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RECENT NEWS ARCHIVES

Fri./Sat., May 8-9

American Nephrology Nurses' Association Publishes Core Curriculum for Nephrology Nursing, 6th Edition
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  May 8, 2015
bullet point Fresenius Medical Care Recalls 133,751  Model 2008 Hemodialysis Machines for GranuFlo®/Acetate Display Errors: Editor's note: I suggested this recall back in September 2013.

It is amazing how long this problem has continued — 15 years!  See this August 2012 posting from FixDialysis and all the background information on this problem.
bullet point Dialysis Patient Pleads Guilty in Taking Kickbacks in Ambulance Fraud Scheme
Article from Philadelphia Business Journal.
bullet point Novartis 'Biosimilar' Drug Blocked by US Appeals Court; Amgen Is 'Pleased'
Article from Reuters.
bullet point World Congress of Nephrology (March 2015) Abstracts and Posters
Registration required, but free.
bullet point The Relationship between Symptoms and Blood Pressure during Maintenance Hemodialysis
Free, full-text, Early View article from Hemodialysis International.
bullet point Free, Full-Text Articles from Kidney International:
bullet point Blood Pressure Variability Among Chronic Dialysis Patients
(Registration required, but free.) Free, full-text article from Current Opinion in Nephrology and Hypertension via Medscape Nephrology.
bullet point Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
bullet point Article in Press Abstracts from American Journal of Kidney Diseases:
bullet point Dexamethasone May Help Prevent Severe Kidney Injury Following Heart Surgery
Press release and JASN Express abstract from the American Society of Nephrology.
bullet point Considerations for Systemic Anticoagulation in ESRD
Early View abstract from Seminars in Dialysis.
bullet point Hepatitis Awareness Month and National Hepatitis Testing Day — May 2015
Item from the CDC's MMWR.
bullet point Wealthier Americans Are Least Satisfied by Health Insurance Companies, Study Finds
Article from The Hill.
bullet point QuickStats: Percentage of Adults Who Did Not Take Medication as Prescribed to Save Money
Item from the CDC's MMWR.
bullet point Fall-Related Deaths Nearly Doubled for U.S. Seniors Since 2000
Article from HealthDay.
bullet point Ebola Is Found in Doctor's Eye Months after Virus Left Blood
Article from AP. Online First report from the New England Journal of Medicine.
bullet point Healthcare Cyberattacks Rise 125%, Study Says
bullet point Measles May Weaken Immune System for Up to 3 Years, Study Contends
 


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Thursday, May, 7

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  May 7, 2015
bullet point DaVita Healthcare Partners Promotes Ethics in Nursing during National Nurses Week
Press release.

Editor's note: I believe one DaVita nurse should get an extra shout-out: Daniel Barbir. I would estimate that he will receive between $20-40 million as his whistleblower award in the settlement announced this week. In the last three years, DaVita has paid nearly $1 Billion to settle whistleblower suits. One must ask, how many nurses said nothing?

More whistleblowers in dialysis are needed. See this March 2015 article from Nephrology News & Issues.  A quote from the article:
"Bargman then went through a series of antedotes (sic) – comments from staff at U.S. dialysis clinics – telling her how they cheat: "We list our grafts as fistulas. No one checks it." Lab tests are done repeatedly--before and after dialysis – to get the Kt/Vs that staff need to meet the QIP requirements."
The lack of ethics in dialysis care is pervasive. It also renders much of the data that will be discussed at today's DOPPS Practice Monitor web conference — as worthless.
bullet point Temporal Changes in Mortality Risk by Dialysis Modality in the Australian and New Zealand Dialysis Population
Article in Press abstract from American Journal of Kidney Diseases.

"Our study indicates that outcomes on dialysis therapy are improving with time and that this improvement is most marked with home dialysis modalities, especially home HD."
bullet point Nepal Earthquake: Latest Update from ISN RDRTF
News item from The International Society of Nephrology. Related article from Reuters.
bullet point Kidney Education Material Available in 19 Languages
Posting from the ISN-Blog.
bullet point Progress and Hurdles for Follow-on Biologics
Free, full-text, Online First perspective piece from the New England Journal of Medicine.
bullet point Optimal Convection Volume for Improving Patient Outcomes in an International Incident Dialysis Cohort Treated with Online Hemodiafiltration
Free, full-text, Advance Online article from Kidney International.
bullet point Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
bullet point Evaluation of the Role of Nurse Practitioners in MASTERPLAN
Early View abstract from Journal of Renal Care.
bullet point Early Online Abstracts from Renal Failure:
bullet point Long-Term Outcomes of Total Parathyroidectomy With or Without Autoimplantation for Hyperparathyroidism in Chronic Kidney Disease: A Meta-Analysis
Early View abstract from Therapeutic Apheresis & Dialysis.
bullet point Long-Term Risk of Progressive Chronic Kidney Disease in Patients with Severe Acute Kidney Injury Requiring Dialysis after Coronary Artery Bypass Surgery
Online First abstract from Cardiorenal Medicine.
bullet point Comparative Risk of Renal, Cardiovascular, and Mortality Outcomes in Controlled, Uncontrolled Resistant, and Nonresistant Hypertension
Advance Online abstract from Kidney International.
bullet point Many Aging Boomers Face Chronic Illness, But Death Rate Is Falling: CDC
Article from HealthDay.
bullet point Bill Would Create 'National Nurse' Position
Article from The Hill.
bullet point One in Four MA RNs Report Patient Deaths That Are Directly Attributable to Unsafe Patient Assignment
Press release from the Massachusetts Nurses Association.
bullet point The Affordable Care Act at 5 Years
Free, full-text, Online First health policy report from the New England Journal of Medicine. Related article from The Hill.
bullet point

The Fall: Aligning The Best Care With Standards Of Care At The End Of Life
Article from Health Affairs.

When her mother is hurt, a health care executive finds that the standardized care she championed isn't always appropriate.

Expanded Hospice Improves Care but Raises Medicare Costs
Press release from Brown University. Related article from HealthDay.


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Wednesday, May 6

DaVita Healthcare Partners Promotes Ethics in Nursing during National Nurses Week
Press release.

Editor's note: I believe one DaVita nurse should get an extra shout-out: Daniel Barbir. I would estimate that he will receive between $20-40 million as his whistleblower award in the settlement announced this week.

More whistleblowers in dialysis are needed. See this March 2015 article from Nephrology News & Issues.

A quote from the article:

"Bargman then went through a series of antedotes – comments from staff at U.S. dialysis clinics – telling her how they cheat: "We list our grafts as fistulas. No one checks it." Lab tests are done repeatedly--before and after dialysis – to get the Kt/Vs that staff need to meet the QIP requirements."

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  May 6, 2015
bullet point Behind DaVita $450 Million False Claims Deal, A Defense Gone Awry
Reuters blog posting.
bullet point

Doctors Should Not Be Allowed to Do Both Private and NHS Work
Press release from the British Medical Journal.

"Private medicine encourages doctors to make decisions based on profit rather than on need."

Editor's note: The Stark law provision, which allowed nephrologists to refer patients to dialysis clinics that they owned, should be considered a disaster for US dialysis patients. Nephrologists built thousands of dialysis clinics and herded millions of patients into short, fast, cheap, iatrogenic dialysis treatments — therapy and an environment they would never choose for themselves or their own family members. For several decades, US nephrologists have been awful, ineffectual patient advocates and they will never function effectively in that role until this destructive financial disincentive is ended or radically changed.

bullet point A Matter Of Faith And Trust: Why African-Americans Don’t Use Hospice
PBS video/article via Kaiser Health News.
bullet point Search Feature for 2015 NKF Spring Clinical Meetings' Abstracts
Tool from the National Kidney Foundation.
bullet point Free, Full-Text Articles from NDT:
bullet point Patient and Health Care Professional Decision-Making to Commence and Withdraw from Renal Dialysis: A Systematic Review of Qualitative Research
CJASN Express abstract.
bullet point Advance Access Abstracts from NDT:
bullet point Early View Abstracts from American Journal of Transplantation:
bullet point Long-Term Medical Risks to the Living Kidney Donor
Advance Online abstract from Nature Reviews Nephrology.
bullet point Early View Abstracts from Therapeutic Apheresis & Dialysis:
bullet point Coagulation, Fibrinolysis and Inhibitors in Failing Filters during Continuous Venovenous Hemofiltration in Critically Ill Patients with Acute Kidney Injury: Effect of Anticoagulation Modalities
Issue in Progress abstract from Blood Purification.
bullet point ISN Position Statement on CKDu
Paper from the International Society of Nephrology.
bullet point The Three Deadliest Drugs in America Are All Totally Legal
Article from Vox.
bullet point CDC: Hispanics in US Living Longer Than Whites
Articles from The Hill and HealthDay. Vital Signs report from the CDC.
bullet point NCCIH Presents "When Experts Disagree: The Art of Medical Decision Making
Live-streamed lecture on May 11 from the National Center for Complementary and Integrative Health.
bullet point C. diff  Used To Beat C. diff  Infection
bullet point 500 Groups Urge Repeal of ObamaCare Cost-Cutting Panel for Medicare
Article from The Hill.
bullet point CMS To Expand Controversial Pioneer ACO Program Because of 'Robust' Savings
News brief from Healthcare DIVE. News summary from Kaiser Health News.
Innovating Care for Medicare Beneficiaries: Time for Riskier Bets and Embracing Failure
Free, full-text article from the Journal of the American Medical Association.


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Tuesday, May 5

Behind DaVita $450 Million False Claims Deal, A Defense Gone Awry
Reuters blog posting.
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  May 5, 2015
bullet point

DaVita Will Pay $495 Million To Settle Atlanta Whistleblower Case
Articles from Denver Business Journal and The Denver Post. Press release from DaVita. See this 2012 CNN story (10-minute video) on this case.

In 2012, DaVita settled a whistleblower suit on ESA use and related billing for $55 million.

In October of 2014, DaVita settled another whistleblower suit and related claims on physician kickbacks for $400 million. Press release from the U.S. Department of Justice.

Editor's note:  Long-time fraudulent reporting of dialysis treatment data to CMS has yet to be addressed.

bullet point DaVita HealthCare Reports $110M 1st Quarter Loss
Article from AP. Press release from DaVita.
bullet point Treating the Whole Patient: Emphasizing Quality of Life for Dialysis Patients
Part 2 of article by Henning Søndergaard from NN&I.

"The big question is: How will nephrologists and care teams start embracing the concept of "full Maslow" care?"
bullet point New Test Predicts Sudden Cardiac Death in Hemodialysis Patients
Press release from the European Society of Cardiology.
bullet point Updated DOPPS Practice Monitor
The Dialysis Outcomes and Practice Patterns Study (DOPPS) will hold web conference to discuss the latest results on May 7 at 3 PM EDT.
bullet point Follow-On Study Finds Increased Mortality With Frequent Nocturnal Dialysis
(Registration required, but free.) Reuters article via Medscape.

Editor's note: Must-read commentary by Dr. John Agar.
bullet point Overweight Diabetes Patients Outlive Slimmer Ones
Article from Reuters. Abstract and Summary for Patients from Annals of Internal Medicine.
bullet point Self-Reported Medication Adherence in Patients with End-Stage Kidney Disease Undergoing Online-Hemodiafiltration
Early View abstract from Journal of Renal Care.
bullet point Dialysis Modality and Mortality in the Elderly: A Meta-Analysis
CJASN Express abstract.
bullet point Early View Abstracts from Seminars In Dialysis:
bullet point Hemodialysis-Induced Hypoglycemia and Glycemic Disarrays
Abstract from Nature Reviews Nephrology.
bullet point

Artificial Vessels Designed to Degrade and Be Replaced by Natural Vasculature
Article from MedGadget.

bullet point Fresenius Medical Care Introduces multiFiltratePRO, a New Therapy System for Acute Dialysis
Press release.
bullet point NxStage Establishes New Scientific Advisory Board to Build Clinical Evidence and Drive Adoption of Home Hemodialysis Therapy
Press release.
bullet point Illinois Law Opens Door To Kidney Transplants For Undocumented Immigrants
Extract of article from Health Affairs.
bullet point ER Visits Climb under ObamaCare, Poll Finds
Article from The Hill.
bullet point FDA to Study Safety and Effectiveness of Hand Sanitizers, Other Antiseptics
Medicare to Expand Pioneer ACOs
News brief from HFMA.
bullet point Free, Full-Text, Online First Articles from the Journal of the American Medical Association:


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Monday, May 4

DaVita Will Pay $495 Million To Settle Atlanta Whistleblower Case
Articles from Denver Business Journal and The Denver Post.

In 2012, DaVita settled a whistleblower suit on ESA use and related billing for $55 million.

In October of 2014, DaVita settled another whistleblower suit and related claims on physician kickbacks for $400 million. Press release from the U.S. Department of Justice.

Editor's note:  Long-time fraudulent reporting of dialysis treatment data to CMS has yet to be addressed.

DaVita HealthCare Reports $110M 1st Quarter Loss
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  May 4, 2015
bullet point For-Profit/Not-for-Profit Healthcare: What's the Difference?
Article by Dr. Robert J. Rubin from MedPage Today.
bullet point It's Not Just About 'Quality of Life'
Opinion Page posting from The New York Times.

"Of all the situations a doctor can encounter in a hospital, perhaps none is as nerve-racking as a so-called futility case."
bullet point Study: Generic Transplant Drugs As Good As Brand Name
Press release from the University of Cincinnati Academic Health Center.
bullet point Articles from Renal & Urology News:
bullet point Crush Syndrome: Saving Lives in Nepal
Article from the BBC.
bullet point Longer-term Outcomes of Darbepoetin Alfa Versus Epoetin Alfa in Patients With ESRD Initiating Hemodialysis: A Quasi-experimental Cohort Study
Free, full-text, Article in Press from American Journal of Kidney Diseases.
bullet point Free, Full-Text Articles from NDT:
bullet point Role of Vascular Function in Predicting Arteriovenous Fistula Outcomes: an Observational Pilot Study
Provisional abstract and full-text article (15-page pdf) from Canadian Journal of Kidney Health and Disease.
bullet point Advance Access Abstract/Extract from NDT:
bullet point Free, Full-Text Articles from American Journal of Transplantation:
bullet point Early View Abstracts from Artificial Organs:
bullet point How Sick Are Dialysis Patients Undergoing Cholecystectomy?: Analysis Of 92,672 Patients from the ACS NSQIP Database
In Press, Accepted Manuscript from The American Journal of Surgery.
bullet point Mineral and Bone Disorders in Kidney Transplant Recipients: Reversible, Irreversible, and De Novo Abnormalities
Online First abstract from Clinical and Experimental Nephrology.
bullet point Research Priorities in CKD: Report of a National Workshop Conducted in Australia
Article in Press abstract from American Journal of Kidney Diseases.
bullet point 'First Natural Birth' for Diabetic Woman with Artificial Pancreas
bullet point Insulin Inhaler Afrezza Flops in Market Debut
bullet point Gilead's Costly Hep C Drugs Continue To Rack Up Profits
bullet point Architecture of Future Hospitals to Prevent Spread of Infectious Diseases
Video from MedGadget.
bullet point Routine Heart Care Similar From Nurse Practitioners, Doctors: Study
Article from HealthDay.
CROWNWeb 4.7 Release Moved to May 10, 2015
Notice from CMS Project CROWNWeb.


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Fri./Sat., May 1-2

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  May 1, 2015
bullet point Quality of Life for Dialysis Patients and the Maslow Pyramid
Article by Henning Søndergaard from NN&I.

"While the psychosocial aspects of cancer, diabetes and many other illnesses are acknowledged and researched, it still seems difficult to provide even adequate basic treatment for dialysis patients – let alone determine how they are faring on said treatment.

The article by Joshi points out that the lab results, biomarkers and dialysis adequacy so diligently measured and documented by treatment teams, for the most part have very little or no impact on true QOL (quality of life). They have only prompted a slight improvement in measuring morbidity and mortality rates and are poor indicators of psychosocial health in people with CKD (chronic kidney disease)."

Editor's note: If we had had financial incentives for patient rehabilitation and employment, can you imagine how different dialysis care in the U.S. would be today?

If you had a blank slate for creating an optimal dialysis care system, what would it entail?

I would start with Tassin (which provides optimal, non-iatrogenic treatments as well as a highly supportive psychosocial environment) and then would create a strong financial incentive for working-age patient employment (which would drive technological advances, especially in home/portable hemodialysis, and would keep the dialysis care team focused on patients' priorities -- instead of corporate priorities).
bullet point Special Issue: An Open-Source Practical Manual for Home Hemodialysis
12 free, full-text articles from Hemodialysis International.
bullet point Pay It Forward: The Great American Kidney Swap
Article from The New York Times Magazine.
bullet point Even Casual Walking for an Extra 2 Minutes Each Hour May Help Prolong Life
Press release and CJASN Express abstract from the American Society of Nephrology. Article from HealthDay.
bullet point Physical Activity in Patients with CKD: What Is the Benefit?
Posting from the AJKD blog.
bullet point Inhibiting the Progression of Arterial Calcification with Vitamin K in Hemodialysis Patients (iPACK-HD) Trial: Rationale and Study Design for a Randomized Trial of Vitamin K in Patients with End Stage Kidney Disease
Provisional abstract and full-text article (16-page pdf) from Canadian Journal of Kidney Health and Disease.
bullet point Article in Press Abstracts from American Journal Of Kidney Diseases:
bullet point Renal Formulas Pretreated with Medications Alters the Nutrient Profile
Online First abstract from Pediatric Nephrology.
bullet point Phosphate Binders Cut Mortality, Up ESRD Risk
Article from Renal & Urology News.
bullet point Dropping One Sugary Soda a Day Could Cut Diabetes Risk: Study
bullet point The Precision Medicine Initiative: A New National Effort
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point IOM: Fewer Quality Measures Needed
News article from HFMA.
bullet point US 'Will Not Fund Research for Modifying Embryo DNA'
CROWNWeb: February 2015 Clinical Deadline Extended to May 7, 2015
News item from Project CROWNWeb.
Slides from “Introducing CROWNWeb 4.7? Town Hall Now Available
News item from Project CROWNWeb.
New Medicare Prescription Drug Cost Data Available
CMS press release and fact sheet. Article from Kaiser Health News.
Former CFO to Pay $4.4 M for Meaningful Use Fraud
News brief from Healthcare DIVE.


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Thursday, April 30

Quality of Life for Dialysis Patients and the Maslow Pyramid
Article from NN&I.

"While the psychosocial aspects of cancer, diabetes and many other illnesses are acknowledged and researched, it still seems difficult to provide even adequate basic treatment for dialysis patients – let alone determine how they are faring on said treatment.

The article by Joshi points out that the lab results, biomarkers and dialysis adequacy so diligently measured and documented by treatment teams, for the most part have very little or no impact on true QOL (quality of life). They have only prompted a slight improvement in measuring morbidity and mortality rates and are poor indicators of psychosocial health in people with CKD (chronic kidney disease)."

Editor's note: If we had had financial incentives for patient rehabilitation and employment, can you imagine how different dialysis care in the U.S. would be today?

If you had a blank slate for creating an optimal dialysis care system, what would it entail?

I would start with Tassin (which provides optimal, non-iatrogenic treatments as well as a highly supportive psychosocial environment) and then would create a strong financial incentive for working-age patient employment (which would drive technological advances, especially in home/portable hemodialysis, and would keep the dialysis care team focused on patients' priorities -- instead of corporate priorities).
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  Apr. 30, 2015
bullet point Racial Disparities Seen in Initial Access to Blood Flow for Hemodialysis
Press release and Online First abstract from JAMA Surgery.
bullet point ISN RDRTF Lends Support in the Aftermath of Nepal Earthquake
News posting by the International Society of Nephrology Renal Disaster Relief Task Force.
bullet point Fresenius Medical Care Reports First Quarter 2015 Results and Confirms Guidance for Full Year 2015
Press release. News item from Reuters.
bullet point High Cardiovascular Event Rates Occur within the First Weeks of Starting Hemodialysis
Free, full-text, Advance Online article from Kidney International.
bullet point Intensive Home Hemodialysis: an Eye at the Past Looking for the Hemodialysis of the Future
Early View abstract from Artificial Organs.
bullet point A Randomized Trial of Cinacalcet versus Vitamin D Analogs as Monotherapy in Secondary Hyperparathyroidism (PARADIGM)
CJASN Express abstract.
bullet point Executive Summary of the KDIGO Controversies Conference on Supportive Care in Chronic Kidney Disease: Developing a Roadmap to Improving Quality Care
Advance Online abstract from Kidney International.
bullet point Comparative Changes in Treatment Practices and Clinical Outcomes Following Implementation of a Prospective Payment System: the STEPPS Study
Provisional abstract and full-text article (18-page pdf) from BMC Nephrology.
bullet point Renal-Related Features from the New England Journal Of Medicine:
bullet point Early Tight Blood Glucose Control Reduces Eye Surgeries in People with Type I Diabetes
Press release from the National Institute of Diabetes and Digestive and Kidney Diseases. Abstract from the New England Journal of Medicine. Article from HealthDay.
bullet point DSI Renal Buys Five Georgia Clinics
bullet point Louisiana Man Claims Hospital Refuses To Perform Kidney Transplant For Him
bullet point Knowledge Is Power for Patients With Heart Failure
bullet point PCORI Selects 47 Individuals, Small Groups Receive Initial Project Funding through Pipeline to Proposal Awards
Press release from Patient-Centered Outcomes Research Institute.
bullet point Lawmakers Target Stopping VA Whistleblower Retaliation
News summary from Kaiser Health News.
bullet point Patient Portals: Essential, but Underused by Physicians
Article from Medical Economics.
bullet point Leapfrog Updates Hospital Safety Grades
bullet point Rubella (German Measles) Eradicated from Americas
 


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Wednesday, April 29

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  Apr. 29, 2015
bullet point Free, Full-Text, Advance Access Articles from NDT:
bullet point What Is the Impact of Chronic Kidney Disease Stage and Cardiovascular Disease on the Annual Cost of Hospital Care in Moderate to Severe Kidney Disease?
Provisional abstract and full-text article (15-page pdf) from BMC Nephrology.
bullet point Early View Abstracts from Hemodialysis International:
bullet point Advance Access Abstracts from NDT:
bullet point The Stuck Catheter: a Hazardous Twist to the Meaning of Permanent Catheters
Advance Online abstract from the Journal of Vascular Access.
bullet point Issue in Progress Abstracts from Blood Purification:
bullet point Depression Can Physically Alter Your DNA
Article from IFLScience!. Press release from the Wellcome Trust Centre for Human Genetics. Free, full-text article from Current Biology.

Editor's note: More evidence that today's U.S. nephrologists need to address and treat the whole patient, not just the body. Failing to address psychosocial health is self-defeating, short-sighted medicine.

When will rehabilitation and employment become treatment targets for working-age dialysis patients (again)? They were fifty years ago.

Unfortunately, U.S. nephrologists were allowed to profit by providing cheap, fast dialysis treatments... and patients have been being harmed ever since.
bullet point Understanding Dialysis and Blood Pressure
KidneyTalk podcast from Renal Support Network.
bullet point First-ever Kidney Transplant Summit Addresses Controversial Ideas That Affect All British Columbians
bullet point Patient Poster on Low Salt Snacks
bullet point IOM Panel Proposes Framework for Prioritizing US Measures of Health, Health Care
News brief from AHA News Now. Report from the Institute of Medicine.
bullet point Food and the Responsibility Deal: How the Salt Reduction Strategy Was Derailed
Article from British Medical Journal.
bullet point Patient Portals Could Widen Health Disparities
Press release from Northwestern University.
bullet point Church-based Diabetes Education Program Leads to Healthier Lifestyles among Latino Adults
Press release from the University of Chicago Medical Center.
bullet point PCSK9 Inhibitors: A New Era in Lipid-Lowering Treatment?
Free, full-text, Online First editorial from Annals of Internal Medicine.
Senators Warn Medicare Appeals System 'Buckling under Its Own Weight'
Article from The Hill.


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Tuesday, April 28

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Depression Can Physically Alter Your DNA
Article from IFLScience!. Press release from the Wellcome Trust Centre for Human Genetics. Free, full-text article from Current Biology.

Editor's note: More evidence that today's U.S. nephrologists need to address and treat the whole patient, not just the body. Failing to address psychosocial health is self-defeating, short-sighted medicine.

When will rehabilitation and employment become treatment targets for working-age dialysis patients (again)? They were fifty years ago.

Unfortunately, U.S. nephrologists were allowed to profit by providing cheap, fast dialysis treatments... and patients have been being harmed ever since.
  Apr. 28, 2015
bullet point Trends in In-Hospital Cardiopulmonary Resuscitation and Survival in Adults Receiving Maintenance Dialysis
Online First abstract and extract from related editorial from JAMA Internal Medicine. Interview from MedicalReseach.com. Article from Medscape Medical News (registration required, but free).
bullet point An Education Initiative Modifies Opinions of Hemodialysis Nurses Towards Home Dialysis
Abstract and full-text article (8-page pdf) from Canadian Journal of Kidney Health and Disease.
bullet point ISN RDRTF: First Reaction to Earthquake in Nepal
News item from the International Society of Nephrology. Renal Disaster Relief Task Force (RDRTF) web page.
bullet point Doctor Rescued from Kathmandu Debris Needs Emergency Medical Help
Article from The Times of India.
bullet point Comparison of Two Fluid Solutions for Resuscitation in a Rabbit Model of Crush Syndrome
Online First abstract from Clinical and Experimental Nephrology.
bullet point Immigrants Fear Losing Access to Organ Transplants
Article from Al Jazeeera America.
bullet point Letters to the Editor from American Journal of Transplantation:
bullet point High Blood Glucose Independent of Pre-Existing Diabetic Status Predicts Mortality in Patients Initiating Peritoneal Dialysis Therapy
Online First abstract from International Urology and Nephrology.
bullet point Accepted Articles Abstracts from Nephrology:
bullet point Left Ventricular Diastolic Dysfunction in End-Stage Kidney Disease: Pathogenesis, Diagnosis, and Treatment
Early View abstract from Therapeutic Apheresis and Dialysis.
bullet point New Orleans Health System Harnesses Apple Watch to Manage Chronic Disease
Article from Hospitals & Health Networks.
bullet point Managing Type 2 Diabetes: How to Reach Your Patients
Article from Medical Economics.
bullet point FDA Grants Fast Track Designation to Genzyme's Investigational Substrate Reduction Therapy for the Treatment of Fabry Disease
bullet point U.S. Lowers Recommended Fluoride Levels in Drinking Water
bullet point Studies Yield Mixed Findings on High-Dose Flu Vaccine for Elders
bullet point What Do Hospital Rating Systems Really Measure?
Article from Healthcare DIVE.
bullet point New Drug Class Slashes 'Bad' Cholesterol, Review Finds
Article from HealthDay.
“Introducing CROWNWeb 4.7? Town Hall Registration Now Open
Medicare Report Details Provider Penalties, Incentives


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Monday, April 27

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  Apr. 27, 2015
bullet point Video on Failing Kidneys and Different Treatment Options
Posting from the Precious Bodily Fluids blog.
bullet point Disaster Nephrology: a New Concept for an Old Problem
Free, full-text, Advance Access article from Clinical Kidney Journal.
bullet point Anticoagulation in Chronic Hemodialysis: Progress Toward an Optimal Approach
Free, full-text, Early View article from Seminars in Dialysis.
bullet point Advance Access Abstracts from NDT:
bullet point Intravenous Solutions in the Care of Patients With Volume Depletion and Electrolyte Abnormalities
Article in Press abstract from American Journal of Kidney Diseases.
bullet point Pharmacologic Treatment of Common Symptoms in Dialysis Patients: A Narrative Review
Early View abstract from Seminars in Dialysis.
bullet point Perceived Frailty and Measured Frailty among Adults Undergoing Hemodialysis: a Cross-Sectional Analysis
Provisional abstract and full-text article (14-page pdf) from BMC Geriatrics.
bullet point Hyperkalaemia, ICDs and ECG Changes
Posting from the Renal Fellow Network blog.
bullet point Announcing The KDIGO Global Network
News release from Kidney Disease: Improving Global Outcomes.
bullet point Nephrology Nurses' Association Releases Revamped CKD Modules for Medical Professionals
Article from Nephrology News & Issues.
bullet point Wales to Become the First Country to Have Opt out for Organ Donation
bullet point Data with VIEKIRAX® + EXVIERA® in Chronic Hepatitis C Patients with Renal Impairment
bullet point In Ghana: "I'm Selling My Kidney….To Save My Eye"
bullet point CDC Issues Recommendations to Prevent Additional HIV, Hepatitis C Outbreaks
News brief from AHANews. Early Release report from the CDC's MMWR.
bullet point Obamacare Satisfaction Scores Top Traditional Plans
News summary from Kaiser Health News.
bullet point Daily Aspirin Taken by More Than Half of Older U.S. Adults
bullet point Pharmaceutical Companies Buy Rivals' Drugs, Then Jack Up the Prices
HDU Comments to CMS on Conditions for Coverage
Letter from Home Dialyzors United.


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Fri./Sat., April 24-25

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  Apr. 24, 2015
bullet point A Sad Direction in Home Dialysis Research: The FHN 2 Nocturnal Survival Analysis
Blog posting by Dr. John Agar from Home Dialysis Central.

Editor's note: When the AJKD Article in Press abstract appeared on April 9th, I immediately e-mailed lead author Dr. Michael Rocco and requested the full-text article. I wanted to read the entire document before commenting. At the same time I specifically asked him why the "elite" of U.S. nephrology would reach such a conclusion from such an underpowered study and then publish it in a top journal. When he did not reply, I repeated the request. I have still not heard from him.

I fear this awful paper will be used to justify the denial of patient requests for home and nocturnal hemodialysis.

In my opinion, this paper serves primarily to protect U.S. nephrologists' legal positions and business interests.
bullet point Biosimilars: Does a Rose by Any Other Name Smell As Sweet?
Posting from the Renal Fellow Network blog.
bullet point

Free, Full-Text Articles from Journal of Renal Nutrition:

bullet point Outcomes of In-Hospital Cardiopulmonary Resuscitation in Maintenance Dialysis Patients
JASN Express abstract.
bullet point Preferred Strategy for Hemodialysis Access Creation in Elderly Patients
Article in Press abstract from European Journal of Vascular and Endovascular Surgery.
bullet point Organ Harvest Documentary Wins Prestigious Peabody Prize
Article and video from Epoch Times.
bullet point What Does the Public Think about Paying People to Donate Their Organs?
Press release and CJASN Express abstract from the American Society of Nephrology.
bullet point Living Donor Kidney Transplantation: Facilitating Education about Live Kidney Donation—Recommendations from a Consensus Conference
CJASN Express abstract.
bullet point Ciprofloxacin Pharmacokinetics in Critically Ill Patients Receiving Concomitant Continuous Venovenous Hemodialysis
Article in Press abstract from American Journal of Kidney Diseases.
bullet point Clinical Practice of Steroid Avoidance in Pediatric Kidney Transplantation
Early View abstract from American Journal of Transplantation.
bullet point Reducing Sepsis Mortality
Article from H&HN Daily.
bullet point Hepatitis C Infection Linked to Increased Risk of Heart Disease
bullet point Baxter Reports First Quarter Financial Results
bullet point Antibiotic Shortages On the Rise in U.S.
Article from HealthDay. Press release from the Infectious Diseases Society of America.
bullet point Occupational Traumatic Injuries Among Workers in Health Care Facilities — United States, 2012–2014
Article from the Morbidity and Mortality Weekly Report.
bullet point Principles and Challenges in Access to Experimental Medicines
Online First viewpoint article from the Journal of the American Medical Association.
bullet point Rays of Bipartisanship As Health Chief Faces Senate Panel
Article from The Hill.
Medicare and Medicaid Programs; Application by the American Association of Diabetes Educators for Continued Deeming Authority for Diabetes Self-Management Training
Proposed notice from The Federal Register.
CMS Releases Proposed FY 2016 Inpatient Rehabilitation Facility Rule


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Thursday, April 23

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  Apr. 23, 2015
bullet point

Technician in Fatal Case Forgot Prison Dialysis Appointment
AP article via the Washington Post.

bullet point A Randomized Trial of Cinacalcet versus Vitamin D Analogs as Monotherapy in Secondary Hyperparathyroidism (PARADIGM)
CJASN Express abstract.
bullet point Articles in Press Abstracts from American Journal Of Kidney Diseases:
bullet point Self-Motivation Is Associated With Phosphorus Control in End-Stage Renal Disease
Article in Press abstract from Journal of Renal Nutrition.
bullet point Assessment of Current Practice and Barriers to Antimicrobial Prophylaxis in Peritoneal Dialysis Patients
Advance Access abstract from NDT.
bullet point The Relationship between Glycemic Control, Beta2-Microglobulin and Inflammation in Patients on Maintenance Dialysis Treatment
Provisional abstract and full-text article (13-page pdf) from Journal of Diabetes and Metabolic Disorders.
bullet point Initiation of Renal Replacement Therapy in The Intensive Care Unit in Vicenza (IRRIV) Score
Issue in Progress abstract from Blood Purification.
bullet point Geographic Variation and Neighborhood Factors Are Associated with Low Rates of Pre-End-Stage Renal Disease Nephrology Care
Advance Online abstract from Kidney International.
bullet point A Prospective Observational Study Comparing a Non-Operator Dependent Automatic PWV Analyzer to Pulse Pressure, in Assessing Arterial Stiffness in Hemodialysis
Provisional abstract and fulltext article (23-page pdf) from BMC Nephrology.
bullet point FDA Recall Notice: Bard Dialysis Catheter Kits
Notice from the Enforcement Report for April 22, 2015.
bullet point MSD Announces Results from Phase 2/3 Study of Investigational Chronic Hepatitis C Therapy Grazoprevir/Elbasvir in Patients with Advanced Chronic Kidney Disease
Press release.
bullet point Depression Tied to Worse Outcomes for Black Patients With Heart Failure
Article from HealthDay.
bullet point New Finding Could Help Develop Test for Kidney Disease
bullet point Patient-Doctor Ethnic Differences Thwart End-Of-Life Conversations
bullet point Hepatitis C Infection Linked to Increased Risk of Heart Disease
bullet point The Safety of the Blood Supply — Time to Raise the Bar
Online First perspective piece from the New England Journal of Medicine.
Restructuring Medicaid as Block Grants — Unconstitutional Coercion?
Online First perspective piece from the New England Journal of Medicine.


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Wednesday, April 22

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  Apr. 22, 2015
bullet point Amgen Tops Estimates with 51 Percent Spike in 1Q Profit
Articles from AP and Bloomberg.

"...and a 16 percent jump to $534 million for Epogen, for treating anemia in kidney dialysis patients."

Editor's note: Amgen's total cost in manufacturing, sales, and all overhead for this $534 million in sales was likely less than $50 million. The amount of profit Amgen has made on dialysis patients is unmatched by any other company for any other other disease... in history. They have had no competition in the U.S. since 1989. Year after year, Amgen is among the top spenders in political lobbying among all U.S. companies.

Yet, improvements in outcomes for U.S. dialysis patients have lagged far behind all other fields of medicine.

With Amgen, DaVita and Fresenius having so much political power through their financial contributions to Congress, how do dialysis patients get heard... or taken seriously?
bullet point Coverage from the American Nephrology Nurses Association Annual Symposium (by NN&I):
bullet point (Registration Required, but Free) Full-Text Articles from Medscape Nephrology:
bullet point Early View Abstracts from Journal of Renal Care:
bullet point CJASN Express Abstracts:
bullet point Effects of Resistance Exercise Training on Acyl-Ghrelin and Obestatin Levels in Hemodialysis Patients
Early Online abstract from Renal Failure.
bullet point Free, Full-Text Articles from American Journal Of Kidney Diseases:
bullet point Endocarditis and Spondylodiscitis Associated with Tunneled Cuffed Hemodialysis Catheters: Hospitalizations with Poor Outcomes
Advance Online abstract from the International Journal of Artificial Organs.
bullet point Antidiabetic Therapy in End-Stage Renal Disease
Early View abstract from Seminars in Dialysis.
bullet point Free, Full-Text Editorials from Advances in Chronic Kidney Disease:
bullet point The Myths and Facts about Donating Organs
Interview from St. Louis Public Radio.
bullet point Link between Serotonin and Depression Is a Myth, Says Top Psychiatrist
Press release and editorial from British Medical Journal.
bullet point Depression Raises Risk of Poor Outcomes for Blacks with Heart Failure
bullet point What's At Stake In The Supreme Court Obamacare Case
Article from Kaiser Health News.
bullet point PCORI Board Approves $120 Million for New Patient-Centered Research Projects
Press release from the Patient-Centered Outcomes Research Institute.
bullet point Another Study Finds No Vaccine-Autism Link
Article from HealthDay. Free, full-text article from the Journal of the American Medical Association.
bullet point Life Is Not a Premortality Condition, and Death Is Not Treatment Failure
QDFC Comment Period May 1-15


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Tuesday, April 21

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  Apr. 21, 2015
bullet point Panel To Review 5-Star Rating System for Dialysis Facilities
News item from Nephrology News & Issues.

Editor's note: Reviewing the methodology for the 5-star system is not going to solve a bigger problem with the system: GIGO.

As Dr. Jeffrey Berns noted about Kt/V values reported to DOPPS in this February video blog posting:

"One example is the Kt/V. More than half of patients on hemodialysis in the United States have a Kt/V of 1.6 or greater, and another 43% have a Kt/V between 1.2 and 1.59, with a mean of about 1.6, which seems good, although I wonder whether the Kt/V is higher than it needs to be given data showing an absence of benefit from such high Kt/Vs. Somewhat discordant is the fact that 80% of patients in this country are still dialyzed for 4 hours or less, and 30% for 3 hours or less, with a mean treatment time still only slightly longer than 3 hours."

Dr. Joanne Bargman reported during a keynote address at a scientific meeting this year that she is aware of widespread cheating in data reported to CMS/CROWNWeb and DOPPS.

Who is going to investigate the widespread data fraud in the dialysis industry? The two medical directors from the largest for-profit corporations? The representatives from the non-profit organizations which happen to receive significant funding from the for-profit corporations? The biostatisticians from outside the industry who are unlikely to challenging U.S. nephrology's tradition of self-policing?

I would contend that there has been widespread, undetected cheating in dialysis data reporting for 15 years, that these practices has become institutionalized, and that the conclusions drawn from this data should be considered worthless.
bullet point The Association Between Dialysis Facility Quality and Facility Characteristics, Neighborhood Demographics, and Region
Online First abstract from American Journal of Medical Quality.
bullet point In-Center Nocturnal Hemodialysis: the Experience of a Center
(6-page pdf) Article from the Portuguese Journal of Nephrology & Hypertension.
bullet point Update on Veebot, The Automatic Phlebotomist
News brief and video from MedGadget.
bullet point How African-Americans Can Get Better Kidney Care
Health Hub posting from the Cleveland Clinic.
bullet point DNA Abnormalities Found in Children with Chronic Kidney Disease
Press release and video from Columbia University Medical Center.
bullet point Strategies to Increase Living Kidney Donation: a Retrospective Cohort Study
Provisional abstract and full-text article (13-page pdf) from Canadian Journal of Kidney Health and Disease.
bullet point Shortage of Peritoneal Dialysis Solution and the Food and Drug Administration's Response
CJASN Express abstract.
bullet point Association between Serum Bicarbonate and pH with Depression, Cognition and Sleep Quality in Hemodialysis Patients
Early Online abstract from Renal Failure.
bullet point Early View Abstracts from Artificial Organs:
bullet point Body Composition Affects Urea Distribution Volume Estimated by Watson's Formula
Article in Press abstract from Journal of Renal Nutrition.
bullet point Advance Online Abstracts from the Journal of Vascular Access:
bullet point Ibuprofen Associated Acute Kidney Injury in Dehydrated Children with Acute Gastroenteritis
Online First abstract from Pediatric Nephrology.
bullet point Depression: 'Mindfulness-based Therapy Shows Promise'
Article from the BBC.
bullet point Global Pandemic of Fake Medicines Poses Urgent Risk, Scientists Say
Press release from the National Institutes of Health.
bullet point Obamacare Support Hits Two-Year High
News brief from The Hill.
bullet point Diabetes Risk Higher Among Indians in India Than in US
Guiding Principles for Center for Medicare & Medicaid Innovation Model Evaluations
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
CROWNWeb: February 2015 Clinical Data Closes on April 30 – Finding “Saved” vs. “Submitted” Data


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Monday, April 20

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  Apr. 20, 2015
bullet point DaVita to Settle Whistleblower Fraud Claims; Sanctions Motions Are Dropped
Article from the Daily Report (registration required, but free).

"If successful, the attorney said that total damages in the case, including the possibility of treble punitive damages, could top $2 billion."

Editor's note: How many of DaVita's nephrologists knew of this fraud and said nothing?
bullet point The Case for Compensating Kidney Donors
Article from The Week.
bullet point Barriers to Adopting a Fistula First Policy in Europe: an International Survey among National Experts
Free, full-text article from the Journal of Vascular Access.
bullet point Reduced Cardiovascular Reserve in Chronic Kidney Failure: A Matched Cohort Study
Article in Press abstract from American Journal of Kidney Diseases.
bullet point The Effect of Cinacalcet on Calcific Uremic Arteriolopathy Events in Patients Receiving Hemodialysis: The EVOLVE Trial
CJASN Express abstract.
bullet point Dialysis Enrollment Patterns in Guatemala: Evidence of the Chronic Kidney Disease of Nontraditional Causes Epidemic in Mesoamerica
Provisional abstract and full-text article (16-page pdf) from BMC Nephrology.
bullet point Health-related Quality of Life in Survivors of Acute Kidney Injury: The Post-RENAL Study Outcomes
Accepted Article abstract from Nephrology.
bullet point Body Composition in Chronic Kidney Disease
Published Ahead of Print abstract from Current Opinion in Nephrology & Hypertension.
bullet point Continuous Lead Exposure Increases Blood Pressure but Does Not Alter Kidney Function in Adults 20-44 Years of Age in a Lead-Polluted Region of China
Free, full-text, Issue in Progress article from Kidney & Blood Pressure Research.
bullet point May 18 Webinar: Overcoming Barriers to Shared Decision Making
Notice from the Agency for Healthcare Research and Quality.
bullet point New Drug for Hepatitis C Contributes to 13% Rise in Spending on Prescription Drugs in US
Abstract from the BMJ.
bullet point Aspirin May Help Ward Off Gastro Cancers, Study Finds
Article from HealthDay.
Obama Signs ‘Doc Fix’ Bill Overhauling How Medicare Pays Doctors
News summary from Kaiser Health News.
The Repeal of Medicare's Sustainable Growth Rate for Physician Payment
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.


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Fri./Sat., April 17-18

DaVita to Settle Whistleblower Fraud Claims; Sanctions Motions Are Dropped
Article from the Daily Report (registration required, but free).

"If successful, the attorney said that total damages in the case, including the possibility of treble punitive damages, could top $2 billion."

Editor's note: How many of DaVita's nephrologists knew of this fraud and said nothing?
FacebookTwitter
  Apr. 17, 2015
bullet point DaVita To Settle False Claims Act Whistleblower Suit After Witness Coaching Inquiry
(Registration required) Article from Law360.com. January 2015 article (registration required) from the Daily Report.

This current case is another medication-related whistleblower suit against DaVita. See this 2012 CNN story (10-minute video) on this case when it began.

Editor's note: It is time to ban Kent Thiry from doing business with Medicare and the U.S. government. He shows no remorse for continually gaming the dialysis care system for financial gain.

In 2012, DaVita settled a whistleblower suit on ESA use and related billing for $55 million.

In October of last year, DaVita settled another whistleblower suit and related claims on physician kickbacks for $400 million. Press release from the U.S. Department of Justice.

There is also ongoing rampant fraud occurring in the current Medicare Quality Improvement Program (QIP), also making CROWNWeb and DOPPS data the sources of incorrect information for formulating federal patient care policies. (Are the quality-of-life survey results also useless?)

This cheating and fraud will continue to be the norm in dialysis corporations until managers face felony charges and jail time, as Atlanta educators did this week for student test score cheating.
bullet point Absurd! EPOCH-RRT Study "Decision Aid" Won't Include Home Hemodialysis
Posting by Dr. John Agar from Home Dialysis Central.

Editor's note: It is time to recognize that, as a group, U.S. dialysis-care nephrologists are the worst physicians in the U.S. Their field of medicine has lagged far behind all others. They have greatly increased the unemployment rate among working-age patients over the course of the last 40 years. They are heavily invested in brick-and-mortar clinics that continually harm patients with inadequate and inappropriate care, which they would never accept for themselves. They are holding patients hostage in their clinics, demanding more money from CMS for home dialysis training.

Forty years ago, U.S. nephrologists make a huge mistake when they agreed that time on dialysis did not matter, only small molecule clearances did. They then built an industry based on that theory which provides fast, cheap, in-center dialysis to nearly all. Unfortunately, no nephrologist today would say that time on dialysis does not matter, but few changes have been made.

U.S. nephrologists were wrong and dialysis patients have been being harmed and dying prematurely in the U.S. unnecessarily for decades. This care has also made employment and rehabilitation nearly impossible. When will they finally find leadership that will admit all this and address these problems?
bullet point Fresenius Medical Care Releases 2015 Annual Medical Quality Report
News release.

Editor's note: Another year with no mention of patient employment or rehabilitation. What kind of medical care is this?
bullet point Lag Censoring Analysis: Lights and Shades
Free, full-text, Advance Access article from NDT.

Editor's note: Article from a European journal about the misuse of statistical analyses, specifically in regard to Cinacalcet.
bullet point Risk-Based Individualization of Target Hemoglobin in Hemodialysis Patients with Renal Anemia in the Post-TREAT Era: Theoretical Attitudes Versus Actual Practice Patterns (MONITOR-CKD5 study)
Free, full-text, Online First article from International Urology and Nephrology.
bullet point JASN Express Abstracts:
bullet point CJASN Express Abstracts:
bullet point Provisional Abstracts and Full-Text PDFs from BMC Nephrology:
bullet point ICU Patients on RRT Rarely Have Nephrology Follow-up
Article from Renal & Urology News.
bullet point Early View Abstracts from Hemodialysis International:
bullet point Advance Access Abstracts from NDT:
bullet point New-Onset Diabetes After Transplantation: Results From a Double-Blind Early Corticosteroid Withdrawal Trial
Early View abstract from American Journal of Transplantation.
bullet point The Body's Clock Key to Regulating Glucose Levels
(Registration required, but free.) Article from MedPage Today.
bullet point Adverse Childhood Events Appear to Increase the Risk of Being a Hypertensive Adult
bullet point Common Heartburn Drugs Linked to Kidney Failure in the Elderly
bullet point Measles — United States, January 4–April 2, 2015
Summary from the Morbidity and Mortality Weekly Report.
bullet point More Individuals Discussing End-Of-Life Wishes with Loved Ones
Only 251 Hospitals Score Five Stars In Medicare's New Ratings
Article from Kaiser Health News.
Medicare Changes In ‘Doc Fix’ Bill OK’d By Congress Has Benefits, Risks
News summary from Kaiser Health News.
Bipartisanship Breaks out at 'Doc Fix' Signing Ceremony


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Thursday, April 16

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  Apr. 16, 2015
bullet point Comfortably Numb Device Cools Skin to Prevent Pain of Drug Injections
Article and video from MedGadget.
bullet point Free, Full-Text, CJASN Express Articles:
bullet point Results of the ABIM Nephrology Examination: Quality Nephrologists, Quality Board Examinations
Free, full-text, Article in Press from American Journal of Kidney Diseases.
bullet point Risk Factors for Loss of Residual Renal Function in Children Treated with Chronic Peritoneal Dialysis
Free, full-text, Advance Online article from Kidney International.
bullet point Preoperative Assessment and Planning of Hemodialysis Vascular Access
Free, full-text, Advance Access article from Clinical Kidney Journal.
bullet point Early View Abstracts from Seminars In Dialysis:
bullet point Sodium Zirconium Cyclosilicate for Urgent Therapy of Severe Hyperkalemia
Full-text correspondence from the New England Journal of Medicine.
bullet point FDA March 2015 Safety Labeling Changes
67 products with revisions to Prescribing Information including Feraheme and Rapamune.
bullet point Amgen's Corlanor for Heart Failure Gets FDA Nod
bullet point Incidence of "Never Events" among Weekend Admissions Versus Weekday Admissions to US Hospitals: National Analysis
Full-text article from British Medical Journal.
bullet point Performance Differences in Year 1 of Pioneer Accountable Care Organizations
Free, full-text, Online First article from the New England Journal of Medicine.
bullet point Cognitive Aging: A Report From the Institute of Medicine
Free, full-text, Online First article from the Journal of the American Medicial Association.
Depression, Diabetes Associated with Increased Dementia Risk
Press release from JAMA Psychiatry.
Senate Approves Bill To Change The Way Medicare Pays Doctors
News summary and FAQs about the bill from Kaiser Health News.
Medicare Payment "Fix" Includes Key Provisions for Nurses
CMS Announces $201 Million in Grants To Support Marketplace Navigators


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Wednesday, April 15

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  Apr. 15, 2015
bullet point DOPPS Practice Monitor Web Conference - May 7, 2015
Will cover latest DOPPS Practice Monitor findings and emerging trends through December 2014. Registration is now open.
bullet point Dialysis Catheter-Related Blood Stream Infections Webinar Available Online April 23, 2015
Announcement from the End Stage Renal Disease National Coordinating Center (ESRD NCC).
bullet point Infection Prevention and the Medical Director: Uncharted Territory
Free, full-text, CJASN Express article.
bullet point DaVita HealthCare Partners Inc. Announces Upsizing and Pricing of Senior Notes Offering
Press release. The principal amount of the Senior Notes was increased from $1.25 billion to $1.5 billion.
bullet point Longest Kidney Transplant Chain Shares Gift of Life 34 Times
Article from the Milwaukee Wisconsin Journal Sentinel. Press release from Porter Adventist Hospital (Denver).
bullet point CJASN Express Abstracts:
bullet point Reporting Organ Trafficking Networks: A Survey-Based Plea to Breach the Secrecy Oath
Early View abstract from American Journal of Transplantation.
bullet point Towards a Biomarker Panel for the Assessment of AKI in Children Receiving Intensive Care
Free, full-text, Online First article from Pediatric Nephrology.
bullet point Association of Kidney and Cysts Dimensions with Anthropometric and Biochemical Parameters in Patients with ADPKD
Early Online abstract from Renal Failure.
bullet point Prevalence of Intestinal Parasite Infections and Associated Clinical Symptoms among Patients with End-Stage Renal Disease Undergoing Hemodialysis
Abstract from Infection.
bullet point Adherence to Blood Thinner Best with Pharmacist Management
Press release from Stanford University Medical Center.
bullet point FDA Panel Backs New Safety Warnings on Two Diabetes Drugs
(Registration required, but free.) Articles from Medscape Nephrology and MedPage Today.
bullet point WHO Calls for Results of All Clinical Trials to Be Posted within a Year
Press release.
bullet point Pain-Free Blood Tests
Press release from the University of Wisconsin-Madison.
Senate Overwhelmingly Approves House 'Doc Fix' Bill
Article from The Hill.
Proposed Rule: Electronic Health Record Incentive Program-Modifications to Meaningful Use in 2015 Through 2017
Notice from the Federal Register.


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Tuesday, April 14

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  Apr. 14, 2015
bullet point Yale Nephrology Professor Working as DaVita Medical Director Accused of Sexual Harassment
Article from The New York Times.

"In December 2013, Elizabeth Chiapperino, a DaVita facility manager, contacted a DaVita vice president about the doctor’s conduct, the complaints say. The vice president “trivialized” the matter, according to the court papers, and expressed concern about how the accusations might affect DaVita’s relationship with Yale. Ms. Chiapperino resigned Jan. 3." - NYT

Editor's note: DaVita senior management gives "taking one for the team" a whole new meaning. Makes one wonder how a patient's complaint would have been handled.
bullet point FDA Recall Notice: Med Comp Catheters
Notice from the FDA Enforcement Report for April 8, 2015.
bullet point Early View Abstracts from American Journal of Transplantation:
bullet point Genes May Make 'Placebo Effect' Stronger for Some, Study Says
Article from HealthDay. Press release from Beth Israel Deaconess Medical Center.
  The Terrifying Rise of Diabetes, in Every Corner of the US
Posting from The Washington Post Wonkblog.
bullet point Screening for Type 2 Diabetes Mellitus: A Systematic Review for the U.S. Preventive Services Task Force
Free, full-text, Online First review article from Annals of Internal Medicine.
bullet point Diabetes More Likely in Children in Stressful Homes
(Registration required, but free.) Article from MedPage Today.
bullet point Kids with Type I Diabetes Almost 5 Times As Likely to Be Admitted to Hospital
bullet point Electronic Prescribing Is Not Reducing Fatal Medication Errors
Article from HFMA.
bullet point Uninsured Rate Drops To 11.9%, Poll Finds
bullet point  


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Monday, April 13

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  Apr. 13, 2015
bullet point Free Webinar for Donors and Patients on Living-donor Kidney Transplants
The April 14 (noon CDT) webinar is being hosted by the Mayo Clinic.
bullet point CJASN Express Abstracts:
bullet point Understanding Patient Beliefs May Aid Phosphorus Control
Article from Renal & Urology News.
bullet point Feasibility and Safety of Intradialysis Yoga and Education in Maintenance Hemodialysis Patients
Article in Press abstract from Journal of Renal Nutrition.
bullet point Early View Abstracts from Artificial Organs:
bullet point Early View Abstracts from Seminars In Dialysis:
bullet point Sevalamer Hydrochloride, Sevelamer Carbonate and Lanthanum Carbonate: In Vitro and In Vivo Effects on Gastric Environment
Early View abstract from Therapeutic Apheresis and Dialysis.
bullet point Trace Element Supplementation in Hemodialysis Patients: a Randomized Controlled Trial
Provisional abstract and full-text article (17-page pdf) from BMC Nephrology.
bullet point Can We Compare Serum Sclerostin Results Obtained with Different Assays in Hemodialysis Patients?
Online First abstract from International Urology and Nephrology.
bullet point Medical Schools Try To Reboot For 21st Century
Article from Kaiser Health News.
bullet point Medical Costs Hit Residents of Texas, Florida Especially Hard, Study Finds
Article from HealthDay.
bullet point CMS Proposes Modifying EHR Reporting Period in 2015 to 90 Days
News brief from AHANews. 210-page pdf from CMS. Related article from The Hill.
bullet point Upcoming ESRD Technical Expert Panels
You can find this information in the “downloads” section at the bottom of the CMS TEP website: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TechnicalExpertPanels.html.

Meeting Schedule:

  • Access to Kidney Transplantation Pre-TEP Conference Call
    April 15, 2015: 12:30 – 2:00pm ET
  • Access to Kidney Transplantation TEP In-Person Meeting
    April 20-21, 2015 at the DoubleTree by Hilton Baltimore - BWI Airport
  • Vascular Access TEP In-Person Meeting
    April 22-23, 2015 at the DoubleTree by Hilton Baltimore - BWI Airport
  • DFC Star Rating Public Reporting/Patient and Consumer Understanding Workgroup Pre-TEP Conference Call
    April 13, 2015: 1:00 – 2:00pm ET
  • DFC Star Rating Methodology Workgroup Pre-TEP Conference Call
    April 14, 2015: 4:00 – 5:00pm ET
  • DFC Star Rating TEP In-Person Meeting
    April 27-28, 2015 at the DoubleTree by Hilton Baltimore - BWI Airport


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Fri./Sat., April 10-11

Understanding Patient Beliefs May Aid Phosphorus Control
Article from Renal & Urology News.
FacebookTwitter
  Apr. 10, 2015
bullet point A Human Harvest: China's Organ Trafficking Exposed in Shocking Documentary That Alleges the Illegal Trade Is Now Worth a Staggering US$1 Billion a Year
Article from the Daily Mail (UK). Article from SBS ONE (Australia).
bullet point Baxter Initiates Voluntary Recall of Select Lots of IV Solutions due to the Potential Presence of Particulate Matter
Press release and table (1-page pdf).
bullet point Maggie Colin Looks Back at 51 Years As a Dialysis Nurse
Article from Nephrology News & Issues.

"During her 51 years in the business, Colin has seen changes, but not as many as she would have hoped for. She believes the current practice of in-center dialysis three times a week with high-efficiency machines leaves patients needing more.

"The sad thing is that in-center dialysis treatment has not changed one iota," she said. "Dialyzers have become smaller and machines have become more automated, but the best treatment is eight hours overnight.""

Editor's note: Who would you believe, a nurse with 51 years of experience... or Kent Thiry?
bullet point Phosphorus Content of Popular Beverages
Free, full-text, Article in Press article from American Journal of Kidney Diseases.
bullet point The Chronic Disease Self-Management Program — A Pilot Study in Patients Undergoing Hemodialysis
Article from Nephrology News & Issues.
bullet point Magnesium and Dialysis: The Neglected Cation
Article in Press abstract from American Journal of Kidney Diseases.
bullet point Advance Access Abstracts from NDT:
bullet point A Modified Delphi Process to Identify Process of Care Indicators for the Identification, Prevention and Management of Acute Kidney Injury after Major Surgery
Provisional abstract and full-text article (21-page pdf) from Canadian Journal of Kidney Health and Disease.
bullet point Effects of Lowering Dialysate Calcium Concentration on Mineral Metabolism and Hemodynamic Parameters in Hemodialysis Patients
Abstract and full-text article from Iranian Journal of Kidney Diseases.
bullet point New High Throughput Screening Method May Uncover Novel Treatments for Kidney Disease
Press release from the American Society of Nephrology.
bullet point Door to EPO in Cancer Therapy Bolted Shut
(Registration required, but free.) Article from MedPage Today.
bullet point A New Piece in the 'French Paradox' Puzzle – Cheese Metabolism
Press release from the American Chemical Society.
bullet point Being Underweight in Middle Age Associated with Increased Dementia Risk
Press release from The Lancet Diabetes & Endocrinology.
bullet point Rep. Lois Capps To Retire After 10 Terms In House
bullet point ICD-10 Testing Results Improve


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Thursday, April 9

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  Apr. 9, 2015
bullet point DaVita to Suffer $50 Million Loss from New Medicare Advantage Reimbursement Rates
Article from Denver Business Journal.
bullet point Editorial: With a Prison, Where Matters Less Than What
Editorial from The Salt Lake Tribune.
bullet point Ischemic Brain Injury in Hemodialysis Patients: Which Is More Dangerous, Hypertension or Intradialytic Hypotension?
Advance Online abstract from Kidney International.
bullet point JASN Express Abstracts:
bullet point

Long-term Effects of Frequent Nocturnal Hemodialysis on Mortality: The Frequent Hemodialysis Network (FHN) Nocturnal Trial
Article in Press abstract from the American Journal of Kidney Diseases.

bullet point Patients Undergoing Hemodialysis Have Higher Prevalence of Pulmonary Hypertension and Heart Disease
Full-text article from Kidney Research and Clinical Practice (Korea).
bullet point Black Women Less Likely to Struggle With Depression Than Whites: Survey
Article from HealthDay.
bullet point The Impact of Depression on Fatigue in Patients with Hemodialysis: a Correlational Study
Early View abstract from Journal of Clinical Nursing.
bullet point Outcomes of Infection-Related Hospitalization according to Dialysis Modality
CJASN Express abstract.
bullet point Early View Abstracts from Hemodialysis International:
bullet point Early View Abstracts from Seminars In Dialysis:
bullet point Cardiorenal Syndrome in Chronic Kidney Disease
(Registration required, but free.) Free, full-text article from Current Opinion in Nephrology and Hypertension via Medscape Nephrology.
bullet point CRIT-LINE: A Noninvasive Tool to Monitor Hemoglobin Levels in Pediatric Hemodialysis Patients
Online First abstract from Pediatric Nephrology.
bullet point Accepted Articles Abstracts from Nephrology:
bullet point Gestational Hypertension and Preeclampsia in Living Kidney Donors
Letter to the editor from the New England Journal of Medicine.
bullet point Genes May Leave Short People Prone to Heart Disease
Article from HealthDay. Free, full-text, Online First article from the New England Journal of Medicine.
bullet point Cheap Allergy Drug May Hold Potential as Hepatitis C Treatment
bullet point Insensible Losses: When The Medical Community Forgets The Family
Full-text article from Health Affairs.
bullet point Women Missing From Healthcare's Top Positions
Article from Nurses.com.
bullet point Obama Ties Climate Change to Health Issues
bullet point  


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Wednesday, April 8

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  Apr. 8, 2015
bullet point Utah Department of Corrections: Prison Inmate Dies after Missed Dialysis Treatments due to Scheduling Error
Article and video from KLS.com. Article from the Salt Lake Tribune.
bullet point The First Year on Hemodialysis: a Critical Transition
Free, full-text, Advance Access article from Clinical Kidney Journal.
bullet point Mortality and Blood Pressure Directly Linked to Relationship Quality
Press release from Oxford University Press USA.

"This research also indicates that it is important to consider the couple as a whole rather than the individual when examining marriage and health."

Editor's note:
U.S. dialysis care needs not only to begin addressing the psychosocial needs of its patients, but must also stop harming the psychosocial well-being of patients' relationships.
bullet point Only about 0.3% of Americans Now Meet World Health Organization Dietary Targets for Sodium and Potassium
Press release from University of Washington Health Sciences.
bullet point NephMadness 2015: APOL1, The Champion
Posting from the AJKD blog.
bullet point Pharmacokinetics of Nalbuphine Hydrochloride Extended Release Tablets in Hemodialysis Patients with Exploratory Effect on Pruritus
Provisional abstract and full-text article (23-page pdf) from BMC Nephrology.
bullet point Early View Abstracts from Therapeutic Apheresis and Dialysis:
bullet point Hemodialysis-Induced Hypoglycemia and Glycemic Disarrays
Advance Online abstract from Nature Reviews Nephrology.
bullet point Articles in Press Abstracts from Journal of Vascular Surgery:
bullet point Osteoprotegerin and Sclerostin in Chronic Kidney Disease Prior to Dialysis: Potential Partners in Vascular Calcifications
Advance Access abstract from NDT.
bullet point Serum Sodium Levels and Patient Outcomes in an Ambulatory Clinic-Based Chronic Kidney Disease Cohort
Issue in Progress abstract from American Journal of Nephrology.
bullet point Multiple Blood Pressure Medications and Mortality Among Elderly Individuals
Abstract from the JAMA Network.
bullet point Renal Support Network's Annual Essay Contest Rules - Entries Due August 1
bullet point 9 Devices That Are Changing Medicine
(Registration required, but free.) Slideshow from WebMD via Medscape.
bullet point AZ Allows Patients to Order Lab Tests without Physician Order
News brief from Healthcare DIVE.
bullet point Inside the Industry: Exploring Healthcare's Big Ticket Issues
Article from Nurse.com.
bullet point Lonely Seniors Visit Doctors More Often
bullet point Last-Minute Lobbying Threatens $200 B Medicare Package
Article from The Hill.


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Tuesday, April 7

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  Apr. 7, 2015
bullet point ASCEND Study on Dialysis and Depression Being Done by Kidney Research Institute
The Kidney Research Institute is a collaboration between Northwest Kidney Centers and UW Medicine.
bullet point Kidney Health Initiative Seeking Patient Input into New Therapies for Kidney Disease
Press release from the American Society of Nephrology.
bullet point More Scientists Doubt Salt Is As Bad for You As the Government Says
Posting from The Washington Post Wonkblog.
bullet point GIA Medial Announces Partnership with Dialysis Training Institute LLC (DTI) and the Launch of the Nephrology Biomedical Technologist Program
(1-page pdf) Press release.
bullet point Rise in Chronic Kidney Disease Driving Demand for Dialysis Nurses
Article from TravelNursing.com.
bullet point FGF-23 Steps into the Spotlight as a Key Player in Phosphate Metabolism and Kidney Disease
Press release from the National Institute of Diabetes and Digestive and Kidney Diseases.
bullet point Effects of Low Blood Pressure in Cognitively Impaired Elderly Patients Treated With Antihypertensive Drugs
Abstract from JAMA Internal Medicine.
bullet point A Brief Journey through the Immune System
Free, full-text, CJASN Express article.
bullet point Purging CMV from Organ Transplants
Press release from Ecole Polytechnique Fédérale de Lausanne.
bullet point Early View Abstracts from Seminars in Dialysis:
bullet point Abstracts from Complementary Therapies in Medicine:
bullet point Bariatric Surgery in Patients with Dialysis-Dependent Renal Failure
Abstract from Obesity Surgery.
bullet point Influence of Institutional Culture and Policies on Do-Not-Resuscitate Decision Making at the End of Life
Online First abstract from JAMA Internal Medicine.
bullet point Is a Big Share Buyback Coming to DaVita?
bullet point PCORI Offers Up to $90 Million in Funding in Fourth Call for Pragmatic Clinical Study Proposals
Press release from The Patient-Centered Outcomes Research Institute.
bullet point Violence in Healthcare
Posting from the National Institute for Occupational Safety and Health (NIOSH).
bullet point What Is the Right Number of Clinic Appointments? Visit Frequency and the Accountable Care Organization
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point Healthcare Deals Surge in 2015
bullet point NRAA Comments on CMS Conditions of Coverage
4-page pdf from the National Renal Administrators Association.
CMS To Boost Medicare Advantage Payments by 1.25% in 2016
News brief from Healthcare DIVE. Press release and fact sheet from CMS.
Medicare Is Stingy In First Year Of Doctor Bonuses
Article from Kaiser Health News.


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Monday, April 6

Kidney Health Initiative Seeking Patient Input into New Therapies for Kidney Disease
Press release from the American Society of Nephrology.
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  Apr. 6, 2015
bullet point The Horror of Syrian Refugees Selling Body Parts
Slideshow from The Daily Beast.
bullet point Survey of Home Hemodialysis Patients and Nursing Staff regarding Vascular Access Use and Care
Free, full-text article from Hemodialysis International.
bullet point A Nurse Led Case Management Program on Home Exercise Training for Hemodialysis Patients: a Randomized Controlled Trial
Article in Press abstract from International Journal of Nursing Studies.
bullet point Advance Access Abstracts from NDT:
bullet point HOMECHOICE CLARIA Automated Peritoneal Dialysis with Auto Reporting
Article from MedGadget.com. (The CE mark allows the device to be marketed in Europe.)
bullet point Lessons in Diabetes Care from Around the World
(Registration required, but free.) Article from MedPage Today.
bullet point Are Human Head Transplants Coming Soon?
Article from CNN.
bullet point Nurses Confess Some of the Secrets in Their Profession
7-minutte video from ABC News.
 


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