
bullet point Diabetes Gene 'Raises Risk Tenfold'
Article from the BBC.
bullet point Home Dialyzors United Adds Board Member and Makes Committee Appointments
bullet point Demand for Diabetes, Thyroid Care Outpaces Supply of Endocrinologists
bullet point 1 in 10 Moms-to-Be Develop Pregnancy-Linked Diabetes: CDC
bullet point Hospice, Inc. — How Dying Became A Multibillion-Dollar Industry
Article from The Huffington Post.
bullet point

Health Care at the VA:  Recommendations for Change
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.

bullet point Runaway Noise in the Hospital
Article from Hospitals & Health Networks.
bullet point MLN Connects™ National Provider Calls: ESRD Quality Incentive Program: Reviewing Your Facility's PY 2015 Performance Data — Registration Now Open
Call is scheduled for July 16, 2-3 PM.
bullet point MLN Connects™ National Provider Calls: ESRD Quality Incentive Program: Notice of Proposed Rulemaking for PY 2017 and 2018 — Registration Now Open
Call is scheduled for July 23, 2:00–3:30 PM.


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Thursday, June 19

Hospice, Inc. — How Dying Became A Multibillion-Dollar Industry
Article from The Huffington Post.
MLN Connects™ National Provider Calls: ESRD Quality Incentive Program: Reviewing Your Facility's PY 2015 Performance Data — Registration Now Open
Call is scheduled for July 16, 2-3 PM.
MLN Connects™ National Provider Calls: ESRD Quality Incentive Program: Notice of Proposed Rulemaking for PY 2017 and 2018 — Registration Now Open
Call is scheduled for July 23, 2:00–3:30 PM.
FacebookTwitter
  June 19, 2014
bullet point Karl Nolph, 1937-2014
Obituary from the Columbia Daily Tribune (Missouri).

"Dr. Nolph was an internationally recognized pioneer in the field of nephrology and dialysis. His world-renowned research on kidney disease and development of continuous ambulatory peritoneal dialysis (CAPD) transformed the field and has helped countless patients lead healthier, self-sufficient lives."
bullet point Don's Story: When People Feel Better, They Live Better
Video from NxStage.
bullet point Depression Linked to Increased Mortality in Dialysis
(Registration required, but free.) Article from Internal Medicine News.

"... a recent meta-analysis by University of Toronto researchers demonstrated that the presence of depressive symptoms in patients on long-term dialysis was independently associated with a 51% increase in mortality..."

Editor's note: Why have nephrologists neglected this for decades? Instead, they become alchemists, seeking magical biochemical markers. (They should call themselves the Alchemy Society of Nephrology... and the Renal Physicians and Alchemists.)

They need to start focusing on maintaining meaning and purpose in dialysis patients' lives.
bullet point Depression Doubles Odds of Heart Attack for Younger Women: Study
Article from HealthDay. Press release from the American Heart Association.
bullet point UC Irvine Health Receives NIH Grant to Study Kidney Disease, Track Treatment Methods
Press release.
bullet point The Impact of Warfarin on the Rate of Progression of Aortic Stiffness in Hemodialysis Patients: a Longitudinal Study
Advance Access abstract from NDT.
bullet point Never Too Old For an Autogenous Dialysis Fistula? Results of Endovascular Interventions in Nonagenarians
Early View abstract from Seminars in Dialysis.
bullet point Free, Full-Text Articles from Journal of Renal Nutrition:
bullet point Articles in Press Abstracts from American Journal Of Kidney Diseases:
bullet point Postimplantation X-Ray Parameters Predict Functional Catheter Problems in Peritoneal Dialysis
Advance Online abstract from Kidney International.
bullet point Implementation of a Continuous Quality Improvement Program Reduces the Occurrence of Peritonitis in PD
Early Online abstract from Renal Failure.
bullet point MERS-CoV Not Spread to Household Members or Health Care Contacts of the Two U.S. Cases
Press release from the CDC.
bullet point Saline Supply Now Adequate
bullet point Ribavirin for Chronic Hepatitis E Virus Infection
bullet point Dr. Arnold Relman, ex-New England Journal of Medicine Editor, Dies at 91
Article from The Boston Globe.

“We should not allow the medical-industrial complex to distort our health care system to its own entrepreneurial ends,” he wrote in an early editorial.
bullet point Vitamin D and Mortality: Meta-Analysis of Individual Participant Data from a Large Consortium of Cohort Studies from Europe and the United States
Free, full-text article from British Medical Journal.
bullet point Press Releases from the National Institute of Health:
bullet point Tuberculosis Control in New York City — A Changing Landscape
Free, full-text, perspective piece from the New England Journal of Medicine.
bullet point  


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Wednesday, June 18

Karl Nolph, 1937-2014
Obituary from the Columbia Daily Tribune (Missouri).

"Dr. Nolph was an internationally recognized pioneer in the field of nephrology and dialysis. His world-renowned research on kidney disease and development of continuous ambulatory peritoneal dialysis (CAPD) transformed the field and has helped countless patients lead healthier, self-sufficient lives."
Dr. Arnold Relman, ex-New England Journal of Medicine Editor, Dies at 91
Article from The Boston Globe.

“We should not allow the medical-industrial complex to distort our health care system to its own entrepreneurial ends,” he wrote in an early editorial.
FacebookTwitter
  June 18, 2014
bullet point ESCO Application Workshop for Independent Providers
July 10-11 at Chicago's O'Hare Airport.
bullet point High Rate of Unemployment After Kidney Transplantation: Analysis of the United Network for Organ Sharing Database
Free, full-text article from Transplantation Proceedings.

Editor's note: Here is strong evidence that nephrology fails to restore patients' health and their normal lives even after successful kidney transplantation.

We have so far to go.
bullet point Relationship Between Inflammation and Sex Hormone Profile in Female Patients Receiving Different Types of Renal Replacement Therapy
Abstract from Transplantation Proceedings.
bullet point Heparin-Free Dialyzer Effective in High-Risk Patients
(Registration required, but free.) Article from Medscape Medical News.
bullet point Aluminum Transfer during Dialysis: a Systematic Review
Online First abstract from International Urology and Nephrology.
bullet point FDA Issues Draft Guidances for Industry on Social Media and Internet Communications About Medical Products: Designed with Patients in Mind
Article from FDA Voice.
bullet point Alport Syndrome and Kidney Failure, A Family Story
KidneyTalk podcast from Renal Support Network.
bullet point $1,000-a-Pill Sovaldi (for Hepatitis C) Jolts US Health Care System
Article from AP.
bullet point What Should Congress Do To Help Medical Innovation?
Article from The Hill.

Editor's note: I would suggest financial incentives for dialysis providers to increase the number of healthy,employed, working-age patients. It would drive long-overdue technological innovations and would also force providers to incorporate patient input and suggestions into the dialysis-care system. It would establish a framework that balances medical, government, and patient interests and would be self-correcting.
bullet point Insurers Push Back Against Growing Cost Of Cancer Treatments
Article from Kaiser Health News.
bullet point Effect of Structured Physical Activity on Prevention of Major Mobility Disability in Older Adults:  The LIFE Study Randomized Clinical Trial
Free, full-text article from the Journal of the American Medical Association.
bullet point  


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Tuesday, June 17

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  June 17, 2014
bullet point Regenerating Our Kidneys
Press release from Tel Aviv University.
bullet point NJ Man on Dialysis for 30 Years Is Inspiration to Others
Article from South Jersey Times.
bullet point Insight into Patients & Caregivers Perspectives on Conservative Management in End of Life Care
Posting from the eAJKD blog.
bullet point Mid-Atlantic Renal Coalition Announces Special Innovation Project
Press release.
bullet point U.S. Cracks down on Ambulance Overcharging in Philadelphia Area
Article from the Philadelphia Inquirer.
bullet point Study Ties Too Much Sitting to Risks for Certain Cancers
Article from HealthDay.
bullet point FDA Prepping Long-Awaited Plan to Reduce Salt in Food
Article from AP.
bullet point Early View Abstracts from American Journal of Transplantation:
bullet point New Kid on the Pretransplant Block: IgG Recognizing Apoptotic Cells
Free, full-text, Early View editorial from American Journal of Transplantation.
bullet point Uric Acid: Association with Rate of Renal Function Decline and Time until Start of Dialysis in Incident Predialysis Patients
Provisional abstract and full-text article (17-page pdf) from BMC Nephrology.
bullet point Eculizumab Reverses Renal Damage in aHUS
(Registration required, but free.) Article from Medscape Medical News.
bullet point Press Releases from the American Diabetes Association:
bullet point The American Society of Hypertension and the International Society of Hypertension Guidelines for Hypertension Management: An In-Depth Guide
Article from Pharmacy Times.
bullet point High Blood Pressure May Sometimes Be Overtreated: Study
Article from HealthDay. Online First abstract from JAMA Internal Medicine.
bullet point U.S. Ranked Last On Scorecard Of Health Care Systems
News summary from Kaiser Health News. Executive summary from the Commonwealth Fund.
bullet point Most People Satisfied with Healthcare System
Article from The Hill.

"A new Gallup poll finds 66 percent are satisfied with how the healthcare system is working for them."
bullet point Direct-to-Patient Laboratory Test Reporting:  Balancing Access With Effective Clinical Communication
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point Study: Blood Infections Play Role in up to Half of Hospital Deaths
Article from Nurse.com.
bullet point Say What? Many Patients Struggling To Learn The Foreign Language Of Health Insurance
Article from Kaiser Health News and the Sacramento Bee.
bullet point Doctors Turning To Super Software For Advice
bullet point MedPAC Sends Comment Letter on ACOs to Congress
(18-page pdf) June 16 letter from the Medicare Payment Advisory Commission.


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Monday, June 16

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  June 16, 2014
bullet point Home Dialyzors United Responds to the 21st Century Cures Initiative
Letter to the House Committee on Energy and Commerce.

Editor's note: Be sure to read the patients' comments at the end of the letter.

"Dialysis machines have evolved extremely slowly for about 50 years. I usually say that if the evolution in consumer electronics had followed that of dialysis machines, my laptop would be the size of Manhattan."

"Unlike other diseases, like some forms of cancer, where huge gains have been made in the last forty years, dialysis is still back in the 1970s."
bullet point Affymax, Takeda End Anemia Drug Partnership
Article from Dow Jones Business News.
bullet point Answering Patients' Questions on Kidney, Pancreas Policy
Brochures from the United Network for Organ Sharing (UNOS).
  Bionic Pancreas Outperforms Insulin Pump in Adults, Youth
Press release from the National Institutes of Health. Free, full-text, Online First article and press release from the New England Journal of Medicine. Articles from AP and MedPage Today.
bullet point Early View Abstracts from Hemodialysis International:
bullet point Serum Phosphorus and Mortality in the Third National Health and Nutrition Examination Survey (NHANES III): Effect Modification by Fasting
Article in Press abstract from American Journal of Kidney Diseases.
bullet point 2014 Patient-Engagement Learning and Action Network (PE LAN)
Resources from ESRD Network 15.
bullet point FDA Safety Labeling Changes for May 2014
Includes 37 products with revisions to Prescribing Information.
bullet point iHealth Align, World's Smallest FDA Cleared Glucometer, Now Available in U.S.
bullet point Insurers Flocking to ObamaCare
Article from The Hill.
bullet point Distribution of 2014 Dialysis Facility Reports, Quarterly Dialysis Facility Compare- Preview for October 2014, and Payment Year 2015 End-Stage Renal Disease Quality Incentive Program Preview Performance Score Reports – Advance Notice
(9-page pdf) Letter from CMS to ESRD Medical Directors/Unit Administrators.


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Fri./Sat., June 13-14

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  June 13, 2014
bullet point Medicare Taken For a Ride By Ambulance Companies in New Jersey
Article from ProPublica.

"The Garden State costs Medicare more than any other state for ambulance rides per kidney dialysis patient. A new crackdown is set to start, but at one big dialysis center, ambulances remain everywhere."
bullet point China Probes Dumping by EU, Japan Dialysis-Kit Makers
Article from Reuters.
bullet point Survival Differences Among Young Black and White Adults on Dialysis Are Most Striking in Poor Neighborhoods
Press release and JASN Express abstract from the American Society of Nephrology.
bullet point Advance Access Extracts from NDT:
bullet point Validity and Reliability of a Novel Immunosuppressive Adverse Effects Scoring System in Renal Transplant Recipients
Provisional abstract and full-text article (16-page pdf) from BMC Nephrology.
bullet point Left Atrial Volume and Adverse Cardiovascular Outcomes in Unselected Patients with and without CKD
CJASN Express abstract.
bullet point Moxifloxacin-Induced Immune-Mediated Thrombocytopenia in a Chronic Kidney Disease Patient Receiving Hemodialysis
Abstract from The Annals of Pharmacotherapy.
bullet point Race May Attenuate Metformin Benefit
Article from Healthday. Press release from the Endocrine Society.
bullet point Europe's Hypertension Strategy: Charting a Different Course?
(Registration required, but free.) Article from Medscape.
bullet point Saudi MERS Response Hobbled by Institutional Failings
Article from Reuters.
bullet point Texas Man Sues Doctors for Removing Wrong Kidney
bullet point Nationwide Voluntary Recall of BMB-BA006A Advocate Redi-Code+ Blood Glucose Test Strips
bullet point PhRMA, Advocates: Specialty Drug Costs For Patients Too High
Posting from the Kaiser Health News blog.
bullet point Medical Costs and Productivity Losses of Cancer Survivors — United States, 2008–2011
Article from the CDC's MMWR.
bullet point Nurses Group Targets CEO Pay
bullet point Some Medicare Practices On Quality, Patient Stays Questioned


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Thursday, June 12

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  June 12, 2014
bullet point Patients Upset after Tainted Dialysis Fluid Prompts Recall
Article from The Boston Globe.
bullet point Mysterious Kidney Disease Plagues Central America
Article from CNN.
bullet point Snoring Amplifies the Risk of Heart Failure and Mortality in Dialysis Patients
Issue in Progress abstract from American Journal of Nephrology.
bullet point Treating Sleep Apnea May Lower Heart Risks, Study Finds
Article from HealthDay. Press release and abstracts #1 and #2 from the New England Journal of Medicine.
bullet point The Role of Bioimpedance and Biomarkers in Helping to Aid Clinical Decision-Making of Volume Assessments in Dialysis Patients
Advance Online abstract from Kidney International.
bullet point Articles in Press Abstracts from American Journal Of Kidney Diseases:
bullet point Issue in Progress Abstracts from Blood Purification:
bullet point A New Clinical Multivariable Model That Predicts Postoperative Acute Kidney Injury: Impact of Endogenous Ouabain
Advance Access abstract from NDT.
bullet point Unusual Transplant Immunology Case
Posting from the Renal Fellow Network blog.
bullet point Medication Safety Essential For Seniors
Article from HealthDay.
bullet point Xenetic Biosciences Announces Dosing of First Patient on Dialysis in Phase 2a Clinical Study of ErepoXen®
bullet point ‘Nothing Is Broken’: For An Injured Doctor, Quality-Focused Care Misses The Mark
Article from Health Affairs.
bullet point In UK, Recession 'Led to 10,000 Suicides'
Article from the BBC.
bullet point Big Marijuana — Lessons from Big Tobacco
Free, full-text, Online First perspective piece from the New England Journal of Medicine.
bullet point Michigan To Reward Medicaid Enrollees Who Take ‘Personal Responsibility’
Article from Kaiser Health News.


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Wednesday, June 11

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  June 11, 2014
bullet point Top-Ranked Pediatric Hospitals for Nephrology
Annual rankings from U.S. News & World Report. The top five are:
  1. Boston Childrens Hospital
  2. Cincinnati Children's Hospital Medical Center
  3. Children's Hospital of Philadelphia
  4. Texas Children's Hospital
  5. Seattle Children's Hospital
bullet point More Than 29 Million Americans Have Diabetes; 1 in 4 Doesn't Know
Press release from the CDC. Article from HealthDay.
bullet point Flip Flopping in China Over Sourcing Organs From Prisoners
Article from Epoch Times.
bullet point DaVita HealthCare Partners Inc. Announces Pricing of $1.75 Billion Senior Notes
Press release.
bullet point ERA-EDTA: CV Outcomes Better With Cinacalcet, But Only in the Elderly
(Registration required, but free.) Article from Medscape Medical News.
bullet point Practical Considerations When Prescribing Icodextrin: A Narrative Review
Free, full-text, Issue in Progress article from American Journal of Nephrology.
bullet point Multiple Chronic Conditions Among US Adults: A 2012 Update
Free, full-text brief from Preventing Chronic Disease.
bullet point Free, Full-Text Articles from the Journal of the American Medical Association:
bullet point Diabetes: Out-of-Pocket Costs Soar in Type 2 Diabetes
bullet point Renal Measures Predict Stroke Risk
bullet point CKD Stage 4 Patients Have Equal Risk of ESRD, Death
bullet point Sphere Medical's Real-Time In-Line Blood Analyzer Gets a Go in Europe
bullet point Four Hurt as Car Is Driven into Arizona Dialysis Center
bullet point Dream Teams: Ambulatory Care Nurses Are Taking Control and Empowering Patients to Join Them
Article from Nurse.com.
bullet point CMS Announces Opportunity to Apply for Navigator Grants in Federally-facilitated and State Partnership Marketplaces
Press release.


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Tuesday, June 10

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  June 10, 2014
bullet point Kidney Care Partners Lauds Bi-Partisan Legislation to Enhance Research, Expand Choice, and Improve Care Coordination for People with Kidney Disease
Press release. Use Thomas.gov to locate bill H.R. 4814.
bullet point EURODOPPS: A Collaborative Partnership of Arbor Research and ERA-EDTA
Press release.
bullet point Fresenius Medical Care and Aetna Collaborate to Provide Coordinated Care Management for End Stage Renal Disease Patients
Press release.
bullet point Version 2.0 of "My Life, My Dialysis Choice"
Tool to assist patients in choosing dialysis modalities.
bullet point The Optimal Timing of Continuous Renal Replacement Therapy for Patients with Sepsis Induced Acute Kidney Injury
Online First abstract from International Urology and Nephrology.
bullet point Advance Access Abstracts from NDT:
bullet point Cardiovascular Disease Relates To Intestinal Uptake of p-cresol in Patients with Chronic Kidney Disease
Provisional abstract and full-text article (17-page pdf) from BMC Nephrology.
bullet point Desensitization Outcomes: Quantifying and Questioning
Free, full-text, Early View editorial from American Journal of Transplantation.
bullet point Quantifying the Risk of Incompatible Kidney Transplantation: A Multicenter Study
Early View abstract from American Journal of Transplantation.
bullet point PTH Levels Affect Glucose Metabolism
bullet point Amgen CFO Gets $2 Million Signing Bonus
bullet point Mayo Clinic Health System CEO: Health Care Incentives Not Properly Aligned
Video from Hospitals & Health Networks.
bullet point Association of Marketing Interactions With Medical Trainees’ Knowledge About Evidence-Based Prescribing:  Results From a National Survey
Online First abstract from JAMA Internal Medicine.
bullet point Assessing Value in Biomedical Research:  The PQRST of Appraisal and Reward
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point Men Who Take Statins May Exercise Less
Article from HealthDay.
bullet point  


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Monday, June 9

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  June 9, 2014
bullet point DCI and Billings Clinic Enter Joint Venture Forming Billings Clinic Dialysis Center
Press release.
bullet point June 11 Webinar on RPA's iPad App: Clinical Practice Guideline on Shared Decision Making in the Appropriate Initiation of and Withdrawal from Dialysis
Notice from the Northwest Renal Network. The webinar is hosted by the Renal Physicians Association.
bullet point Exercise Training in Adults With CKD: A Systematic Review and Meta-analysis
Article in Press abstract from American Journal of Kidney Diseases.
bullet point Safety of Medical Therapy in Patients With Chronic Kidney Disease and End-Stage Renal Disease
(Registration required, but free.) Article from Current Opinion in Nephrology and Hypertension via Medscape Nephrology.
bullet point Strategies to Increase the Donor Pool and Access to Kidney Transplantation: an International Perspective
Free, full-text, Advance Access article from NDT.
bullet point Gaining the Patient Reported Outcomes Measurement Information System (PROMIS) Perspective in Chronic Kidney Disease: a Midwest Pediatric Nephrology Consortium Study
Online First abstract from Pediatric Nephrology.
bullet point Symptom Clusters Predict Mortality Among Dialysis Patients In Norway: A Prospective Observational Cohort Study
Article in Press abstract from Journal of Pain and Symptom Management.
bullet point ERA-EDTA: New Oral Compound Redresses Metabolic Abnormalities in CKD
(Registration required, but free.) Article from Medscape Nephrology.
bullet point Relative Safety of Peginesatide and Epoetin alfa
Early View abstract from Pharmacoepidemiology and Drug Safety.
bullet point Medication Safety and Chronic Kidney Disease in Older Adults Prescribed Metformin: a Cross-Sectional Analysis
Provisional abstract and full-text article (15-page pdf) from BMC Nephrology.
bullet point Survey: RN Staffing Critical
Article from The Boston Herald via National Nurses United.
bullet point Gallup: Uninsured Rate for Adults Down 3.7 Percentage Points Since 2013
bullet point CMS 2014 End Stage Renal Disease Prospective Payment System PC PRICER Now Available
Also see download instructions and frequently asked questions.
bullet point The Cost Of A Cure: Medicare’s Role In Treating Hepatitis C
Article from Health Affairs.
bullet point GAO Makes MedPAC Appointments and Designates Vice Chair


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Fri./Sat., June 6-7

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  June 6, 2014
bullet point Longer Dialysis Session Length Is Associated with Better Intermediate Outcomes and Survival among Patients on In-Center Three Times per Week Hemodialysis: Results from the DOPPS
Presentation by Dialysis Outcomes and Practice Patterns Study via the International Society of Nephrology website.

(At 3:50) "Overall, the longest treatment times were observed in Australia and New Zealand, and the shortest in the United States."
bullet point AHRQ Safety Program for End-Stage Renal Disease Facilities
This is an ongoing Agency for Healthcare Research and Quality project that will result in a toolkit to help End-Stage Renal Disease clinics prevent healthcare-associated infections in dialysis patients.
bullet point Scientists Find Bromine To Be Essential for Tissue Development — Do Dialysis Patients Need Bromine?
Press release from Vanderbilt University Medical Center. (Also see this December 2006 Letter to the Editor from American Journal of Kidney Diseases.)

"Bromine supplementation may improve the health of patients on dialysis or total parenteral nutrition (TPN), for example."
bullet point The Elderly Patient on Dialysis: Geriatric Considerations
Free, full-text article from NDT.
bullet point CJASN Express Abstracts:
bullet point How Do Hospitalization Patterns of Home Hemodialysis Patients Compare with a Reasonably Well Dialysis Patient Cohort?
Abstract from International Journal of Nephrology and Renovascular Disease.
bullet point Effect of Intradialytic Exercise on Echocardiographic Findings in Hemodialysis Patients
Abstract from Iranian Journal of Kidney Diseases.
bullet point Free, Full-Text Articles from Peritoneal Dialysis International:
bullet point Serum Magnesium Concentration Is Inversely Associated with Fibroblast Growth Factor 23 in Hemodialysis Patients
Accepted Article abstract from Nephrology.
bullet point JASN Express Abstracts:
bullet point Silent Epidemic: Kidney Disease in the African-American Population
Posting from The Huffington Post.
bullet point Bloodstream Infections Reduced through Better Central Line Care at Three Hospitals
Press release from the Association for Professionals in Infection Control and Epidemiology.
bullet point Scientists Question Saudi Openness on Deadly MERS Virus Outbreak
Article from Reuters.
bullet point The $272 Billion Swindle — Why Thieves Love America's Health-care System
Article from The Economist.
bullet point Report Recommends Steps to Promote Systems Engineering in Health Care
News item from AHANewsNow. Report summary (2-page pdf) and full report (66-page pdf) from the President's Council of Advisors on Science and Technology.
bullet point Rural Clinics Increasingly Turned to Telemedicine
Article from AP.
bullet point Senate Confirms Sylvia Burwell as New HHS Chief
Article from The New York Times.
bullet point Medicaid Adds 6 Million Enrollees


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Thursday, June 5

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  June 5, 2014
bullet point FDA Okays 'Professional' Continuous Glucose Monitoring System
(Registration required, but free.) Articles from MedPage Today and Medscape. Press release from Dexcom.
bullet point Vascular Access Vulnerability in Intensive Hemodialysis: A Significant Achilles' Heel?
Free, full-text, Issue-in-Progress article from Blood Purification.
bullet point Cost Savings Using a Protocol Approach to Manage Anemia in a Hemodialysis Unit
Issue-in-Progress abstract from American Journal of Nephrology.
bullet point Advance Online Abstracts from Kidney International:
bullet point A Comparison between Residual Renal Function and Peritoneal Clearance for Na/H2O And Urea Removal in Peritoneal Dialysis Patients
Early Online abstract from Renal Failure.
bullet point Comparison of Bioimpedance and Clinical Methods for Dry Weight Prediction in Maintenance Hemodialysis Patients
Issue-in-Progress abstract from Blood Purification.
bullet point Accepted Article Abstracts and Full-Text PDFs from Nephrology:
bullet point Evidence for Camel-to-Human Transmission of MERS Coronavirus
Free, full-text, Online First report from the New England Journal of Medicine. Articles from Reuters and AP. Related political/public health article from The Tyee.
bullet point Transplant Quarter Century Club: The Club Recipients Want to Join!
KidneyTalk podcast from Renal Support Network.
bullet point Pollution Link to Irregular Heartbeat and Lung Clotting
Article from the BBC.
bullet point Learning from Big Health Care Data
Free, full-text, perspective piece from the New England Journal of Medicine.
bullet point Guidelines, Online Training Aim to Teach Physicians to Weigh Costs of Care, Become Better Stewards of Medical Resources
Free, full-text Online First perspective piece from the Journal of the American Medical Association.
bullet point Medicare Gives Primary Care Permission to Increase Hepatitis C Testing
Decision memo from CMS.
bullet point Medicaid Enrollment Surges by More Than 1 Million in April


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Wednesday, June 4

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  June 4, 2014
bullet point Cardiovascular Remodeling during Long-Term Nocturnal Home Hemodialysis
Free, full-text, Online First article from Clinical and Experimental Nephrology.

Conclusions: Long-term nocturnal hemodialysis leads to favorable cardiovascular remodeling with a reduction in cavity dimensions, regression of left ventricular hypertrophy, and an improvement in diastolic function, as assessed by both transthoracic echocardiography (TTE) and cardiac magnetic resonance imaging (CMR).

Editor's note: This industry is still causing myocardial stunning in most patients.
bullet point Decline in Estimated Glomerular Filtration Rate and Subsequent Risk of End-Stage Renal Disease and Mortality
Free, full-text, Online First article from the Journal of the American Medical Association. Articles from Doctors Lounge and MedPage Today (registration required, but free.)
bullet point ERA-EDTA Congress Annual Meeting Coverage
Feature from Renal & Urology News.
bullet point Saudi Review Finds over 100 More MERS Infections — Toll Now Reaches 282 Deaths
Articles from AP, the BBC, and Reuters.
bullet point HIV Transmission Documented within Hemodialysis Unit in Saudi Arabia
Article from Healio.
bullet point Coping with Fluid Restriction and the Quality of Life in Hemodialysis Patients with Very Low or No Daily Urine Output
Article in Press abstract from the International Journal of Artificial Organs.
bullet point Erythropoietin Stimulating Agents in the Management of Anemia of End-Stage Renal Disease Patients on Regular Hemodialysis: a Prospective Randomized Comparative Study from Qatar
Early View abstract from Hemodialysis International.
bullet point Peritoneal Transport Rate, Systemic Inflammation, and Residual Renal Function Determine Peritoneal Protein Clearance in Continuous Ambulatory Peritoneal Dialysis Patients
Online First abstract from International Urology and Nephrology.
bullet point Advance Access Abstracts from NDT:
bullet point Uric Acid Levels, Kidney Function, and Cardiovascular Mortality in US Adults: National Health and Nutrition Examination Survey (NHANES) 1988-1994 and 1999-2002
Article in Press abstract from American Journal of Kidney Diseases.
bullet point New Onset Diabetes after Kidney Transplant in Children
Online First abstract from Pediatric Nephrology.
bullet point Implantable Cardioverter Defibrillators Linked to Increased Survival for Heart Failure Patients
bullet point Community Program Helps Lower Blood Pressure among Minorities
bullet point

You Live in Alabama; Here’s How You’re Going to Die
Article from Slate.

Kidney disease, as a cause of death, occurs most disproportionately in Missouri, Louisiana, North Carolina, Kentucky, Indiana, West Virginia, and Massachusetts.

bullet point White House Considering Cleveland Clinic's Cosgrove To Take over Veterans Affairs: Source
Article from Reuters.
bullet point Apple Announces HealthKit and Health App for iOS 8
Article from MedGadget.com.
bullet point NIH, PCORI Announce $30 Million Study on Preventing Fall-Related Injuries
bullet point CMS: Early ICD-10 Tests Show Promise


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Tuesday, June 3

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  June 3, 2014
bullet point Baxter Presents Efficacy and Safety Data on VIVIA Haemodialysis System at ERA-EDTA Congress
Press release. Their approach will utilize the VIVIA machine, which has received the CE Mark for use in Europe. Also see Baxter's High Dose Haemodialysis web site and its benefits.

"Moreover, while conventional haemodialysis sustains life, it rarely restores health."

Editor's note: Finally, the therapy option that most dialysis professionals would choose for themselves is identified by a major industry player.

Will Fresenius and DaVita embrace this or will the need for profits drive them in another direction?
bullet point DaVita Refinancing $7.25 Billion in Debt
Article from The Denver Post. Press release from DaVita.
bullet point More Palliative Care Options Needed for Dialysis Patients
Press release from the National Kidney Foundation.

"We often fail to realize that while dialysis can help extend life for the majority of patients, it does not restore health. It is therefore imperative that we invest resources into improving the quality of life for patients with ESRD."
bullet point The Patient-Centered Medical Home, Electronic Health Records, and Quality of CarePatient-Centered Medical Home and Quality of Care
Abstract and press release from Annals of Internal Medicine.
bullet point Regulatory And Cost Barriers Are Likely To Limit Biosimilar Development And Expected Savings In The Near Future
Abstract from Health Affairs.
bullet point Kidney Function After Off-Pump or On-Pump Coronary Artery Bypass Graft Surgery: A Randomized Clinical Trial
Free, full-text Online First article from the Journal of the American Medical Association.
bullet point The “Retinal” View of CKD
Posting from the eAJKD blog.
bullet point Abstracts from International Urology and Nephrology:
bullet point Parathyroidectomy in Dialysis Patients
Article in Press abstract from Journal of Surgical Research.
bullet point Abstracts from Drugs:
bullet point FIND-CKD: A Randomized Trial of Intravenous Ferric Carboxymaltose Versus Oral Iron in Patients with Chronic Kidney Disease and Iron Deficiency Anemia
Advance Access Open Access article from NDT.
bullet point Mechanisms Contributing to Adverse Cardiovascular Events in Patients with Type 2 Diabetes Mellitus and Stage 4 Chronic Kidney Disease Treated with Bardoxolone Methyl
Issue-in-Progress, Open Access article from American Journal of Nephrology.
bullet point Plasma Levels of the Pro-Inflammatory Protein S100A12 (EN-RAGE) Are Associated with Muscle and Fat Mass in Hemodialysis Patients: a Cross-Sectional Study
Provisional abstract and full-text article (16-page pdf) from Nutrition Journal.
bullet point Kansas Startup Company Hopes To Make More Dialysis Patients Eligible for AV Fistulas
bullet point Open FDA Project Releases Millions of Reports
Article/video from The Hill. The openFDA web site has more than 3 million adverse drug events available.
bullet point First Survey of ACOs Reveals Surprising Level of Physician Leadership
Press release from the Dartmouth Institute.
bullet point When Doctors Need Advice, It Might Not Come From A Fellow Human
Article from Kaiser Health News.
bullet point The Political Polarization of Physicians in the United States:  An Analysis of Campaign Contributions to Federal Elections, 1991 Through 2012
Online First abstract from JAMA Internal Medicine.
bullet point Free, Full-Text Articles from Annals Of Internal Medicine:
bullet point Apple Highlights New Mayo Clinic App During Worldwide Developers Keynote
bullet point There's No 'Obesity Paradox' for Stroke, Study Finds
bullet point Medicare Again Releases Hospital Charge and Utilization Data
bullet point Medicare Could Save Billions By Scrapping Random Drug Plan Assignment
bullet point Medicare To Cover Sex-Change Surgery


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Monday, June 2

Baxter Introduces 'High Dose Home Hemodialysis' at ERA-EDTA Conference in Amsterdam
Their approach will utilize the VIVIA machine, which has received the CE Mark for use in Europe. Also see Baxter's High Dose Haemodialysis web page.

Editor's note: Finally, the therapy option that most dialysis professionals would choose for themselves, is identified by a major industry player.
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  June 2, 2014
bullet point Free, Full-Text Articles on Transplantation from Kidney International:
bullet point With More Inmates on Dialysis, Officials Deal With Rising Costs
Article from The New York Times.
bullet point The Challenge of Dialysis at the End of Life
Article from Renal & Urology News.
bullet point Daily Congress News from ERA-EDTA 2014 in Amsterdam:
bullet point FDA Clears Sensory Medical’s Relaxis™, First Device for Restless Leg Syndrome
Press release. Article from MedGagdet.com.
bullet point The Trouble with Organ Banking
Article from The Boston Globe.
bullet point

Printed Kidney Tissue Closer to Reality
News release from the University of Queensland (Australia).

bullet point Dialysis-Related Product Recalls from the FDA Enforcement Report from May 28, 2014:
bullet point Free, Full-Text Articles from Kidney International:

bullet point Test Your Knowledge: Bone Disease and CKD
Posting from the eAJKD blog.
bullet point CDC Awards $19.5 Million to Prevention Research Centers Nationwide
Press release.
bullet point FDA Okays Noninvasive Kidney Test for pMGN
bullet point Rising Drug Prices Trigger Civil War
Article from The Hill.

"The insurance industry is picking a fight with pharmaceutical companies over the rising cost of specialty drugs."
bullet point CMS Innovation Center Webinar Replays:
bullet point Comment Request on IVIG


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