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RECENT NEWS ARCHIVES

Fri./Sat., June 2-3

Nurses at New York Dialysis Centers Set June (12) Strike Date, Threaten Walk Out
Article from NYDailyNews.com.

"The clinics targeted for the job action are owned by Fresenius Medical Care, a private company that runs dialysis facilities in the Bronx, Brooklyn, Westchester and New Rochelle."
The Value of Teaching Patients to Administer Their Own Care
Article from Harvard Business Review.

"An example is a dialysis program implemented at the Central Texas Nephrology Associates (CTNA) clinic in Waco, Texas, by CTNA's medical director, Dr. Richard Gibney, and his team."

"In 2016, nearly 40% of CTNA's 751 patients performed their own dialysis while experiencing fewer hospitalizations and a lower mortality rate than patients receiving dialysis the conventional way. Patients delivering their own dialysis experienced better outcomes and the health system minimized costs by avoiding unnecessary hospital visits."

"(The) Providers' role changed from performing every step of the process to serving as coaches and supporters of patients doing their own care. The resulting redeployment of staff resources led to higher productivity and throughput for the clinic."
Video: A Home Hemodialysis Treatment Step-by-Step
43-minute YouTube video by Tami Ramsey, a nurse who does home hemodialysis herself.
(DaVita) HealthCare Partners To Acquire Magan Medical Clinic (LA County, CA)
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  June 2, 2017
Dialysis Initiation in Patients with Poor Prognosis: An Opportunity to Reflect
Posting from the AJKD blog.
Washington University Nephrology Webisode - Clinical Exam of Hemodialysis Vascular Access
Video from the Renal Fellow Network blog.
Abstracts from the 54th ERA-EDTA Congress, Madrid, Spain, June 3-6, 2017
Free supplemental issue from NDT.
Free, Full-Text Articles from the Journal of the American Society Of Nephrology:
High-Flux Dialysis: Clinical, Biochemical, and Proteomic Comparison with Low-Flux Dialysis and On-Line Hemodiafiltration
Issue-in-Progress abstract from Blood Purification.
Abstracts from The Lancet:
Immunosuppressive Agents in Adult Kidney Transplantation in the National Health Service: a Model-based Economic Evaluation
Advance Article abstract from NDT.
Articles from Medscape Nephrology (registration required, but free):
Diabetes with Early Kidney Involvement May Shorten Life Expectancy by 16 Years
Article in Press abstract from Kidney International.
Ongoing Transmission of Candida auris in Health Care Facilities — United States, June 2016–May 2017
Notes from the Field from the CDC's Morbidity and Mortality Weekly Report.
FDA Approves Temporary Import of Sodium Bicarbonate Injection Due to Shortage
News brief from AHANews.
Government-Run Universal Health Care Wins Vote in California Senate
Press release from National Nurses United. Article from The Sacramento Bee. News summary from Kaiser Health News.
No Laughing Matter: Trump’s ‘Covfefe’ Tweet May Signal Cognitive Trouble, Experts Warn
News brief from Kaiser Health News.
Share of Doctor-Owned Practices Drops below 50%
News brief from Healthcare DIVE.
 


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Thursday, June 1

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  June 1, 2017
Bill to Enact Major Reforms in Dialysis Patient Care Passes California State Senate, Reports SEIU-UHW
Press release. Press release from No on SB 349. Article from The Sacramento Bee.
Dialysis Firms Get Help From Congress in Overturning Charity Ban
Article from Bloomberg. Letter from 183 members of Congress.

OpenSecrets.org profiles of DaVita HealthCare Partners and Fresenius Medical Care.
Amgen Sues to Reverse FDA Denial of Pediatric Exclusivity for Sensipar
Article from Genetic Engineering & Biotechnology News.
Baxter and Mayo Clinic Launch Research and Development Collaboration to Transform Patient Care
Press release.

"The first project will focus on kidney disease, with additional projects planned in other areas."

Mobile Exercise Program Pushes Patients to Get Moving
Article from St. Joseph's Health Centre Toronto.

Why Current PTH Assays Mislead Clinical Decision Making in Patients with Secondary Hyperparathyroidism
Free, full-text article from Nephron.
Continuous Renal Replacement Therapy: Forty-Year Anniversary
Free, full-text, Advance Online article from the International Journal of Artificial Organs.
Issue-in-Progress Abstracts from American Journal of Nephrology:
The Impact of Change of Renal Replacement Therapy Modality on Sleep Quality in Patients with End-Stage Renal Disease: a Systematic Review and Meta-Analysis
First Online abstract from Journal of Nephrology.
Factors Associated With Functional Capacity in Hemodialysis Patients
Early View abstract from Artificial Organs.

"In conclusion, functional capacity was significantly associated with educational level, hemoglobin, peripheral muscle strength, and depression in hemodialysis patients."
Abstracts from Nephron:
Articles from Renal & Urology News:
Study Suggests Lower Targets for Systolic Blood Pressure
Press release from Tulane University. Article from MedPage Today (registration required, but free). Free, full-text, New Online article from JAMA Cardiology.
Burden of Multiple Chronic Illness Told through New Chartbook
Press release from the Rand Corporation.
Articles from Hospitals & Health Networks:
June is National Safety Month
Resources from the National Safety Council.
Skyrocketing Chronic Diseases Will Cause Major Healthcare Spending Spike
New Combo Pill Offers Hope to Hepatitis C Patients Who Fail Other Treatment

Did a 1980 Letter Help Spark the U.S. Opioid Crisis?
Article from HealthDay. Letter to the Editor from the New England Journal of Medicine.

Drug Rebates Reward Industry Players — And Often Hurt Patients
Article from Kaiser Health News.
Free, Full-Text, Online First Perspective Pieces from the New England Journal Of Medicine:
It's Time to Recognize Mental Health As Essential to Physical Health
Opinion piece from STAT.
What Happens to Telemedicine If We Lose Net Neutrality?
Opinion piece from Healthcare DIVE.
Hospitals against Violence Webinar June 13 on Innovative Training, Partnerships
 


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Wednesday, May 31

Dialysis Firms Get Help From Congress in Overturning Charity Ban
Article from Bloomberg. Letter from 183 members of the House of Representatives.

OpenSecrets.org profiles of DaVita HealthCare Partners and Fresenius Medical Care.
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  May 31, 2017
Medicare to Cover Supervised Exercise for Heart Disease
Decision memo from CMS. Article from Modern Healthcare (registration required, but free).

Editor's note: One can only hope that the American Society of Nephrology or the Renal Physicians Association will someday embrace some form — any form — of renal rehabilitation for their dialysis patients.
"Dictatorship in Venezuela Eliminates Programs of Peritoneal Dialysis and Kidney Transplantation"
Tweet from Victor Sanna, pediatric nephrologist.
Amgen Seeks Injunction To Block Hospira's Epoetin Alfa Biosimilar
Article (extract only) from InsideHealthPolicy.com.
Articles from Nephrology News & Issues:
FDA Recall Notice: MesaLabs Conductivity Standard Solution, 14 mS/cm, 32 ounces (950 ml)
Mesa Laboratories is recalling Conductivity/TDS Calibrator Solution due to failure to meet product specifications. These solutions are used remotely from the hemodialysis machine or water purification equipment, and do not come into contact with the patient.
Free, Full-Text Articles from American Journal of Transplantation:
Postings from the Renal Fellow Network Blog:
Free, Open Access Articles from BMC Nephrology:
Reducing the Costs of Chronic Kidney Disease While Delivering Quality Health Care: a Call to Action
Advance Online abstract from Nature Reviews Nephrology.
Risk of Thyroid Cancer Among Solid Organ Transplant Recipients
Early View abstract from American Journal of Transplantation.

Obstacles to Reducing Plasma Levels of Uremic Solutes by Hemodialysis
Early View abstract from Seminars In Dialysis.

Apixaban Use in Dialysis Patients: A Need to Rethink Dosing
Article from Pharmacy Times.
1 in 4 Nursing Home Residents Has Antibiotic-Resitant Bacteria
Article from HealthDay.
Handshake-Free Zone: Keep Those Hands — And Germs — To Yourself In The Hospital
Article from Kaiser Health News.
Handwashing: Cool Water As Effective As Hot for Removing Germs
Poll: Most Disapprove of ObamaCare Repeal Efforts
Article from The Hill.
The 'Good' Death That Could Have Been Much Better
Opinion piece from STAT.
Ultra-Tough Antibiotic to Fight Superbugs
Article from the BBC.
Climate Change May Hit Cities Hardest: Study
Article from HealthDay.
New Medicare Cards Offer Greater Protection to More Than 57.7 Million Americans
CMS press release. News brief from AHANews.
MACRA: The Lesser of 2 Evils?
Posting from Acumen Physicians Solutions.
CROWNWeb: Submission Deadline for All March 2017 Clinical Data is May 31, 2017


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Tuesday, May 30

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  May 30, 2017
Target Of Medicare Insider Trading Case Boasted He Was Unstoppable ‘Beast’
Article from Kaiser Health News.

"Later that month, Worrall allegedly gave Blaszczak confidential internal documents laying out a plan for Medicare to slash its pay rates for dialysis. Worrall oversaw a “real-time” database at Medicare showing a decline in the use of medications in dialysis, lowering the cost of care for major providers of outpatient dialysis services like Fresenius and DaVita.

"Other investors were predicting a pay cut, based on public reports about the decline in drug use. But, according to the indictment, Blaszczak told contacts he had an inside track and predicted a steeper cut than anyone: 12 percent.

"That (2013) summer, Worrall and Blaszczak went to a baseball game together, and Blaszczak continued to assure his hedge-fund clients that the dialysis pay cut would be significant. His contacts put in their short sales, betting that the stocks for Fresenius would soon fall."
How Do We Improve the Quality of Life of Haemodialysis Patients? Now That's a Good Question
Free, full-text, Issue-in-Progress editorial from American Journal of Nephrology.
Higher Ultrafiltration Rate Is Associated with Longer Dialysis Recovery Time in Patients Undergoing Conventional Hemodialysis
Issue-in-Progress abstract from American Journal of Nephrology.
The Rise of Expanded Hemodialysis
Free, full-text, Issue-in-Progress editorial from Blood Purification.

"The last evolution in the field of membranes is the development of a new class defined as “high retention onset” (HRO) due to the peculiar high sieving value in the middle to high molecular weight range. The introduction of HRO membranes in the clinical routine has enabled the development of a new concept therapy called “expanded hemodialysis".”

"This new therapy is likely to modify the outcome of end-stage kidney disease patients, thanks to the enhanced removal of molecules traditionally retained by current dialysis techniques."
Prospective, Randomized, Multicenter, Controlled Trial (TRIATHRON 1) on a New Antithrombogenic Hydrophilic Dialysis Membrane
Advance Online abstract from the International Journal of Artificial Organs.
Has China Really Stopped Obtaining Organs from Executed Prisoners?
11-minute video and transcript from PBS NewsHour.
One Doctor's War against Global Organ Trafficking
Article from PBS NewsHour.
Business As Usual for Organ Traffickers
Article via The Star Online (Malaysia).
5 Drugs You May Need to Avoid or Adjust if You Have Kidney Disease
Guide from the National Kidney Foundation.
Life with One Kidney
Free, Open Access, First Online educational review from Pediatric Nephrology.
Modification of Potassium-Mortality Relationship by Ethnicity and Race: Solving the Puzzle
Free, full-text, Issue-in-Progress editorial from American Journal of Nephrology.
Clearance of Sclerostin, Osteocalcin, Fibroblast Growth Factor 23, and Osteoprotegerin by Dialysis
Issue-in-Progress abstract from Blood Purification.
Life Expectancy Difference and Life Expectancy Ratio: Two Measures of Treatment Effects in Randomized Trials with Nonproportional Hazards
Free, full-text article from the BMJ.
Renal Failure Deaths and Their Risk Factors in India 2001-13: Nationally Representative Estimates from the Million Death Study
Free, full-text article, letter to the editor, and authors' reply from The Lancet Global Health.
New Biomarkers Predict Accelerated Diabetic Eye Disease
In Vietnam Clinic, 7 out of 18 Dialysis Patients Died during Treatment
CRISPR Gene Editing Can Cause Hundreds of Unintended Mutations
Press release from Columbia University Medical Center.
Is Medicaid Only for Those Who 'Deserve' It?
>140 comments! (Registration required, but free.) Video and transcript from Medscape News.


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Monday, May 29

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  May 29, 2017
Full-Text PDFs of Articles in Press from Kidney International Reports:
See Comments Section of this Article: California Bill Addresses Safety Concerns at Dialysis Clinics
Article from Kaiser Health News via Medscape Nephrology.
DaVita Dialysis Clinic Worker Fired After Speaking At Rally
Article from Capital Public Radio (Sacramento).
DaVita Certified as Freedom-Centered Workplace by WorldBlu
Press release from DaVita. Article from Workplace Democracy.
Nephrologists Transforming Dialysis Safety (NTDS) Web Site
ASN-based web site.

Editor's note: Could the for-profit business model be unsafe for patients?

DaVita has fired a long-time employee in California for speaking out in favor of a proposed dialysis staffing law. Nurses posted dozens of comments overwhelmingly in favor of the law in response to this Medscape Nephrology article. However, this staffing law is opposed by both the Renal Physicians Association and the National Renal Administrators Association.

This Huffington Post article begins: "A California Bill Could Totally Disrupt The Dialysis Industry — And by "total disruption," we mean making sure workers have time to clean the machines between patients."

Are nephrologists' financial self-interests the source of the biggest safety problems in U.S. dialysis care?
ISN Must-Read Trials List
New feature from the International Society of Nephrology.

Clinical Practice Recommendations for Native Vitamin D Therapy in Children with Chronic Kidney Disease Stages 2-5 and on Dialysis
Advance Article abstract from NDT.

CJASN Express Abstracts:
Early View Abstracts from Artificial Organs:
First Online Abstracts from Clinical and Experimental Nephrology:
First Online Abstracts from Journal of Nephrology:
Wearable Kidney Monitor Receives Innovation Award
New Drug Reduces Transplant and Mortality Rates Significantly in Patients with Hepatitis C
Total Abdominal Wall Transplantation for Complex Transplant Cases – Experts Outline Technique
Doctor Uses His Phone To Diagnose Own Kidney Stone
Depression Often a Precursor to Falls in Elderly People
Dark Cloud of Pessimism (on healthcare) Settles Over Senate: ‘If I Had To Bet My House, I’d Bet We Don’t Get It Done’
News summary from Kaiser Health News. Article from The Hill.
Institute Issues Guidance for Protecting Medical Device Systems from Ransomware
News brief from AHANews.
Hepatitis C Drug Again Tops Part D Spend List at $7 Billion
Article from Healthcare Finance.
CMS Issues Guide to MACRA Technical Assistance Resources
News brief from AHANews.


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Fri./Sat., May 26-27

Nephrologists Transforming Dialysis Safety (NTDS) Web Site
ASN-based web site.

Editor's note: Could the for-profit business model be unsafe for patients?

DaVita has fired a long-time employee in California for speaking out in favor of a proposed dialysis staffing law. Nurses posted dozens of comments overwhelmingly in favor of the law in response to this Medscape Nephrology article. However, this staffing law is opposed by both the Renal Physicians Association and the National Renal Administrators Association.

This Huffington Post article begins: "A California Bill Could Totally Disrupt The Dialysis Industry — And by "total disruption," we mean making sure workers have time to clean the machines between patients."

Are nephrologists' financial self-interests the source of the biggest safety problems in U.S. dialysis care?
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  May 26, 2017
Kidneys from Diabetic Donors May Benefit Many Transplant Candidates
Press release and CJASN Express abstract from the American Society of Nephrology. Press release from the University of Pennsylvania School of Medicine. Article from HealthDay.
DaVita Fires Employee One Day After Speaking at State Capitol (Sacramento) in Support of Bill to Improve Patient Care
News release from the SEIU-UHW.
FDA Advisory Committee Recommends Approval of Pfizer's Proposed Biosimilar to Epogen®/Procrit® Across All Indications
Press release.
KDIGO Controversies Conference on Heart Failure in Chronic Kidney Disease
Athens, Greece – May 25-28, 2017. #KDIGOHFinCKD
The American Society of Pediatric Nephrology Podcast
Podcasts from the 3-day 2017 ASPN Annual Meeting, May 6-8 in San Francisco.
"Chronic Kidney Disease Improvement in Research and Treatment Act" (HR. 2644) Introduced
News release from Kidney Care Partners. HR. 2644.
DaVita Acquires Centrum Dializa II (Poland)
News release.
Free, Full-Text Articles from American Journal Of Kidney Diseases:
Loss of Appendicular Muscle Mass in Hemodialysis Patients Is Associated with Increased Self-Reported Depression, Anxiety and Lower General Health Scores
Accepted Article abstract from Nephrology.
Warfarin and the Risk of Stroke and Bleeding in Patients With Atrial Fibrillation Receiving Dialysis: A Systematic Review and Meta-analysis
Abstract from Canadian Journal of Cardiology.
The Good News and the Good News About the Treatment of Lupus Nephritis
Posting from the AJKD blog.
PDI in Press Abstracts:
Residual Kidney Function Predicts Mortality in CKD-MBD
Article from Renal & Urology News.
Long-Term Assessment of the Safety and Efficacy of PA21 (Sucroferric Oxyhydroxide) in Japanese Hemodialysis Patients With Hyperphosphatemia: An Open-Label, Multicenter, Phase III Study
Free, full-text, Article in Press from Journal of Renal Nutrition.
Free, Open Access Articles from BMC Nephrology:
Post-Transplant Hypophosphatemia and the Risk of Death-Censored Graft Failure and Mortality after Kidney Transplantation
CJASN Express abstract.
Cedars-Sinai Kidney Transplant Pioneer Honored for Research Reducing Organ Rejection
One in 3 High Blood Pressure Patients Failing to Take Medication
New CBO AHCA Estimate: Decreases In Savings And Uninsured, Potential Market Instability For States With Major Waivers
Article from the Health Affairs Blog.
Strategies To Defend Unpopular GOP Health Bill: Euphemisms, False Statements And Deleted Comments
Article from Kaiser Health News.
The Agency for Healthcare Research and Quality and the Development of a Learning Health Care System
Free, full-text, New Online viewpoint article from JAMA Internal Medicine.
Does Telling Patients of Possible Side Effects Make Them More Likely?
Article from Reuters Health.
CBO Greenlights Telehealth Provisions in Senate's CHRONIC Care Act
Blog posting from Lexology.


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Thursday, May 25

FDA Advisory Committee Recommends Approval of Pfizer's Proposed Biosimilar to Epogen®/Procrit® Across All Indications
Press release.
Warfarin and the Risk of Stroke and Bleeding in Patients With Atrial Fibrillation Receiving Dialysis: A Systematic Review and Meta-analysis
Abstract from Canadian Journal of Cardiology.
The American Society of Pediatric Nephrology Podcast
Podcasts from the 3-day 2017 ASPN Annual Meeting, May 6-8 in San Francisco.
"Chronic Kidney Disease Improvement in Research and Treatment Act" (HR. 2644) Introduced
DaVita Acquires Centrum Dializa II (Poland)
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  May 24, 2017
Five Charged with Insider Trading Involving U.S. Health Agency (CMS)
Article from Reuters.
"The confidential information included advance notice about rules cutting reimbursement rates for radiation cancer treatment and dialysis, ..."

A California Bill Could Totally Disrupt The Dialysis Industry
Article from The Huffington Post.
Are Dialysis Centers Unsafe, Profit-Hungry Facilities That Need Stricter Regulation?
Article from The San Diego Union-Tribune.
Your Dialysis Care Team
Guide from the National Kidney Foundation.

Editor's note: Two questions:
  1. Who is the captain of the team?
  2. Is the patient even considered part of the team?
Kidney Patient Education: A Lost Art, or Just Rarely Seen?
Posting from the KidneyViews blog.
On the Right Track: Implementing Interventions to Reduce Readmissions in Dialysis Patients
Free, full-text, Issue-in-Progress editorial from American Journal of Nephrology.
Article from Nephrology News & Issues:
Regional Differences in the Associations Between Prescribed Dialysate Sodium Concentration and Interdialytic Weight Gain in the Dialysis Outcomes and Practice Patterns Study
Article in Press abstract from American Journal of Kidney Diseases.
Ultrasound Vector Flow Imaging — Could Be a New Tool in Evaluation of Arteriovenous Fistulas for Hemodialysis?
Advance Online abstract from the Journal of Vascular Access.
Late Conversion from Tacrolimus to a Belatacept-based Immuno-Suppression Regime in Kidney Transplant Recipients Improves Renal Function, Acid-Base Derangement and Mineral-Bone Metabolism
First Online abstract from Journal of Nephrology.
Severe Hyperkalemia Complicating Parathyroidectomy in Patients with End-Stage Renal Disease
Abstract from Anaesthesia and Intensive Care.
Two-Time Transplant Recipient Joins Team Set to Climb Mount Kilimanjaro
Press release from the University of Alabama at Birmingham.
Sleepless Nights Could Pose Heart Risk Dangers
The Medical Minute: Go Easy on the Salt
Under US Republican Bill, 23 Million Would Lose Health Coverage: Watchdog
Article and video from Reuters. Articles from Kaiser Health News and HealthDay.
Is Big Data Eclipsing the Role of Randomized Controlled Trials?
Press release from the International Society for Pharmacoeconomics and Outcomes Research (ISPOR).
Putting A Lid On Waste: Needless Medical Tests Not Only Cost $200B — They Can Do Harm
Article from Kaiser Health News.
Dialysis Facility Compare Social Media Toolkit Brochures
Notice from the Northwest Renal Network.
GAO Announces MedPAC Appointments
News brief from AHANews.


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Wednesday, May 24

Are Dialysis Centers Unsafe, Profit-Hungry Facilities That Need Stricter Regulation?
Article from The San Diego Union-Tribune.
Kidney Patient Education: A Lost Art, or Just Rarely Seen?
Posting from the KidneyViews blog.
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  May 24, 2017
Home Dialyzors United Announces Partnership with UCSF's The Kidney Project
Press release.
Registration for Home-Based Dialysis for the Treatment of End-Stage Kidney Disease: What Does the Evidence Say?
June 6th hour-long webinar from the Canadian Agency for Drugs and Technologies in Health (CADTH).
Biomarkers Associated with Mortality in Patients Undergoing Dialysis
Early View abstract from Journal of Renal Care.

"The only variable independently associated with mortality was low albumin levels."
Predictive Factors Upon Discontinuation of Renal Replacement Therapy for Long-Term Chronic Dialysis and Death in Acute Kidney Injury Patients
Early View abstract from Artificial Organs.
A New Approach Combining Venoarterial Extracorporeal Membrane Oxygenation and CRRT for Adults: a Retrospective Study
Advance Online abstract from the International Journal of Artificial Organs.
Antithrombotic Therapy in End-Stage Renal Disease
Early View abstract from Hemodialysis International.
Applications Now Open for Jenny Kitsen Safety Award
Notice from the American Association of Kidney Patients.
DaVita Medical Insights Podcasts
Official Hashtag of the 54th ERA-EDTA Congress in Madrid, June 3-6, Is
At Major Teaching Hospitals, Lower Death Rates
Article from HealthDay.
Tab For Single-Payer Proposal In California Could Run $400 Billion
Article from Kaiser Health News.
MedPAC: — Report to the Congress: Medicare Payment Policy
(20-page pdf) Testimony from Executive Director of the Medicare Payment Advisory Commission. (There are two paragraphs on outpatient dialysis.)


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Tuesday, May 23

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  May 23, 2017
NKF Statement on Increasing Organ Donation
Press release from the National Kidney Foundation.
Americans Skeptical of Corporate-Backed Health Research
Article from HealthDay.
Intensive Blood Pressure (Lowering) Can Reduce Risk of Harm to Heart Muscle
Press release from Wake Forest Baptist Medical Center. Published Ahead of Print abstract from Circulation.
Free, Full-Text, Issue-In-Progress Articles from Kidney and Blood Pressure Research:
Free, Open Access Articles from BMC Nephrology:
Estimated Dietary Sodium Intake in Hemodialysis Patients Using Food Frequency Questionnaires
Free, Issue-in-Progress, Open Access article from Clinical Kidney Journal.
Issue-in-Progress Abstracts from American Journal of Nephrology:
Insomnia, Muscular Cramps and Pruritus Have Low Intensity in Hemodialysis Patients with Good Dialysis Efficiency, Low Inflammation and Arteriovenous Fistula
First Online abstract from International Urology and Nephrology.
Free, Full-Text Articles from Pediatric Nephrology:
The Long and Winding Road: What We Think We Know About The Treatment of Proliferative Lupus Nephritis
Posting from the AJKD blog.
Kidney Paired-Donation Program Versus Global Kidney Exchange in India
Free, full-text, Early View Letter to the Editor from American Journal of Transplantation.
Effect of Statin Treatment vs Usual Care on Primary Cardiovascular Prevention Among Older Adults — The ALLHAT-LLT Randomized Clinical Trial
Free, full-text, New Online article and editor's note from JAMA Internal Medicine.
ASN: 2017 Innovations in Kidney Education Contest
New Answers for Kids with Inherited Kidney Disease
Patiromer for Hyperkalemia Recommended for Marketing in EU
Trump Budget Proposes Massive Cuts to Medicaid, Science, and Biomedical Funding
Article from STAT. News summary from Kaiser Health News.
CDC Issues Update on Emerging Multidrug Resistant Fungus
Democratic Leaders Accuse CMS's Seema Verma of quid pro quo Political Deal with Insurers
Article from Healthcare Finance.
Iowa's Medicaid Expansion Promoted Healthy Behaviors But Was Challenging To Implement And Attracted Few Participants
Abstract from Health Affairs.


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Monday, May 22

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  May 22, 2017
Early Hospital Readmission among Hemodialysis Patients in the United States Is Associated with Subsequent Mortality
Article in Press abstract from Kidney International.
Chronic Kidney Disease and Cataract: Seeing the Light
Free, full-text, Issue-in-Progress editorial and related abstract from American Journal of Nephrology.
Free, Full-Text Articles from Journal of Nephrology:
Free, Full-Text Articles from the International Journal of Artificial Organs (Click on Full-Text Tab):
Chinese Scientists Mull New Medical Technique (3-D Organ Printing) in Memphis
Article and video from The Commercial Appeal.
Free, Open Access Articles from BMC Nephrology:
Personal Attitudes Toward Weight in Overweight and Obese US Hemodialysis Patient
Article in Press abstract from Journal of Renal Nutrition.
Racial and Ethnic Differences in Mortality Associated with Serum Potassium in a Large Hemodialysis Cohort
Issue-in-Progress abstract from American Journal of Nephrology.
Early and Asymptomatic Cardiac Dysfunction in Chronic Kidney Disease
Advance Article abstract from NDT.
Continuous Hemoadsorption with a Cytokine Adsorber during Sepsis - a Review of the Literature
Advance Online abstract from the International Journal of Artificial Organs.
A Transplant-Specific Quality Initiative–Introducing TransQIP: A Joint Effort of the ASTS and ACS
Early View abstract from American Journal of Transplantation.
Use of a New End Stage Kidney Disease Risk Calculator in the Kidney Disease Improving Global Outcomes Guideline to Evaluate the Impact of Different Living Kidney Donor Candidate Assessments
Accepted Article abstract from Nephrology.
A Vital Drug (Sodium Bicarbonate) Runs Low, Though Its Base Ingredient Is in Many Kitchens
Article from The New York Times.
New Clinical Trials Microsite for Kidney Patients
Press release from the National Kidney Foundation.
Doctors Have Resisted Guidelines to Treat Sepsis. New Study Suggests Those Guidelines Save Lives
Articles from STAT and HealthDay. Free, full-text, Online First articles from the New England Journal of Medicine:
Don Berwick's 7 Roadblocks to Improving Patient Safety
Article from Hospitals & Health Networks.
To Curb Medical Errors, Physicians Must Be Better Trained to Admit Mistakes
Press release from the University of Pennsylvania School of Medicine.
Accuracy of Physician and Nurse Predictions for Survival, Functional Outcomes after an ICU Admission
Trump Budget Will Slash Medicaid, Food Stamps Programs: Reports
Article from The Hill.


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Fri./Sat., May 19-20

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  May 19, 2017
Persistent Gaps in Use of Advance Directives Among Nursing Home Residents Receiving Maintenance Dialysis
Free, full-text, Online First research letter from JAMA Internal Medicine.
Baxter Launches New AK 98 Hemodialysis System Designed to Help Providers Reach Treatment Goals
Press release.

Editor's note: Is anyone at Baxter talking to patients when designing new hemodialysis machines? For the last decade in the US, nearly all new machines have been designed to meet the needs of dialysis corporations, not patients. This is what happens when nephrologists focus on almost entirely on treatment metrics and place virtually no emphasis on patient rehabilitation and employment.
California Bill Addresses Safety Concerns At Dialysis Clinics
Article from Kaiser Health News. Press release from NO on SB 349.
Latest DaVita Lawsuit Echoes Charges in John Oliver's  Last Week Tonight  Takedown
Article from Westword. Fair wages lawsuit filed in U.S. District Court of Colorado in March 2016.

"Hence the lawsuit, which argues that DaVita is violating the Fair Labor Standards Act of 1938 by failing to pay employees for all their work."

"Their core values say that employees should love one another and help their teammates out. But you're also not supposed to officially work any hours over forty, because that will reflect on bonuses for the budget at the clinic - and why would you do that to your teammates?"
A Very Different Paradigm for Living Kidney Donor Risk
Free, full-text, Early View editorial from American Journal of Transplantation.
CJASN Express Abstracts:
Advance Online Abstracts from the International Journal of Artificial Organs:
First Online Abstracts from International Urology And Nephrology:
Article in Press Abstracts from Kidney International:
Regional Versus Local Anesthesia for Arteriovenous Fistula Creation in End-Stage Renal Disease: a Systematic Review and Meta-Analysis
(Click on "Full Text" tab.) Free, full-text article from the Journal of Vascular Access.
New Bundled CPT Codes for Dialysis Circuit Interventions
Free, full-text article from Journal of Vascular Surgery.
A Prospective Comparison of the Performance and Survival of Two Different Tunneled Hemodialysis Catheters: SplitCath® versus DuraMax®
Advance Online abstract from the Journal of Vascular Access.
Food and Kidney Disease
Posting from the AJKD blog.
Comparison of Dual Energy X-ray Absorptiometry and Bioimpedance in Assessing Body Composition and Nutrition in Peritoneal Dialysis Patients
Article in Press abstract from Journal of Renal Nutrition.
Dr. George R. Aronoff Joins DaVita Kidney Care Physician Leadership Team
Press release. Doctor Wiki listing.
Study Links Physician Age to Patient Mortality Risk
Press release from Harvard Medical School. Article from HealthDay.
Study Compares Different Measures of Body Fat for Predicting Kidney Function Decline
How Diet Influences Anxiety
High-Risk Pools Will Cost 3 to 5 Times the Amount in AHCA Funding
Article from Healthcare Finance.
Effect of the PREPARE Website vs an Easy-to-Read Advance Directive on Advance Care Planning Documentation and Engagement Among Veterans — A Randomized Clinical Trial
Free, full-text, Online First article from JAMA Internal Medicine.
Senate Finance Unanimously Passes Medicare Chronic Care Bill With Tweaks
News brief from AHANews. Article extract from InsideHealthPolicy.com.


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Thursday, May 18

Latest DaVita Lawsuit Echoes Charges in John Oliver's  Last Week Tonight  Takedown
Article from Westword. Fair wages lawsuit filed in U.S. District Court of Colorado in March 2016.

"Hence the lawsuit, which argues that DaVita is violating the Fair Labor Standards Act of 1938 by failing to pay employees for all their work."

"Their core values say that employees should love one another and help their teammates out. But you're also not supposed to officially work any hours over forty, because that will reflect on bonuses for the budget at the clinic - and why would you do that to your teammates?"
Dr. George R. Aronoff Joins DaVita Kidney Care Physician Leadership Team
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  May 18, 2017
Dialysis Supply Companies: You Have ONE Job
Posting from the KidneyViews blog.
UCSF: The Kidney Project
Creating a bioartificial kidney as a permanent solution to end-stage renal disease.
Do Best-Selling Drugs That Calm Stomachs Damage Kidneys? The Answer's Unclear
Article from Kaiser Health News.
Free, Open Access Articles from PLOS ONE:
Considering Tangible Benefit for Interdependent Donors: Extending a Risk–Benefit Framework in Donor Selection
Early View abstract from American Journal of Transplantation.
Long-term Trends in Prevalence of Chronic Kidney Disease Among People With and Without High Blood Pressure in the United States
Statistics from the CDC's Chronic Kidney Disease (CKD) Surveillance Project.
DOPPS Practice Monitor (DPM) Web Conference - May 18, 2017 at 3 p.m. EDT
Youth with Type 2 Diabetes Develop Complications More Often Than Peers with Type 1 Diabetes
World First Self Donning System for Surgical Gowns
Heart Disease the No. 1 Killer Worldwide
Article from HealthDay.
The March of Science — The True Story
Free, full-text, Online First article from The New England Journal of Medicine.
48 Groundbreaking Articles in Medicine and Public Health
See 180 Open Access articles (until the end of July 2017 ) from Springer Nature in several scientific fields.
Articles from Kaiser Health News:
Study: House Obamacare Bill Cuts $43 Billion in Medicaid Funds for Children
Article from The Hill.
The Promise and Pitfalls of Evidence-based Medicine
Posting from KevinMD blog.
Transcript and Audio from CMS Emergency Preparedness Requirements Final Rule Training Call
Notice from the Northwest Renal Network.
CMS Announces Streamlined Direct Enrollment Process for Consumers Seeking Exchange Coverage
Press release.


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Wednesday, May 17

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  May 17, 2017
Nation Swarms to HBO's John Oliver Expose about Problems Affecting Dialysis Industry, Reports SEIU-UHW
Press release. YouTube Video Dialysis: Last Week Tonight with John Oliver.
Patient's Podcast on John Oliver's Report on Dialysis
28-minute recording from The Kidneycast.
Vascular Access in the Elderly: Does One Size Fit All?
Free, full-text, Issue-in-Progress editorial from American Journal of Nephrology.
Elderly Patients with Chronic Kidney Disease: Do They Really Need Referral to the Nephrology Clinic?
Free, Open Access, Advance Article From Clinical Kidney Journal.
High Sodium Continuous Veno-Venous Hemodialysis with Regional Citrate Anticoagulation and Online Dialysate Generation in Patients with Acute Liver Failure and Cerebral Edema
Early View abstract from Hemodialysis International.
FDA Warns of Foot, Leg Amputations with J&J Diabetes Drug
Article from Reuters.
Up To 59 Percent Of Nursing Home Residents Could Be ‘Colonized’ With Superbugs
HHS Updates Ransomware Guidance for Health Care Organizations
News brief from AHANews. Guidance (4-page pdf) from the Assistant Secretary for Preparedness and Response.
Fox News Commentator Krauthammer: 'We Will Be in a Single-Payer System' within Seven Years
Article from The Hill.
Preexisting Conditions Took Spotlight In House Debates, But Medicaid Moves To Center Stage In Senate
News summary from Kaiser Health News.
CDC Finds No Health Coverage Gains from 2015 to 2016
News brief from Healthcare DIVE.
The Last Person You'd Expect to Die in Childbirth
Article from ProPublica.
‘Vital Signs’ Hackathon Awards Innovative Solutions for Health Care Problems
 


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Tuesday, May 16

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  May 16, 2017
John Oliver Tackled a Healthcare Story Last Night, and It Was a Thing of Beauty
Article from Business Insider. Additional articles from The Denver Post, The Washington Post, and Slate.

Editor's note: Both DaVita and Fresenius Medical Care have risen to the top in the U.S. through junk-bond-financed acquisitions of dialysis centers. This has put hundreds of millions of dollars into the pockets of leading U.S. nephrologists who, as partners and/or employees of these corporations, no longer effectively advocate for patients. In junk-bond corporations, physicians focus on numbers and metrics, not patients.

This story is as much about the moral failure of corporate leadership as it is about the moral failure of many U.S. nephrologists and the enabling and facilitating positions of their professional organizations. They continue to shepherd over 85% of their patients into dialysis treatment regimens they would never accept for themselves or their own family members.

The U.S. dialysis care industry doesn't need far better medical leadership, it needs far better moral leadership.
John Oliver Criticized Denver's DaVita, Possible Colorado Gubernatorial Candidate for 24 Minutes Straight
Summary from The Gazette (Colorado Springs).
The Big Business of Dialysis Care
2016 article from NEJM Catalyst.

"Dafny, who is a Lead Advisor for NEJM Catalyst, said she was drawn to studying dialysis in part due to its extraordinary profitability. "We saw an increase in private prices as there was increase in the joint market share of both companies," she told NEJM Catalyst. Both Fresenius and DaVita grew dramatically starting about 15 years ago as they moved to consolidate the sector."
Insurer Accused of Patient Dumping Amid Dialysis Industry Turmoil
Article from Courthouse News Service.
#RenalDietChallenge
@KatieKwonMD & others trying to eat what #dialysis patients are told to eat - imagine if you had to do this :(
Akebia and Vifor Pharma Announce Exclusive License Agreement to Provide Vadadustat to Fresenius Medical Care in the U.S. Upon FDA Approval
Press release.
Survival in Children Requiring Chronic Renal Replacement Therapy
Free, Open Access, First Online from Pediatric Nephrology.
Understanding Cognitive Decline Among Hemodialysis Patients
Posting from the AJKD blog.
Evaluation of Renal Function in a Specific Population of Living Kidney Donors
Free, full-text article from Journal of Renal Care.
Comment: Kidney Exchange to Overcome Financial Barriers to Kidney Transplantation
Free, full-text, Early View Letter to the Editor from American Journal of Transplantation.
Prognostic Value of Predialysis Indices for Technique Failure and Mortality in Peritoneal Dialysis Patients
Early View abstract from Therapeutic Apheresis and Dialysis.
Muscle Wasting in Chronic Kidney Disease
First Online abstract from Pediatric Nephrology.
High Blood Pressure Linked to Racial Segregation in Neighborhoods
Press releases from the NIH/National Heart, Lung and Blood Institute and from Northwestern University.
Nephrology Social Media Campaigns Halftime Report 2017
Report from Nephrology on Demand (NOD) Analytics.
American Medical Association: Millions Could Lose Coverage in GOP Health Plan
Article from The Hill.
Trump Says He Knows About Health Care, But Some Of His Facts Seem Alternative
Article from Kaiser Health News.
58% of Physicians 'Strongly Negative' on AHCA
Article from HealthLeaders Media.
RPA Kidney Quality Improvement Registry Approved as 2017 QCDR
News release from the Renal Physicians Association.
Ryan Says He Continues To Seek To Revamp Medicare To Help Control Federal Spending
News summary from Kaiser Health News.


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Monday, May 15

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  May 15, 2017
Dialysis: Last Week Tonight with John Oliver
24-minute YouTube video broadcast on HBO on May 14. Adult humor! Commentary on the video from TIME, Newsweek, STAT, and The Week.

"The story of dialysis is an amazing case study of good intentions being thwarted by bad incentives, poor oversight, and profiteering."

Editor's note: If this isn't a wake-up call for the American Society of Nephrology and the Renal Physicians Association to change, then they should forever be seen as organizations that foster physician and corporate greed. It shouldn't be the case that John Oliver is a better patient advocate than the ASN and RPA.

President Donald Trump announced on May 4 that he will nominate a former DaVita executive as Assistant Secretary of Health and Human Services for Legislation. Matthew Bassett worked for DaVita from 2006 to 2011, and left the company as Vice President of State Public Policy.
Postings from the KevinMD Blog:
Fresenius Goes For High Debt, High Growth
(Subscription required, extract only.) Article from Handelsblatt Global.
The Interdisciplinary Chronic Kidney Disease Clinic: End of the Beginning, Not Beginning of the End
Free, full-text, Issue-in-Progress editorial and related abstract from American Journal of Nephrology.
Free, Full-Text Articles from NDT:
Circulating Markers of Bone Turnover
Free, full-text, First Online article from Journal of Nephrology.
Prevalence and Correlates of Cognitive Impairment in Kidney Transplant Recipients
Free, Open Access article from BMC Nephrology.
The Cardiothoracic Ratio and All Cause and Cardiovascular Disease Mortality in Patients Undergoing Maintenance Hemodialysis: Results of the MBD-5D Study
Advance Online abstract from the International Journal of Artificial Organs.
Risk of End-Stage Renal Disease in HIV-Positive Potential Live Kidney Donors
Early View abstract from American Journal of Transplantation.
Association Between Staphylococcus aureus Bacteremia and Hospital Mortality in Hemodialysis Patients With Bloodstream Infection: A Multicenter Cohort From Japanese Tertiary Care Centers
Early View abstract from Therapeutic Apheresis and Dialysis.
New Hepatitis C Infections Hit 15-Year High: CDC
Article from HealthDay.
Massive Global Cyberattack Paralyzes UK Hospitals
News brief from Healthcare DIVE. Articles from Healthcare IT News and HealthDay.
Rival Senate Healthcare Group Seeks to Make Waves
Article from The Hill.
Yemen War: Emergency in Sanaa as Cholera Kills Scores
May 25 — CROWNWeb Town Hall: A Closer Look at CROWNWeb Data Utilization
May 31 — CROWNWeb Facility Dashboard Training
Quiz: How Much Do You Really Know about MACRA?


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Fri./Sat., May 12-13

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  May 12, 2017
Moody's Upgrades Fresenius Medical Care's Credit Rating to Investment Grade
Press release from Fresenius Medical Care.

Editor's note: Fresenius Medical Care's credit rating has fluctuated between investment grade and junk grade over the last decade, depending on the rating agency (see 2015 article). DaVita's credit rating has always been junk grade.

The large for-profit dialysis corporations have borrowed heavily to purchase thousands of dialysis clinics from U.S. nephrologists, making hundreds of leading U.S. nephrologists multi-millionaires. The chief medical officers of FMC and DaVita then have to practice medical with the pressure of billions of dollars of high-interest-rate, low-grade corporate debt on their shoulders. Servicing this debt and maintaining their stock price appears to lead to decisions that do not serve the patients' best interests. For 14 years consecutive years, DCI, a non-profit, has had the best mortality and hospitalization rates in the industry.

Is there any better example of how poorly designed financial incentives in for-profit medicine can harm patients — than U.S. dialysis care?
May 23-24 End Stage Renal Disease (ESRD) Patient-Reported Outcomes (PRO) Technical Expert Panel (TEP) In-Person Meeting
Agenda - with public comment period - now available on line.

WebEx Link for Day One: https://meetings.webex.com/collabs/meetings/view?uuid=MCUGYM0PI3NM4CIP4A7YU6AW5S-BFTX
May 16: Senate Finance Committee Hearing on Chronic Care Bill
Check back for live video of the hearing. This hearing is on the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 (S. 870).
California Bill Addresses Safety Concerns at Dialysis Clinics
Article from Kaiser Health News via California Healthline.
Certain Medical Diagnoses May Increase Hospitalized Patients' Risk of Kidney Injury
Press release and CJASN Express abstract from the American Society of Nephrology.
Free, Full-Text Articles from Kidney International:
Patterns of Use and Appropriateness of Antibiotics Prescribed to Patients Receiving Hemodialysis: an Observational Study
Free, Open Access article from BMC Nephrology.
Free, Full-Text Articles from Advances in Chronic Kidney Disease: Abstracts from May 2017 Issue:
Incremental Start to PD As Experienced in Italy: Results of Censuses Carried out from 2005 to 2014
First Online abstract from Journal of Nephrology.
Evaluation of the Coronary Circulation and Calcification in Children on Regular Hemodialysis
First Online abstract from Pediatric Nephrology.
Soluble Urokinase Plasminogen Activator Receptor and Outcomes in Patients with Diabetes on Hemodialysis
CJASN Express abstract.
Prooxidant–Antioxidant Balance, hsTnI and hsCRP: Mortality Prediction in Hemodialysis Patients, Two-Year Follow-Up
Full-text article from Renal Failure.
Sleep Disorders in People Who Have Chronic Kidney Disease
KidneyTalk podcast from Renal Support Network.
Hypertension Canada's 2017 Guidelines
Posting from the AJKD blog.
New Hepatitis C Treatments More Effective, Tolerable: FDA
Article from HealthDay.
May 19th is Hepatitis Testing Day
Poll: Majority Disapprove of GOP Healthcare Plan
Article from The Hill.
People With Pre-Existing Health Issues Fear Repeal-and-Replace Bill
Article from HealthDay.
Study Shows What Patients Need to Feel Comfortable During Hospital Stay
Press release from Ohio State University.
Posting from the KevinMD Blog:
CMS Gives States Until 2022 To Meet Medicaid Standards Of Care
Article from Kaiser Health News.


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Thursday, May 11

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  May 11, 2017
Life Expectancy With HIV Nears Normal
Article from HealthDay.

Editor's note: 45 years after the start of federal funding for dialysis care, it is both a travesty and a tragedy that U.S. dialysis care does not even consider normal life expectancies a possibility. (Remember that Tassin, France approached this in the 1980s while the U.S. embraced Kt/V and short-time dialysis).

Instead of a focus on well patients, rehabilitation, and employment, U.S. nephrology continues to promote the profitable, junk-bond-financed, mega-corporation medicine — focused on biochemical markers — that its leaders prefer.
Home Dialysis in the Prospective Payment System Era
JASN Express abstract.
"The ESRD Prospective Payment System bundling, but not the training add-on, associated with substantial increases in home dialysis, which were identical for both Medicare and non-Medicare patients. These spill-over effects suggest that major payment changes in Medicare can affect all patients with ESRD."
Editor's note: Imagine what a substantial financial incentive to increase patient employment among working-age patients (e.g. extend the MSP-period for employed patients) could do for treatments, technology, and the system of care. And the needs of tax-paying citizens pull a lot of weight in Washington!
NxStage Wins FDA Nod for Next Generation System One Hemodialysis System
Article from MassDevice.
  Articles from Nephrology News & Issues:
The Importance of Accurate Measurement of Aortic Stiffness in Patients with Chronic Kidney Disease and End-Stage Renal Disease
Free, full-text, Advance Article from Clinical Kidney Journal.
Longitudinal Associations among Renal Urea Clearance–Corrected Normalized Protein Catabolic Rate, Serum Albumin, and Mortality in Patients on Hemodialysis
CJASN Express abstract.
The Role of Hemodialysis in Treatment of Acute Acetic Acid Poisonings
Advance Online abstract from the International Journal of Artificial Organs.
Engineering Human Stem Cells to Model the Kidney's Filtration Barrier on a Chip
New Method Can Selectively Remove Micropollutants from Water
New 3D Printing Method Promises Vastly Superior Medical Implants for Millions
Heart Failure Patients Do Better When Sticking with the Same Hospital
Aetna Bails on All ACA Exchanges
Article from The Hill.

HHS Sec. Tom Price Commends West Virginia Officers Who Arrested Journalist Asking Questions
Article from STAT.

National Nurses Week Salutes Largest Segment of Health Care Workforce
Article from Hospitals & Health Networks.
FDA-Approved Drugs Have Few Postmarket Efficacy Studies
(Registration required, but free.) Article from Medscape.
The Evidence Is Clear: People Do Die From Lack Of Access To Health Insurance
May 25: KCER Webinar on Emergency Preparedness Rule
Notice from the Northwest Renal Network.


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Wednesday, May 10

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  May 10, 2017
Assessment of Global Kidney Health Care Status
Abstract and editorial extract from the Journal of the American Medical Association.
New Safety Concerns Identified for 1 in 3 FDA-Approved Drugs
Press release from Yale University. Article from Kaiser Health News. Abstract from the Journal of the American Medical Association.
Australian Federal Budget 2017: Hopes 'Transplant Tourism' Will Drop with Extension of Organ Donor Support Program
Article from ABC News (Australia).
CJASN Express Abstracts:
Ultrasound-Guided Cannulation of the Hemodialysis Arteriovenous Access
Early View abstract from Seminars in Dialysis.
Test Your Knowledge: Solute and Water Transport in Peritoneal Dialysis
Posting from the AJKD blog.
Fractures and Osteomalacia in a Patient Treated With Frequent Home Hemodialysis
Article in Press abstract from American Journal of Kidney Diseases.
Case of Mycobacterium mucogenicum in Home Hemodialysis Patient
Early View abstract from Hemodialysis International.
The Elderly Need Hired Professionals to Administer Their Medications
Posting from the KevinMD blog.
It Is Time to Change How We Measure Blood Pressures in the Office
(Registration required, but free.) Free, full-text article from Annals of Family Medicine via Medscape Nephrology.
NxStage Medical Q1 Earnings
Rockwell Medical Reports First Quarter Results
New Research Could Transform How We Filter Water
Scott Gottlieb Wins Confirmation As FDA Commissioner
Article from STAT.
GOP Healthcare Effort Dogged by Gender Inequity
Article from The Hill.
Front-Line Physicians Respond to AHCA Vote
Slideshow from Medical Economics.
Doctors Should Be Paid by Salary, Not Fee-for-Service, Argue Behavioral Economists
Press release from Carnegie Mellon University.
Grassley, Chaffetz Send Fiery Response To HHS Memo They Say Chills Whistleblowing
Article from Kaiser Health News.
Medicare's Bundled Payment Programs Suffer From Fatal Flaws, But There Is A Logical Alternative
Posting from the Health Affairs Blog.
CMS Announces Extension for States under Medicaid Home and Community-Based Settings Criteria
Press release.
Half Of Enrollees In Indiana's New Medicaid Program Didn't Make Required Payments


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Tuesday, May 9

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  May 9, 2017
Just 5 Percent of Daily Salt Gets Added at the Table
Article from HealthDay. Press release from the American Heart Association. Free, full-text article from Circulation.
Study Finds Low Rate of Cancer Screening among Transplant Patients
Press release from St. Michael's Hospital. Early View abstract from American Journal of Transplantation.
DaVita Acquires Purity Dialysis
Press release.

Purity Dialysis operates ten dialysis centers in the greater Milwaukee area and provides out-patient hemodialysis and in-home peritoneal dialysis training.
Changes in Physical Activity and Risk of All Cause Mortality in Patients on Maintence Hemodialysis: a Retrospective Cohort Study
Free, Open Access article from BMC Nephrology.
Cardiovascular Outcome Trials in Patients With Advanced Kidney Disease —Time for Action
Extract from Circulation.
The Case For Patient-Centered Assessment Of Value
Posting from the Health Affairs blog.
77 Kidney Paired Donation Transplantations at a Single Transplant Center in India Led to an Increase in Living Donor Kidney Transplantations in 2015
Free, full-text, Advance Article from Clinical Kidney Journal.
Early View Abstracts from American Journal of Transplantation:
Pregnancy-Induced Sensitization Promotes Sex Disparity in Living Donor Kidney Transplantation
JASN Express abstract.
Press Releases from the Patient-Centered Outcomes Research Institute:
Kidney Research Leads to Surprising Discovery about How the Heart Forms
Experts Recommend Screening for AFib in Older People to Cut Risk of Stroke and Death
Articles from Kaiser Health News:
Text Messaging and Protected Health Information — What Is Permitted?
Free, full-text, New Online viewpoint article from the Journal of the American Medical Association.
Make a Wish: the Top Five Requests from Children and Adults Facing the End of Life
Article from STAT.
Gap Growing between Longest and Shortest Lifespans in the US
Press release from the Institute for Health Metrics and Evaluation. Free, full-text, New Online article from JAMA Internal Medicine.
FBI Director Encourages Close Collaboration to Combat Cyberattacks in Health Care
Association of Cost Sharing With Use of Home Health Services Among Medicare Advantage Enrollees
New Online abstract from JAMA Internal Medicine.


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Monday, May 8

DaVita Acquires Purity Dialysis
Press release.

Purity Dialysis operates ten dialysis centers in the greater Milwaukee area and provides out-patient hemodialysis and in-home peritoneal dialysis training.
FacebookTwitter
  May 8, 2017
Preexisting Conditions That May Not Be Covered by Republican Health Care Bill
Article and video from CNN. The list includes:
  • Dialysis
  • Organ transplants
  • Renal failure
  • Diabetes
The Deterioration in Physical Function of Hemodialysis Patients
Early View abstract from Hemodialysis International.
Regional Versus Local Anesthesia for Arteriovenous Fistula Creation in End-Stage Renal Disease: a Systematic Review and Meta-Analysis
Advance Online abstract from the Journal of Vascular Access.
Angiogenesis and Inflammation in Peritoneal Dialysis: The Role of Adipocytes
Free, full-text, Issue-in-Progress review article from Kidney & Blood Pressure Research.
Update on Lupus Nephritis
Free, full-text article from the Clinical Journal of the American Society of Nephrology.
A Primer on Hemodialysis “Weight”
Posting from the KidneyViews blog.
The Liver Increases by Half during the Day
Press release from the University of Geneva.

A human liver normally weighs 1.44–1.66 kg (3.2–3.7 lb), and has a width of about 15 cm. It is both the heaviest internal organ and the largest gland in the human body.
Articles from Kaiser Health News:
VA May Close 1100 Facilities to Privatize More Veterans Healthcare
CMS Updates Electronic Clinical Quality Measures for 2018 Reporting
News brief from AHANews.


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Fri./Sat., May 5-6

Preexisting Conditions That May Not Be Covered by Republican Health Care Bill
Article and video from CNN. The list includes:
  • Dialysis
  • Organ transplants
  • Renal failure
  • Diabetes
FacebookTwitter
  May 5, 2017
Ex-DaVita Employee, Matthew Bassett, To Be Nominated for Assistant Secretary of Health and Human Services Position
Press release from The White House. Article from The Hill. Matthew Bassett's Linked in profile. OpenSecrets.org listing of year 2006 DaVita lobbyists.

Editor's note: This could save DaVita a lot of money on lobbyists (2016 Open Secrets.org data).
Fluid Overload Linked to Premature Death in Patients on Dialysis
Press release and JASN Express abstract from the American Society of Nephrology.
'I Want to Donate My Kidney. Obamacare Repeal Would Make That a Little Scarier.'
Posting from Vox.
Illegal Organ Transplants Worth $2 Billion Carried out in Pakistan
Article from the Daily Times (Pakistan).

Practical Approaches to Iron Therapy in Kidney Disease Patients
Article from Nephrology News & Issues.

Acute Declines in Renal Function during Intensive BP Lowering: Implications for Future ESRD Risk
JASN Express abstract.
Renal Replacement Therapy in Acute Kidney Injury from a Chinese Cross-Sectional Study: Patient, Clinical, Socioeconomic and Health Service Predictors of Treatment
Free, Open Access article from BMC Nephrology.
Advance Online Abstracts from the Journal of Vascular Access:
iConnect CKD - Virtual Medical Consulting: a web-based Chronic Kidney Disease, Hypertension and Diabetes Integrated Care Program
Accepted Article abstract from Nephrology.
UAB Awarded $11.2 Million to Study Renal Control of Sodium and Salt Balance
Articles from HealthDay:
Articles from STAT:
House Obamacare Bill Won't Fix Healthcare System, Doctors Say
Article from Medical Economics.
Articles from Kaiser Health News:
2017's Best & Worst States for Nurses
Article from WalletHub.
Some Providers Shifting Away From Nurses for Home Care
Article from HFMA.
Medicare's Top Billing Doctor Is Convicted of Medical Fraud
Extract from The BMJ. Article from Palm Beach Post.


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Thursday, May 4

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  May 4, 2017
Outset Medical Announces $76.5 Million in Funding for Innovative Dialysis Technology
Press release.
National Kidney Foundation Statement on MacArthur Amendment to the American Health Care Act
Press release.
Free, Full-Text Articles from Medscape Nephrology (registration required, but free):
Low Mean Perfusion Pressure Is a Risk Factor for Progression of Acute Kidney Injury in Critically Ill Patients — a Retrospective Analysis
Free, Open Access article from BMC Nephrology.
Baxter Looks to Combination Device Pathway for Home Peritoneal Dialysis Machine
Article from MassDevice.
Novel Treatment Offers Kidney Failure Patients with Rare Disorder New Hope
ReThink Medical Raises $3 Million for a Wearable Device to Predict Heart Failure
Heart Failure Is As 'Malignant' As Some Common Cancers
Teens and Adolescents Who Consume Too Much Salt Show Unhealthy Changes to Blood Vessels
GOP Rushing to Vote on Healthcare without Analysis of Changes
Article from The Hill.
With Drug Reps Kept At Bay, Doctors Prescribe More Judiciously
Article from ProPublica.
US Prescription Drug Spending As High As $610 Billion by 2021: Report
Article from Reuters.
What U.S. Healthcare Needs Most Is Visionary Leadership
Press release from Arizona State University.
A Trauma Nurse Reflects On 'Compassion Fatigue'
Article and poem from NPR.
 


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Wednesday, May 3

Outset Medical Announces $76.5 Million in Funding for Innovative Dialysis Technology
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  May 3, 2017
Half of U.S. Docs Get Payments From Drug, Device Industries: Study
Article from HealthDay. Press release # 1 and # 2 from the Journal of the American Medical Association. Press release from Carnegie Mellon University.

Editor's note: If U.S. dialysis care is ever going to be "great again," it doesn't need far better medical leadership, it needs far better moral leadership.

U.S. dialysis care should be the poster child of "conflicts of interest" in U.S. medical care. The combination of physician ownership of dialysis facilities and corporate junk-bond financing of dialysis facility acquisitions has led to a decades-long failure of patient advocacy responsibilities by U.S. nephrology. The result has been 'junk-bond nephrology.' Most leading practitioners have greatly rewarded themselves financially while this field of medicine has lagged far behind others in improving patient outcomes and technology. “Dialysis is a promise unfulfilled,” said Jonathan Himmelfarb, director of the Kidney Research Institute.

The Journal of the American Medical Association has published an issue dedicated to conflicts of interest that contains 26 free, full-text articles.
Free, Full-Text Articles from the Journal of the American Medical Association:
In Their Obsession with Numbers, Doctors Sometimes Forget Who Patients Are
Posting from the KevinMD blog.
DaVita Reports Tough Quarter As Well As Two Acquisitions
Articles from Denver Business Journal and AP. Earnings call transcript from Seeking Alpha.
Fresenius Medical Care Q1 Profit Rises, Adjusted Revenue Up 14%; Confirms Outlook
Article from RTTNews and Reuters. News release from the Fresenius Medical Care.
About the Opt-Out System, Live Transplantation, and Information to the Public on Organ Donation in Spain … Y olé!
Free, full-text, Early View letter to the editor from American Journal of Transplantation.
Free, Open Access Articles from BMC Nephrology:
Effect of Febuxostat on the Endothelial Dysfunction in Hemodialysis Patients: A Randomized, Placebo-Controlled, Double-Blinded Study
Issue-in-Progress abstract from American Journal of Nephrology.
Oral Direct-Acting Agent Therapy for Hepatitis C Virus Infection: A Systematic Review
Free, full-text article from Annals of Internal Medicine.
Abstracts from JAMA Internal Medicine:
Modest Increases in Kids' Physical Activity Could Avert Billions in Medical Costs
Press release from Johns Hopkins University Bloomberg School of Public Health.
Revealed: The Biochemical Pathways of Polycystic Kidney Disease
May 5 is World Hand Hygiene Day
Putting Patients First by Reducing Administrative Tasks in Health Care: A Position Paper of the American College of Physicians
Free, full-text article from Annals of Internal Medicine.
CDC: Disparity between Black and White Death Rates Declining
News brief from AHANews.
May 9: CROWNWeb New User Training


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Tuesday, May 2

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  May 2, 2017
Davita Says CEO's 2016 Compensation was $12.3 Million
News brief from Reuters.
CMS Urgent-Start PD Webinar
Posting from the Northwest Renal Network on the May 9 webinar/conference call.
Media Coverage May Influence Willingness to Donate Organs
(Registration requaired, but free.) Article from MedPage Today. Early Edition abstract from Proceedings of the National Academy of Sciences of the United States of America.
Captivating a Captive Audience: a Quality Improvement Project Increasing Participation in Intradialytic Exercise across Five Renal Dialysis Units
Free, full-text, Advance Article from Clinical Kidney Journal.
#SCM17 Late-Breaking Abstract: Undetected Life-Threatening Cardiac Arrhythmias in Dialysis Patients with High Potassium Variability
Posting from the AJKD blog.
Center Characteristics Associated with the Risk of Peritonitis in Peritoneal Dialysis: a Hierarchical Modeling Approach Based on the Data of the French Language Peritoneal Dialysis Registry
Advance Article abstract from NDT.
Free, Open Access Articles from BMC Nephrology:
Hach's Automated CM130 Chlorine Monitoring System for Dialysis Clinics FDA Cleared
Article from MedGadget.
Call for Public Comment: Draft 2017 National Standards for Diabetes Self-Management Education and Support
Notice from the American Diabetes Association. Comment period closes May 2.
Always Up, Always Forward with David Rush
KidneyTalk podcast from Renal Support Network.
Personalized Psychiatry Matches Therapy to Specific Patients with Depression
Widespread Vitamin D Deficiency Likely Due to Sunscreen Use, Increase of Chronic Diseases
Adjusting Meds May Reduce Fall Risk in Older Adults
Launch of Healthy Nurse, Healthy Nation™
Announcement from the American Nurses Association.
Free, Full-Text, New Online Articles from the Journal of the American Medical Association:
Non-O Blood Group 'Linked to Higher Heart Attack Risk'
Study: Medicaid Patients Wait Longer to See Doctors


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Monday, May 1

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  May 1, 2017
Unemployment Associated with 50% Higher Risk of Death in Heart Failure Patients
Press release from European Society of Cardiology.

Editor's note: Perhaps Dr. Franklin Maddux will now finally mention employment and rehabilitation as goals of treatment?

On so many levels, failing to target employment and rehabilitation for the last forty years has been a disaster and tragedy for U.S. dialysis patients. Shame on the American Society of Nephrology, shame on the Renal Physicians Association, and shame on CMS for ignoring these life-sustaining and innovation-driving measures.
A Transplant and a Cure: Penn Team Eradicates Hepatitis C in 10 Patients Following Lifesaving Transplants from Infected Donors
Press release from University of Pennsylvania School of Medicine.
Trial of Transplantation of HCV-Infected Kidneys into Uninfected Recipients
Free, full-text, Online First letter to the editor from the New England Journal of Medicine.
Home-Based Care for Chronic Kidney Disease
Update on a Patient-Centered Outcomes Research Institute (PCORI-funded) project involving the Zuni tribe in New Mexico.
Articles from Medscape Nephrology (registration required, but free):
Butchers in (Pakistani) 'Kidney Bazaar'
Article from The Nation.
BlueCross BlueShield of TN To Stop Accepting Payments from Kidney Nonprofit (AKF)
Article and video from WRCBTV.com (Chattanooga).
High Impact Article Library at UKidney Featuring #VisualAbstracts
Posting from the Renal Fellow Network blog. Key high-impact articles in nephrology from UKidney.
A Death—and Donation—of One's Own
Free, full-text article from American Journal of Transplantation.
Coverage of the American Transplant Congress 2017
Articles by Renal & Urology News. Highlights include:
Hyperkalemia Prevalence, Recurrence and Management in Chronic Hemodialysis: a Prospective Multicenter French Regional Registry 2-Year Survey
Advance Article abstract from NDT.
Advance Online Abstracts from the Journal of Vascular Access:
Brain Natriuretic Peptide Is a Marker of Fluid Overload in Incident Hemodialysis Patients
Issue-in-Progress abstract from CardioRenal Medicine.
Optimizing Automated Peritoneal Dialysis (APD) Using an Extended Three Pore Model
Article in Press abstract and link to full-text PDF from Kidney International Reports.
Type 2 Diabetes May Be Bad for Brain Health
Smartphone 'Orders' Body To Treat Diabetes
Home Blood Pressure Monitors May Not Be Accurate Enough
Postings from the KevinMD Blog:
 


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Fri./Sat., April 28-29

BlueCross BlueShield of TN To Stop Accepting Payments from Kidney Nonprofit (AKF)
Article and video from WRCBTV.com (Chattanooga).
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  Apr. 28, 2017
Stimulating Patient Engagement in Medical Device Development in Kidney Disease: A Report of a Kidney Health Initiative Workshop
Article in Press abstract from American Journal of Kidney Diseases.

Editor's note: If had financial incentives for employment and rehabilitation as dialysis outcomes, machine designers would have long ago set up permanent integrated mechanisms to continually question and listen to patients about what they need in machine functionalities.

To whom do machine designers listen instead? Why has U.S. dialysis technology been stagnant for decades?
Idaho Dialysis Clinic Closes
Article from Shoshone News Press. (Google map for Smelterville, ID)
Peritoneal Dialysis as the Dialysis Initial Modality of Choice for Renal Replacement Therapy Initiation: Moving from "Why" to "Why Not"
Free, full-text, Issue-in-Progress editorial from Blood Purification.
Medicare & Tips to Increase the Use of PD and Home Hemodialysis (HHD)
Posting from the KidneyViews blog.
Recent Advances in Stroke Prevention in Patients with Atrial Fibrillation and End-Stage Renal Disease
Free, full-text, Issue-in-Progress review from CardioRenal Medicine.
The Dialysis Sodium Gradient: A Modifiable Risk Factor for Fluid Overload?
Free, full-text article from Nephron Extra.
Implications of Albumin Leakage for Survival in Maintenance Hemodialysis Patients: A 7-year Observational Study
Early View abstract from Therapeutic Apheresis and Dialysis.

Editor's note: Hemodiafiltration anyone?
Special Issue of Hemodialysis International: Iron and Anemia in Chronic Kidney Disease
9 free, full-text articles.
Study Quantifies Kidney Failure Risk in Living Kidney Donors
Press release and JASN Express abstract from the American Society of Nephrology.
Hospital Acquired Complications May Be Especially Dangerous for Kidney Disease Patients
Press release and CJASN Express abstract from the American Society of Nephrology.
Global Cardiovascular and Renal Outcomes of Reduced GFR
JASN Express abstract.
Oral Paricalcitol: Expanding Therapeutic Options for Pediatric Chronic Kidney Disease Patients
Free, full-text, First Online editorial from Pediatric Nephrology.
U.S. Healthcare Needs a Good Shakeup, CEO Says
(Registration required, but free.) Article from MedPage Today.
Breaking the Rules for Better Care
Free, full-text, New Online viewpoint article from the Journal of the American Medical Association.
California Lawmakers Consider Dumping Health Insurers
AP article. Press release from National Nurses United.
America's Other Drug Problem
Article from ProPublica.

"Every year nursing homes nationwide flush, burn or throw out tons of valuable prescription drugs. Iowa collects them and gives them to needy patients for free. Most other states don't.".
April 29 Is Prescription Drug Take Back Day
CDC: Chronically Uninsured Rate for Adults Falls to 7.6%
 


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Thursday, April 27

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  Apr. 27, 2017
Video from Center for Dialysis Innovation
90-second YouTube video on their MacArthur Foundation 100&Change proposal (it was not selected as a semi-finalist).
"This is not a pie-in-the-sky dream. With the support of the MacArthur Foundation, we can make this happen and bring this to patients in six years time."

— Dr. Jonathan Himmelfarb from the University of Washington Center for Dialysis Innovation.
Cancer Risk Rises After Childhood Organ Transplant
Article from HealthDay. Published Ahead of Print abstract from Pediatrics.
Emerging Trends Through February 2017: Latest DOPPS Practice Monitor Findings
May 18, 3-4 PM ET. Registration now open.
Articles from Nephrology News & Issues:
Free, Open Access May 2017 Issue of Kidney International Reports
22 full-text articles. Highlights include:
Article in Press Abstracts and Links to Full-Text PDFs from Kidney International Reports:
More Americans Aware of Their High Blood Pressure
Baxter Reports First-Quarter 2017 Results and Increases Financial Outlook for Full-Year 2017
Amgen Revenues Fall but Profits Increase
Serious Questions Raised About Validity Of International Trials
(Registration required, but free.) Article from MedPage Today.
Free, Full-Text, Perspective Pieces from the New England Journal Of Medicine:
Severe Shortage Of Home Health Workers Robs Thousands Of Proper Care
Article from Kaiser Health News.
CMS Launches Long Promised Repository for Public Health, Clinical Data Registry Info
Article from Healthcare IT News.


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Wednesday, April 26

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  Apr. 26, 2017

70+ Comments: California First to Address Dialysis Staffing Crisis
(Registration required, but free.) Article from Medscape Nephrology. California bill SB-349 information. Related article from Nephrology News & Issues.

Free Supplemental Issue of Nephrology on Chronic Kidney Disease – Mineral & Bone Disorders
16 full-text articles.
Low-Sodium Diet Might Not Lower Blood Pressure
Press release from the Experimental Biology 2017 meeting.

"A new study that followed more than 2,600 men and women for 16 years found that consuming less sodium wasn't associated with lower blood pressure. The new findings call into question the sodium limits recommended by the current Dietary Guidelines for Americans."
UnitedHealthcare Takes Action to Increase Live Kidney Donation
Posting from the Chronic Disease Coalition.
#SCM17: Common Sense Ways to Reduce the Burden of AKI
Posting from the AJKD blog.
Modified Creatinine Index and the Risk of Bone Fracture in Patients Undergoing Hemodialysis: The Q-Cohort Study
Article in Press abstract from American Journal of Kidney Diseases.
The Systemic Nature of CKD
Advance Online abstract from Nature Reviews Nephrology.

Editor's note: Focusing nearly exclusively on cardiorenal medicine is obviously shortsighted.
Primary and Secondary Patencies of Transposed Femoral Vein Fistulas Are Significantly Greater Than with the HeRO Graft
Advance Online abstract from the Journal of Vascular Access.
A Clinical Score to Predict Mortality in Septic Acute Kidney Injury Patients Requiring Continuous Renal Replacement Therapy: the HELENICC Score
Free, Open Access article from BMC Anesthesiology.
Preoperative Sepsis Is an Independent Risk Factor for Major Complications after Lower Extremity Amputation in Patients with Diabetic End-Stage Renal Disease
Accepted Article abstract from Nephrology.
Pregnant Women Need Routine Blood Pressure Checks
Article from Reuters. Free, full-text, New Online editorials from JAMA Internal Medicine:
Childhood Obesity Quadruples Risk of Developing Type 2 Diabetes
Potential New Treatment for Kidney Failure in Cancer Patients
One Step Closer to an “Exercise Pill”
CDC Updates Pre-Pandemic Planning Guidance
Popular Belief That Saturated Fats Clog up Arteries 'Plain Wrong' Say Experts
(Snap Along to) The Cruel Irony of the Hippocratic Oath
Posting from the KevinMD blog.
5 Things To Know About The Health Issue That Could Shut Down The Government
Article from Kaiser Health News.
The Rise of Crowdfunding for Medical Care — Promises and Perils
Free, full-text, viewpoint article from the Journal of the American Medical Association.
 


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Tuesday, April 25

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  Apr. 25, 2017
Medicare Recipients Using Rehabilitation Services Report Major Functional Improvements
Press release from the University of Vermont. Article in Press abstract from Archives of Physical Medicine and Rehabilitation.
Effects of Neuromuscular Electrical Stimulation During Hemodialysis on Peripheral Muscle Strength and Exercise Capacity
Abstract from Archives of Physical Medicine and Rehabilitation.
Organ Donation: A New Frontier for Artificial Intelligence?
Press release from the University of Montréal.
Father of Kidney Exchange Says It's Time for a Refresh
Article from Nephrology News & Issues.
Conclusions of Mexico City – Latin America Unites against Kidney Disease
News release from the International Society of Nephrology.
Road Map to CKD Health Published in Lancet Health Review
Announcement and press release (5-page pdf) from the International Society of Nephrology (ISN). Full-text road map article (30-page pdf) and Global Kidney Health Atlas (187-page pdf) from the ISN.
Free, Open Access Articles from International Urology and Nephrology:
Clinical Practice Guidelines on Iron Therapy: a Critical Evaluation
Early View abstract from Hemodialysis International.
Advanced Age Is Not a Barrier to Creating a Functional Arteriovenous Fistula: a Retrospective Study
Advance Access abstract from the Journal of Vascular Access.
The Incidence and Costs of Bacteremia Due to Lack of Gentamicin Lock Solutions for Dialysis Catheters
Abstract from Nephrology.
Membrane Transport Status Does Not Predict Peritonitis Risk in Patients on Peritoneal Dialysis
Accepted Article abstract from Nephrology.
Sanofi Receives FDA Approval of Thymoglobulin® for the Prevention of Acute Kidney Transplant Rejection
Press release.
Hepatitis B Virus Reactivation Associated With Direct-Acting Antiviral Therapy for Chronic Hepatitis C Virus: A Review of Cases Reported to the U.S. Food and Drug Administration Adverse Event Reporting System
Latest Article abstract from Annals of Internal Medicine.
Forging New Defenses Against Diabetic Kidney Disease
Mayo Research Shows Surgery Adds Years for Kidney Cancer Patients
Fresenius Picks Up Mergers & Acquisitions Pace with Akorn, Merck Deals
Nephros Announces Partnership with WorldWater & Solar Technologies
Becton Dickinson Acquires C.R. Bard in $24 Billion Medical Device Deal
If Your Patient Doesn't Speak the Same Language As You…
Full-text article from The BMJ.
Posting from the KevinMD Blog:
 


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Monday, April 24

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  Apr. 24, 2017
California First to Address Dialysis Staffing Crisis
(Registration required, but free.) Article from Medscape Nephrology.
Creating a Wearable Artificial Kidney: A Difficult But Necessary Goal
Article from Nephrology News & Issues.
“Dialysis is a promise unfulfilled,” said Jonathan Himmelfarb, director of the Kidney Research Institute..."

“If we are going to keep patients alive by artificial means, we then incur the responsibility to see that it is a good life and an enjoyable life,” Kolff said in 1968.

“If the treatment of chronic uremia cannot fully rehabilitate the patient, the treatment is inadequate,” Scribner said in 1963.

"Dialysis keeps people alive, but it doesn’t restore health," Himmelfarb said. "And it doesn’t fully rehabilitate."

CDC Webinar — Infections in Dialysis Centers: Understanding what Matters to Patients
Free CE webinar scheduled for May 2, 2017 at 3:00-4:00 PM EDT. Registration now open.
New Global Report Highlights Burden and Neglect of Kidney Disease Worldwide
Press release from the International Society of Nephrology. Free, full-text, New Online article and editorial from the Journal of the American Medical Association.
Coverage of National Kidney Foundation 2017 Spring Clincal Meetings
Articles from Renal & Urology News. Highlights include:
Postings from the AJKD Blog:
ISN World Congress of Nephrology 2017
April 21-25 in Mexico City.
Obesity and Listing for Renal Transplantation: Weighing the Evidence for a Growing Problem
Free, full-text, Advance Access article from Clinical Kidney Journal.
Intradialytic Hypotension, Blood Pressure Changes and Mortality Risk in Incident Hemodialysis Patients
Advance Access abstract from NDT.
Sex Differences in Hospitalizations with Maintenance Hemodialysis
JASN Express abstract.
Surgeon Volume Impacts Parathyroidectomy Outcomes
Physician' s Briefing from HealthDay. New Online abstract from JAMA Otolaryngology-Head & Neck Surgery.
Early View Abstracts from American Journal of Transplantation:
Nonparallel Progression of Left Ventricular Structure and Function in Long-Term Peritoneal Dialysis Patients
Issue-in-Progress abstract from CardioRenal Medicine.
Pregnancy and Kidney Disease: from Medicine Based on Exceptions to Exceptional Medicine
Free, full-text, First Online editorial from Journal of Nephrology.
First Online Abstracts from Journal of Nephrology:
Associations of Dietary Protein and Energy Intakes with Protein-Energy Wasting Syndrome in Hemodialysis Patients
Article in Press abstract and link to full-text PDF from Kidney International Reports.
Testing Urine for Particular Proteins Could Be Key to Preventing Kidney Transplant Failure
'Connshing Syndrome' Named As a New Cause of High Blood Pressure
Hospira, Baxter Subpoenaed in Antitrust Probe over Intravenous Saline
Displaying Lab Test Costs in Electronic Health Records Doesn't Deter Doctors from Ordering Them
Press release from University of Pennsylvania School of Medicine. Free, full-text, New Online article from JAMA Internal Medicine.
Health Care In America: An Employment Bonanza And A Runaway-Cost Crisis
Article from Kaiser Health News.
CROWNWeb Town Hall: Promoting Data Quality Goals with the Facility Dashboard
Thu, April 27th 2017, 2:00 pm EDT.


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Fri./Sat., April 21-22*

California First to Address Dialysis Staffing Crisis
(Registration required, but free.) Article from Medscape Nephrology.
Creating a Wearable Artificial Kidney: A Difficult But Necessary Goal
Article from Nephrology News & Issues.

“Dialysis is a promise unfulfilled,” said Jonathan Himmelfarb, director of the Kidney Research Institute and Joseph W. Eschbach, MD, Endowed Chair in Kidney Research at the University of Washington School of Medicine.
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  Apr. 21, 2017
Dialysis Patient Advocates, Doctors, Nurses and Clinics Strongly Oppose California Senate Bill 349 – Rigid Dialysis Clinic Staffing Mandates
Press release from BCF's (public affairs/lobbying group) web site DialysisPatients1st.com.

This proposed legislation would:
  • Require a patient-to-registered-nurse ratio of 8:1
  • Require a patient-to-dialysis-technician ratio of 3:1
  • Require a patient-to-social-worker ratio of 75:1
  • Require a minimum of 45 minutes for dialysis technicians to properly clean the equipment after each hemodialysis treatment
  • Require annual inspections of dialysis clinics
The groups opposed to SB 349 include:
  • California Dialysis Council
  • California Hospital Association
  • Association of California Healthcare Districts
  • Renal Support Network
  • Renal Physicians Association
  • National Renal Administration Association
  • American Nurses Association of California
  • California Medical Transportation Association
  • Lupus Foundation of Southern California
  • Providence Health & Services
  • Loma Linda University Medical Center – Kidney Center
On the opposing side, see this video from More Than Numbers - #FixDialysis. Background information from Nephrology News & Issues. Also see these related posts from Arts & Farces: Editor's note: This bill is NOT opposed by the American Nephrology Nurses Association.
Study Evaluates How Well Fellowship Training Prepares Kidney Specialists
Press release and JASN Express abstract from the American Society of Nephrology.
Press Releases from the National Kidney Foundation:
Coverage of National Kidney Foundation 2017 Spring Clincal Meetings
Articles from Renal & Urology News.
Articles from MedPage Today (registration required, but free):
Articles from Nephrology News & Issues:
Free, Full-Text Articles from The Journal of Vascular Access (click on "Full Text" tab):
Free, Full-Text Articles from American Journal of Kidney Diseases:
Free, Full-Text, Issue-In-Progress Articles from Kidney & Blood Pressure Research:
Levocarnitine Injections Decrease the Need for Erythropoiesis-Stimulating Agents in Hemodialysis Patients with Renal Anemia
Issue-in-Progress abstract from CardioRenal Medicine.
6 Late-Breaking Abstracts: National Kidney Foundation 2017 Spring Clinical Meetings April 18-22, 2017
Early View Abstracts from Hemodialysis International:
Gut Microbiome and Kidney Disease: a Bidirectional Relationship
Free, Open Access article from Pediatric Nephrology.
Towards a Bioengineered Kidney: Recellularization Strategies for Decellularized Native Kidney Scaffolds
Advance Online abstract from the International Journal of Artificial Organs.
Omega-3 Fatty Acid Supplementation is Associated With Oxidative Stress and Dyslipidemia, but Does not Contribute to Better Lipid and Oxidative Status on Hemodialysis Patients
Article in Press abstract from Journal of Renal Nutrition.
Cold Ischemia Time up to 16 Hours Has Little Impact on Living Donor Kidney Transplant Outcomes in the Era of Kidney Paired Donation
Article in Press abstract from Kidney International.
Adding Access Blood Flow Surveillance Reduces Thrombosis and Improves Arteriovenous Fistula Patency: a Randomized Controlled Trial
Advance Online abstract from the Journal of Vascular Access.
Neuromuscular Electrostimulation: a New Therapeutic Option to Improve Radiocephalic Arteriovenous Fistula Maturation in End-Stage Chronic Kidney Disease Patients
First Online abstract from International Urology and Nephrology.
More Americans Being Hospitalized for a Hypertensive Emergency, but Fewer Are Dying
A Promising Target for Kidney Fibrosis
Blood Donor Screening for Hepatitis E Reveals Incidence Is Higher Than Previously Reported
When Is It Safe to Drive With Type 1 Diabetes?
Beyond Medication Reconciliation – The Correct Medication List
Free, full-text, New Online viewpoint article from the Journal of the American Medical Association.
Instead of 'Fail First,' Try 'Patients First,' Cancer Doctors Tell Insurers
Article from STAT.
Is Soda Bad for Your Brain? (And Is Diet Soda Worse?)
Press release from Boston University. Article from HealthDay.
 


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Thursday, April 20

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  Apr. 20, 2017
Unlocking the Enigma of the Activated and Engaged Patient
Article from Healthcare Business & Technology.
Cricket Health Unveils Results of Modality Choice Program for Chronic Kidney Disease Patients
Press release.
Sentien Launches Trial for Drug-Device Combo for Treating Acute Kidney Injury
Article from Drug Delivery Business.
Unexpected and Striking Effect of Heparin-Free Dialysis on Cytokine Release
Free, Open Access, First Online article from International Urology and Nephrology.
Abstracts from Cochrane Reviews:
Free, Open Access Articles from PLOS ONE:
Arteriovenous Access Banding Revisited
Advance Online abstract from the Journal of Vascular Access.
National Healthcare Safety Network (NHSN) Annual Training for Dialysis Event Surveillance
Notice from the Northwest Renal Network. Annual retraining must be completed by Sept.30.
RPA Public Policy in a Minute: Chronic Care Act of 2017, S.870
Fewer Exams and Better Eye Health? Aye-Aye, Finds Type I Diabetes Study
Some Answers to Question of Why College Grads Show Less Risk for Type 2 Diabetes
88th Annual Physician Report
Feature from Medical Economics.
Good Riddance to Big Insurance Mergers
Free, full-text, Online First perspective piece from the New England Journal of Medicine.
Widely Disparate Spending on Health Forecast through 2040
Press release from the Institute for Health Metrics and Evaluation.
Trends in Use of the US Medicare Annual Wellness Visit, 2011-2014
Free, full-text, Online First research letter from the Journal of the American Medical Association.


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Wednesday, April 19

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  Apr. 19, 2017
New Test Identifies Patients with Diabetes Who Are at High Risk of Kidney Failure
Press release from Joslin Diabetes Center. Article in Press abstract from Kidney International.
American Nephrology Nurses Association Releases New Edition of Contemporary Nephrology Nursing
Press release.
Depression Is the Leading Cause of Disability Around the World
Abstract and preview from JAMA Forum.
Free, Open Access Articles from Kidney International Reports:
Iron Deficiency Anemia in Chronic Kidney Disease: Uncertainties and Cautions
Free, full-text, Early View article from Hemodialysis International.
Free, Full-Text Articles from Medscape Nephrology (registration required, but free):
Early View Abstracts from Hemodialysis International:
Renal Replacement Therapy and Incremental Hemodialysis for Veterans with Advanced Chronic Kidney Disease
Early View abstract from Seminars in Dialysis.
Changes in the Profile of Endovascular Procedures Performed in Freestanding Dialysis Access Centers over 15 Years
CJASN Express abstract.
Exercise and CKD: Skeletal Muscle Dysfunction and Practical Application of Exercise to Prevent and Treat Physical Impairments in CKD
Article in Press abstract from American Journal of Kidney Diseases.
A Practical Standardized Composite Nutrition Score Based on Lean Tissue Index: Application in Nutrition Screening and Prediction of Outcome in Hemodialysis Population
Article in Press abstract from Journal of Renal Nutrition.
Superforecasting: The Kidney Failure Edition
Posting from the AJKD blog.
Brief, Intensive Lifestyle and Drug Treatment Improves Type 2 Diabetes
Copper Infusion by Sentara Aims to Prevent Infection
Free, Full-Text Articles from the Journal of the American Medical Association:
Illness (and Possible Heart Failure) from 'Kissing Bug' Now Widespread in U.S.
Sen. Grassley Demands Scrutiny Of Medicare Advantage Plans
Article from Kaiser Health News.


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Tuesday, April 18

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  Apr. 18, 2017
ISN Academy
New educational resource from the International Society of Nephrology. Introductory YouTube video.
Dialysis Simulators
New resources (hemodialysis and peritoneal dialysis simulators) from Boston Children's Hospital described on the Renal Fellow Network blog.
Mission Control for the Body's Salt and Water Supplies
Press releases from the Max Delbrück Center for Molecular Medicine in the Helmholtz Association and from Vanderbilt University Medical Center.

"According to the textbooks, the excretion of dietary salt will inevitably lead to water loss into the urine and thereby reduce body water content. That's not what the researchers found. On the contrary, they showed that the biological principle of salt excretion is actually water conservation and water production."

"The project revises scientists' view of the function of urea in our bodies. "It's not solely a waste product, as has been assumed," Prof. Friedrich C. Luft, MD of the Charité and MDC says. "Instead, it turns out to be a very important osmolyte - a compound that binds to water and helps transport it. Its function is to keep water in when our bodies get rid of salt. Nature has apparently found a way to conserve water that would otherwise be carried away into the urine by salt.""
Nutritional Parameters As Mortality Predictors in Hemodialysis: Differences between Genders
Early View abstract from Journal of Renal Care.
Prevalence and Associated Variables of Postdialysis Fatigue: Results of a Prospective Multicenter Study
Accepted Article abstract from Nephrology.

"In patients with severe (postdialysis fatigue), age and dialytic age were higher, ...and the ultrafiltration rate was lower."
Children with Impaired Kidney Function at Risk of Receiving Incorrect Diagnoses and Treatments
Press release and Early Release abstract from The Journal of Applied Laboratory Medicine.
The Financial Impact of Advanced Kidney Disease on Canada Pension Plan and Private Disability Insurance Costs
Free, full-text article from Canadian Journal of Kidney Health and Disease.
Pharmacologic Therapy for Type 2 Diabetes: Synopsis of the 2017 American Diabetes Association Standards of Medical Care in Diabetes
Free, full-text, clinical guidelines from Annals of Internal Medicine.
Baseball Great Rod Carew Owes His Life to NFL Player's Transplanted Organs
Leading Medical Groups Join March for Science on April 22
Article from HealthDay.
Single-Payer Reform: The Only Way to Fulfill the President's Pledge of More Coverage, Better Benefits, and Lower Costs
Free, full-text, opinion piece from Annals of Internal Medicine.
National Healthcare Decisions Day Underway All Week
News brief from AHANews. The national effort aims to help people understand the value of advance health care planning.
CMS Releases New MACRA Resources for Clinicians
News brief from AHANews.


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Monday, April 17

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  Apr. 17, 2017
Ethical Dilemmas in Dialysis Therapy: Making the Right Decisions
(Registration required, but free.) Article from Medscape. Abstract from The Lancet.
"Even though decades of scientific research has confirmed that transplantation offers a better quality and quantity of life, reimbursement policies make it more profitable for providers to maintain dialysis therapy over transplantation."

Nephrologists and Integrated Kidney Disease Care: Roles and Skills Essential for Nephrologists for Future Success
Article in Press from American Journal of Kidney Diseases.

Editor's note: This could be entitled, "Essential Mindsets and Skills for Junk-Bond Nephrology." Who wants to practice this kind of medicine?

I have to believe these medical directors would be advocating for a completely different kind of medical care for working-age patients if their corporations were provided significant financial incentives to deliver employed and rehabilitated patients. They should instead advocate strongly for transplantation and advocate for the kind of medical care that would they would want for themselves and their own families.

Which large dialysis provider has the highest transplant referral rate and also has the lowest dialysis mortality and hospitalization rates?

How Spain Became the World Leader in Organ Transplants
Article from The Manila Times.
Rethinking Dialysis: Giving Patients Choices
Article from The Boston Globe.
  The Cost of Not Taking Your Medicine
Article from The New York Times.

"Studies have shown that a third of kidney transplant patients don't take their anti-rejection medications, 41 percent of heart attack patients don't take their blood pressure medications, and half of children with asthma either don't use their inhalers at all or use them inconsistently."
PD and Home HD: Dialyzor-to-Dialyzor Tips for Newbies
Posting from the KidneyViews blog.
GAO Report: Telehealth and Remote Patient Monitoring Use in Medicare and Selected Federal Programs
Link to 72-page report from the U.S. Government Accountability Office.
Articles from Medscape Nephrology (registration required, but free):
Targeted Deprescribing in an Outpatient Hemodialysis Unit: A Quality Improvement Study to Decrease Polypharmacy
Article in Press from American Journal of Kidney Diseases.
ANNA Joins Initiative to Enhance Infection Control Education for Nurses
Notice from the American Nephrology Nurses Association.