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RECENT NEWS ARCHIVES

Fri./Sat., Nov. 18-19

Program Helps With Transition to Renal Replacement Therapy
(Registration required, but free.) Article from Medscape Nephrology.
Multinational Study Finds High Rates of Acute Kidney Injury in Children Admitted to ICUs
Press release from Cincinnati Children's Hospital Medical Center. Free, full-text, Online First article and editorial from The New England Journal of Medicine.
Opioid Rx Linked to Higher Mortality in Dialysis Patients
(Registration required, but free.) Article from MedPage Today.
Articles from Renal & Urology News:
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  Nov. 18, 2016
Press Releases from the American Society of Nephrology:
New Clue May Explain Residual Renal Function Loss in HD Patients
Article from Renal & Urology News.
Press Releases from Fresenius Medical Care and DaVita on their ASN Abstracts
Editor's note: Considering that a respected nephrologist has suggested that U.S. for-profit providers have been reporting fraudulent data to Medicare in order to improve financial reimbursements, one must wonder how many of these abstracts can be considered scientifically valid. Is this the equivalent of tobacco-industry scientific research?
Wayne State and Henry Ford Present Findings on ESRD and CKD
Press release.
Baxter to Present 24 Abstracts at ASN Kidney Week 2016
Press release.
Free, Open Access, Articles in Press from American Journal of Kidney Diseases:
Effect of Peritoneal Dialysis Versus Hemodialysis on Renal Anemia in Renal in End-Stage Disease Patients: a Meta-Analysis
Free, Open Access, Latest Article from Renal Failure.
Articles in Press Abstracts from American Journal Of Kidney Diseases:
Patient Discrimination 101: Five Ways Insurance Carriers Are Discriminating against People with Chronic Health Conditions
Posting from the Chronic Disease Coalition website.
Disparities in the Prevalence of Diagnosed Diabetes — United States, 1999–2002 and 2011–2014
Article from the CDC's Morbidity and Mortality Weekly Report (MMWR).
Sleep Apnea Immediately Compromises Blood Pressure
Last-Line Antibiotics Are Failing
News release from European Centre for Disease Prevention and Control.
CDC Reveals Top 5 Causes of Death
Article from HealthDay. Article from MMWR.
CMS Launches New Online Tool to Make Quality Payment Program Easier for Clinicians
CMS press release.


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Thursday, Nov. 17

New Clue May Explain Residual Renal Function Loss in HD Patients
Article from Renal & Urology News.
Telemedicine Program Provides Kidney Care to Patients in Rural Areas
Press release from the American Society of Nephrology.
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  Nov. 17, 2016

National Report Finds Patients at Dialysis Clinic, Inc., to Have Lowest Hospitalization and Mortality Rates for 14th Straight Year
DCI press release.

24-minute Video from The Kidney Project Facebook Page on their Implantable Artificial Kidney
This is a UCSF project headed by Shuvo Roy.
New Data on Benefits of More Frequent Hemodialysis
Press release from NxStage. New NxStage web site on recent AJKD November supplement on intensive hemodialysis.
High Blood Pressure Rates Have Doubled Worldwide Since 1975
Article from HealthDay. Free, full-text, Open Access article from The Lancet.
Hemoglobin of 12 g/dl and Above Is Not Associated with Increased Cardiovascular Morbidity in Children on Hemodialysis
Article in Press abstract from Kidney International.
Effects of Intravenous Iron on Fibroblast Growth Factor 23 (FGF23) in Hemodialysis Patients: a Randomized Controlled Trial
Free, Open Access article from BMC Nephrology.
Tolvaptan and Kidney Pain in Patients With Autosomal Dominant Polycystic Kidney Disease: Secondary Analysis From a Randomized Controlled Trial
Free, full-text, Article in Press from American Journal of Kidney Diseases.
Accepted Articles Abstracts from Nephrology:
ESRD Databases, Public Policy, and Quality of Care: Translational Medicine and Nephrology
CJASN Express abstract.
The Influence of Time Point of Blood Pressure Measurement on the Outcome in Hemodialysis Patients
Article in Press abstract from Journal of the American Society of Hypertension.
Novel HCV Drug Combo Shines in CKD Patients
(Registration required, but free.) Article from MedPage Today.
Chronically ill Women Underusing Online Self-Care Resources, Study Shows
Device Shows Promise Against Tough-to-Treat Heart Failure
US Lags Behind Providing Affordable, Accessible Health Care
Full-text article from Health Affairs.
Free, Full-Text, Online First Articles from the New England Journal of Medicine:

Surgeon General's Report on Alcohol, Drugs, and Health
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.

Employment of More Nurse Assistants Is Associated with More Deaths and Lower Quality Care
Press release from University of Pennsylvania School of Nursing.
Covering Undocumented Immigrants — State Innovation in California
Free, full-text perspective piece from the New England Journal of Medicine.
Almost 1 in 4 Face Surprise Bills After ER Visit
 


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Wednesday, Nov. 16*

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  Nov. 16, 2016
UW Opens the Center for Dialysis Innovation
Article from Puget Sound Business Journal.
American Renal Associates Announces 3rd Quarter Results;  Will Suspend Assistance in Application Process for Insurance Premium Support from AKF
News release.

"Pending further policy guidance from CMS, in November 2016, for patients enrolled in minimum essential Medicaid coverage, we have temporarily suspended assistance in the application process for charitable premium support from the American Kidney Fund (“AKF”), which we expect will cause an adverse change in the mix of patients and treatments. This change will not affect our provision of such assistance in the application process to other patients."
CDC to Host Webinars on Updates to NSHN Dialysis Component
Notice of Dec. 1st webinar and Dec. 2nd (encore) from the American Nephrology Nurses Association web site.
USRDS Quarterly Update
Latest incident and prevalent counts from the United States Renal Data System.
Hemodialysis Infection Prevention Protocols Ontario - Shower Technique (HIPPO-ST) - A Pilot Randomized Trial
(32-page pdf) In Press Accepted Manuscript from KI Reports.
Free, Full-Text, Issue-In-Progress Articles from Blood Purification:
Infective Spondylodiscitis in Patients on Maintenance Hemodialysis: a Case Series
Free, Open Access, Latest Article from Renal Failure.
Association between Autonomic Nervous Dysfunction and Cellular Inflammation in End-Stage Renal Disease
Free, Open Access article from BMC Cardiovascular Disorders.
Free, Open Access Articles from BMC Nephrology:
(Singapore) National Kidney Foundation Fires CEO Edmund Kwok
New Drug Beats Standard Therapy in Advanced Kidney Cancer
Heart Failure Hospitalizations on the Rise in the U.S.
Prices of Generic Heart Failure Drugs Vary Widely
Most Doctors Don't Cite Cost as a Factor When Deciding Treatments
One-Third of Hypertension Patients Fail to Comply With Meds
Articles from STAT:
Statins for Everyone over 40? What Patients Need To Think about Before Filling That Prescription
Article from Health News Review.org.  Free, full-text articles from the Journal of the American Medical Association:
Coming Soon: Lower Cholesterol From a Twice-a-Year Shot?
Article from HealthDay.
CMS Five-Star Quality Rating System Identifies Satellite Healthcare as Leading 10 Largest Dialysis Providers in Percentage of Top-Rated Dialysis Centers
News release.
CMS' Hospital Quality Star Ratings Fail To Pass The Common Sense Test
Posting from the Health Affairs Blog.


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Tuesday, Nov. 15

American Renal Associates Announces 3rd Quarter Results;  Will Suspend Assistance in Application Process for Insurance Premium Support from AKF
News release.

"Pending further policy guidance from CMS, in November 2016, for patients enrolled in minimum essential Medicaid coverage, we have temporarily suspended assistance in the application process for charitable premium support from the American Kidney Fund (“AKF”), which we expect will cause an adverse change in the mix of patients and treatments. This change will not affect our provision of such assistance in the application process to other patients."
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  Nov. 15, 2016
Health Insurers Say Dialysis Clinics Are Scamming Them
Article from Minnesota Public Radio News.
Improving Distress in Dialysis (iDiD): A Tailored CBT Self-Management Treatment for Patients Undergoing Dialysis
Free, full-text article from Journal of Renal Care.
Articles in Press Abstracts from American Journal Of Kidney Diseases:
Effect of a Dialysis Access Coordinator on Preemptive Access Placement among Veterans: A Quality Improvement Initiative
Issue-in-Progress abstract from American Journal of Nephrology.
Effect of Center Practices on the Choice of the First Dialysis Modality for Children and Young Adults
First Online abstract from Pediatric Nephrology.
Vitamin K Deficiency in Chronic Kidney Disease: Evidence Is Building Up
Free, full-text, Issue-in-Progress editorial from American Journal of Nephrology.
New Cooler Keeps Organs at Right Temperature Prior to Transplantation
Article from MedGadget.
Latest Abstracts from Annals of Internal Medicine:
Annals Consult Guys – In the Hot Seat: What Is This Rash After Low-Molecular-Weight Heparin?
Trump Should Be Good Medicine for the Pharmaceutical Industry. Here's Why
Article from STAT.
Updated Medicare and Medicaid Drug Spending Dashboard
Posting from The CMS Blog. News brief from AHANews.


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Monday, Nov. 14

Health Insurers Say Dialysis Clinics Are Scamming Them
Article from Minnesota Public Radio.
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  Nov. 14, 2016
USRDS 2016 Annual Data Report Now Available
The United States Renal Data System (USRDS) Annual Data Report has been released, covering from Jan. 1 - Dec. 31, 2014.

In Volume 2, Chapter 10, Tables 10.1-10.4 contain the all-cause standardized mortality ratios (SMR) and all-cause standardized hospitalization ratios (SHR).

For 2014, of the three largest dialysis organizations, DCI had the lowest SMR in 2014 at 0.92, compared with DaVita's 1.02 and Fresenius Medical Care's 0.98.

Editor's note: For the 14th year in a row, DCI, the only non-profit large dialysis provider, has the lowest standard mortality and hospitalization ratios in the country. For the second consecutive year, DaVita had among the worst standardized mortality ratios, as well as the worst standardized hospitalization ratio in the U.S. dialysis industry.

DaVita has been placing a huge emphasis on improving its employees' lives, as shown in this recent article on DaVita's culture (which does not even mention the word "patient").

For patients being shepherded into short-time, in-center hemodialysis treatments, perhaps DaVita is better described as "DaMorta."

It is time to U.S. nephrologists to address the fact that while a for-profit, junk-bond-financed dialysis care system generously funds their professional organizations and makes many nephrologists wealthy, it has also been killing and harming patients unnecessarily for decades.

The Annual Meeting of the American Society of Junk-Bond Nephrology is being held this week in Chicago. What one sees after taking two steps into the exhibit hall will justify this name.
Trump in 30 Seconds: Science and Medicine in Flux
Article from STAT.
"Heading the (Trump) transition team for health care reform is Paula Stannard, a former deputy general counsel and acting general counsel at HHS and now a Washington lawyer for Alston & Bird LLP"
Editor's note: Among the organizations that have retained Alston & Bird in 2016 are Fresenius Medical Care and the Kidney Care Council.
Identification of Volume Overload Hospitalizations among Hemodialysis Patients Using Administrative Claims: a Validation Study
Free, Open Access article from BMC Nephrology.
Elements of Dialysis Nursing Practice Associated with Successful Cannulation: Result of an International Survey
Free, full-text, Advance Online article from the Journal of Vascular Access.
Abstracts from Cochrane Reviews:
Chronic Hyperphosphatemia and Vascular Calcification Are Reduced by Stable Delivery of Soluble Klotho
JASN Express abstract.
Possible Prevention of Uremic Nausea by Vitamin D Receptor Activators in Non-dialysis Patients with Stage 5 Chronic Kidney Disease
Free, Open Access, First Online article from Clinical and Experimental Nephrology.
Allopurinol Does Not Increase Chronic Kidney Disease Risk in Gout Patients
Development of a Wearable Medical Device for Type 2 Diabetes
Urate Lowering Therapy Helps Chronic Kidney Disease Patients Improve Organ Function
Trump's Vague Policies Leave Key Questions On Future Of Health Coverage, Quality, Medicare
News summary from Kaiser Health News.
Trump Open to Keeping 'Amended' Version of Obamacare
Article from The Hill.
U.S. Heart Disease Rates Fell 20 Percent Since 1980s: Study
 


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Fri./Sat., Nov. 11-12

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  Nov. 11, 2016
Renal Outcomes in Diabetes Leading Kidney Week
(Registration required, but free.) Article from Medscape Medical News.
ESRD Uncommon among Type 1 Diabetics
Summary from HealthDay.
Extracellular Volume Overload and Increased Vasoconstriction in Patients With Recurrent Intradialytic Hypertension
Free, full-text, Issue-in-Progress article from Kidney & Blood Pressure Research.
CJASN Express Abstracts:
Effect of Oral Anticoagulant Therapy on Mortality in End-Stage Renal Disease Patients with Atrial Fibrillation: a Prospective Study
First Online abstract from Journal of Nephrology.
Study Uncovers Link between Constipation and Kidney Disease
Press release and JASN Express abstract from the American Society of Nephrology.
JASN Express Abstracts:
High Cutoff Hemofiltration Versus Standard Hemofiltration: Effect on Plasma Cytokines
Advance Online abstract from the International Journal of Artificial Organs.
Prognostic Biomarkers at Discontinuation of Renal Replacement Therapy in Acute Kidney Injury Patients in the Intensive Care Unit
Free, full-text, Issue-in-Progress letter to the editor from Blood Purification.
Spleen Contributes Significantly to Increased Circulating Levels of Fibroblast Growth Factor 23 in Response to Lipopolysaccharide-Induced Inflammation
Advance Access abstract from NDT.
American Renal Associates Holdings, Inc. Announces Third Quarter 2016 Results
Too Much Iron Linked to Gestational Diabetes
Former HHS Official Bremberg Tapped For Trump's HHS Transition
(Pay-for-view website) Article extract from InsideHealthPolicy.com.
Articles from Kaiser Health News:
Trump Will Face Cybercrisis in First 100 Days, Forrester (Research Firm) Predicts
Article from Healthcare IT News.
Trump's Election: What Now for Healthcare?
(Registration required, but free.) Article from Medscape Medical News.
An Abortion Doctor on Trump's Win: 'I Fear for My Life. I Fear for My Patients.'
Article from STAT.
Articles from Healthcare Finance:
Getting Doctors and Nurses to Work Together at Patient Bedsides
Press release from Penn State.
How Other Countries Use Deprivation Indices—And Why The United States Desperately Needs One
Abstract from Health Affairs.
2017 Medicare Parts A & B Premiums and Deductibles Announced
CMS press release.
CROWNWeb Town Hall: Outcomes of the CROWNWeb Data Validation
This Internet streaming event will occur Thursday, November 17th 2016, 2:00 pm ET.
Final Rule on Ambulatory Surgery Centers; Organ Procurement Organization Reporting and Communication; Transplant Outcome Measures and Documentation Requirements
Notice from the Federal Register.

"Further, in this final rule with comment period, we are making changes to tolerance thresholds for clinical outcomes for solid organ transplant programs; to Organ Procurement Organizations (OPOs) definitions, outcome measures, and organ transport documentation..."


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Thursday, Nov. 10

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  Nov. 10, 2016
DaVita to Spend $55 Million Less on Renal Ventures
Article from Nephrology News & Issues.

"... the price was lowered to $360 million because of a decision not to acquire the company's infusion business."
Free, Full-Text, Articles in Press from American Journal of Kidney Diseases:
Initiation of Renal-Replacement Therapy in the Intensive Care Unit
Free, full-text correspondence from the New England Journal of Medicine.
Assessment of Physical Performance and Quality of Life in Kidney Transplanted Patients: a Cross-Sectional Study
Free, full-text, Advance Access article from Clinical Kidney Journal.
A Reliable Method to Assess the Water Permeability of a Dialysis System: the Global Ultrafiltration Coefficient
Free, full-text, Advance Access articles from NDT.
CJASN Express Abstracts:
Elements of Dialysis Nursing Practice Associated with Successful Cannulation: Result of an International Survey
Advance Online abstract from The Journal of Vascular Access.
Economic Evaluation of a Pre-ESRD Pay-For-Performance Program in Advanced Chronic Kidney Disease Patients
Advance Access abstract from NDT.
Citrate-Buffered Dialysis Solution (Citrasate) Allows Avoidance of Anticoagulation During Intermittent Hemodiafiltration—At the Cost of Decreased Performance and Systemic Biocompatibility
Early View abstract from Artificial Organs.
Articles in Press Abstracts from Journal Of Renal Nutrition:
FDA Action Helps Keryx Move Past Drug Supply Snafu
Fearful of a Trump Administration, Many in Research Call for a 'Tutorial' for the President-Elect
Article from STAT.
Donald Trump Elected: His 7 Point Plan for Healthcare
Article from Healthcare IT News.
Articles from Kaiser Health News:
More Provider Effort Needed on Customer Satisfaction
Article from HFMA.
Study Suggests Probable Scientific Misconduct in Bone Health Studies
Press release from American Academy of Neurology.
CMS Announces $66.1 Million to Support Zika Prevention & Treatment Services
Press release.


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Wednesday, Nov. 9

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  Nov. 9, 2016
FDA Recall Notice: GAMBRO Capillary Dialyzer, Polyflux® Revaclear MAX
Class II recall notice Z-0370-2017 is for 22,656 units. Reason for recall is potential presence of particulate matter on the blood side of the dialyzer. FDA Enforcement Reports.
Ballot Measures Changing Primary Voting Rules in Colorado Pass with Major Financial Support from DaVita's Kent Thiry
Article from The Denver Post.

"Let Colorado Vote collected more than $4 million in contributions throughout the campaign, vastly outpacing opponent groups, which raised a few thousand dollars. Let Colorado Vote's primary backer is Kent Thiry, the chairman and CEO of Denver-based kidney dialysis giant DaVita. He contributed more than $1 million."

Editor's note: Senator or governor?
Progress in Transplantation: Will It Be Achieved in Big Steps or by Marginal Gains?
Free, full-text, Article in Press from American Journal of Kidney Diseases.
Folic Acid Supplementation for CKD? Not So Fast
(Registration required, but free.) Berns on Nephrology video blog posting via Medscape Nephrology.
Fewer Physicians Starting Nephrology Fellowship Training
Article from Renal & Urology News.
U.S. Doctors Don't All Follow Prediabetes Screening Guidelines: Study
Article from HealthDay.
Quality of Life in Late Life Can Be Good
Trump Wins Presidency and Chance to Dump ACA
(Registration required, but free.) Article from Medscape Medical News.
Colorado Single-Payer Healthcare Measure Loses
Article from The Hill.
Big Pharma's Big Question: Is Trump Friend or Foe?
Article from STAT.
Nurses Urge Patients to Check Political Rancor at the Door; RN Salaries, Bonuses Surge
Article from Hospitals & Health Networks.
Why Aren't More Doctors Using Patient Engagement Tools?
Article from Medical Economics.
CROWNWeb Down on December 8-11
Notice from the Northwest Renal Network.


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Tuesday, Nov. 8

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  Nov. 8, 2016
George Washington University Report Outlines Opportunities, Challenges for Kidney Health Workforce
Press release from the American Society of Nephrology.
Outcomes, Risk Factors and Health Burden of Contrast Induced Acute Kidney Injury: an Observational Study of 1 Million Hospitalizations with Image Guided Cardiovascular Procedures
Free, Open Access article from BMC Nephrology.
Update on Lupus Nephritis
Free, full-text CJASN Express article.
Bioimpedance Monitoring of Cellular Hydration during Hemodialysis Therapy
Early View abstract from Hemodialysis International.
Risk of Fracture in Adults on Renal Replacement Therapy: A Danish National Cohort Study
(Registration required, but free.) Free, full-text article from NDT via Medscape Nephrology.
Rockwell Medical Reports Third Quarter Results
Trump Versus Clinton: Voters Divided over ACA, but 66% Favor Public Option
Article from Healthcare IT News.
Five Things Physicians Realize When They're Patients
Posting from the KevinMD blog.
Affordable Care Act Made It Illegal to Deny Care to the Sick, but Insurance Companies Still Do It
Posting from the Chronic Disease Coalition website.
Promotion of Drugs for Off-label Uses: The US Food and Drug Administration at a Crossroads
Free, full-text, New Online viewpoint article from JAMA Internal Medicine.
Anti-Trump Document Draws Hundreds of Physician Signatures
Knowing When and How to Use Medical Products: A Shared Responsibility for the FDA and CMS
Free, full-text, New Online viewpoint article from the Journal of the American Medical Association.
Seniors Suffer Amid Widespread Fraud By Medicaid Caretakers
Article from Kaiser Health News.


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Monday, Nov. 7

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  Nov. 7, 2016
New Project Will Monitor and Evaluate Effects of Dialysis Payment Policy
News release from Arbor Research Collaborative for Health.

Editor's note: I hope they come to understand:
  • the importance of pursuing both the sick-patient model of care and the well-patient model of care in organ replacement therapy (without a well-patient model, technology remains stagnant and the patients never develop an effective voice in their care)
  • that federal policy and corporations have created much stronger financial incentives for nephrologists than those created by CMS regulations (physician ownership of dialysis facilities and corporate bonuses have made U.S. nephrology a self-serving, self-advocacy force that dominates U.S. dialysis care policy)
DaVita: Decision To Stop Steering ESRD Patients To Exchanges Is Temporary, Cost Implications Overblown
(Pay-for-view website) Article extract from InsideHealthPolicy.com.
Data Analytics for Continuous Renal Replacement Therapy: Historical Limitations and Recent Technology Advances
Free, full-text article from the International Journal of Artificial Organs.
Facility-Level CKD-MBD Composite Score and Risk of Adverse Clinical Outcomes among Patients on Hemodialysis
Free, Open Access article from BMC Nephrology.
Lung Ultrasound in the Management of Fluid Volume in Dialysis Patients: Potential Usefulness
Early View editorial abstract from Seminars in Dialysis.
The Triad of Sleep Apnea, Hypertension, and Chronic Kidney Disease: A Spectrum of Common Pathology
Free, full-text, Issue-in-Progress article from CardioRenal Medicine.
Performance of Physical Examination Versus Ultrasonography to Detect Stenosis in Hemodialysis Arteriovenous Fistula
Advance Online abstract from the Journal of Vascular Access.
Progress in Transplantation: Will It Be Achieved in Big Steps or by Marginal Gains?
Article in Press abstract from American Journal of Kidney Diseases.
Zika Virus in Transplantation: Emerging Infection and Opportunities
Free, full-text, Early View editorial from American Journal of Transplantation.
Finite Element Modeling of Time-Dependent Sodium Exchange across the Hollow Fiber of a Hemodialyzer by Coupling with a Blood Pool Model
Advance Online abstract from the International Journal of Artificial Organs.
Hypoalbuminemia: a Risk Factor for Acute Kidney Injury Development and Progression to Chronic Kidney Disease in Critically ill Patients
First Online abstract from International Urology and Nephrology.
Hemodialysis Device InnAVasc Raises $2.2m
Sanders Calls for Federal Investigation of Diabetes Drug Prices
3D Printed Shoe Insoles to Save Diabetic Feet
Hospital Rankings Contradictory, Cryptic, Confusing
Article from HealthLeaders Media.
Four Reasons Why Online Patient Communities Should Be Embraced
Article from Medical Economics.
Deadly Superbug Linked To Four Deaths In the U.S.
Articles from Kaiser Health News and HealthDayPress release from the CDC.
Healthy Recipes and Effective Social Marketing Campaign Improve Eating Habits
Press release from Oregon State University.
Soda Tax Falls Flat
 


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Fri./Sat., Nov. 4-5

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  Nov. 4, 2016
CMS Publishes Proposed Rule on Fire Safety Requirements for Applicable Dialysis Facilities
News brief from AHANews. CMS press release and proposed rule (25-page PDF).
NxStage Reports Third Quarter Financial Results
Press release.
What Americans Are Saying about Step-Therapy Reform
Article from the Chronic Disease Coalition website.

"The legislation targets step therapy, whereby insurance companies can make patients try cheaper treatments than the ones their doctors prescribe before they can move on to a more expensive treatment, even if their doctor is confident the inexpensive treatment won't work."
"The patient's being told to use a drug we know isn't going to work, but we have to use it anyway for someone with a terminal illness? To me, that's just insane."
Editor's note: How different is this from nephrologists utilizing short-time, in-center hemodialysis treatments for the vast majority of their patients on dialysis?
Advance Online Abstracts from the Journal of Vascular Access:
Fatal Outcomes among Patients on Maintenance Hemodialysis in Sub-Saharan Africa: a 10-Year Audit from the Douala General Hospital in Cameroon
Free, Open Access article from BMC Nephrology.
Kids Continue to Consume Too Much Salt, Putting Them at Risk
FDA's Drug Approval Team Copes With 700 Unfilled Jobs As Industry Lures Staff
Article from Kaiser Health News.
Seven Substances Added to 14th Report on Carcinogens
Both Providers and Patients Drive Health Care Spending, Study Finds
Press release from Massachusetts Institute of Technology.


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Thursday, Nov. 3

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  Nov. 3, 2016
National Kidney Foundation Statement on Medigap Consumer Protection Act
News release from the National Kidney Foundation. The bill is H.R. 6265 and was introduced by Congressman Jim McDermott (D-WA).
DaVita Third Quarter Results
Press release. Earnings call transcript from Seeking Alpha.
Lessons in Uncertainty and Humility — Clinical Trials Involving Hypertension
Free, full-text article from The New England Journal of Medicine.
Successful Transplantation of Human Kidneys Deemed Untransplantable but Resuscitated by Ex Vivo Normothermic Machine Perfusion
Free, Open Access case report from American Journal of Transplantation.
Effects of Lowering Dialysate Calcium Concentration on Carotid Intima-Media Thickness and Aortic Stiffness in Patients Undergoing Maintenance Hemodialysis: A Prospective Study
Issue-in-Progress abstract from Blood Purification.
Free, Open Access Articles from PLOS ONE:
Research Connects First-Time Kidney Stone Formers and Chronic Kidney Disease
Press release from the Mayo Clinic.
Lessons Learned from a World-Class Motivator
KidneyTalk podcast from Renal Support Network.
Baxter Launches Pivotal Trial for Citrate Anticoagulant-Renal Replacement Solution Combo
More Than Half of Americans Have Chronic Health Problem: Study
Dealmakers Behind Soaring Drug Prices Hit the Jackpot
Article from Bloomberg.

Speaking Their Language: Bilingual Nurses Improve Patient Safety
Article from Nurse.com.

For Smokers with HIV, Smoking May Now Be More Harmful Than HIV Itself
Press release from Infectious Diseases Society of America.
Here Are the Five Healthcare Positions Whose Salaries Were Raised in the Past Year
News brief from Healthcare DIVE.
[ZIP File Downloads, 2MB] Slides and Transcript of 2016/10/05 National Provider Call
The 2016 Dialysis Facility Compare Understanding Measures, Star Ratings and Quality Outcomes webinar was held on Oct. 5, 2016.
CMS Finalizes 2017 Physician Fee Schedule
News brief from AHANews. Fact sheet and press release from CMS. Final Rule is scheduled to be published on Nov. 15th. Link to unpublished PDF version.
Medicare Diabetes Prevention Program (MDPP) Expanded Model
Fact sheet from CMS. Posting from The CMS Blog.
CMS 2017 Outpatient Prospective Payment System (OPPS) Final Rule Adopts Revised Site Neutral Policy
News brief from AHANews. CMS press release.
CMS Finalizes Changes under the Medicare EHR Incentive Program
News brief from AHANews.
The Costly Medicare Boondoggle That's Wasting Tax Dollars and Infuriating Doctors
Posting from the KevinMD blog.


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Wednesday, Nov. 2

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  Nov. 2, 2016
XENIOS AG To Be Sold To Fresenius Medical Care
Press release.

"XENIOS provides innovative solutions for cardiovascular system support during serious illnesses and operations. XENIOS has established itself internationally with innovative systems for minimally invasive lung and cardiac assistance."
Supreme Court Refuses Appeal of (Former DaVita) Texas Nurse in Bleach Deaths
Article from KYTX.
Dialysis and Pregnancy: No Longer The Impossible
Free, full-text editorial from NDT. Related abstracts:
Free, Full-Text Articles from NDT:
Free Access to November 2016 Issue of Nephron on Acute Kidney Injury
14 Free Access articles.
Phosphate-Containing Prescription Medications Contribute to the Daily Phosphate Intake in a Third of Hemodialysis Patients
Article in Press abstract from Journal of Renal Nutrition.
Early View Abstracts from Hemodialysis International:
Diabetes Study Finds That Cutting Nerves to the Kidneys Improves Insulin Resistance
Press release from Cedars-Sinai Medical Center.
How Medicine Has Exploited Rationality at the Expense of Humanity: an Essay by Iona Heath
26th-minute video from the BMJ.
Fearing Democratic Tidal Wave, the Drug Industry Is Pouring Money into GOP Coffers
Article from STAT.
This National Diabetes Month, Connect with Your Community for Better Health
News release from the National Institutes of Health.
Medicare and End-of-Life Care
Free JAMA Infographic.


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Tuesday, Nov. 1

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  Nov. 1, 2016
Sounds Like A Good Idea? High-Risk Pools
Article from Kaiser Health News.

Editor's note: A special pool for employed dialysis patients could transform U.S. dialysis care. It would pay more than the standard Medicare rate, thus providing the financial motivation to keep patients employed and improve care and outcomes.

It would re-create a well-patient model of care (non-existent since the mid-1970s), target a real-life outcome instead of solely targeting surrogate biochemical markers, encourage rehabilitation, greatly reduce cardiac and cerebral stunning, drive technological improvements, and make patient feedback/input an essential component of the system of care.
DaVita Changes Policy on Helping Patients Secure Financial Assistance
Article from St. Louis Post-Dispatch.
DaVita Shares Jump on Change for Medicaid Patients Seeking ACA Coverage
Article from CNBC. DaVita stock price chart.

"Shares of DaVita jumped more than 6 percent in intraday trade Monday after the company announced a change for Medicaid patients seeking Affordable Car Act (ACA) coverage."

"The company said the change would result in a reduction (!) in its annualized operating income of up to $140 million before any offsets."

Editor's note: 2015 articles from CorpWatch.org and AllGov.com on DaVita and its recent settlements of fraud-related cases with the U.S. government.
(from CorpWatch) "Activists backed the whistleblowers. “Dialysis is not a new business, and there are no real economies of scale in renal care,” Patrick Burns, co-executive director of Taxpayers Against Fraud, said in a press statement. “DaVita built its business on buying patients with kickbacks and price-gouging Medicare and Medicaid on services.”"
Issue-In-Progress Abstracts from American Journal Of Nephrology:
Donors Jump up Transplant List by Agreeing to Take Hepatitis C-Infected Kidneys
AP article via NH1.
High-Urgency Kidney Transplantation in the Eurotransplant Kidney Allocation System — Success or Waste of Organs? The Eurotransplant 15-year All-Centre Survey
(Registration required, but free.) Free, full-text article from NDT via Medscape Nephrology.
Kidney Transplantation Rejection Remains High With HIV
Article from Renal & Urology News.
Arterial and Cellular Inflammation in Patients with CKD
JASN Express abstract.
Articles in Press Abstracts from Journal Of Renal Nutrition:
Don't Pass the Salt: Evidence to Support Avoidance of High Salt Intake in CKD
Free, full-text, Article in Press from American Journal of Kidney Diseases.
Missing Link between Hemolysis and Infection Found
3 Ways Patients Can Drive Health Care Improvements
Article from Hospitals & Health Networks.
Free, Full-Text, New Online Viewpoint Articles from the Journal of the American Medical Association:
Free Latest Articles from Annals of Internal Medicine:
Postings from the KevinMD Blog:
Do You Know More About Health Than Donald Trump?
Article from The Atlantic.
End-Stage Renal Disease Facilities to Get Additional $80 Million in Updated CMS Payments
Article from Healthcare Finance.
Patient Factors Dominate Readmissions Risks, Study Finds
News brief from Healthcare DIVE.


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Monday, Oct. 31

DaVita Shares Jump on Change for Medicaid Patients Seeking ACA Coverage
Article from CNBC.

"Shares of DaVita jumped more than 6 percent in intraday trade Monday after the company announced a change for Medicaid patients seeking Affordable Car Act (ACA) coverage."

"The company said the change would result in a reduction (!) in its annualized operating income of up to $140 million before any offsets."

Editor's note: 2015 articles from CorpWatch.org and AllGov.com on DaVita and its recent settlements of fraud-related cases with the U.S. government.
(from CorpWatch) "Activists backed the whistleblowers. “Dialysis is not a new business, and there are no real economies of scale in renal care,” Patrick Burns, co-executive director of Taxpayers Against Fraud, said in a press statement. “DaVita built its business on buying patients with kickbacks and price-gouging Medicare and Medicaid on services.”"
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  Oct. 31, 2016
DaVita Announces Change for Medicaid Patients Seeking Affordable Care Act (ACA) Plan Coverage
Press release.
"With open enrollment starting tomorrow, and in light of recent statements from the Centers for Medicare & Medicaid Services ("CMS"), DaVita announced that, effective immediately, it will suspend support for applications to the American Kidney Fund ("AKF") for charitable premium assistance by patients enrolled in minimum essential Medicaid coverage who are seeking additional coverage on a 2017 ACA Plan."
Expanding Home Dialysis Among Options in Draft Senate Bill
Bloomberg BNA article via Kidney Care Partners. News brief from AHANews. InsideHealthPolicy article via Kidney Care Partners.

The bill is a 68-page pdf. Section 102 is "expanding access to home dialysis therapy." Section 202 is "allowing end-stage renal disease beneficiaries to choose a Medicare Advantage plan."
Racial-Ethnic Disparities in Mortality and Kidney Transplant Outcomes among Pediatric Dialysis Patients
First Online abstract from Pediatric Nephrology.
How to Know When Your Blood Pressure is About to Drop
Posting from the KidneyViews blog.
MKSAP: 57-Year-Old Man with Acute Kidney Injury
Posting from the KevinMD blog.
Acute Kidney Injury in the Era of the AKI E-Alert
CJASN Express abstract.
Northwest Kidney Centers Ranks High in National Ratings of Dialysis Quality
Press release.
Prevalence of Immunosuppression Among US Adults, 2013
Free, full-text, New Online research letter from the Journal of the American Medical Association.
Patients Are in Charge of Their Own Health Care Ship
Posting from the KevinMD blog.
Copper Poised for Modern Resurgence in Infection Control
News brief from Healthcare DIVE.
CMS Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System (CMS 1651-F)
The final rule went on display at the Office of the Federal Register's Public Inspection Desk (2016-25240- link to a 467-page PDF file) on October 28, 2016, and will be published on November 4, 2016. Fact sheet from CMS. Article extract from InsideHealthPolicy.com.

"For CY 2017, the ESRD PPS base rate is $231.55."

"We are not finalizing an equivalency payment for hemodialysis (HD) when more than 3 treatments are furnished in a week, similar to what is applied to peritoneal dialysis (PD). In response to comments received from stakeholders, we have determined that the burden placed on providers would be substantial and we are exploring alternate avenues for collecting these data."

"Based on these proxies, for CY 2017, we have increased the hours of per-treatment training time provided by a nurse that is accounted for by the home dialysis training add-on to 2.66 hours. We also updated the national hourly wage for a nurse providing dialysis training for 2017 to $35.94, resulting in a home and self-dialysis training add-on payment adjustment amount of $95.60."

"Specifically, for PY 2019, we are assigning 15 percent of a facility's total performance score (TPS) to the Safety Measure Domain, 75 percent of the TPS to the Clinical Measure Domain and 10 percent to the Reporting Measure Domain."

"For PY 2019, we are continuing the pilot validation study for validation of CROWNWeb data."

Editor's note: CMS is continuing with a sick-patient model of care. This will ensure low patient employment, virtually no rehabilitation, and stagnant technology.
Dialysis Facility Compare, Star Ratings and Data Release
CMS fact sheet. Posting on The CMS Blog. News brief from Healthcare DIVE.
Medicare Bars New ‘Seamless Conversion’ Efforts (to Medicare Advantage) for Some Seniors
Article from Kaiser Health News.
New System to Update Medicare Patient Safety Monitoring
News brief from Agency for Healthcare Research and Quality.


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Fri./Sat., Oct. 28-29

CMS Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System (CMS 1651-F)
The final rule went on display at the Office of the Federal Register's Public Inspection Desk (2016-25240- link to a 467-page PDF file) on October 28, 2016, and will be published on November 4, 2016. Fact sheet from CMS.

"For CY 2017, the ESRD PPS base rate is $231.55."

"We are not finalizing an equivalency payment for hemodialysis (HD) when more than 3 treatments are furnished in a week, similar to what is applied to peritoneal dialysis (PD). In response to comments received from stakeholders, we have determined that the burden placed on providers would be substantial and we are exploring alternate avenues for collecting these data."

"Based on these proxies, for CY 2017, we have increased the hours of per-treatment training time provided by a nurse that is accounted for by the home dialysis training add-on to 2.66 hours. We also updated the national hourly wage for a nurse providing dialysis training for 2017 to $35.94, resulting in a home and self-dialysis training add-on payment adjustment amount of $95.60."

"Specifically, for PY 2019, we are assigning 15 percent of a facility's total performance score (TPS) to the Safety Measure Domain, 75 percent of the TPS to the Clinical Measure Domain and 10 percent to the Reporting Measure Domain."

"For PY 2019, we are continuing the pilot validation study for validation of CROWNWeb data."

Editor's note: CMS is continuing with a sick-patient model of care. This will ensure low patient employment, virtually no rehabilitation, and stagnant technology.

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  Oct. 28, 2016
Teva Pharmaceuticals and IBM Expand Global Partnership to Enable Drug Development and Chronic Disease Management with Watson
Press release from IBM.

Editor's note: Perhaps IBM will buy dialysis providers soon. At least Watson would prescribe more dialysis time, like Russia (US 218 min. vs. Russia 252 min.).
Hemodialysis Practice Patterns in the Russia Dialysis Outcomes and Practice Patterns Study (DOPPS), with International Comparisons
Early View abstract from Hemodialysis International.
Free, Full-Text, Issue-in-Progress Articles from American Journal Of Nephrology:
Lifetime Cocaine and Opiate Use and Chronic Kidney Disease
Issue-in-Progress abstract from American Journal of Nephrology.
Early View Abstracts from Therapeutic Apheresis and Dialysis:
Peritoneal Dialysis for the Management of Pediatric Patients with Acute Kidney Injury
First Online abstract from Pediatric Nephrology.
Asymptomatic Ventricular Arrhythmia and Clinical Outcomes in Chronic Kidney Disease: A Pilot Study
Issue-in-Progress abstract from Cardiorenal Medicine.
Dialysis Arteriovenous Fistula Failure and Angioplasty: Intimal Hyperplasia and Other Causes of Access Failure
Article in Press abstract from American Journal of Kidney Diseases.
Risk of Acute Coronary Syndrome after Parathyroidectomy in Patients with End-Stage Renal Disease: A Population-Based Cohort Study in Taiwan
Accepted Article abstract from Nephrology.
State Renal Associations: We Can Make a Difference
Article from Nephrology News & Issues.
Amgen Reports Third Quarter 2016 Financial Results
Could Apps Be the Answer to Self Managing Diabetes?
Nurses' Scrubs Often Contaminated with Bad Bugs
Drug Prices, Not The Health Law, Top Voters' Health Priorities For 2017
Articles from Kaiser Health News and HealthDay.
Cranberry for Prevention of Urinary Tract Infection? — Time to Move On
Free, full-text, New Online editorial and full-text article from the Journal of the American Medical Association. Article from HealthDay.
Patients Terrified, Powerless As Doctors Flee Puerto Rico By The Hundreds
Senators Unveil Bipartisan Medicare Reforms
Article from The Hill. News brief from AHANewsNow.
Could Minority Serving Hospitals Be Unfairly Penalized by CMS for Readmissions?
Press release from Georgetown University Medical Center.
Death Versus Another Hospital Stay: Study Suggests Medicare Should Weigh Them Equally
Press release from University of Michigan Health System.


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Thursday, Oct. 27

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  Oct. 27, 2016
American Kidney Fund Creates Safeguards for Its Health Insurance Premium Program
Press release.

Editor's note: See this Oct. 23 article and Oct. 26 follow-up from the St. Louis Post-Dispatch.

Who does AKF think fills out the vast majority of these grant applications? I believe this fix will be another "honor system" mechanism that DaVita can easily exploit and the patients' "bill of rights" will simply become another form in the stack of forms that patients are given to sign without explanation.

AKF claims to be transparent, but they do not divulge the amount of money they receive in "donations" from the largest dialysis providers.
(Dialysis Patient) Celeste Lee on the Power of Patient Engagement
41-minute podcast from the UNC School of Medicine.
Fresenius Medical Care Reports Strong Third Quarter and Confirms Full Year Guidance
News release.
DaVita Stock Price Continues To Fall
Stock chart from BigCharts.
Bid to Speed Transplants with Hepatitis C-Infected Kidneys
AP article via WBAL.
She Didn't Save My Life. She Saved My Lifestyle.
Posting from the KevinMD blog.
Free, Full-Text, Issue-In-Progress Articles from American Journal Of Nephrology:
Association of Body Weight Changes with Mortality in Incident Hemodialysis Patients
Advance Access abstract from NDT.
Issue-In-Progress Abstracts from American Journal Of Nephrology:
Diet Soda Consumption and Risk of Incident End Stage Renal Disease
CJASN Express abstract.
Are All Dialyzers Compatible with the Convective Volumes Suggested for Postdilution Online Hemodiafiltration?
Advance Online abstract from the International Journal of Artificial Organs.
Hemodialysis Vascular Access and Clinical Outcomes: an Observational Multicenter Study
Advance Online abstract from the Journal of Vascular Access.
Universal American ACOs and Fresenius Medical Care Partner
News release.
Strategies to Increase Living Donor Transplantation (in Africa)
Report from The Lancet Kidney Campaign.
New Guidelines Urge Diabetics to Move More
Population Health to Trump ACOs, Athenahealth CEO Jonathan Bush Says
Article from Healthcare IT News.
To Fix Healthcare, Let's Get Rid of Insurance Companies
Article from The Hill.
Days Spent at Home — A Patient-Centered Goal and Outcome
Free, full-text perspective piece from the New England Journal of Medicine.

Trump Fumbles In Blasting Obamacare Premium Spikes By Misunderstanding Law's Coverage
News summary from Kaiser Health News.

Vermont's All-Payer ACO Will Begin in January
News brief from AHANewsNow. Article from Healthcare Finance. CMS press release.


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Wednesday, Oct. 26

Universal American ACOs and Fresenius Medical Care Partner
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  Oct. 26, 2016

Intensive Hemodialysis: Potential for Improving Patient Outcomes — Free, Full-Text, Supplement Issue of American Journal of Kidney Diseases
Articles include:

Editor's note: How much longer must U.S. patients endure the cardiac and cerebral stunning associated with the junk-bond shotgun dialysis that destroys their lives? What are the American Society of Nephrology (ASN) and the Renal Physicians Association (RPA) waiting for? Do we need a major newspaper to expose the financial ties between the junk-bond dialysis corporations and the memberships of these organizations?
Trying to Reduce the Uncertainty Surrounding Phosphorus Binders
Posting from the AJKD blog.
Free, Full-Text Articles from American Journal of Kidney Diseases:
Hemodialysis Plastic Cannulae — a Possible Alternative to Traditional Metal Needles?
Free, full-text article from the Journal of Vascular Access.
Early View Abstracts from Hemodialysis International:
HIV and Kidney Diseases: 35 Years of History and Consequences
Free, full-text, Advance Access article from Clinical Kidney Journal.
Advance Access Abstracts from NDT:
CJASN Express Abstracts:
Direct Oral Anticoagulants: A Patient-Centered Review
(Registration required, but free.) Free, full-text article from Journal for Nurse Practitioners via Medscape Nephrology.
A New Peritoneal Dialysis Fluid for Japanese Patients: a Randomized Noninferiority Clinical Trial of Safety and Efficacy
Free, First Online, Open Access article from Clinical and Experimental Nephrology.
Quality of Life, Clinical Outcome, Personality and Coping in Chronic Hemodialysis Patients
Latest Article abstract from Renal Failure.
Arbor Research Presentations at the ASN Kidney Week 2016
23 abstracts to be presented in Chicago, Nov. 15-20
Baxter Boosts Earnings Outlook on Revenue, Profit Growth
FDA Recall Notice: Neptune Plus Hemostatic Pad
Physician's Political Party Could Affect Healthcare, Study Finds
Article from Medical Economics.
Sharp Rise in Obamacare Premiums for 2017
Article from HealthDay.

CMS Announces Additional Opportunities for Clinicians to Join Innovative Care Approaches under the Quality Payment Program
Press release.

"In 2017, under the Quality Payment Program, clinicians may earn a 5 percent incentive payment through sufficient participation in the following Advanced APMs (Alternative Payment Models) :

  • Comprehensive ESRD Care Model (Large Dialysis Organization (LDO) arrangement)
  • Comprehensive ESRD Care Model (non-LDO arrangement)
  • CPC+
  • Medicare Shared Savings Program ACOs - Track 2
  • Medicare Shared Savings Program ACOs - Track 3
  • Next Generation ACO Model
  • Oncology Care Model (two-sided risk arrangement)"
CMS Fixes Error Code, but Payment Catch-Up for Dialysis Providers Will Last through November
Article from Nephrology News & Issues.


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Tuesday, Oct. 25

Intensive Hemodialysis: Potential for Improving Patient Outcomes — Free, Full-Text, Supplement Issue of American Journal of Kidney Diseases
Articles include:

Press release from NxStage.
Free, Full-Text Articles from American Journal of Kidney Diseases:
Baxter Boosts Earnings Outlook on Revenue, Profit Growth
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  Oct. 25, 2016
Lower Erythropoietin Doses and Medicare Payment Reform
Free, full-text, New Online editorial and article from JAMA Internal Medicine. Article from Medscape Medical News (registration required).

"Between 2007 and 2013, mean monthly EPO doses (averaged over a month) "declined by 42% in hemodialysis patients, with a nearly 5% decline from 2012 to 2013"."

Editor's note: Why did dialysis patient mortality rates improved in the last decade?
2016 Issue of Advances in Peritoneal Dialysis
12 full-text articles in PDF format.
First-Year Waitlist Hospitalization and Subsequent Waitlist and Transplant Outcome
Early View abstract from American Journal of Transplantation.
Pharmacotherapy of Hypertension in Chronic Dialysis Patients
CJASN Express abstract.
Delayed Graft Function and Its Management in Children
First Online abstract from Pediatric Nephrology.
Risk Factors of Severe Peritoneal Sclerosis in Chronic Peritoneal Dialysis Patients
Latest Articles abstract from Renal Failure.
Review Says Calcium Supplements Won't Harm the Heart
Article from HealthDay. Free Latest article and clinical guides from Annals of Internal Medicine.
3-D-Printed Organ-On-A-Chip with Integrated Sensors
News release from Harvard John A. Paulson School of Engineering and Applied Sciences.
Baxter Launches Theranova Dialyzer in Europe, Down Under
Long-Term Exposure to Air Pollution Linked to High Blood Pressure
Feds: Most States to See Steep Obamacare Rate Hikes
Articles from The Hill and Healthcare DIVE.
California RN Wages Highest Nationwide, Top National Average by $30K
Articles from Kaiser Health News and Healthcare Finance.
Why Physicians Face a Serious Credibility Problem
Posting from the KevinMD blog.
Dialysis Facility Compare Updates Dataset
Oct. 20th update from the Medicare's Dialysis Facility Compare web site.

Press releases by DaVita and Fresenius Medical Care.

Editor's note: This value of this rating system is highly suspect due to the questionable value of the rating items and fraudulent reporting practices, which the U.S. dialysis professional community will not address (but has been publically shamed about by international colleagues).

DaVita and Fresenius Medical Care have among the worst outcomes according to the most recent USRDS data (Volume 2, Chapter 10, Tables 10.2 and 10.4).


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Monday, Oct. 24

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  Oct. 24, 2016
DaVita Encouraged Some Low-Income Patients To Enroll in Commercial Plans
Article from St. Louis Post-Dispatch.

"Continued communications encouraged (DaVita) employees to “close the gap” between the number of patients with a plan selected and those with an AKF (American Kidney Fund) check “that has cleared” to “ensure coverage is not delayed because of payment issues.” "

Editor's note: This seems to indicate that the AKF is providing feedback to dialysis companies about the assistance it provides to specific patients. If true, AKF is functioning as a financial tool of the dialysis providers.
Waiting List
12-minute film from Shearwater film and video production company. Short description from The Atlantic.
Shocking Blog Post Forces Debate on the Financial Drain of Dialysis in Japan
Article from The Japan Times.
Hemodialysis Patients Receiving a Greater Kt Dose Than Recommended Have Reduced Mortality and Hospitalization Risk
Free, Open Access, Article in Press from Kidney International.

Editor's note: Another reason to throw out Kt/V and URR as measures of dialysis adequacy.
Kidney Transplantation Fails to Provide Adequate Growth in Children with Chronic Kidney Disease Born Small for Gestational Age
First Online abstract from Pediatric Nephrology.
Hyperprolactinemia in End-Stage Renal Disease and Effects of Frequent Hemodialysis
Early View abstract from Hemodialysis International.
Frailty in Chinese Peritoneal Dialysis Patients: Prevalence and Prognostic Significance
Free, Open Access, Issue-in-Progress article from Kidney & Blood Pressure Research.
Correction of Metabolic Acidosis Improves Insulin Resistance in Chronic Kidney Disease
Free, Open Access article from BMC Nephrology.
Repeated Mappings of Arm Veins by Physical Examination: Role of Nephrologists in the Selection of Suitable Veins for AV Fistula Surgery
Advance Online abstract from the Journal of Vascular Access.
Potassium Supplementation and Long-Term Outcomes in Chronic Peritoneal Dialysis Patients with End-Stage Renal Disease: a Propensity Score Matching Study
Latest Article abstract from Renal Failure.
#CHC16: Home Blood Pressure Monitoring: An Idea Whose Time has Come?
Posting from the AJKD blog.
RN Report: Pharma Giants Spend Far More on Marketing, Sales Than They Do on Research and Development
News release from the California Nurses Association.
Medicare Open Enrollment (10/15-12/7): It's Not as Scary as You Think
Posting from the KidneyViews blog.
CMS Adds VA Hospital Data to Hospital Compare
News brief from AHANewsNow.


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Fri./Sat., Oct. 21-22

DaVita Encouraged Some Low-Income Patients To Enroll in Commercial Plans
Article from St. Louis Post-Dispatch.

"Continued communications encouraged (DaVita) employees to “close the gap” between the number of patients with a plan selected and those with an AKF (American Kidney Fund) check “that has cleared” to “ensure coverage is not delayed because of payment issues.” "

Editor's note: This seems to indicate that the AKF is providing feedback to dialysis companies about the assistance it provides to specific patients. If true, AKF is functioning as a financial tool of the dialysis providers.
Waiting List
12-minute film from Shearwater film and video production company. Short description from The Atlantic.
Shocking Blog Post Forces Debate on the Financial Drain of Dialysis in Japan
Article from The Japan Times.
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  Oct. 21, 2016
CEO of DaVita International Division Is Leaving the Company
Article from Denver Business Journal. DaVita stock price chart for last two years.
CMS ESRD Emergency Department Visits Technical Expert Panel (TEP) Conference Call — Today, Fri., Oct. 21
CMS is hosting an ESRD Emergency Department Visits TEP conference call. The agenda and public conference line for this upcoming call is included below and will be posted onto the CMS TEP website.  This meeting is scheduled for Friday, October 21 from 1:00-2:00 pm ET, and is open to the public.

CMS TEP website.

Call-in information
Toll-Free Phone Number: 1-888-296-6500
Guest Code: 965094#
Webex

Meeting Agenda
  • 1:00 - 1:20: Draft Measure Specifications
  • 1:20 - 1:30: Exclusion Criteria
  • 1:30 - 1:40: Prevalent Comorbidities
  • 1:40 - 1:55: Analysis Update
  • 1:55 - 2:00: Public Comment Period
If you have any questions, please contact UM-KECC's Jordan Affholter at affjorda@med.umich.edu.

Blood Pressure and Mortality in Hemodialysis Patients: A Systematic Review of an Ongoing Debate
Free, full-text article from Therapeutic Apheresis and Dialysis.
#CHC16: Hypertension Targets: How Low Should You Go?
Posting from the AJKD blog.
Hemodialysis Time and Kt/V: Less May Be Better
Editorial abstract from Seminars in Dialysis.
Articles in Press Abstracts from Kidney International:
High Coronary Heart Disease Risk in Hemodialysis Patients with Central Sleep Apnea: A Pilot Study
Issue-in-Progress abstract from American Journal of Nephrology.
Role of Low Protein Diet in Management of Different Stages of Chronic Kidney Disease-Practical Aspects
Free, Open Access article from BMC Nephrology.
Re-Evaluation of Re-Hospitalization and Rehabilitation in Renal Research
Early View abstract from Hemodialysis International.
Concurrent Hemoperfusion and Hemodialysis in Patients with Acute Pesticide Intoxication
Issue-in-Progress abstract from Blood Purification.
Second-Generation Antidepressants and Hyponatremia Risk: A Population-Based Cohort Study of Older Adults
Article in Press abstract from American Journal of Kidney Diseases.
Study Counters Notion That Heart Surgery Poses More Kidney Risks to Women
Article from HealthDay. CJASN Express abstract.
Black Americans May Have Stronger Immune Response to Infections
Article from HealthDay.
Wound Healing of Critical Limb Ischemia with Tissue Loss in Patients on Hemodialysis
OnlineFirst abstract from Vascular.
Latest Articles Abstracts from Renal Failure:
National Progress Toward Hepatitis C Elimination — Georgia, 2015–2016
Salt Guidelines Draw Heavy Backlash
Article from The Hill.
Sleeping With Big Soda: Diabetes and Cardio Organizations Cash In
(Registration required, but free.) Article from Medscape Medical News.
Nurses Celebrate California's New Regulations to Prevent Workplace Violence in Healthcare Settings
Article from National Nurses United.
 


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Thursday, Oct. 20

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  Oct. 20, 2016
CKD Screening Is Not for Everyone
(Registration required, but free.) Berns on Nephrology video blog via Medscape Nephrology.
Leading Global Kidney Organizations Partner with Lancet Kidney Campaign
News item from the International Society of Nephrology.
A Question Prompt Sheet for Adult Patients with Chronic Kidney Disease
Free, Open Access article from BMC Nephrology.
Dialysate Bicarbonate Variation in Maintenance Hemodiafiltration Patients: Impact on Serum Bicarbonate, Intradialytic Hypotension and Interdialytic Weight Gain
Early View abstract from Hemodialysis International.
Three Versus 4 Daily Exchanges and Residual Kidney Function Decline in Incident CAPD Patients: A Randomized Controlled Trial
Article in Press abstract from American Journal of Kidney Diseases.
Articles in Press Abstracts from Journal Of Renal Nutrition:
Vitamin K Antagonists for Stroke Prevention in Hemodialysis Patients with Atrial Fibrillation: a Systematic Review and Meta-Analysis
Article in Press abstract from American Heart Journal.
Abstracts from Renal Failure:
Sofosbuvir-Based Antiviral Therapy in Hepatitis C Virus Patients with Severe Renal Failure
Advance Access abstract from NDT.
Ferrous Iron Content of Intravenous Iron Formulations
Free, Open Access article from BioMetals.
Healthgrades Announces Top 50 US Hospitals Based on Clinical Outcomes
News brief from Healthcare DIVE.
The 27 Million People The Health Law Left Behind
News brief from Kaiser Health News.
A Precision Medicine Approach to Clinical Trials
Free, full-text, New Online article from JAMA Internal Medicine.
Syphilis and Gonorrhea Rates Have Risen Sharply in US, CDC Says
Articles from STAT and HealthDay.
Postings from the Kevin MD Blog:
 


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Wednesday, Oct. 19

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  Oct. 19, 2016
Organ Donation And The Opioid Epidemic: ‘An Unexpected Life-Saving Legacy’
Article from KBUR via Kaiser Health News.
Quality Will Improve If We Pay for Dialysis Based on Time
Article from Nephrology News & Issues.
New to Dialysis? American Kidney Fund’s ‘FIRST30’ Public Education Campaign Helps New Dialysis Patients Adjust to Treatment
Press release.

Editor's note: There is not one mention of employment or rehabilitation in these resources.
Free, Full-Text, Articles in Press from American Journal Of Kidney Diseases:
Free, Open Access Articles from BMC Nephrology:
Preemptive Kidney Transplantation: a Propensity Score Matched Cohort Study
First Online abstract from Clinical and Experimental Nephrology.
First Online Abstracts from Pediatric Nephrology:
Viral-Associated GN: Hepatitis B and Other Viral Infections
Free, full-text, CJASN Express article.
Evaluation of Weight-based Vancomycin Dosing for Hospitalized Hemodialysis Patients
Abstract from Renal Failure.
Measuring Residual Renal Function in Hemodialysis Patients without Urine Collection
Early View abstract from Seminars in Dialysis.
Abstracts and Links to Full-Text PDFs from Iranian Journal of Kidney Diseases:
Placebo Reduces Back Pain – Even When Patients Know They're Taking Placebo
Press release and abstract from PAIN.
More Support Needed for Nurses Facing Mistreatment at Work
Press release from University of East Anglia.
Medicare Shouldn't Pay More for Drugs When Others Pay Less
First Opinion piece from STAT.
CMS Announces Webinar, Call on MACRA Final Rule
News brief from AHANewsNow.
5 Things to Take Away from The MACRA Final Rule
Article from Hospitals & Health Networks. Related articles from HFMA and HealthLeaders Media.


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Tuesday, Oct. 18

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  Oct. 18, 2016
Doctors Praise China's Pledge to Stop Harvesting Inmate Organs
AP article via CBS News.
Impact of Poverty and Race on Pre-End-Stage Renal Disease Care among Dialysis Patients in the United States
Free, full-text, Advance Access article from Clinical Kidney Journal.
Kidney Week 2016 Abstracts
Link to download 1164-page document from the American Society of Nephrology (ASN). This is the 50th anniversary of the ASN. Kidney Week 2016 will be held in Chicago on Nov. 15-20.
Free, Full-Text Articles in Press from American Journal Of Kidney Diseases:
Free, Full-Text Articles from Journal Of Renal Nutrition:
Exploring Patients' Attitudes to Different Intervention Approaches for Supporting Psychosocial Needs
Early View abstract from Journal of Renal Care.
Advance Access Abstracts from NDT:
The Emerging Importance of Non-HLA Autoantibodies in Kidney Transplant Complications
JASN Express abstract.
Dialysis Patients Affected by Hurricane Matthew Eligible For Financial Assistance from American Kidney Fund
Press release.
Statins Often Interact With Other Heart Drugs
Article from HealthDay.
Little Gains in Efforts to Boost Outpatient Care
Article from HealthDay. Free, full-text, New Online article and commentary from JAMA Internal Medicine.
The CDC Is Being Being Influenced by Corporate and Political Interests
Opinion piece from The Hill.
Personal Actions to Minimize Mosquito-Borne Illnesses, Including Zika Virus
Free, full-text article from Annals of Internal Medicine.
 


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Monday, Oct. 17

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  Oct. 17, 2016
Renal Brain Does Exist: How Cognitive Impairment Impacts Learning in Renal Patients
(1-page pdf) Webinar flyer from the Renal Society of Australasia. (Registration is now closed)

Editor's note: The 'Renal Brain' and/or 'Dialysis Brain' have long been ignored in US dialysis care. The use of shotgun dialysis in the U.S. dialysis business model continues to harm patients' hearts, minds, and lives. That is why virtually no nephrologists would choose the shotgun dialysis regimen for themselves or their own family members.

We will continue to see dismal patient employment and rehabilitation rates until we begin to address the causes of the worst effects of Dialysis Brain.
The White House Organ Summit
Free, full-text, Early View Letter to the Editor from American Journal of Transplantation.
Atrial Fibrillation and Chronic Kidney Disease: Struggling through Thick and Thin
Free, full-text, Advance Access article from NDT.
Dietary Management of Incremental Transition to Dialysis Therapy: Once-Weekly Hemodialysis Combined With Low-Protein Diet
Free, full-text article from Journal of Renal Nutrition.
Articles in Press Abstracts from American Journal Of Kidney Diseases:
Replacing Phosphorus-Containing Food Additives With Foods Without Additives Reduces Phosphatemia in End-Stage Renal Disease Patients: A Randomized Clinical Trial
Article in Press abstract from Journal of Renal Nutrition.
Advance Access Abstracts from NDT:
In Reply to ‘The US Renal Data System “Pie Chart of Death”’
Free, full-text, Article in Press correspondence from American Journal of Kidney Diseases.
PDI in Press Abstracts:
Advance Online Abstracts from the Journal of Vascular Access:
US Diabetics Have Worsening Blood Sugar Control
Article from Reuters Health.
Keep Negativity out of Politics. We Need More of It in Journals
Article from STAT.
Weight Loss Leads to Strong Increase in Appetite
News release from the National Institutes of Health.
The 2398-Page MACRA Implementation Rule Has Landed
News briefs from Healthcare DIVE and AHANewsNowSummary from Hospitals & Health Networks.
CROWNWeb Town Hall: Connecting the Pieces
Scheduled for Thursday, October 27th, 2016, at 2:00 PM ET.

Officials Warn Some Older Marketplace Customers To Switch To Medicare
Article from Kaiser Health News.



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Fri./Sat., Oct. 14-15

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  Oct. 14, 2016
Outreach Program Boosts (Georgia) Dialysis Facilities' Referrals for Kidney Transplantation
Press release and JASN Express abstract from the American Society of Nephrology.
Spallation of Small Particles From Peristaltic Pump Tube Segments
Early View abstract from Artifiicial Organs.

"In most extracorporeal filtration devices such as hemodialysis a peristaltic pump is used to circulate blood. Pump function requires the repeated compression of an elastomeric tube from which particles may be shed into the circulatory system, a process called spallation."

"The total number of particles spallated from the PVC/polyurethane tubing was 10 times lower than from the lowest spallating PVC tubing."
Advance Access Abstracts from NDT:
Causes and Consequences of Interdialytic Weight Gain
Free, full-text, Issue-in-Progress article from Kidney & Blood Pressure Research.
Hemodiafiltration Elicits Less Platelet Activation Compared to Hemodialysis
Free, Open Access article from BMC Nephrology.
Truth and Transparency (Chinese Organ Harvesting)
Free, full-text, Early View letter to the editor from American Journal of Transplantation.
Acute Kidney Injury Electronic Alert for Nephrologist: Reactive versus Proactive
Free, full-text, Issue-in-Progress article and Cappuccino with Claudio Ronco from Blood Purification.
Article in Press Abstracts from Journal of Vascular Surgery:
Association of Nondisease-Specific Problems with Mortality, Long-Term Care, and Functional Impairment among Older Adults Who Require Skilled Nursing Care after Dialysis Initiation
CJASN Express abstract.
Chronic Interstitial Nephritis in Agricultural Communities: a Worldwide Epidemic with Social, Occupational and Environmental Determinants
Free, Full-Text, Advance Access article from NDT.
Testing Na+ in Blood
Free, full-text, Advance Access article from Clinical Kidney Journal.
Orphan Drug Policies and Use in Pediatric Nephrology
Free, full-text, First Online editorial commentary from Pediatric Nephrology.
Exercise, Even In Small Doses, Offers Tremendous Benefits For Senior Citizens
Article from Kaiser Health News.
Software As a Medical Device (SAMD): Clinical Evaluation
(46-page pdf) Draft guidance from the FDA.
Factors Secreted by Gut Bacteria May Help Combat Kidney Stones
Oct. 15-22 Handwashing Day and Infection Prevention Week
Doctors Beat Computer Programs in Making Diagnoses
Article from the BMJ.
NIH Funds Additional Medical Centers to Expand National Precision Medicine Research Program
News release from the National Institutes of Health.
The Cost of US Vaccine Avoidance By Adults in 2015 was $8.95 Billion
Abstract from Health Affairs.
Hospital, Health Care, and Community-Acquired MRSA
Statistical brief via the Agency for Healthcare Research and Quality.
GAO Report: HHS Should Set Priorities and Comprehensively Plan Its Efforts to Better Align Health Quality Measures
Fast facts page from the U.S. Government Accountability Office. News brief from AHANewsNow.
'Doc, This Election's Killing Me!'
Article from HealthDay.
Medicare Update Causing Rejected Claims from Dialysis Providers
Article from Nephrology News & Issues.
CMS Seeks Comments on CMS-2744, End Stage Renal Disease (ESRD) Medical Information Facility Survey
Notice from The Federal Register. Comment period closes Dec. 13.
CMS Announces New Initiative to Increase Clinician Engagement
Press release.
CMS Details Outreach Campaign Strategy for Open Enrollment 2017
CMS press release and related posting from The CMS Blog.
CROWNWeb Town Hall: Connecting the Pieces
Registration now open for Thursday, October 27th 2016, 2:00 pm ET.


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Thursday, Oct. 13

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  Oct. 13, 2016
Tiny Implant a Big Help for Kidney Dialysis Cases (Vascular Access)
Article from The Straits Times (Singapore).
Can We Quantify the Quality of Dialysis? Looking Beyond Kt/V
Posting from the AJKD blog.

"In the United States, dialysis outcomes have been notoriously poor, especially in comparison to outcomes in Japan and certain European countries."

Bioprinted 3-D Renal Architecture Recapitulates Kidney Function
Press release from Wyss Institute for Biologically Inspired Engineering at Harvard University. Article and video from MedGadget.com.

Integrated Care Bill Divides Renal Community
Article from Nephrology News & Issues.
Free, Full-Text Articles from Kidney International:
Developing Financial Incentives for Kidney Transplant Centers: Who Is Minding the Store?
Free, full-text, Early View editorial from American Journal of Transplantation.
Free, Full-Text Articles from September 2016 Issue of Advances in Chronic Disease:
Arteriovenous Access Ischemic Steal (AVAIS) in Hemodialysis: a Consensus from the Charing Cross Vascular Access Masterclass 2016
Advance Online abstract from the Journal of Vascular Access.
Recurrent Heparin-Induced Thrombocytopenia Due to Heparin Rinsing before Priming the Machine in a Hemodialysis Patient: a Case Report
Early View abstract from Hemodialysis International.
Efficacy and Safety of Pregabalin for the Treatment of Neuropathic Pain in Patients Undergoing Hemodialysis
First Online abstract from Clinical Drug Investigation.
Understanding Insurance Options
KidneyTalk podcast from Renal Support Network.
Still Wary of Heparin from China, US Considers Options
Press release from the American Chemical Society.
Happy Birthday to 'World's Oldest' Kidney Dialysis Patient at 104
Hospitals Say They're Being Slammed By Drug Price Hikes
Article from Kaiser Health News.
Hearing without Listening
Free, full-text perspective piece from the New England Journal of Medicine.
The Importance Of Being
Free, full-text article from Health Affairs.

"Good patient care is found not on a computer screen but in being truly present with patients."
Free, Full-Text, Online First Articles from the Journal of the American Medical Association:
Fitbit, Other Heart Rate Wristbands Often Inaccurate: Study
CMS Issues 2017 Medicare Advantage, Prescription Drug Plan Star Ratings
News brief from AHANewsNow. Fact sheet from CMS.


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Wednesday, Oct. 12

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  Oct. 12, 2016
AHA Statement: High Blood Pressure Linked to Higher Risk of Cognitive Impairment (Dementia)
News release and Online First abstract of statement from the American Heart Association. Articles from HealthDay and MedPage Today (registration required, but free).
Sudden Drops in Blood Pressure Tied to Higher Odds for Dementia
Article from HealthDay. Free, full-text article from PLOS Medicine.

Editor's note:
The American Society of Nephrology and the Renal Physicians Association should consider the two above articles and their continued use of shotgun dialysis in the U.S. business model of dialysis care.

How can employment and rehabilitation rates possibly improve when the standard of care causes cognitive harm? This is the danger in not having a well-patient model in U.S. dialysis care.
Calcium Supplements May Damage the Heart
Press release from Johns Hopkins Medicine. Free, full-text article from Journal of the American Heart Association.
Almost All Kidney Donors Are Proud, Like Me. So Why Did One Negative Story Go Viral?
Article from Vox.
Articles from Nephrology News & Issues:
Safety of Intravenous Iron Use in Chronic Kidney Disease
Free, full-text article from Current Opinion in Nephrology and Hypertension.
Stretching the Limits of Renal Transplantation in Elderly Recipients of Grafts from Elderly Deceased Donors
JASN Express
abstract.
Intensity of Continuous Renal Replacement Therapy for Acute Kidney Injury
Abstract from Cochrane Reviews.
Zika Virus Infection and Solid Organ Transplantation: A New Challenge
Early View abstract from American Journal of Transplantation.
Zika Virus 6 Months Later
Free, full-text viewpoint article from the Journal of the American Medical Association.
Successful Trial Shows Tablet Lowers Risk of Disease Returning for Kidney Cancer Patients
NIH Task Force Formed to Develop First Nutrition Strategic Plan
Press release from the National Institutes of Health.
FDA Alerts Providers to St. Jude Medical Defibrillator Recall Due to Early Battery Failure Risk
Medicaid Expansion Associated with Increased Medicaid Revenue, Decreased Uncompensated Care Costs
Press release and abstract from the Journal of the American Medical Association.


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Tuesday, Oct. 11

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  Oct. 11, 2016
Updates from Super-secret KCER Web Site
  • KCER Hurricane Matthew web page
  • Network 6 (Georgia, Carolinas) Dialysis Facility Status Reports - latest update to PDF file was Oct. 9, 8:44 PM
  • Network 7 (Florida) Dialysis Facility Status Reports - last update to PDF file was Oct. 10, 8:30 AM
News Releases from the American Heart Association:
Comparison of the Risk of Nontraumatic Lower Extremity Amputation between Hemodialysis and Peritoneal Dialysis Patients with End-Stage Renal Disease
Accepted Article abstract from Nephrology.
Traditional and Non-traditional Risk Factors for Incident Peripheral Arterial Disease Among Patients With Chronic Kidney Disease
(Registration required, but free.) Free, full-text article from NDT via Medscape Nephrology.
A Combination of Corticosteroid, Sirolimus, and Intradialytic Parenteral Nutrition in Encapsulating Peritoneal Sclerosis: Case Report and Literature Review
Early View abstract from Hemodialysis International.
Are Newer Diabetes Drugs Improving Glycemic Control?
(Registration required, but free.) Article from Medscape Medical News.
New Diabetes Tech Is Coming. But Will It Make Much Difference?
Article from STAT.
Articles from Nephrology News & Issues:
Fresenius Medical Care Celebrates 20th Anniversary
Blood Banks Seek Donations in Wake of Hurricane Matthew
News brief from AHANewsNow.
Receipt of Antibiotics in Hospitalized Patients and Risk for Clostridium difficile Infection in Subsequent Patients Who Occupy the Same Bed
Free, full-text, Online First article from JAMA Internal Medicine.
Commercial ACOs Larger, More Efficient: Study
Article from HFMA.
Majority of Congress Recommends Changes to CMS' Treatment of Outpatient Reimbursement
Article from Hospitals & Health Networks.


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Monday, Oct. 10

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  Oct. 10, 2016
KCER (Kidney Community Emergency Response) Again Hoards "Information for Patients"
- Network 6 gives no updates during weekend. Network 7 finally posts Saturday data update on late Sunday night.
Latest information on Matthew from the National Hurricane Center. Super-secret KCER web site.
  • KCER Hurricane Matthew web page
  • Network 6 (Georgia, Carolinas) Dialysis Facility Status Reports - last update to PDF file was Oct. 6, 6:10 PM
  • Network 7 (Florida) Dialysis Facility Status Reports - last update to PDF file was Oct. 8, 2:30 PM (MONDAY MORNING UPDATE — New PDF file dated Oct.8, 6:30 PM was publically posted late Sunday night (Oct. 9)
Editor's note: What people want during disasters is information. There are massive power outages. Hoarding information during disasters enables dialysis patient hoarding and profiteering by corporations that have done so during previous natural disasters. KCER twice delayed releasing information for Florida patients for 18-28 hours, according to the time stamps on the PDF files.
2 Free Kidney iBooks Available (yes FREE)
Posting from the Renal Fellow Network blog.
National Kidney Foundation Hosts First-Ever Summit to Reduce Preventable Kidney Disease
Press release.
FDA Releases New MedWatch Educational Videos
News brief from AHANewsNow.
Is There Such a Thing As Biocompatible Peritoneal Dialysis Fluid?
Free, First Online, Open Access article from Pediatric Nephrology.
Ergocalciferol Treatment Does Not Improve Erythropoietin Utilization and Hospitalization Rate in Hemodialysis Patients
Free, Open Access article from BMC Nephrology.
Measuring What Matters
Free, full-text, Early View editorial from American Journal of Transplantation.
Data Analytics for Continuous Renal Replacement Therapy: Historical Limitations and Recent Technology Advances
Advance Online abstract from The International Journal of Artificial Organs.
Serial Versus Single Troponin Measurements for the Prediction of Cardiovascular Events and Mortality in Stable Chronic Hemodialysis Patients
Accepted Article abstract from Nephrology.
The DRIL Procedure for Arteriovenous Access Ischemic Steal: a Controversial Approach
Advance Online abstract from the Journal of Vascular Access.
Fresenius Kabi Wins FDA Nod for Aurora Xi Plasmapheresis System
Immunotherapy Cancer Drug Hailed As 'Game Changer'
Article from the BBC.
What Does "Do No Harm" Really Mean As a Doctor?
Posting from the KevinMD blog.
BU Study Probes Soda Company Sponsorship of Health Groups
Press release from Boston University Medical Center.
President Trump Wouldn't Have To Wait For Congress To Undo Much Of The Health Law
Article from Kaiser Health News.
ANA's Nurses by the Numbers™ Now Available
Medicare Releases New Detailed Analysis Of Spending On Hospice Care


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