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RECENT NEWS ARCHIVES

Fri/Sat, July 28-29

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  July 28, 2017
KDIGO CKD-MBD Updated Guideline: The More We Know, The Less We Know
Posting from AJKD blog.
US Transplant Centers Frequently Refuse Deceased Donor Kidneys
Press release and CJASN Express abstract from the American Society of Nephrology. Article from HealthDay.
Kidney Failure and the Value of Acceptance
Posting from the KidneyViews blog.
Articles from Nephrology News & Issues:
Free, Open Access Articles from BMC Nephrology (note Amgen/consulting services authors):
Unlocking the Potential of Organ Donation
Free, full-text, Early View editorial from American Journal of Transplantation.
CJASN Express Abstracts:
Vitamin and Trace Element Deficiencies in the Pediatric Dialysis Patient
First Online abstract from Pediatric Nephrology.
Hemolysis in Hemodialysis
Early View abstract and full-text article (36-page pdf) from Nephrology.
Practical Approaches to the Management of Autosomal Dominant Polycystic Kidney Disease Patients in the Era of Tolvaptan
Free, Open Access, Advance Article from Clinical Kidney Journal.
Incidence of Hyperglycemia and Diabetes and Association with Electrolyte Abnormalities in Pediatric Solid Organ Transplant Recipients
Advance Article abstract from NDT.
Research Highlights Impact of Kidney Injury on Nonrenal Solid Organ Transplants
Press release from University of Cincinnati Academic Health Center.
Advance Online Abstracts from The Journal of Vascular Access:
Training in ABPM, the "Renal Biopsy" of Hypertension
Posting from the Renal Fellow Network blog.

Thousands of Lives Could Be Saved If All 2.5 Million British Kidney Patients Took Statins, Watchdog Claims
Article from The Sun (UK).

Articles from the CDC's MMWR Weekly:
Managing Renal Masses
McCain's 'No' Vote Kills "Skinny Repeal" in Early Morning Drama on Capitol Hill
Article from AP via STAT. Article from CNN.
Articles from The Hill:
CMS Extends Ground Ambulance, Home Health Moratoria
News brief from AHANews.
Seema Verma Runs Medicaid. Her Husband's Practice Won't Accept It
Article from Kaiser Health News.


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Thursday, July 27

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  July 27, 2017
What Are Risk Factors for Melanoma in Kidney Transplant Recipients?
Press release and New Online abstract from JAMA Dermatology.
Dialysis Patients Rally at DaVita's Irvine (CA) Company Office to Reinstate Fired Workers
Article from OC Weekly.
KDIGO Announces Publication of the Living Kidney Donor Guideline
Press release from Kidney Disease: Improving Global Outcomes (KDIGO). Article from Transplantation: (10-page pdf) Summary of Kidney Disease: Improving Global Outcomes (KDIGO) Clinical Practice Guideline on the Evaluation and Care of Living Kidney Donors.
Patient Perspective: KIDNEYcon 2017
3-minute YouTube video from KIDNEYcon.
The Fragility of Significant Results Underscores the Need of Larger Randomized Controlled Trials in Nephrology
Article in Press abstract from Kidney International.
Removal of Cell-Activating Substances Using Dialyzers With Various Permeability Profiles
Early View abstract from Artificial Organs.
Advance Online Abstracts from the Journal of Vascular Access:
Skin Tattoos Alter Sweat Rate and Na+ Concentration
Free, full-text article from Medicine & Science in Sports & Exercise.
Free, Open Access Articles from Kidney & Blood Pressure Research:
Free, Full-Text Articles from Nephron:
Management of Septic Shock — Polling Results
Free, full-text, First Online article from The New England Journal of Medicine.
HRSA Recognizes Hospitals for Organ Donation Efforts
Baxter Reports Second-Quarter 2017 Results and Provides Updated Financial Outlooks
Senate GOP Wins Vote To Debate Health Care, Then Loses Vote On ACA Replacement Bill
Posting from the Health Affairs Blog. Article from HealthDay.

Articles from Kaiser Health News:

Should You Finish a Course of Antibiotics?
Article from the BBC. Full-text analysis from The BMJ.
"With little evidence that failing to complete a prescribed antibiotic course contributes to antibiotic resistance, it's time for policy makers, educators, and doctors to drop this message, ..."
Free, Full-Text Article from The New England Journal Of Medicine:
Information from June 28 National Provider Call on Dialysis Facility Compare: Quality Measure Update
Task Force Suggests Amendments to Stark Law, Anti-Kickback Statute
Article from HealthLeaders Media.


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Wednesday, July 26

Dialysis Patients Rally at DaVita's Irvine (CA) Company Office to Reinstate Fired Workers
Article from OC Weekly.
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  July 26, 2017
U.S. House Approves Measure to Get Dialysis Clinics Certified Faster
Articles from KSNT.com (Kansas) and WIBW.com. Article from Modern Healthcare (registration required).
FDA Recall Notice: Mesa Laboratories: Conductivity Standard Solution, 14.0 mS/cm
Recall notice Z-2739-2017.
Free, Full-Text, Early View Articles from American Journal of Transplantation:
Femoral Arteriovenous Grafts for Hemodialysis: Retrospective Comparison With Upper Extremity Grafts and Fistulas
Free, Open Access article from Canadian Journal of Kidney Health and Disease.
Free, Full-Text Articles from Transplantation:
Infection-Related Hospitalizations after Kidney Transplantation in Children: Incidence, Risk Factors, and Cost
First Online abstract from Pediatric Nephrology.
Long-Term Outcomes of Simultaneous Heart and Kidney Transplantation in Pediatric Recipients
Early View abstract from Pediatric Transplantation.
Impact of Electronic Acute Kidney Injury (AKI) Alerts With Automated Nephrologist Consultation on Detection and Severity of AKI: A Quality Improvement Study
Article in Press abstract from American Journal of Kidney Diseases.
Weight Management Strategies for Those with Chronic Kidney Disease-a Consensus Report from the Asia Pacific Society of Nephrology and Australia and New Zealand Society of Nephrology 2016 Renal Dietitians Meeting
Accepted Article abstract from Nephrology.
Does Whey Protein Supplementation Improve the Nutritional Status in Hypoalbuminemic Peritoneal Dialysis Patients?
Early View abstract from Therapeutic Apheresis and Dialysis.
Patient Advocacy Groups Send Joint Letter Calling for Step Therapy Reform
News release from the Chronic Disease Coalition.
With Pence as Tie-breaker, Senate Votes to Debate Obamacare Overhaul
Article from HealthDay.
News Summaries from Kaiser Health News:
CROWNWeb Facility Dashboard: Your System, Your Voice Town Hall
Thu, July 27th 2017, 2:00 pm ET.
CMS Proposes Chopping $1 Billion from Home Health Reimbursement over Two Years
(Registration required, but free.) Article from Modern Healthcare. News brief from AHANews. CMS press release.


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Tuesday, July 25

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  July 25, 2017
DaVita CEO Kent Thiry Says He Won't Run for Colorado Governor
Articles from The Denver Post and Denver Business Journal.
Review of ERA-EDTA 2017
(115-page pdf) Free, full-text issue of EMJ Nephrology. YouTube video of the opening ceremony of ERA-EDTA 2017 in Madrid, Spain on June 3rd.
Webinar: Introduction to the NHSN Dialysis Event Surveillance Protocol
Notice from the Northwest Renal Network on the National Healthcare Safety Network (NHSN) webinars scheduled for Aug. 3 and Aug. 4. Pre-registration is required.
CJASN Express Abstracts:
Kidney Disease Risk Score Can Be Built into Patients' Electronic Health Records
Press release from Brigham and Women's Hospital. Advance Article abstract from the Journal of American Medical Informatics Association.
Free, Full-Text, Early View Articles from American Journal of Transplantation:
Release Nears for Revised US Hypertension Guidelines
Commentary from Internal Medicine News.
Free, Full-Text, Advance Articles from NDT:
Impact of Renin-Angiotensin Aldosterone System Inhibition on Serum Potassium Levels among Peritoneal Dialysis Patients
Issue-in-Progress abstract from American Journal of Nephrology.
Article in Press Abstracts from Kidney International:
Iron-based Binder Improves Phosphorus Levels in Dialysis Patients
Article from Renal & Urology News.
UMD Engineers Invent the First Biocompatible, Ion Current Battery
Unicyte AG, Regenerative Medicine Unit of Fresenius Medical Care, Appoints Scientific Advisory Board
Psychiatry Group Tells Members They Can Defy 'Goldwater Rule' and Comment on Trump's Mental Health
Article From STAT.

"An increasing number of psychologists and psychiatrists have denounced the restriction as a “gag rule” and flouted it, with some arguing they have a “duty to warn” the public about what they see as Trump’s narcissism, impulsivity, poor attention span, paranoia, and other traits that, they believe, impair his ability to lead."
Articles from Kaiser Health News:
Sharing Knowledge for Health Care
Free, full-text, Online First viewpoint article from JAMA Internal Medicine.
Slight Drop in Measles Vaccinations Could Triple Infections in U.S. Kids
House Panel Launches Initiative to Reduce Medicare Regulations, Mandates
News brief from AHANews.
Data Book: Health Care Spending and the Medicare Program
(214-page pdf) report from the Medicare Payment Advisory Commission.


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Monday, July 24

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  July 24, 2017
NAACP Endorses Dialysis Patient Care State (California) Legislation
Article from Compton Herald.
Odds for Receiving a Kidney Transplant Now Equal for Black, White and Hispanic Candidates
Press release and analysis from the United Network for Organ Sharing.

Strengthening Chronic Care Is Both Personal and Financial for the Patient
Blog posting from Health Populi. Article from Healthcare IT News. Report (17-page pdf) and resources from West.

Free, Full-Text Articles from American Journal of Kidney Diseases:
Free, Full-Text Articles from American Journal of Transplantation:
Free, Full-Text, Early View Articles from American Journal of Transplantation:
Changes in Health Related Quality of Life in Older Candidates Waiting for Kidney Transplantation
Accepted Article abstract from Nephrology.
How To Set the Stage for a Full-Fledged Clinical Trial Testing ‘Incremental Haemodialysis’
Advance Article abstract from NDT.
The Incremental Cost of Incompatible Living Donor Kidney Transplantation: A National Cohort Analysis
Early View abstract from American Journal of Transplantation.
Results of the HEMO Study Suggest That p-Cresol Sulfate and Indoxyl Sulfate Are Not Associated with Cardiovascular Outcomes
Article in Press abstract from Kidney International.
First Online Abstracts from Pediatric Nephrology:
KIDney Notes May/June 2017
(15-page PDF) Newsletter from the American Society of Pediatric Nephrology.
Bone Biopsy Is Not at All Outdated!
News release from European Renal Association-European Dialysis and Transplant Association.
Battery Fires on Medical Carts Heats Up as Safety Priority
Press release from AAMI.
A Reminder That Meds and Grapefruit Don't Always Mix
The One Universal Truth about Medicine — Communication Is Key
(Registration required, but free.) Article from MedPage Today.
Articles from Kaiser Health News:
 


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Fri/Sat, July 21-22

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  July 21, 2017
Almost 10,000 Children and Adolescents in United States Are Living with End-Stage Renal Disease
News item from the CDC's Chronic Kidney Disease Surveillance System.
Pruning Polypharmacy: Pill Pushers to Deprescribers in Dialysis?
Posting from the AJKD blog.
House Committee Approves Funding for NKF Priorities
Posting from the National Kidney Foundation's Advocacy in Action blog.
Self-Cannulation: A Patient Right and CMS Expectation for Interested and Trained Patients
Posting from the KidneyViews blog.
Laughter Therapy in Dialysis: Exercise, Activity and Wellness
Webinar on July 27, 2-3 PM EDT. The speaker is Dr. Paul Bennett, an Honorary Professor at Deakin University, Melbourne, Australia and currently the Director of Medical & Clinical Affairs at Satellite Healthcare Inc., USA.
New Transplant Rules Help More African Americans Get Kidneys
Article from The Inquirer (Philadelphia).
Article from Nephrology News & Issues:
Press Releases from the American Society of Nephrology:
Beneficial Effect of Kidney Transplantation from a Deceased Donor on Severe Chronic Refractory Intradialytic Hypotension-a Case Report
Free, Open Access article from BMC Nephrology.
CJASN Express Abstracts:
Flawed Assumptions: Ethical Problems With Proposed Presumed Consent Legislation
Free, full-text, Early View letter to the editor from American Journal of Transplantation.
Articles from Kaiser Health News:
A Sodium Surprise — Engineers Find Unexpected Result during Cardiac Research
Senate Republicans Complain of Chaos in Healthcare Effort
Article from Reuters. Article from The Hill.

What's Ahead for Health Reform in 2018?
Article from HealthDay.

 


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Thursday, July 20

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  July 20, 2017
Postings from KidneyViews Blog:
Initiation of Sevelamer and Mortality among Hemodialysis Patients Treated with Calcium-Based Phosphate Binders
CJASN Express abstract. News release from Arbor Research.
Researchers Identify Critical Need for Standardized Organ Donation Metrics
Press release from Penn Medicine. Early View abstract from American Journal of Transplantation.
Modulation of Leukocytic Angiotensin-Converting Enzymes Expression in Patients Maintained on High-Permeable Hemodialysis
Advance Article abstract from NDT.
Appropriate Vascular Access for Dialysis Patients with Limited Life Expectancy
Article From Nephrology News & Issues.
Histopathology of Veins Obtained at Hemodialysis Arteriovenous Fistula Creation Surgery
JASN Express abstract.
New Robotic Lab Tracking Toxicity of Lake Erie Algal Bloom
Press release from the University of Michigan.
Free NIDDK Brochures
Exercise Packs a Punch against Inflammation
CBO: GOP Plan Would Spike Premiums, Cut 32M From Insurance Rolls
Posting from Roll Call. Article from Kaiser Health News.
Republicans Meet Late into Night As Trump Demands New Healthcare Plan
Article from Reuters.
Women CEOs, Nurses Get Short End of Salaries
Article from Modern Healthcare.
CROWNWeb: Submission Deadline for All May 2017 Clinical Data Is July 31, 2017 at 11:59 PM EDT


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Wednesday, July 19

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  July 19, 2017
Candidate for Governor of Georgia Touts Her Experience in $450 Million DaVita Medicare Fraud Case
Article from Atlanta Journal-Constitution.
From Miracle to Mainstream — Creating the World's First Dialysis Organization
Notice of new book by Dr. Christopher Blagg from the Northwest Kidney Centers. 2-minute YouTube video. Amazon page.
PCORI Announces New Initiative to Support Shared Decision Making
Press release from the Patient-Centered Outcomes Research Institute.
Could Aggressive Blood Pressure Treatments Lead to Kidney Damage?
Press release from the University of Virginia Health System.
More Than 100 Million Americans Have Diabetes or Prediabetes: CDC
Article from HealthDay. Press release and report (20-page pdf) from the Centers for Disease Control and Prevention.
Prolonged Intermittent Renal Replacement Therapy in Children
First Online abstract from Pediatric Nephrology.
Mechanisms Involved in Hypersensitivity Reactions to Polysulfone Hemodialysis Membranes
Early View abstract from Artificial Organs.
Hemopurifier Filters Ebola, Hep C, Metastatic Melanoma: Interview with James A. Joyce, CEO of Aethlon Medical
Article from MedGadget.
Republican Push to End Obamacare Collapses in Senate
Articles from Reuters and HealthDay. Analysis from Kaiser Health News.
Can't Remember the Last Time a US President Cheered Suffering of Our Citizens & Advocated for Failure of Our Economy.
Tweet from Rep. Joe Kennedy III. News summary from Kaiser Health News.
Mean Girls (and Guys) in Healthcare
Article from HealthLeaders Media.
 


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Tuesday, July 18

From Miracle to Mainstream — Creating the World's First Dialysis Organization
Notice of new book by Dr. Christopher Blagg from the Northwest Kidney Centers. 2-minute YouTube video. Amazon page.
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  July 18, 2017
Renal Physicians Association (RPA) Proposal to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) for an ESRD Clinical Episode Payment Model
(22-page pdf) report.

Editor's note: Notice that the large for-profit providers dominate the RPA Board of Directors.

This payment model ignores the fact that the largest and most powerful financial incentive for for-profit providers/nephrologists is to keep patients with private insurance in their dialysis centers until the insurance converts to Medicare after 30 months. This perverse financial incentive will continue to harm tens of thousands of patients.

This model pays nephrologists for doing the most basic right things for patients and fits the low-bar, integrated-care model that the large providers are planning on for the future. It is quite interesting that these U.S. nephrologists feel they need a $3000 incentive to recommend patients for a pre-emptive transplant and a $1500 bonus for a transplant after dialysis has started. DCI, the largest non-profit dialysis provider, makes pre-emptive transplants their primary goal.

As usual, there is no mention of renal rehabilitation or patient employment, which will keep technology stagnant and guarantee continued use of existing infrastructure. The patient-defined measures for this payment model remain largely undefined. This is what one would expect in a physician-focused payment model from junk-bond-financed, for-profit providers.
The Largest Dialysis Providers in 2017: More Jump on Integrated Care Bandwagon
Annual feature from Nephrology News & Issues.
Driving Down Food Insecurity and Raising Up Community Health
Article from Hospitals & Health Networks.

Editor's note: Considering the amount of water dialysis units put down the drain... and the special dietary requirements of dialysis patients....
Blood Volume-Monitored Regulation of Ultrafiltration to Decrease the Dry Weight in Fluid-Overloaded Hemodialysis Patients: a Randomized Controlled Trial
Free, Open Access article from BMC Nephrology.
CJASN Express Abstracts:
Iron-based Phosphate Binders: a Paradigm Shift in the Treatment of Hyperphosphatemic Anemic CKD Patients?
First Online abstract from Journal of Nephrology.
Early View Abstracts from American Journal of Transplantation:
Serum Potassium Levels and Risk of Sudden Cardiac Death Among Patients with Chronic Kidney Disease and Significant Coronary Artery Disease
Article in Press abstract and full-text article (25-page pdf) from Kidney International Reports.
Why Should We Screen for Arterial Hypertension in Children and Adolescents?
Free, Open Access, First Online article from Pediatric Nephrology.
Women's Renal Health Across the Decades
14 abstracts from July 2017 issue of Seminars in Nephrology.
Two More GOP Senators Oppose Health Care Overhaul, Dooming Bill for Now
Articles from AP, HealthDay, Reuters, Roll Call, and Kaiser Health News.
Report: US Healthcare System Worst among 11 Weatlthy Nations
News brief from Healthcare DIVE. Report from the Commonwealth Fund.
Free, Full-Text, New Online Articles from JAMA Internal Medicine:
What Is Medicaid? More Than Meets the Eye
Free, full-text, New Online viewpoint article from The Journal of the American Medical Association.

Does Medicare/Medicaid Incentive Payment Affect Home Hospice Care in Last Week of Life?
Publisher press release.

HIPAA Training Video


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Monday, July 17

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  July 17, 2017
A Prescription of Activities Shown to Improve Health and Well-Being
Press release from Newcastle University.

Editor's note: Renal rehabilitation should be a requirement of dialysis care.
Doctors Are Smart but Not Emotionally Intelligent
Posting from the KevinMD blog.

Editor's note: One could argue that there is an inverse relationship in American physicians between their medical expertise and their emotional intelligence. Nephrologists 'love to fix the numbers' but have little interest in well-patient models of care.
ERA-EDTA Registry Annual Report (covers 2015 data)
(150-page pdf) The ERA-EDTA Registry collects data on renal replacement therapy (RRT) via the national and regional renal registries in Europe and countries bordering the Mediterranean Sea. For this 2015 Annual Report data sets from 52 national or regional renal registries in 36 countries were used.
Treatment of Uremic Pruritus (Itching): A Systematic Review
Free, Open Access, Article in Press from American Journal of Kidney Diseases.
Challenges in Conducting Clinical Trials in Nephrology: Conclusions from a Kidney Disease—Improving Global Outcomes (KDIGO) Controversies Conference
Free, Open Access article from Kidney International.
JASN Express Abstracts:
Perspectives from the Kidney Health Initiative on Advancing Technologies to Facilitate Remote Monitoring of Patient Self-Care in RRT
CJASN Express abstract.
Free, Full-Text Articles from Transplantation:
Aldosterone Antagonist Therapy and Its Relationship with Inflammation, Fibrosis, Thrombosis, Mineral Bone Disorder and Cardiovascular Complications in Peritoneal Dialysis (PD) Patients
Free, Open Access, First Online article from International Urology and Nephrology.
The Relation between Hemoglobin Variability and Carotid Intima Media Thickness in Chronic Hemodialysis Patients
First Online abstract from International Urology and Nephrology.
Influence of Residual Renal Function in Carotid Modeling as a Marker of Early Atherosclerosis in Dialysis Patients
Early View abstract from Therapeutic Apheresis and Dialysis.
From Last to First — Could the U.S. Health Care System Become the Best in the World?
Free, full-text, Online First perspective piece from The New England Journal of Medicine.
CBO Won't Have Monday Score for Senate Healthcare Bill
Article from The Hill.
Citing Safety Concerns, 1,200 Nurses Stage One-Day Strike At Tufts Medical Center
Article from Hospital Safety Insider via HealthLeaders Media. News summary from Kaiser Health News.
FDA Exempts Over 1000 Devices from 510(k) Requirement

Bill to Reauthorize, Expand Medicare Advantage Special Needs Plans Clears Committee
News brief from AHANews.



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Fri/Sat, July 14-15

ERA-EDTA Registry Annual Report (covers 2015 data)
(150-page pdf) The ERA-EDTA Registry collects data on renal replacement therapy (RRT) via the national and regional renal registries in Europe and countries bordering the Mediterranean Sea. For this 2015 Annual Report data sets from 52 national or regional renal registries in 36 countries were used.
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  July 14, 2017
Kidney Care Partners Applauds House Ways & Means Committee's Bipartisan Legislation to Improve and Expand Access to Kidney Care
Press release.
Poor Thyroid Function May Affect Dialysis Patients' Quality of Life and Daily Living
Press release and CJASN Express abstract from the American Society of Nephrology.
Advance Article Abstracts from NDT:
Issue-in-Progress Abstracts from American Journal of Nephrology:
Quality of Care and Practice Patterns in Anemia Management at Specialist Kidney Clinics in Ireland: a National Study
Free, full-text, Advance Article from Clinical Kidney Journal.
Accepted Articles Abstracts from Nephrology:
A Description of Advanced Chronic Kidney Disease Patients in a Major Urban Center Receiving Conservative Care
Free, Open Access article from Canadian Journal of Kidney Health and Disease.
Early View Abstracts from Seminars In Dialysis:
Moving on: Transitioning Young People with Chronic Kidney Disease to Adult Care
First Online abstract from Pediatric Nephrology.
Care for Chronically Ill Children May Suffer When Parents and Doctors Are at Odds
Press release from Iowa State University.
Blood Pressure in Chronic Kidney Disease: A Moving Target
(Registration required, but free.) Commentary from Medscape Nephrology.
Five Takeaways from the GOP's Healthcare Reboot
Articles from The Hill, HealthDay, and HealthLeaders Media.
New Senate Republicans Healthcare Bill Already in Trouble
Article from Reuters and The Hill.
Articles from Kaiser Health News:
Doctors, Nurses among Hundreds Charged with Defrauding US Health Programs
Article from Reuters.
Physicians Need to Openly Discuss Medical Mistakes and near Misses
Article From STAT.
Both Urgency and Balance Needed in Addressing Opioid Epidemic — A Report From the National Academies of Sciences, Engineering, and Medicine
Free, full-text, New Online viewpoint article from the Journal of the American Medical Association.
ESRD QIP: Proposed Rule for Payment Year 2021 Listening Session — July 26
Notice from CMS MLN Connects.
Medicare Escapes Mandatory Cuts in 2017, Trustees Report
Article from Reuters.
CMS Press Releases:


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Thursday, July 13

ESRD QIP: Proposed Rule for Payment Year 2021 Listening Session — July 26
Notice from CMS MLN Connects.
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  July 13, 2017
VA Center for Innovation Releases Broad Agency Announcement for Funding Pioneering Kidney Projects
Notice via Kidney News Online. Submissions can be provided between June 14, 2017 and August 14, 2017.
Rural Clinics Exempt from Newest Version of California Staff Ratio Bill for Dialysis Clinics
Article From Nephrology News & Issues. California Senate Bill SB-349.
Prehabilitation for Kidney Transplant Candidates: Is It Time?
Free, Open Access, Early View review article from Clinical Transplantation.
Free, Full-Text CJASN Express Articles:
Risk of Post-Pregnancy Hypertension in Women with a History of Hypertensive Disorders of Pregnancy: Nationwide Cohort Study
Full-text article and linked paper from The BMJ.
Free, Full-Text Articles from Kidney International:
Free, Full-Text, Advance Articles from Clinical Kidney Journal:
Long-Term Progression of Coronary Artery Calcification Is Independent of Classical Risk Factors, C-Reactive Protein, and Parathyroid Hormone in Renal Transplant Patients
Issue-in-Progress abstract from CardioRenal Medicine.
A Multicenter Cohort Study of Potential Living Kidney Donors Provides Predictors of Living Kidney Donation and Non-Donation
Article in Press abstract from Kidney International.
More Evidence the SGLT-2 Inhibitor Empagliflozin Protects the Kidneys
(Registration required, but free.) Reuters article via Medscape Nephrology.
To Assess the Effects of Parathyroidectomy (TPTX versus TPTX+AT) for Secondary Hyperparathyroidism in Chronic Renal Failure: a Meta-Analysis
Article in Press abstract from International Journal of Surgery.
Joining Forces to Improve Dialysis Quality of Care
KidneyTalk podcast from Renal Support Network.
DaVita Medical Group Acquires Physician Practices in the Orlando Area
Diabetes Causes Shift in Oral Microbiome That Fosters Periodontitis, Penn Study Finds
Aerobic Exercise Found Safe for Non-Dialysis Kidney Disease Patients
FDA Panel OKs What May Soon Be First Gene Therapy Approved in U.S.
Article from HealthDay.
Tufts Medical Center Suspends Picketing Nurses until Monday
Article from Boston Herald.
ESRD QIP Program 3.0 Payment Year 2018 Quick Start Guide is Now Available
Notice from CROWNWeb. The Facility User Quick Start Guide is a 14-page pdf.


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Wednesday, July 12

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  July 12, 2017
Dialysis Payment Model Reform: Managing Conflicts Between Profits and Patient Goals of Care Decision Making
Free, full-text, Article in Press from American Journal of Kidney Diseases.

"The “cleanest” solution to this problem might be to preclude employees of dialysis organizations and nephrologists with more than trivial financial stake in an ESCO from participating in goals of care and end-of-life discussions with patients with CKD who are approaching ESRD or whose who are already receiving dialysis."

Editor's note: John Oliver's report showed that a large for-profit dialysis provider is pushing patients into its dialysis clinics, despite the clear superior benefits of transplantation. Does any other field of medicine compare to the ethical and moral failures of U.S. nephrology?
Depressive Affect in Incident Hemodialysis Patients
Free, full-text, Advance Article from Clinical Kidney Journal.

"...other reports in the literature have found the prevalence of depressive affect in incident patients utilizing the SF-36 to be at 8.9% in Dutch patients at 90 days after starting dialysis, 41% in US patients at 1–120 days after starting dialysis and 45% in US patients at 60–90 days after starting dialysis."

Editor's note: This article links depression to hospitalizations.  U.S. nephrology's lack of a well-patient model — and its lack of emphasis on dialysis patient employment and/or rehabilitation — likely contributes to the high rates of depression. It appears that for-profit dialysis providers are pushing patients with higher rates of hospitalization into end-of-life care instead of dialysis (see previous AJKD article). Could there possibly be a more perverse financial incentive than having nephrologists financially invested in this scheme?

It is time for the U.S. junk-bond nephrology model of care to end. It is literally killing thousands of patients by corrupting its nephrologists. For 14 years consecutive years, DCI, a non-profit, has had the best mortality and hospitalization rates in the industry.
Medium Cutoff Membranes-Closer to the Natural Kidney Removal Function
Free, full-text article from The International Journal of Artificial Organs.
Predicting in a Predicament: Stroke and Hemorrhage Risk Prediction in Dialysis Patients with Atrial Fibrillation
Early View abstract from Seminars in Dialysis.
Intravenous Fluids: Balancing Solutions
Free, Open Access article from Journal of Nephrology.
Free, Open Access Articles from PLOS ONE:
Changes of Peritoneal Transport Parameters with Time on Dialysis: Assessment with Sequential Peritoneal Equilibration Test
Advance Online abstract from The International Journal of Artificial Organs.
Effect of Kidney Donor Hepatitis C Virus Serostatus on Renal Transplant Recipient and Allograft Outcomes
Free, full-text, Advance Article from Clinical Kidney Journal.
PDI in Press Abstracts:
Low White Blood Cell Count Is Independently Associated with Chronic Kidney Disease Progression in the Elderly: the CKD-ROUTE Study
First Online abstract from Clinical and Experimental Nephrology.
Management of Gout in the CKD Patient…Not So Different After All!
Posting from the AJKD blog.
Patients Receiving Eculizumab (Soliris®) at High Risk for Invasive Meningococcal Disease Despite Vaccination
Health Advisory from the CDC.
Why Price Heroism? Organ Donors Can Save Taxpayers Millions. They Deserve a Break.
Commentary from Chicago Tribune.
Fresenius Medical Care Successfully Amends and Extends Its Credit Agreement, Ahead of Schedule
Press release.
Depression Affects the Brains of Males and Females Differently
Biosimilars Are Gaining Insurer Acceptance
Senate May Vote on Revised Healthcare Bill Next Week
Article from Reuters. News summary from Kaiser Health News.
Individual Insurance Market Shows Signs of Stabilizing, Report Finds
News brief from Healthcare DIVE. News summary and foundation report from Kaiser Health News.
Fewer Issuers Apply to Participate in Health Insurance Exchanges for 2018
Press release from CMS.
The Union That Roars: Nurses Aren't Giving Up On California's Single-Payer Push
Article from Kaiser Health News.
This Great-Grandmother Wants to End 'the Dirty Little Secret of Nursing'
Article from The Boston Globe.
US Company Launches a New Blacklist of Deceptive Academic Journals
Article from University Affairs (France).
Crippling Medicaid Cuts Could Upend Rural Health Services
Article from Kaiser Health News.


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Tuesday, July 11*

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  July 11, 2017
California Assembly Bill 251 Calls for Rebates from Dialysis Providers
This bill is scheduled for a hearing before the Senate Health Committe on July 12. Article from Nephrology News & Issues.

Section 1 (c): "Dialysis clinics in California frequently charge private health insurance plans four or more times as much, and sometimes 15 to 20 times as much, as they charge Medicare for the very same dialysis treatment, but do not spend sufficient funds on ensuring quality patient care."
Peritoneal Dialysis: A Patient Perspective
Article from the Twitter Nephrology Journal Club.
Chronic Kidney Disease and the Global NCDs Agenda
Free, full-text article on national non-communicable diseases (NCDs) from BMJ Global Health.
ERA-EDTA and the Japanese Society of Nephrology Join Forces to Combat Common Disorder (CKD-MBD) in Kidney Patients
(3-page pdf) Press release from the European Renal Association-European Dialysis and Transplant Association.
Earthquake Preparedness Among Japanese Hemodialysis Patients in Prefectures Heavily Damaged by the 2011 Great East Japan Earthquake
Early View abstract from Therapeutic Apheresis and Dialysis.

"Hemodialysis patients who had received informational social support from family or friends, had lived with spouse and children in comparison to living alone, and had obtained information regarding earthquake preparedness from dialysis facilities, were also likely to meet more of the earthquake preparedness criteria."
Symptom Burden in Patients with Chronic Kidney Disease Not Requiring Renal Replacement Therapy
Free, full-text, Advance Article from Clinical Kidney Journal.
Symptom Burden in Chronic Kidney Disease; a Population Based Cross Sectional Study
Free, Open Access article from BMC Nephrology.
Elderly Patients with Chronic Kidney Disease Have Higher Risk of Hyperparathyroidism
First Online abstract from International Urology and Nephrology.
Kidney Disease, Dialysis, and Your Eyes
Shared Decision Making—The Importance of Diagnosing Preferences
Free, full-text, New Online viewpoint article from JAMA Internal Medicine.
Can Patients Make Recordings of Medical Encounters? — What Does the Law Say?
Free, full-text, New Online viewpoint article from the Journal of the American Medical Association.
Two Large Studies Link Higher Coffee Consumption to Reduced Risk for Death
Press release from American College of Physicians. Summary for Patients from Annals of Internal Medicine.
A National Survey of Medicaid Beneficiaries' Expenses and Satisfaction With Health Care
Free, full-text, New Online research letter from JAMA Internal Medicine.
Physician Reimbursement in Medicare Advantage Compared With Traditional Medicare and Commercial Health Insurance
New Online abstract and First Page Preview editorial from JAMA Internal Medicine.
MACRA Resources: What Physicians Need to Know
List from Kidney News Online.


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Monday, July 10

California Assembly Bill 251 Calls for Rebates from Dialysis Providers
This bill is scheduled for a hearing before the Senate Health Committe on July 12. Article from Nephrology News & Issues.

Section 1 (c): "Dialysis clinics in California frequently charge private health insurance plans four or more times as much, and sometimes 15 to 20 times as much, as they charge Medicare for the very same dialysis treatment, but do not spend sufficient funds on ensuring quality patient care."
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  July 10, 2017
Nephrology Business Leadership University (NBLU)
The NBLU held its first ever fellows event August 8 – 12, 2016 in Dallas, TX, hosting a limited number of fellows from the University of California, San Diego and the University of Pennsylvania. The 2017 event is scheduled for Aug. 7-11 in Plano, Tx.

Editor's note: Hopefully this is more than an indoctrination into practicing the awful, stagnant, junk-bond nephrology that is so prevalent in the U.S.

The key to changing this industry and its awful outcomes is to create new financial incentives for dialysis providers and nephrologists to target a well-patient model of care, which consequently will drive large improvements in treatment regimens, technology, and the systems of care. Targeting mortality, hospitalizations, and biochemical markers has led to decades of stagnation.
Kidney Transplant Rules May Curb Disparities
Article from Reuters.
Barriers to Exercise for Patients with Renal Disease: an Integrative Review
First Online abstract from Journal of Nephrology.
Free, Full-Text Articles from Kidney Diseases:

Early View Abstracts from Seminars In Dialysis:

Direct-Acting Antivirals for Hepatitis C Virus in Patients on Maintenance Dialysis
Advance Online abstract from The International Journal of Artificial Organs.
Advance Articles Abstracts from NDT:
ANNA Awards, Scholarships & Grants Program
Is it the “Kidney Blues” or Depression?
New Way of Predicting Kidney Function Could Improve Chemotherapy Dosing
Wife Creates Special Baseball Card To Tell Husband She Is Kidney Donor Match
McConnell Concedes Bill Might Not Pass, But Reaffirms Need To Shore Up Individual Markets
News summary from Kaiser Health News.
Single-Payer Healthcare Gains Traction with Democrats
Article from The Hill.
Study Finds Rate of Medication Errors Resulting in Serious Medical Outcomes Rising
Press release from Nationwide Children's Hospital.
Dr. Brenda Fitzgerald, Georgia's Public Health Commissioner, Is Named New CDC Director
Article from STAT.
Trump's Surgeon General Pick Built Name Fighting HIV And Opioids In Indiana
Article from Kaiser Health News.
 


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Fri/Sat, July 7-8

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  July 7, 2017
A New RCT Looks at Online Hemodiafiltration
(Registration required, but free.) Commentary from Medscape Nephrology.
Are Doctors Discarding Donor Kidneys That Could Save Lives?
Article from HealthDay. Press release and JASN Express abstract from the American Society of Nephrology.
Tweet from Joel Topf, MD - (who apparently is in Denver)
Footer of Tweeted DaVita slide: "Treating you like family is part of our culture of caring."

From About.me: "I have an ownership stake in four Davita hemodialysis centers and one vascular access center."

Editor's note:
If virtually no U.S. nephrologists would accept for themselves or their own family members the treatment regimen that over 85% of DaVita patients receive, how is this statement justified?
Do You Value 'Empowered' Patients?
(Registration required, but free.) Survey from Medscape Nursing.
Upcoming ESRD Technical Expert Panel Meeting Information
  • ESRD Medication Reconciliation & Management TEP Teleconference
    • Monday, July 10, 2017 3:30 – 4:30pm ET
  • Patient Reported Outcomes (PRO) Post-TEP Teleconference
    • Wednesday, July 19, 2017:11am-1pm ET
  • Medication Reconciliation and Management Technical Expert Panel In-Person Meeting
    • July 19, 2017, 8:00am-4:00pm
    • DoubleTree BWI Airport, 890 Elkridge Landing Rd Linthicum Heights, MD 21090
The agenda and dial in information for these meetings are included below, and will be posted on the CMS website in the near future: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TechnicalExpertPanels.html
Articles from Nephrology News & Issues:
American Society of Nephrology Foundation for Kidney Research Announces 2017 Grant Recipients
Press release.
Evaluating the Feasibility of the KDIGO CKD Referral Recommendations
Free, Open Access article from BMC Nephrology.
Impact of Drugs on Intradialytic Hypotension: Antihypertensives and Vasoconstrictors
Early View abstract from Seminars in Dialysis.
Treatment of HCV with the New DAAs: Before or After Kidney Transplant?
Posting from the Renal Fellow Network blog.
Plasma Retinol Concentration Is Mainly Driven by Transthyretin in Hemodialysis Patients
Article in Press abstract from Journal of Renal Nutrition.
CDC and Partners Offering Free Continuing Education Webinar: Empowering Nurses to Protect Themselves and Their Patients: Device Reprocessing and Sterilization
Notice from the American Nurses Association web site.
Dying May Not Be as Awful an Experience As You Think
Individual Marketplaces' Narrow Networks Are Shutting Patients Out From Best Doctors
News summary from Kaiser Health News.
Free, Full-Text, New Online Articles from the Journal of the American Medical Association:
MLN Connects: Official CMS News - July 6, 2017:


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Thursday, July 6

Upcoming ESRD Technical Expert Panel Meeting Information
  • ESRD Medication Reconciliation & Management TEP Teleconference
    • Monday, July 10, 2017 3:30 – 4:30pm ET
  • Patient Reported Outcomes (PRO) Post-TEP Teleconference
    • Wednesday, July 19, 2017:11am-1pm ET
  • Medication Reconciliation and Management Technical Expert Panel In-Person Meeting
    • July 19, 2017, 8:00am-4:00pm
    • DoubleTree BWI Airport, 890 Elkridge Landing Rd Linthicum Heights, MD 21090
The agenda and dial in information for these meetings are included below, and will be posted on the CMS website in the near future: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TechnicalExpertPanels.html
MLN Connects: Official CMS News - July 6, 2017:
Do You Value 'Empowered' Patients?
(Registration required, but free.) Survey from Medscape Nursing.
CDC and Partners Offering Free Continuing Education Webinar: Empowering Nurses to Protect Themselves and Their Patients: Device Reprocessing and Sterilization
Notice from the American Nurses Association web site.
American Society of Nephrology Foundation for Kidney Research Announces 2017 Grant Recipients
Press release.
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  July 6, 2017
Free, Full-Text, New Online Articles from JAMA Internal Medicine: "In this issue of JAMA Internal Medicine, we launch a series on "Sharing Medicine." Encompassing the mutual decisions by physicians and patients that are often referred to as "shared decision making," sharing medicine describes a broader ecology of the sharing of knowledge, data, skills, and experiences within the medical profession, with patients, and with the public and society."
In-Center Nocturnal Dialysis: What Do We Know?
Posting from the AJKD blog.
Quality of Life As Indicator of Poor Outcome in Hemodialysis: Relation with Mortality in Different Age Groups
Free, Open Access article from BMC Nephrology.

"As measured with the KDQOL-SF, the subscales physical functioning, emotional health and social functioning are strongly associated with 2-year mortality independent of age."
Article from STAT:
Pre-ESRD Depression and Post-ESRD Mortality in Patients with Advanced CKD Transitioning to Dialysis
CJASN Express abstract.
Postings from the Renal Fellow Network Blog:
Free, Open Access Articles from BMC Nephrology:
5th Update on Fabry Nephropathy: Biomarkers, Progression and Treatment Opportunities. April 25-27, 2017, Mexico City, Mexico: Abstracts
(20-page pdf) Free, full-text, Issue-in-Progress feature from Nephron Clinical Practice.
Last Month in Nephrology - July 2017
Blog posting by two Indian nephrologists.
Effect of Prophylactic Dialysis on Morbidity and Mortality in Non-Dialysis-Dependent Patients after Coronary Artery Bypass Grafting: A Pilot Study
Issue-in-Progress abstract from Nephron.
Latest Release in Free CE and CME Series on Infection Prevention and Control from CDC & Medscape
Posting from the CDC's Safe Healthcare Blog.
Two out of Three U.S. Adults Have Not Completed an Advance Directive
Press release from Penn Medicine.
  Vitamin D3, Not D2, Is Key to Tackling Vitamin D Deficiency
(Registration required, but free.) Article from Medscape Nephrology.
Combo Immunotherapy May Herald New Standard of Care for Kidney Cancer
Higher BMI Linked with Increased Risk of High Blood Pressure, Heart Disease, Type 2 Diabetes
Parents Of Ill Children Worry About Return Of ‘Lifetime Limits’ In GOP Health Bill
Article from Kaiser Health News.
10 Ways for Doctors to Think outside of the Box
Posting from the KevinMD blog.
As Seniors Get Sicker, They're More Likely To Drop Medicare Advantage Plans
Article from Kaiser Health News.


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Wednesday, July 5

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  July 5, 2017
Preparing for Emergencies: a Guide for People on Dialysis — June 2017 Update
(39-page pdf) Resource from CMS.

Editor's note: What people want most during emergencies is information. The Kidney Community Emergency Response (KCER) Program offers no centralized information to patients during emergencies, often leaving patients at the mercy of for-profit providers that hoard both information and patients.
Length of Time on Peritoneal Dialysis and Encapsulating Peritoneal Sclerosis — Position Paper for ISPD: 2017 Update
Free, full-text article from Peritoneal Dialysis International. NephJC (nephrology journal club) will tweet on this article July 11th (in US evening) and 12th (in UK evening).
Association of Baseline, Longitudinal Serum High-Sensitive C-Reactive Protein and Its Change with Mortality in Peritoneal Dialysis Patients
Free, Open Access article from BMC Nephrology.
Icodextrin and Peritoneal Dialysis: Advantages and New Applications
First Online abstract from International Urology and Nephrology.
Dialysate Bicarbonate Variation in Maintenance Hemodiafiltration Patients: Impact on Serum Bicarbonate, Intradialytic Hypotension and Interdialytic Weight Gain
Free, full-text article from Hemodialysis International.
High-Performance Membrane Dialyzers and Mortality in Hemodialysis Patients: A 2-Year Cohort Study from the Annual Survey of the Japanese Renal Data Registry
Issue-in-Progress abstract from American Journal of Nephrology.
Advance Article Abstracts from NDT:
White Matter Damage in Maintenance Hemodialysis Patients: a Diffusion Tensor Imaging Study
Free, Open Access article from BMC Nephrology.
Cell-Free DNA and Active Rejection in Kidney Allografts
Free, full-text article from the Journal of the American Society of Nephrology.
Early View Abstracts from American Journal of Transplantation:
Parathyroidectomy—A Last Resort for Hyperparathyroidism in Dialysis Patients
Early View abstract from Seminars in Dialysis.
Studies Compare Types of Insulin for Reducing Episodes of Low Blood Sugar for Patients with Type 1 or 2 Diabetes
Press release from the Journal of the American Medical Association.
Progress on Decreasing Salt Consumption
Editor's note and abstract from JAMA Internal Medicine.
Chronic Hepatitis C and Chronic Kidney Disease: Advances, Limitations and Unchartered Territories
(Registration required, but free.) Article from Journal of Viral Hepatitis via Medscape Nephrology.
The Renal Treatment: Getting Ahead of Kidney Disease
Article from Hospitals & Health Networks.
Quick Test Finds Signs of Sepsis in a Single Drop of Blood
Popular Heartburn Drugs Linked to Higher Death Risk
Articles from The Hill:
No Perfect Choice
Free, full-text, perspective piece from the Journal of the American Medical Association.
 


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Mon/Tues, July 3-4

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  July 3, 2017
Free, Full-Text Articles in Press from American Journal Of Kidney Diseases:
A Prospective, Proteomics Study Identified Potential Biomarkers of Encapsulating Peritoneal Sclerosis in Peritoneal Effluent
Article in Press abstract from Kidney International.
Early View Abstracts from Seminars In Dialysis:
Free, Open Access Articles from Canadian Journal of Kidney Health and Disease:
Free, Open Access Articles from BMC Nephrology:
JASN Express Abstracts:
Biomarkers for Diagnosis and Prognosis of AKI in Children: One Size Does Not Fit All
CJASN Express abstract.
Advance Articles Abstracts from NDT:
Free, Full-Text, Issue-In-Progress Articles from Blood Purification:
Free, Full-Text Articles from American Journal of Transplantation:
Early View Abstracts from American Journal of Transplantation:
Advance Online Abstracts from the International Journal of Artificial Organs:
Effectiveness of Self-management Support in Maintenance Haemodialysis Patients with Hypertension: A Pilot Cluster Randomized Controlled Trial
Accepted Article abstract from Nephrology.
Opt-Out Organ Donation System in Scotland Planned
New Study Links Antibiotic Resistance to Common Household Disinfectant Triclosan
GOP Senators Warming to Repeal Then Replace on ObamaCare
Article from The Hill.
Scientists Are Dusting off a Long Forgotten Weapon to Cope with Modern Bacteria Article from The Washington Post.
CMS Spikes Medicare Advantage Data Release at the Last Minute
Article from MassDevice.
5 Ways for Healthcare Providers to Get Ready for New Medicare Cards
1-page pdf from CMS.
CROWNWeb July 2017 Newsletter
2-page pdf.


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Fri/Sat, June 30 - July 1

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  June 30, 2017
Catheters Linked to Most Bloodstream Infections in Dialysis Patients
Press release and CJASN Express abstract from the American Society of Nephrology. Article from HealthDay.

"In an accompanying (pay-for-view) editorial (entitled Infection Monitoring in Dialysis Units: A Plea for "Cleaner" Data), Dana Miskulin, MD (Tufts University School of Medicine) and Ambreen Gul, MD (Dialysis Clinic Inc.) noted that a major problem to the available data is that event reporting is based on an honors system, with dialysis units reporting their own information. "We make a plea to the dialysis community to 'clean up' the data, so that the QIP is fairer for all and to enable the full potential of these data, both for improving care now and for generating new evidence to provide future opportunities to improve care and outcomes, to be realized," they wrote."
California Assembly Speaker Urges Dialysis Company to Stop Retaliating Against Workers Who Support Union, Improving Patient Care, Reports SEIU-UHW;
DaVita Has Terminated 23 Such Workers Since October 2016

Press release. Letter to Kent Thiry (2-page pdf) from the California Speaker of the Assembly. Letter to DaVita executives (4-page pdf) from five California legislators.
Bill to Improve Dialysis Patient Care Passes California Assembly Health Committee
Article from Los Angeles Sentinel.
CMS Proposes 2018 Policy and Payment Rate Changes for End-Stage Renal Disease
CMS fact sheet and Regulation CMS-1674-P page. Proposed rule (134-page pdf) will officially be published July 5th.

CMS is projecting an increase in total payments of 1 percent. The projected increase for freestanding facilities is 0.8 percent.

Editor's note: The word "employment" was actually used once in reference to patients.
"We understand that social risk factors such as income, education, race and ethnicity, employment, disability, community resources, and social support (certain factors of which are also sometimes referred to as socioeconomic status factors or socio-demographic status factors), play a major role in health."
Unfortunately, the entire 134-page document never mentions the word "rehabilitation" even once. Considering that KidneyWorks™, an industry-backed project to decrease unemployment in kidney disease patients – but NOT dialysis patients – is consuming all efforts related to employment/rehabilitation, it appears that the stagnant, minimal-standard, sick-patient model of junk-bond nephrology will continue to dominate U.S. dialysis care.
National Report Says Independence for Workers with Kidney Disease Means Keeping Jobs, Managing Disease, and Avoiding Disability
(2-page pdf) Press release from (KidneyWorks™) the American Association of Kidney Patients.

Editor's note: This is typical of how dialysis patient advocacy groups operate in the US. (Don't bite the hands that feeds you, despite the fact that they are harming the patients for whom you are "advocates".) There is no (for-profit) industry money for those groups that attack the junk-credit-rating business model which, compared to the non-profit business model, continues to cause the deaths of thousands of dialysis patients unnecessarily.
Articles from Nephrology News & Issues:
Older Americans Don't Get – or Seek – Enough Help from Doctors & Pharmacists on Drug Costs
Press release from the University of Michigan.

Editor's Note: Here is another potential problem with for-profit dialysis providers providing pharmacy services. (See recent NN&I article)
My Blood Pressure on Dialysis is 150/80. I Feel Great but My Nephrologist Doesn't!
Posting from the AJKD blog.
A Brief Review of Intradialytic Hypotension with a Focus on Survival
Early View abstract from Seminars in Dialysis.
Gender Disparity in Fistula Use at Initiation of Hemodialysis Varies Markedly across ESRD Networks-Analysis of USRDS Data
Early View abstract from Hemodialysis International.
Variability in Measures of Mineral Metabolism in Children on Hemodialysis: Impact on Clinical Decision-Making
First Online abstract from Pediatric Nephrology.
Article in Press Abstracts from Journal Of Renal Nutrition:
Novel Therapies for Acute Kidney Injury
Article in Press abstract and full-text 37-page pdf from Kidney International Reports.
Perioperative Plasma-Lyte Use Reduces the Incidence of Renal Replacement Therapy and Hyperkalemia Following Renal Transplantation When Compared with 0.9% Saline: a Retrospective Cohort Study
Free, full-text, Advance Article from Clinical Kidney Journal.
Free, Full-Text Articles via Medscape Nephrology (registration required, but free):
HHS Issues Update on Ransomware Attack
News brief from AHANews.
McConnell Wants To Get Revised Plan To CBO By Friday
News summary from Kaiser Health News.
Heat Deaths in U.S. Cities Could Jump 10-fold If Climate Change Isn't Slowed
7/31 New NHSN Deadline for Q1 2017


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Thursday, June 29

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  June 29, 2017
Scientists Produce Dialysis Membrane Made from Graphene
Article from MIT News.
California Dialysis Clinic Staff Ratio Bill Passes Assembly Health Committee
Article from Nephrology News & Issues.
Dialysis Facilities: A Model for Bundled Payments
Article from Hospitals & Health Networks.

Editor's note: A few ago on a conference call, I heard Doug Johnson, the chief medical officer of non-profit DCI, state that his organization was not greatly motivated by the financial incentives of the QIP program. On the same call, a top nephrologist for one of the top for-profit dialysis providers said his organization was 'jumping through all sorts of hoops' for these financial incentives.

It seems these financial incentives make little difference to those already doing the right things for patients. These financial incentives also seem to motivate the for-profit companies to manipulate or massage QIP data, or even report fraudulent QIP data, resulting in a lack of congruence between USRDS mortality/hospitalization results and the CMS star rating system results.

This could explain why DaVita fought the implementation of the CMS star rating system, but then embraced it when the initial star ratings surprisingly showed that DaVita had the best results (while DCI has had the best mortality/hospitalization data for 14 consecutive years). This throws into question the integrity of all U.S. dialysis data collection systems.
Nationwide Conversion to Generic Tacrolimus in Pediatric Kidney Transplant Recipients
First Online abstract from Pediatric Nephrology.
Deviations from the Expected Relationship between Serum FGF23 and Other Markers in Children with CKD: a Cross-Sectional Study
Free, Open Access article from BMC Nephrology.
Free, Open Access Articles from PLOS ONE:
Articles from Renal & Urology News:
Coalition Launches Campaign to Transform Advanced Illness Care
News brief from AHANews.
Ransomware Attack Hits Some US Hospitals
News brief from AHANews.
Prospects for Health Care Reform in the U.S. Senate
Free, full-text, perspective piece from the New England Journal of Medicine.
GOP Infighting Erupts over Healthcare Bill
Article from The Hill.
CBO Reports Show Private Insurers Pay Physicians, Hospitals Far More Than Medicare
News brief from Healthcare DIVE. Reports from the Congressional Budget Office (CBO):
7/31 NHSN Deadline Extended, AKI, v.8.7
Notice from the Northwest Renal Network.


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Wednesday, June 28

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  June 28, 2017
In NYC, Drunk, High Ambulette Driver Crashes Twice While Transporting Dialysis Patient: Police
Article and video from NBC New York.
OPENPediatrics™ YouTube Videos:
Postings from the KidneyViews Blog:
Moving Dialysis to Home
Article from Hospitals & Health Networks.
One-and Two-Year Mortality Prediction for Patients Starting Chronic Dialysis
Article in Press abstract and full-text article (34-page pdf) from Kidney International Reports.
The Utility of Whole Body Vibration Exercise in Hemodialysis Patients: a Pilot Study
Free, full-text, Advance Article from Clinical Kidney Journal.
Characteristics and Outcomes of In-Hospital Palliative Care Consultation among Patients with Renal Disease Versus Other Serious Illnesses
CJASN Express abstract.
Study Identifies Key Player in Heart Enlargement
Press release from University of Illinois at Urbana-Champaign.
Combating Chronic Kidney Disease with Exercise
Press release from University of Delaware.
Solid Renal Masses in Transplanted Allograft Kidneys: A Closer Look at the Epidemiology and Management
Early View abstract from American Journal of Transplantation.
De novo Low-Dose Sirolimus Versus Mycophenolate Mofetil in Combination with Extended-Release Tacrolimus in Kidney Transplant Recipients: a Multicenter, Open-Label, Randomized, Controlled, Non-Inferiority Trial
Advance Article abstract from NDT.
Bye-Bye Flu Shot, Hello Patch?
Senate GOP Leaders Delay Vote on Health Reform Bill
Article from HealthDay.
Analysis: Mitch McConnell Plans To Hide Trumpcare's Pain Until After Midterms
Article from Kaiser Health News.
Global Ransomware Attack Hits Merck, Health System after Thrashing Europe
Article from Healthcare IT News.
 


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Tuesday, June 27

Postings from the KidneyViews Blog:
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  June 27, 2017
Best Hospitals for Pediatric Nephrology 2017-2018
Annual report from U.S. News & World Report. The top five hospital teams are:
California Dialysis Clinic Staff Ratio Bill to Face State Assembly Committee on Health
Article from Nephrology News & Issues.
Senate Better Care Reconciliation Act is Not Better for Kidney Patients
Press release from the National Kidney Foundation.
Statement of Eleanor D. Lederer, MD, FASN, President, the American Society of Nephrology, on the Better Care Reconciliation Act of 2017
(3-page pdf) Press release.
Kidney Transplant eBook: An Interactive Learning Tool
Review from the Twitter Nephrology Journal Club.
Can Donor Organs Be Frozen to Save Lives Later?
Article from Pittsburgh Post-Gazette.
Catalyst for Genetic Kidney Disease in Black People Identified
Press release from Rush University Medical Center.
The Emerging Field of Palliative Nephrology
Posting from AgingHearts blog.
Education Can Improve Phosphate Control
Article from Renal & Urology News.
Oral Anticoagulation in End-stage Renal Disease and Atrial Fibrillation: Is it Time to Just Say No to Drugs?
(Registration required, but free.) Full-text article from Heart via Medscape Nephrology.
Prolyl Hydroxylase Domain Inhibitors As a Novel Therapeutic Approach against Anemia in Chronic Kidney Disease
Article in Press abstract from Kidney International.
Community Pharmacist Training-and-Communication Network and Drug-Related Problems in Patients With CKD: A Multicenter, Cluster-Randomized, Controlled Trial
Article in Press abstract from American Journal of Kidney Diseases.
Clinical Predictors of Recurrent Stenosis and Need for Re-Intervention in the Cephalic Arch in Patients with Brachiocephalic AV Fistulas
Advance Online abstract from the Journal of Vascular Access.
African-Americans with Healthier Lifestyles Had Lower Risk of High Blood Pressure
Press release from the American Heart Association.
Night Shifts May Hinder Body's Ability to Repair DNA Damage
Persistent Stress May Hasten Death in Heart Patients
Republican Healthcare Bill Imperiled with 22 Million Seen Losing Insurance
Articles from Reuters, HealthDay, AHANews, and Kaiser Health News.
AMA to Mitch McConnell: Legislation Violates Standard of "First, Do No Harm"
(2-page pdf) Letter from the American Medical Association.
Evidence Review Shows That Having Health Insurance Saves Lives
Press release from American College of Physicians. Free, full-text, Latest Article from Annals of Internal Medicine.
Data on 211 Million Referrals Shows How Doctors Really Work Together
Article via LinkedIn.
 


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Monday, June 26

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  June 26, 2017
DaVita CEO for Governor? Candidacy Would Trigger a Flood of Cash and Controversy
Article from The Denver Post.
HHS Working on Replacement for Obama Dialysis Rule - Court Filing
News item via Reuters.
FDA Rejects Pfizer's Epogen Biosimilar for the Second Time
Article from FiercePharma.
Cara Receives Breakthrough Therapy Designation from FDA for I.V. CR845 for the Treatment of Chronic Kidney Disease-Associated Pruritus in Hemodialysis Patients
Press release.
This Tuesday (6/27), #AskASN on Innovation in Kidney Education
Notice from the Twitter Nephrology Journal Club.
Carrying a New Kidney, an American Hurdler Returns to Worlds
Article from The New York Times.
Experts Uncover First Molecular Events of Organ Rejection
Press release from the University of Pittsburgh Schools of the Health Sciences. Free, full-text article from Science Immunology.
Early View Abstracts from Hemodialysis International:
Comparative Efficacy and Safety in ESA Biosimilars vs. Originators in Adults with Chronic Kidney Disease: a Systematic Review and Meta-Analysis
First Online abstract from Journal of Nephrology.
Hypercalcaemia Preceding Diagnosis of Pneumocystis jirovecii Pneumonia in Renal Transplant Recipients
Free, full-text, Advance Article from Clinical Kidney Journal.
RBC Distribution Width, Dialysis Patient Mortality Linked
Article from Renal & Urology News.
Risk of ESRD and Mortality Associated With Change in Filtration Markers
Article in Press abstract from American Journal of Kidney Diseases.
Amgen Receives Positive CHMP Opinion To Expand Use Of Mimpara® (cinacalcet) For The Treatment Of Secondary Hyperparathyroidism In Certain Children With End-Stage Renal Disease On Dialysis
Texting Orders is Not Allowed
Senate Plan Would Give Corporations, High Income Earners A $1 Trillion Tax Cut
News summary from Kaiser Health News.
Medicare Advantage Associated With More Racial Disparity Than Traditional Medicare For Hospital Readmissions
Free, full-text WEB FIRST article from Health Affairs.
With Health Plan, GOP Would Drastically Cut Medicaid And Fundamentally Reshape Program
News summary from Kaiser Health News.
CMS: 16.7 Million Enroll in Medicaid/CHIP Since October 2013


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Fri./Sat., June 23-24

DaVita CEO for Governor? Candidacy Would Trigger a Flood of Cash and Controversy
Article from The Denver Post.
HHS Working on Replacement for Obama Dialysis Rule - Court Filing
FDA Rejects Pfizer's Epogen Biosimilar for the Second Time
Cara Receives Breakthrough Therapy Designation from FDA for I.V. CR845 for the Treatment of Chronic Kidney Disease-Associated Pruritus in Hemodialysis Patients
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  June 23, 2017
Kids with Kidney Disease Need Medicaid Too!
42-second Twitter video from Dr. Michelle Rheault, Minnesota pediatric nephrologist.
Senate Health Bill Would Revamp Medicaid, Alter ACA Guarantees, Cut Premium Support
Articles from Kaiser Health News:
New Initiative Focuses on Keeping CKD Patients ( — But Not Dialysis Patients —) Working
Article from Nephrology News & Issues.

Editor's note: Was not including dialysis patients the only way to get the large for-profit dialysis providers (and their money) to the table? Only non-profit DCI seems ready and willing to address employment for dialysis patients. DCI's non-profit status will likely allow them do better at an employment measure than Fresenius or DaVita, as DCI has done with mortality and hospitalization rates for the last 14 years.
A Surgeon's Fight to Legalize HIV to HIV Organ Transplants around the World
Article from the University of California.
Lawsuit Blames Transport Giant LogistiCare for Missed (Dialysis) Appointments and Injuries Suffered by Medi-Cal Patients
Article from Los Angeles Times.
Measuring Fluid Overload and Mortality Risk in ESRD Patients
(Registration required, but free.) Article from Medscape Nephrology. JASN Express abstract.
A Clinical Genetic Approach to Assessing Cardiovascular Risk in Patients with CKD
Free, full-text, Advance Article from Clinical Kidney Journal.
Intensive Blood Pressure Lowering Benefits Patients with Chronic Kidney Disease
Press release and JASN Express abstract from the American Society of Nephrology.
Acute Kidney Injury in Children with Sickle Cell Disease — Compounding a Chronic Problem
Free, full-text article from Pediatric Nephrology.
Continually Improving Standards of Care: the UK Renal Registry As a Translational Public Health Tool
Free, First Online, Open Access from Pediatric Nephrology.
The Living Donor Collective: A Scientific Registry for Living Donors
Early View abstract from American Journal of Transplantation.
Association Between Pre-transplant HbA1c and Post-transplant Diabetes Mellitus among Kidney Transplant Recipients: A Cohort Study using the United States Renal Data System
Article in Press abstract and link to full-text article (38-page pdf) from Kidney International Reports.
Articles from Renal & Urology News:
Nutrition in Renal Supportive Care: Patient Driven and Flexible
Accepted Article abstract and link to full-text article (24-page pdf) from Nephrology.
Home-Based Versus Center-based Aerobic Exercise on Cardiopulmonary Performance, Physical Function, Quality of Life and Quality of Sleep of Overweight Patients with Chronic Kidney Disease
Free, Online First abstract from Clinical and Experimental Nephrology.
infoKID Web Site (UK)
Providing information for parents and carers about kidney conditions in babies, children and young people.
Racial Disparities after Infrainguinal Bypass Surgery in Hemodialysis Patients
Article in Press abstract from Journal of Vascular Surgery.
Dedicated Sepsis Nurses — The New War On Sepsis
Article from Kaiser Health News.
Aethlon Looks Fast-Track FDA Nod for Hemopurifier Blood Filter through EAP
Senate Republicans Reveal Their Replacement for Obamacare
Article from HealthDay.
Hospital Opposition to Healthcare Overhaul Continues With Senate Version
Article from HFMA.
Articles from The Hill:
Chinese Courts Call for Death Penalty for Researchers Who Commit Fraud
Article from STAT.
Announcements from CROWNWeb:
CMS Webinar Monday June 26 on Proposed Updates to MACRA QPP for 2018
Notice from AHANews.


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Thursday, June 22

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  June 22, 2017
2017 KDIGO CKD-MBD Guideline Update
The Kidney Disease: Improving Global Outcomes (KDIGO) 2017 Clinical Practice Guideline Update for the Diagnosis, Evaluation, Prevention, and Treatment of chronic kidney disease–mineral and bone disorder (CKD-MBD) represents a selective update of the prior guideline published in 2009.

Nocturnal Hemodialysis Succeeds in Pilot Project
Article from Clinical Practice Today from Duke Health.

Latest Release in Free CE Series on Infection Prevention and Control from CDC & Medscape
This is the second of a six-part series from the Centers for Disease Control and Prevention and Medscape addressing the key issues surrounding infection prevention in healthcare facilities.

#UKK2017 - UK Kidney Week
Twitter hashtag and web site of June 19-21 meeting held in Liverpool.
Patient Perceived Barriers to a Screening Program for Depression: a Patient Opinion Survey of Hemodialysis Patients
Free, full-text, Advance Article from Clinical Kidney Journal.
Free, Full-Text Articles from American Journal Of Kidney Diseases:
China Kidney Disease Network (CK-NET) 2014 Annual Data Report
Free supplement issue from American Journal of Kidney Diseases. Select "PDF" links to view individual chapter content.
Article in Press Abstracts and Full-Text PDFs from Kidney International Reports:
CJASN Express Abstracts:
Free, Full-Text Articles from Kidney International:
Early View Abstracts from Journal of Renal Care:
Early Mortality Risk in Incident Chinese Hemodialysis Patients: a Retrospective Cohort Study
Free, Open Access article from Renal Failure.
Article in Press Abstracts from American Journal Of Kidney Diseases:
Cricket Health to Team with American Kidney Fund on CKD Education Platform
Article From Nephrology News & Issues.
DaVita Creates Division to Care for Polychronic Post-acute Patients
Article from Hospitals & Health Networks.
Fresenius Vascular Care Rebrands
Press release.
DaVita Names Mahoney Chief Medical Officer of Lifeline Vascular Access
Press release.
Researchers Recommend Specific Diabetes Medications to Protect Bone Health
Press release from the Endocrine Society.
Starch-Based 'Super Food' May Protect Against Variety of Diseases
Free, full-text, New Online article from the Journal of the American Medical Association.
Josephine P. Briggs, MD, to Lead the Journal of American Society of Nephrology's Incoming Editorial Team
Biofilms – The Eradication Has Begun
Articles from Kaiser Health News:
Free, Full-Text, Online First Articles from the New England Journal Of Medicine:
 


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Wednesday, June 21

China Kidney Disease Network (CK-NET) 2014 Annual Data Report
Free supplement issue from American Journal of Kidney Diseases. Select "PDF" links to view individual chapter content.
2017 KDIGO CKD-MBD Guideline Update
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  June 21, 2017
Editor's Note: Another Reason Why Non-Profit Dialysis Provider DCI Is Best
53-minute YouTube video from September 2016 KidneyWorks meeting.  Dr. Doug Johnson, chief medical officer (CMO) of DCI, speaks between 24:10 and 35:40.

Speaking on dialysis patient employment, he states:
"Honestly, we have not done a good job to make it more likely for you to be employed."
Can you imagine the CMO of Fresenius or DaVita making such a statement? DCI has also had the best mortality and hospitalization data compared to Fresenius and DaVita for the last 14 years. DCI does the right things for patients because they do not have perverse financial incentives. The only way to make major changes in Fresenius' and DaVita's operations is to change their financial incentives.
Data on Social Needs May Redefine Precision Healthcare
Article from HealthLeaders Media.

Editor's note: How much longer will U.S. nephrologists continue to debilitate dialysis patients with short, brutish, minimal treatments, as well as ignore the iatrogenic effect that these treatments have on the social needs of their patients?
Many Chronic Illnesses Linked to Suicide Risk
Article from HealthDay.
No More 'Renal Diet'—Tell Me What I Can Eat!
Article from Nephrology News & Issues.

"He began to tell attendees that European patients choose their dialysis clinic based on the meals they serve during the treatment."
NKF, HealthUnlocked to Provide Free Online Support Community for People with Kidney Disease
Press release from the National Kidney Foundation.
First Online Abstracts from Clinical and Experimental Nephrology:
Issue-in-Progress Abstracts from American Journal of Nephrology:
Researchers Call for Paradigm Shift in Type 2 Diabetes Treatment
Press release from Case Western Reserve University.
Folic Acid and Homocysteine in Chronic Kidney Disease and Cardiovascular Disease Progression: Which Comes First
Free, full-text, Issue-in-Progress article from CardioRenal Medicine.
FDA Warns Diabetics Against Use of Secondhand Test Strips
Thousands of Genes Influence Most Diseases
Press release from Stanford University Medical Center.
Patients Should Have More Choices in End-of-Life Care
Press release from Texas A&M University.
CMS Proposes Quality Payment Program Updates to Increase Flexibility and Reduce Burdens (of MACRA)
CMS press release.


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Tuesday, June 20

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  June 20, 2017
Healthcare Providers Should Individualize Patient Education
Press release from the American Heart Association. Article from HealthDay. Free, full-text AHA Scientific Statement from Circulation: Cardiovascular Quality and Outcomes.
"Effective patient education includes more than brochures and written patient information. It should be tailored to a patient's ability to understand recommendations to help them manage their health and control their risk factors, ..."
FTC Approves Final Order with Kidney Dialysis Chain DaVita, Inc. that Preserves Competition to Provide Outpatient Dialysis Services in New Jersey and Greater Dallas Area
Notice from the Federal Trade Commission.
Treatment Decisions for Older Adults with Advanced Chronic Kidney Disease
Free, Open Access article from BMC Nephrology.
Feeding during Dialysis — Risks and Uncertainties
Advance Article abstract from NDT.
Understanding Medication Nonadherence after Kidney Transplant
JASN Express abstract.
ESRD in Living Donors Before 1987: Obtaining Waitlist Priority
Free, full-text, Early View letter to the editor from American Journal of Transplantation.
Early View Abstracts from Seminars In Dialysis:
Graft Nephrectomy in Children
Free, First Online, Open Access article from Pediatric Nephrology.
Calcium-Sensing Receptor Genotype and Response to Cinacalcet in Patients Undergoing Hemodialysis
CJASN Express abstract.
B Braun Acquires Dialysis Facilities in Wales
Pagers and Beyond in an Era of Microcommunications—What Is Old Is New Again
Free, full-text, New Online research letter and commentary from JAMA Internal Medicine.
If Drug Companies Are Really 'Getting Away with Murder,' Trump May Be about to Grant Them a Pardon
Article From STAT.
FDA Chief Gottlieb Maps out New Digital Health Plan
CMS Publishes 2017 Edition of the CMS ESRD Measures Manual
(2-page pdf) Announcement and download page from CMS.
American Hospital Association Asks CMS to Discontinue Hospital Star Ratings


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Monday, June 19

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  June 19, 2017
What Do Patients Really Want? — Honesty and Respect First, Before Technical Expertise
(Registration required, but free) Video from MedPage Today.

Editor's note: Does honesty include the nephrologist's
financial conflicts-of-interest?
Medical Errors in Patients With CKD: Know Your Numbers!
(Registration required, but free) Szczech on Nephrology video blog from Medscape Nephrology.
Urgent-Start Peritoneal Dialysis and Mechanical Complications
Posting from the AJKD blog.
Postings from the KidneyViews Blog:
Revisiting Interdialytic Weight Gain and Mortality Association With Serum Albumin Interactions: The Japanese Dialysis Outcomes and Practice Pattern Study
Free, Open Access, Article in Press from Journal of Renal Nutrition.

Conclusion: The direction and magnitude of the associations between IDWG and mortality were modified by sAlb. Dialysis experts should take these results into account when revising the clinical practice guidelines.
Free, Full-Text Articles from Journal Of Renal Nutrition:
Religious Coping Methods Predict Depression and Quality of Life among End-Stage Renal Disease Patients Undergoing Hemodialysis: a Cross-Sectional Study
Free, Open Access article from BMC Nephrology.
Studying the Benefits of Hemodiafiltration
Article from Nephrology News & Issues.
CJASN Express Visual Abstracts:
Effects of Intradialytic Neuromuscular Electrical Stimulation on Strength and Muscle Architecture in Patients With Chronic Kidney Failure: Randomized Clinical Trial
Early View abstract from Artificial Organs.
Predicting Acute Kidney Injury: Current Status and Future Challenges
Free, Open Access, First Online review article from Journal of Nephrology.
Cerebral Metabolic Alterations and Cognitive Dysfunction in Children with Chronic Kidney Disease Using Magnetic Resonance Spectroscopy and Wechsler Intelligence Scale
Accepted Article abstract from Nephrology.
Free CME/CE Courses from the National Kidney Foundation:
Lifesaving Drugs From Pfizer in Short Supply: FDA
Article from HealthDay. FDA recall notice for sodium bicarbonate.
Zytoprotec's Novel Dialysis Product Meets Both Endpoints in Phase II Study
Actor Stephen Furst, Flounder from Animal House, Dead at 63
Senate Dems To Hold Late-Night Protest over ObamaCare Repeal
Article from The Hill.
White House Task Force Echoes Pharma Proposals
Article from Kaiser Health News.
Trump Not Keen On Changing CMS' Biosimilar Pay Policies, Sources Say
Article extract from InsideHealthPolicy.com.


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