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RECENT NEWS ARCHIVES

Fri./Sat., April 8-9

(Indian) Government Rolls Out Dialysis Care Scheme, Experts Seek Clarity on Payments
Article from The Times of India.
American Renal Associates Holdings, Inc. Announces Launch of Initial Public Offering
DaVita To Acquire Mountain View Medical Group in Colorado Springs
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  Apr. 8, 2016
The Looming Battle for ESRD Fountains
Article from Renal & Urology News.
Anemia Management in the China Dialysis Outcomes and Practice Patterns Study (DOPPS)
News release from DOPPS.
Dialyzing Women and Men: Does It Matter? An Observational Study
Free, full-text, Advance Access article from Clinical Kidney Journal.
Intradialytic Hypoxemia and Clinical Outcomes in Patients on Hemodialysis
Free, full-text article from the Clinical Journal of the American Society of Nephrology.
KDIGO-Based Acute Kidney Injury Criteria Operate Differently in Hospitals and the Community-Findings from a Large Population Cohort
Free, full-text, Advance Access article from NDT.
External Validation of a Risk Stratification Model to Assist Shared Decision Making for Patients Starting Renal Replacement Therapy
Free, full-text, Open Access article from BMC Nephrology.
HPV Vaccine Effective in Youth with Kidney Disease, but Less so in Those with a Kidney Transplant
Press release and CJASN Express abstract from the American Society of Nephrology.
Early View Abstracts from Hemodialysis International:
Assessing Longitudinal Trends in Cardiac Function among Pediatric Patients with Chronic Kidney Disease
First Online abstract from Pediatric Nephrology.
Kidneys Have an Innate Clock That Affects Many Metabolic Processes in the Body
Press release from the American Society of Nephrology.
Ear Length and Kidney Function Decline after Kidney Donation
Accepted Article abstract from Nephrology.
Abstracts from Renal Failure:
Type 1 Diabetes Life Expectancy Still 12 Years Short of Norm
(Registration required, but free.) Article from Medscape Medical News.
Cost Of Insulin Triples, Driven By More Expensive Synthetic Product
Hospital Software Often Doesn't Flag Unsafe Drug Prescriptions, Report Finds
Article from Kaiser Health News.
 


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Thursday, April 7

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  Apr. 7, 2016
HHS Office of the Inspector General Terminates Its Advisory Opinion on Non-Profit Funding of Medicare Part D Premiums and Cost-Sharing Obligations Owed by Needy Patients with ESRD
(2-page pdf) Final termination of OIG Advisory Opinion No. 06-09.

Recent FDA Product Recall Notices:

  • Recall # Z-1324-2016: Fresenius Hemoflow F3 Dialyzers -- Total of 1650. Reason: Dialyzer header leak due to possible improper torque.
  • Recall # Z-1325-2016: Fresenius 2008 Series Hemodialysis Delivery Systems: 2008T, 2008K2, 2008K and 2008K@home: Models: Fresenius 2008K and 2008K2 Dialysate Delivery System Fresenius 2008K@home Hemodialysis Machine with bibag System 2008T Hemodialysis Machine -- Total of 8384 Machines. Reason: False Blood Leak Alarm When Dialyzing Patients Treated with Hydroxocobalamin (or any form of Vitamin B-12)
Editor's note: Due to a change in the format of the FDA Enforcement Reports, links are no longer available to individual recall notices. You must search by the recall number.
NephMadness 2016 Champion: Conservative Care for ESRD
Posting from the AJKD blog.
New Study Shows Much Longer Survival for Heart Transplants across Species
Press release from the University of Maryland School of Medicine. Press release from the National Institutes of Health. Free, full-text article from Nature.
Article from the BBC.
Articles from Nephrology News & Issues:
Calculation of the Clearance Requirements for the Development of a Hemodialysis-based Wearable Artificial Kidney
Free, full-text article from Hemodialysis International.
Early View Abstracts from Hemodialysis International:
Management of Venous Hypertension Following Arteriovenous Fistula Creation for Hemodialysis Access
Free, full-text article from Indian Journal of Urology.
Advance Access Abstracts from NDT:
Appetite Predicts Intake and Nutritional Status in Patients Receiving Peritoneal Dialysis
Early View abstract from Journal of Renal Care.
Live Donor Study – Implications of Kidney Donation on Cardiovascular Risk with a Focus on Lipid Parameters including Lipoprotein a
Accepted Article abstract from Nephrology.
Factors Associated with Good Heart Health May Also Protect Kidneys
Press release and full-text article from the Journal of the American Heart Association.
Diabetes Cases Quadruple Worldwide Since 1980: Report
Senate HELP Committee Approves Final Bills for Medical Innovation Package
News brief from AHANewsNow.
Tale of 2 Agencies: CDC Avoids Gun Violence Research But NIH Funds It
Free, full-text, Online First perspective piece from the Journal of the American Medical Association.

Working with Today's EMRs Is Mentally Exhausting
Posting from the KevinMD blog.

"FEEMRS (Fancy Expensive Electronic Medical Records System) is quietly, slowly, electronically killing all of us and making us less concerned with patients than we are with fields, files, clicks, and saves."

As Hospitals Go Digital, Human Stories Get Left Behind
Article from STAT.
 


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Wednesday, April 6*

Pig Heart Kept Beating Inside Baboon for More Than Two Years
Article from UPI. Press release from the National Institutes of Health. Free, full-text article from Nature.
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  Apr. 6, 2016
The White House Announces a Summit To Highlight Initiatives To Shorten the Time To Receive Life-Saving Organs
News release from WhiteHouse.gov. Proclamation by President Obama.

Editor's note: It is time for the U.S. government to advocate for transplantation over dialysis. Transplantation provides far better clinical outcomes, a far higher quality of life for patients, and is less expensive than long-term dialysis care. The U.S. dialysis care model utilizes stagnant technology, has no focus on rehabilitation, and delivers mostly disabled patients.
Diabetes Medications Containing Saxagliptin and Alogliptin: Drug Safety Communication - Risk of Heart Failure
FDA Safety Alert. Article from HealthDay. An FDA safety review has found that type 2 diabetes medicines containing saxagliptin and alogliptin may increase the risk of heart failure, particularly in patients who already have heart or kidney disease.
CENCAM Releases Statement from Mesoamerican Nephropathy Workshop
News release from the Consortium for the Epidemic of Nephropathy in Central America and Mexico.
Humanizing Dialysis: Trying to Make Something Good Out of a Really Bad Diagnosis
Posting from the KidneyViews blog.
Intensive Glucose Control, Long-term Kidney Benefit in Diabetes
(Registration required, but free.) Article from Medscape Medical News.
Roxadustat (FG-4592): Correction of Anemia in Incident Dialysis Patients
Free, full-text article from Journal of the American Society of Nephrology.
Early View Abstracts from Therapeutic Apheresis and Dialysis:
Kidney Retransplantation in Children Following Rejection and Recurrent Disease
First Online abstract from Pediatric Nephrology.
The Risk of Allograft Failure and the Survival Benefit of Kidney Transplantation Are Complicated by Delayed Graft Function
Article in Press abstract from Kidney International.
Advance Online Abstracts from the Journal of Vascular Access:
Clinical Characteristics and Outcomes of Dialysis Patients with Atrial Fibrillation: the Fushimi AF Registry
First Online abstract from Heart and Vessels.
Scientists Find Safer Way to Make Common Blood Thinner Heparin
Press release from the Federation of American Societies for Experimental Biology (FASEB).
Dialysis Center In Waterbury, CT Fined $5,000
Reuters: Prices for Four Top-Selling Drugs More Than Doubled over Five Years
News brief from AHANewsNow.
Yelp Proving to Be Reliable for Hospital Reviews, Addresses 12 More Measures Than HCAHPS Scores
(Registration required, but free.) Article from Healthcare IT News.
An Apology Goes a Long Way Following Nurse Never-Events; 5 Steps Toward Launching a Nurse-Writer Career
Nurse Watch feature from Hospitals & Health Networks.
CROWNWeb New User Training on April 12
Registration now open.


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Tuesday, April 5

Dialysis Center In Waterbury, CT Fined $5,000
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  Apr. 5, 2016
The Effect of Erythropoietin-Stimulating Agents on Health-Related Quality of Life in Anemia of Chronic Kidney Disease: A Systematic Review and Meta-analysis
Abstract from Annals of Internal Medicine.
Slow Medicine: Force-Feeding Dialysis — Whose Priorities Matter Most in Dialysis Decisions?
(Registration required, but free.) Article from MedPage Today. Related NephMadness posting from the AJKD blog.

(In a 4-3 split decision in the semifinals at NephMadness 2016, Conservative Care came from behind to beat Normalization of Hemoglobin.)
Primary Care Physicians' Perceived Barriers and Facilitators to Conservative Care for Older Adults with Chronic Kidney Disease: Design of a Mixed Methods Study
Free, full-text, Open Access article from Canadian Journal of Kidney Health and Disease.
Report Reviews 10 Years of Shared Decision Making at Mass General
Press release from Massachusetts General Hospital. Abstract from Health Affairs.
DaVita Dialysis Center in Connecticut Hit with Almost 70 Violations
Article from Waterbury Republican American. Clinic information from dialysisfinder.com.
Volunteers Wanted for National Emergency Preparedness Learning and Action Network
Notice from the Northwest Renal Network.
Realizing HOPE: The Ethics of Organ Transplantation From HIV-Positive DonorsEthics of Organ Transplantation From HIV-Positive Donors
Press release from Johns Hopkins Berman Institute of Bioethics. Online First abstract from Annals of Internal Medicine.
Surgery Associated with Reduced Fractures in Patients with Hyperparathyroidism
Press releases from the American College of Physicians and UCLA. Online First abstract from Annals of Internal Medicine.
Improving Depression Symptoms Can Reduce Risk of Major Cardiovascular Problems, New Study Finds
Press release from Intermountain Healthcare. Article from HealthDay.
A Teachable Moment: Hemodialysis in a Healthy Patient—A Case of an Erroneous Laboratory Result
Extract from JAMA Internal Medicine.
US Prediction Models for Kidney Injury Following Angioplasty Hold up in Japan
Press release from the American College of Cardiology.
Emerging Role of High Resolution Imaging in the Detection of Renal Osteodystrophy
Accepted Article abstract and full-text PDF from Nephrology.
Timing of Pregnancy After Kidney Transplantation and Risk of Allograft Failure
Early View abstract from American Journal of Transplantation.
Reduced Protein Bound Uremic Toxins in Vegetarian Kidney Failure Patients Treated by Hemodiafiltration
Early View abstract from Hemodialysis International.
Early Tooth Loss in End-Stage Renal Disease Patients on Hemodialysis
Accepted Article abstract from Oral Diseases.
PDI in Press Abstracts:
GDF-15, Iron, and Inflammation in Early Chronic Kidney Disease among Elderly Patients
Free, full-text, First Online article from International Urology and Nephrology.
High Prevalence of Chronic Kidney Disease in a Semiurban Population of Western India
Free, full-text, Advance Access article from Clinical Kidney Journal.
ATMOSPHERE: Heart Failure Trial Poisoned By Controversy
(Registration required, but free.) Article from MedPage Today. Free, full-text, Online First article from the New England Journal of Medicine. Press release from the American College of Cardiology.
Stem Cell Therapy Shows Promise Against Heart Failure
Article from HealthDay. Press releases from Cedars-Sinai Medical Center and the American College of Cardiology.
Association of Serum Chloride Level with Mortality and Cardiovascular Events in Chronic Kidney Disease: the CKD-ROUTE Study
First Online abstract from Clinical and Experimental Nephrology.
Trial Drug Ineffective in Preventing Contrast Induced Kidney Injury
New Device for Heart Failure Patients Fails to Improve Primary Outcomes
Sharing Clinical Trial Data: A Proposal From the International Committee of Medical Journal Editors
Free, full-text editorial from Annals of Internal Medicine.
By Not Discussing Cost Issues, Doctors, Patients May Miss Chances To Lower Out-Of-Pocket Expenses
Article from Kaiser Health News.
Deeper Insight Needed into Nurse-Industry Relationships
Press release from University of Pennsylvania School of Nursing. Online First abstract and editorial extract from Annals of Internal Medicine.
Article from Hospitals & Health Networks:
CMS Releases Medicare Advantage Rates, Part D Payment, and Policy Changes for 2017
News brief from AHANewsNow. Article from Healthcare DIVE. Press release and fact sheet from CMS.
Study: Consumers Rank Nursing Homes Differently Than CMS Star Ratings


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Monday, April 4

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  Apr. 4, 2016
NephMadness 2016: Dr. Coyne Tells His Role in the Normalization of Hemoglobin Story
Posting from the AJKD blog.

"By 2005, mean hemoglobin in dialysis was 12 g/dL, and DaVita reported 25% of its income was from Epoetin."

Editor's note: It is still chilling to read the comments of the DaVita chief medical officer, Charles McAllister, in this 2006 article from The Boston Globe. His comments appear at the end of the article.

Dr. McAllister was awarded the AAKP Medal of Excellence in 2012.
Medscape Nephrologist Compensation Report 2016
(Registration required, but free.) 27-page slideshow from Medscape Nephrology.

Editor's note: I do not believe this data includes the revenues from the sales of diaysis clinics. Nephrologists have been able to own dialysis facilities under a Stark Law exemption.
Long-term Follow-up of a Reused Kidney Allograft
Free Article in Press from American Journal of Kidney Diseases.
Reproducibility of Carotid Femoral Pulse Wave Velocity in End-Stage Renal Disease Patients: Methodological Considerations
Free, full-text, Open Access article from Canadian Journal of Kidney Health and Disease.
CJASN Express Abstracts:

Early View Abstracts from Hemodialysis International:

Secondary Hyperparathyroidism in End-Stage Renal Disease: No Longer a Matter for Surgeons
Issue-in-Progress abstract from Blood Purification.
Past, Present, and Future of Dynamic Kidney and Liver Preservation and Resuscitation
Early View abstract from American Journal of Transplantation.
Early Results of Brachial Arterio-Arterial Prosthetic Loop (AAPL) for Hemodialysis
Article in Press abstract from European Journal of Vascular & Endovascular Surgery.
Thyroid Function and Cardiovascular Events in Chronic Kidney Disease Patients
First Online abstract from Journal of Nephrology.
NIH Awards $1.7 Million to UTA Professor to Fight Chronic Kidney Disease
Press release from University of Texas at Arlington.
British Columbia Scientists Engineer Immune Cells to Protect Organs from Transplant Rejection
New Study: Waist Circumference Is Stronger Predictor of Heart Disease Than BMI
Press release from Intermountain Medical Center.
End Stage Renal Disease (ESRD) Cost Audits
CMS Program Transmittal 1640.
CROWNWeb News April 2016
2-page pdf.


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Fri./Sat., April 1-2

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  Apr. 1, 2016
NephMadness 2016: The Filtered Four!
Posting from the AJKD blog.

Editor's note: One of U.S. nephrology's biggest missteps, normalization of hemoglobin, makes it to the final four. See this related posting from the Precious Bodily Fluids blog.

"... we ignored what was right in front of our eyes."

Kudos to the NephMadness folks for looking at missteps in nephrology. It is essential to understanding why this field of medicine has been stagnant for so long.

Conservative care also made it to the final four!

In the not too distant future, I hope we will clearly see that junk-bond financing of dialysis care has been the biggest misstep in U.S. nephrology. In the meantime, thousands of U.S. nephrologists continue to shepherd hundreds of thousands of kidney failure patients into brutal treatment regimens which the nephrologists would never accept for themselves or their own family members.

Why has the largest non-profit dialysis provider (DCI) delivered better mortality and hospitalization outcomes than the largest for-profit, junk-bond-financed, dialysis providers for 13 years?
Eliminating the Term Primary Care "Provider" -- Consequences of Language for the Future of Primary Care
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.

Editor's note: U.S. dialysis care needs far more physicians and nurses — instead of for-profit dialysis providers.
March 2016 Issue of the Renal Society of Australasia Journal
6 full-text PDFs.
CJASN Express Abstracts:
Early View Abstracts from American Journal of Transplantation:
FDA Issues Draft Guidance on Labeling for Biosimilar Products
News brief from AHANewsNow.
Final 2015-20 Dietary Guidelines for Americans
Free, full-text Health Policy Brief from Health Affairs.
A Physician's Journey to True Patient Centered Care
Posting from the KevinMD blog.
Patient Experience Is Increasingly Important
Article from Hospitals & Health Networks.
More of the World's People Are Now Obese Than Underweight
 


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Thursday, March 31

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  Mar. 31, 2016
Doctors at Johns Hopkins Perform Groundbreaking HIV-to-HIV Transplants — Liver and Kidney
Articles from HealthDay and STAT. News release from Johns Hopkins Medicine.

Idaho Kidney Patients Trapped between Insurer, Dialysis Companies
Article from Idaho Statesman.

Judge Bars DaVita from Leaving Nebraska Hospital Service Contract
AP article.
Tainted Chinese Heparin May Still Be in U.S. Almost Decade After Deaths
Article from Bloomberg.
Insurers Want to Limit American Kidney Fund Charitable Assistance to Patients
Article from Nephrology News & Issues.

Editor's note: This "charitable" organization has always omitted the names of its largest contributors on its tax forms. (Could they be junk-bond dialysis corporations?) See Schedule B (page 23 of the 55-page pdf) on its latest posted tax return (2014). The AKF President earns a higher salary than the President of the United States.
Ablation Therapy Feasible for Secondary Hyperparathyroidism
Article from Renal & Urology News. Abstract from Ultrasound in Medicine and Biology.
Diabetes Treatments and Risk of Amputation, Blindness, Severe Kidney Failure, Hyperglycemia, and Hypoglycemia: Open Cohort Study in Primary Care
Open Access article from the BMJ.
Legal Regulation of Sodium Consumption to Reduce Chronic Conditions
Free, full-text article from Preventing Chronic Disease.
Free, Full-Text Articles from PLOS ONE:
Advance Online Abstracts from the Journal of Vascular Access:
Effects of a New Bicarbonate/Lactate-buffered Neutral Peritoneal Dialysis Fluid for Peritoneal Failure in Patients Undergoing Peritoneal Dialysis
Free, full-text article from Discovery Medicine.
Adrenal Insufficiency Presenting As Unexplained Hypotension in Nocturnal Home Hemodialysis
Early View abstract from Hemodialysis International.
Articles in Press Abstracts from Journal Of Renal Nutrition:
First Implantation of Silicon Nanopore Membrane Hemofilters
Published Ahead-of-Print abstract from the ASAIO Journal.

Advance Online Abstracts from the International Journal of Artificial Organs:

Mar Cor Purification, Launches New Dialysis Water Transport System
Press release.
Nephros Reports 2015 Fourth Quarter and Full Year Financial Results; Provides 2016 Guidance and Potential Upcoming Milestones
'Illusion of Control' Leads to Inappropriate Medical Treatment Use
Press release from the University of Pennsylvania School of Medicine.
FDA Allows Use of Investigational Test to Screen Blood Donations for Zika
News brief from AHANewsNow. FDA news release.
Free, Full-Text, Online First Articles from the New England Journal Of Medicine:
More U.S. States Expected To Be Vulnerable to Zika Virus
Article and map from STAT.
When MedSTAR's Computers Were Attacked, Employees Went 'Old School'
Article from Healthcare DIVE.
 


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Wednesday, March 30

Mar Cor Purification, Launches New Dialysis Water Transport System
Press release.
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  Mar. 30, 2016
Medicare Spends Billions on Chronic Kidney Disease, Study (USRDS) Finds
Article from HealthDay. Press release from the University of Virginia. United States Renal Data System web site.

Editor's note: Nearly all U.S. nephrologists have failed to target – or deliver – thriving dialysis patients for the last forty years. Considering the enormous, continuous, and rapid advancements in renal transplantation, it is time for the U.S. government to abandon dialysis care as a long-term treatment for most kidney failure patients.

U.S. dialysis care is effectively controlled by junk-bond-financed corporations which have little interest in greatly improving either their technology or the quality of their patients' lives. While this junk-bond approach to medicine has richly rewarded many prominent U.S. nephrologists, it is hopelessly stagnant, is blind to the effects of its perverse financial incentives, and has failed patients and taxpayers for decades. All avenues that increase kidney transplantation rates – including payments to donors – need to be explored.
Kt/Vurea and Nonurea Small Solute Levels in the Hemodialysis Study
JASN Express abstract.

"These results further suggest that an index only on the basis of urea does not provide a sufficient measure of dialysis adequacy."

Editor's note: This is a paper from Veterans Affairs and university nephrologists. The U.S. junk-bond dialysis care industry is built on Kt/V.
Controlled Donation After Circulatory Determination of Death in Spain
Full-Text Early View letter to the editor from American Journal of Transplantation.
CJASN Express Abstracts:
Remote Ischemic Pre-Conditioning for the Prevention of Acute Kidney Injury
Free, full-text article from Nephrology.
Comparison of Outcomes with Arteriovenous Fistula and Arteriovenous Graft for Vascular Access in Hemodialysis: A Prospective Cohort Study
Issue in Progress abstract from American Journal of Nephrology.
Published Ahead-of-Print Abstracts from Current Opinion in Nephrology and Hypertension:
Echocardiography Criteria for Structural Heart Disease in Patients With End-Stage Renal Disease Initiating Hemodialysis
Abstract from Journal of the American College of Cardiology.
Pediatricization of Nephrology
Posting from the Precious Bodily Fluids blog.
Enhancing Nephrology Career Interest through the ASN Kidney TREKS Program
JASN Express abstract.
Singapore NKF Introduces Night Dialysis for Kidney Patients
Keryx Says Anemia Drug Succeeds in Study of Non-Dialysis Kidney Patients
Obama Administration Steps Up Efforts to Beat Painkiller, Heroin Epidemic
Article from HealthDay.
Effect of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care on Back Pain and Functional Limitations in Adults With Chronic Low Back Pain - A Randomized Clinical Trial
Free, full-text article from the Journal of the American Medical Association.
Postings from the KevinMD Blog:
Andrew Herxheimer and His Golden Rules of Drug Therapy
Blog posting from the BMJ.
Medicare Competitive Bidding Program Under Fire
(Registration required, but free.) Article from MedPage Today.


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Tuesday, March 29

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  Mar. 29, 2016
Postings from the KevinMD Blog: Editor's note: Is your nephrologist's paycheck signed by a junk-bond corporation? Is he/she providing the care they would choose for themselves?
EDTNA/ERCA News
Newsletter (2-page pdf) from the European Dialysis and Transplant Nurses Association/ European Renal Care Association.
Two Successive Pregnancies in a Patient during 14 Years of Hemodialysis: a Case Report
Free, full-text, Open Access article from Journal of Medical Case Reports.
Once-Monthly Continuous Erythropoietin Receptor Activator (C.E.R.A.) in Patients with Hemodialysis-Dependent Chronic Kidney Disease: Pooled Data from Phase III Trials
Free, full-text, First Online article from Advances in Therapy.
Renal Transplantation in Infants
Free, full-text educational review from Pediatric Nephrology.
Free, Full-Text, Online First Articles from the Journal of International Medical Research:
Complications of Permanent Hemodialysis Catheter Placement; Need for Better Pre-Implantation Algorithm?
Early View abstract from Therapeutic Apheresis and Dialysis.
Validity and Reliability of the Spiritual Coping Strategies Scale Arabic Version in Saudi Patients Undergoing Hemodialysis
Early View abstract from Journal of Renal Care.
Conservative Management of Chronic Kidney Disease Stage V: Role of Angiotensin Converting Enzyme Inhibitors
First Online abstract from Journal of Nephrology.
Uric Acid, Gout and Kidney Disease: the Chicken or the Egg?
Press release and free, full-text article from the Open Urology and Nephrology Journal.
Scientists Find 'Outlier' Enzymes, Potential New Targets to Treat Diabetes, Inflammation
Wearable Defibrillator May Be an Alternative to ICD for Some Patients
FBI Probing Computer Virus at Medstar Hospital Chain in DC Area
Articles from AP and Healthcare IT News (registration required).
Stemming the Escalating Cost of Prescription Drugs: A Position Paper of the American College of Physicians
Free, full-text, Online First position paper from Annals of Internal Medicine.
World's Older Population Grows Dramatically
News release from the National Institutes of Health.
 


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Monday, March 28

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  Mar. 28, 2016
Diagnosing CKD in Older Patients: Vigilance vs Undue Anxiety
(Registration required, but free.) Article from Medscape Nephrology.
Study: Primary Care Doctors Often Don't Help Patients Manage Depression
Article from Kaiser Health News.
Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
Association of Short Sleep Duration and Rapid Decline in Renal Function
Free, full-text, Article in Press from Kidney International.
How Does SPRINT (Systolic Blood Pressure Intervention Trial) Direct Hypertension Treatment Targets for CKD?
Free, full-text, Article in Press from American Journal of Kidney Diseases.
Gabapentin for Uremic Pruritus in Hemodialysis Patients: a Qualitative Systematic Review
Free, full-text, Open Access article from Canadian Journal of Kidney Health and Disease.
Management of Intraocular Pressure Elevation during Hemodialysis of Neovascular Glaucoma: a Case Report
Free, Open Access article from BMC Ophthalmology.
Educational Interventions for Patients With CKD: A Systematic Review
Article in Press abstract from American Journal of Kidney Diseases.
CJASN Express Abstracts:
Advance Online Abstracts from the Journal of Vascular Access:
Lived Experience of Korean Nurses Caring for Patients on Maintenance Hemodialysis
Early View abstract from Journal of Clinical Nursing.
CDC Sets New Guidelines on Sex After Zika Exposure
Article from HealthDay.
American Hospital Association Calls on CMS to End 'All or Nothing Approach' to Meaningful Use
News brief from AHANewsNow.


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Fri./Sat., March 25-26

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  Mar. 25, 2016
NephMadness and the Palliative Care Region
Posting from the Precious Bodily Fluids blog.
A Rational Approach to Dialysis Time and Frequency
Posting from the KidneyViews blog.

"Conventional center-base dialysis – and especially the US conventional model – offers neither sufficient time for full solute removal, nor sufficient frequency for volume control."

Editor's note: Only financial incentives and for-profit-corporation control of government policymaking explains why the US trails other first-world in countries in dialysis care.

US nephrologists continue to believe (and deny) that they can serve two masters without causing patient harm. Leading nephrologists in junk-bond-financed corporations ARE the biggest problem in US dialysis care.

In addition, it seems nearly all nephrologists – even the author of this blog posting – discount the importance of psychosocial needs in renal replacement therapies. They still do not ask, "What, besides medical needs, is important to the patient?"
Most Kidney Transplant Recipients Visit the Emergency Department after Discharge
Press release and CJASN Express abstract from the American Society of Nephrology.
Advance Access Abstracts from NDT:
Study Shows That Wnt Secretion Preventing Drugs May Reduce Renal Fibrosis
Press release from Duke-NUS Medical School.
Heart Attacks Striking Younger, Fatter Americans: Study
Article from HealthDay.
Nursing Groups Differ in Presidential Endorsements
News release from National Nurses United.
Patient Sues Yale Hospital after Wrong Body Part Was Surgically Removed
News brief from Healthcare DIVE.
Town Hall Event: CROWNWeb 4.10 and Do Your PART II
Scheduled for March 31 at 2 PM EDT. Register for event.
CMS Launches New Effort to Improve Care for Nursing Facility Residents
CMS press release.


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Thursday, March 24

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  Mar. 24, 2016
Most US Voters Approve of Paying Kidney Donors, Survey Finds
Articles from HealthDay and Medscape Medical News (registration required, but free). Free, full-text, Online First article and press release from JAMA Surgery.

"Our findings refute the assertion that the US public, and particularly the American voter, holds payment for living kidney donation in disdain," they said.

Editor's note: Considering the recent breakthroughs in transplantation and the long-term stagnation seen in for-profit US dialysis care, I now believe the time for paying kidney donors has come.

It is time to rehabilitate and return as many of kidney disease patients as possible to living as normal lives as possible.  US dialysis care nephrologists and CMS have failed to carry out the mission they were given by Congress over 40 years ago.


Long-term dialysis care has failed over 90% of patients. Continuing to keep patients on dialysis unnecessarily is uneconomical, is awful medicine, and continues to limit the meaning and purpose of far too many patients' lives to being revenue streams for paying off junk bonds.

Prolonged Daily Sitting Linked to 3.8% of All Cause Deaths
Press release and free, full-text, Article in Press from American Journal of Preventive Medicine.

Editor's note: Another reason to end today's model of long-term dialysis care.
Lana Schmidt Gets Kidney Transplant in Unique Procedure
News release from the University of Illinois at Chicago.
Understanding Financial Risk Models in Nephrology
Article from Nephrology News & Issues.
Top Heart Failure Expert Decries 'Unbelievable Folly' of Clinical Trials and Guidelines
(Registration required, but free.) Article from MedPage Today. Free, full-text commentary from Circulation: Heart Failure.
Free, Full-Text Articles from NDT:
The Canadian Experience Using the Expanded Criteria Donor Classification for Allocating Deceased Donor Kidneys for Transplantation
Free, full-text, Open Access article from Canadian Journal of Kidney Health and Disease.
Free, Full-Text, Articles in Press from Kidney International:
Should Patients Be on Antithrombotic Medication for Their First Arteriovenous Fistulae?
Free, full-text article from the Journal of Vascular Access.
An Outcomes Comparison of Native Arteriovenous Fistulas, Polytetrafluorethylene Grafts, and Cryopreserved Vein Allografts
Abstract from Journal of Vascular Surgery.
Factors Associated with Serum Fetuin-A Concentrations after Long-Term Use of Different Phosphate Binders in Hemodialysis Patients
Free, full-text, Open Access article from BMC Nephrology.

Effect of Tolvaptan in Autosomal Dominant Polycystic Kidney Disease by CKD Stage: Results from the TEMPO 3:4 Trial
CJASN Express abstract.

Association Between Thrombophilic Gene Mutations and the Risk of Vascular Access Thrombosis in Hemodialysis Patients
Early View abstract from Therapeutic Apheresis and Dialysis.
Endocrine Society Calls for Integrative Approach to Improve Diabetes Care
Depression Tied to Worse Outcomes for Heart Patients
Exercise May Keep Your Brain 10 Years Younger, Study Suggests
Why Doctors Must Learn from a Patient's Perspective
Posting from the KevinMD blog.
A Patient Journey With an App at Each Turn
Article from Hospitals & Health Networks.
New Dietary Guidelines Place Added Sugars in the Crosshairs
Free, full-text, Online First commentary from the Journal of the American Medical Association.
Medicare Proposes Expansion Of Counseling Program For People At Risk Of Diabetes
Article from Kaiser Health News.


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Wednesday, March 23

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  Mar. 23, 2016
Improving Outcomes in Patients Receiving Dialysis: The Peer Kidney Care Initiative
CJASN Express abstract.

Editor's note: The Peer group appears to continue to be blind to the impact of financial incentives/structures on U.S. dialysis care. Can they not see the differences in mortality/hospitalization rates that have existed for over 15 years between the non-profit DCI and the for-profit, junk-bond-financed DaVita/FMC?

Unfortunately, all consensus statements by the Peer group must have the buy-ins of the chief medical officers of the two biggest for-profit, junk-bond-financed corporations. When will U.S. nephrology acknowledge the obvious conflicts of interest and finally cut these ties?

The Peer group also continues to fail to embrace the more holistic approach to dialysis care which was the norm fifty years ago. At that time, patients were part of the "team" and the model of care included the psychosocial, technological, infrastructure, employment, rehabilitation, and quality-of-life needs of the patients.
Discussing Older Adults' Values, Goals Helps Guide Healthcare Providers during Illnesses
Press release and Early View abstract from the Journal of the American Geriatrics Society.
Abdominal Aortic Calcification in Patients with CKD
Free, full-text, First Online article from Journal of Nephrology.
Changes in Discard Rate After the Introduction of the Kidney Donor Profile Index (KDPI)
Early View brief communication from American Journal of Transplantation.
Articles in Press Abstracts from American Journal Of Kidney Diseases:
User Driven Conversations about Dialysis through Facebook: a Qualitative Thematic Analysis
Accepted Article abstract from Nephrology.

Abstracts from Nephron:

The Critical Role of Innate Immunity in Kidney Transplantation
Free, full-text article from Nephron.
More Cost-Effective Cure for Hepatitis C May Be Close
Articles from Kaiser Health News:
Pregnancy in the Time of Zika — Addressing Barriers for Developing Vaccines and Other Measures for Pregnant Women
Free, full-text, viewpoint article from the Journal of the American Medical Association.
Study: Half of Parents of Uninsured Minority Children Unaware They Are Medicaid Eligible


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Tuesday, March 22

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  Mar. 22, 2016
Nephrology Attracting Fewer Doctors
Article from Renal & Urology News.

Editor's note:
Until U.S. nephrologists and the American Society of Nephrology cuts their ties to the stagnant, junk-bond-financed, for-profit dialysis corporations, little in this field of medicine will change. Junk-bond nephrology has not only failed kidney disease patients, but it has also failed nephrology.
FDA Proposes Ban on Most Powdered Medical Gloves
FDA news release. Article from HealthDay.
American Association of Kidney Patients Awards Fresenius Medical Care Caregivers with its Highest Honor for Health Care Professionals
Press release.

Editor's note: How can a "patient organization" honor a company that has no rehabilitation or employment programs for dialysis patients?

This "patient organization" has a long history of providing awards to the chief medical officers of the junk-bond, for-profit dialysis corporations. Isn't this the wrong message? Or does the message ensure continued funding?
Comparative Effectiveness of Home Dialysis Therapies: a Matched Cohort Study
Free, full-text, Open Access article from Canadian Journal of Kidney Health and Disease.
Free, Full-Text Articles from American Journal of Kidney Diseases:
Lack of Evidence Does Not Justify Neglect: How Can We Address Unmet Medical Needs in Calciphylaxis?
Free, full-text, Advance Access article from NDT.
Successful Treatment of Hepatitis C Virus Genotype 4 in Renal Transplant Recipients With Direct-Acting Antiviral Agents
Free, full-text Letter to the Editor from American Journal of Transplantation.
Terminal Complement Inhibitor Eculizumab in Adult Patients With Atypical Hemolytic Uremic Syndrome: A Single-Arm, Open-Label Trial
Free, full-text, Article in Press from American Journal of Kidney Diseases.
Improved Renal Recovery in Patients with Atypical Hemolytic Uremic Syndrome Following Rapid Initiation of Eculizumab Treatment
Free, full-text, First Online article from Journal of Nephrology.
Advance Access Abstracts from NDT:
Published Ahead-of-Print Abstracts from Current Opinion in Nephrology and Hypertension:
Sclerostin Levels in Uremic Patients: a Link between Bone and Vascular Disease
Abstract from Renal Failure.
Incidence of Contrast Induced Acute Kidney Injury in a Pediatric Setting: a Cohort Study
First Online abstract from Pediatric Nephrology.
The Effects of Selected Relaxing Music On Anxiety and Depression during Hemodialysis: a Randomized Crossover Controlled Clinical Trial Study
Article in Press abstract from The Arts in Psychotherapy.
Continuous Venovenous Hemodiafiltration in the Treatment of Maple Syrup Urine Disease
Issue-in-Progress abstract from Blood Purification.
Mineral Metabolism: the Perils of a Falling PTH Due to High Dialysate Calcium
Article preview from Nature Reviews Nephrology.
Stop Kidney Disease Initiative — The Effect of Diet on CKD
Posting from the ISN-Blog.
New Tool to Improve Blood Pressure Measurement
Press release and Published Ahead-of-Print abstract from Hypertension.
1 in 6 Seniors Takes Dangerous Combos of Meds, Supplements: Study
Article from HealthDay. Online First abstract from JAMA Internal Medicine.
Lifetime Perspectives on Primary Prevention of Atherosclerotic Cardiovascular Disease
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
China FDA Accepts Rockwell Medical's Triferic® Drug Submission for Commercialization in China
FDA Recall Notice: Sodium Bicarbonate Injection, USP by Hospira: Recall - Particulate Matter
Articles from HealthDay:
Bereaved Caregiver Perspectives on the End-of-Life Experience of Patients With a Left Ventricular Assist Device
Free, full-text, Online First article and commentary from JAMA Internal Medicine.
Nurse Watch: More Victories for Nurses in Battle with Docs
Article from Hospitals & Health Networks.
Next Generation ACO Model Announced: Series of 2017 Application Open Door Forums
CMS Next Generation ACO Model.


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Monday, March 21

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  Mar. 21, 2016
In Groundbreaking Trials, Surgeons to Use Infected Kidneys (Hep C) for Transplants
Article from STAT.
Sodium Thiosulfate and the Anion Gap in Patients Treated by Hemodialysis
Free, full-text, Article in Press from American Journal of Kidney Diseases.
Oxidative Stress and Cardiac Dysfunction in Children with Chronic Renal Failure on Regular Hemodialysis
First Online abstract from Pediatric Nephrology.
Advanced Chronic Kidney Disease Populations Have Elevated Trimethylamine N-Oxide Levels Associated with Increased Cardiovascular Events
Article in Press abstract from Kidney International.
USC Researchers Discover a Key Difference between Mouse and Human Kidney Cells
New CDC Laboratory Test for Zika Virus Authorized for Emergency Use by FDA
CDC news release.
CDC: 116 Cases of Zika in U.S. Residents in First 2 Months of Year
Article from HealthDay.
Coinsurance Trend Means Seniors Likely To Face Higher Out-Of-Pocket Drug Costs, Report Says
How Medicare Drug Plans Hope To Follow Private Sector Lead
Article from Kaiser Health News.


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Fri./Sat., March 18-19

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  Mar. 18, 2016
Kidney Dialysis Might Not Extend Survival of Elderly
Article from HealthDay. Press release and CJASN Express abstract from the American Society of Nephrology.

Commentary: When Patients Come First and Technology Advances, Improved Dialysis Outcomes Will Follow
Press release from Fresenius Medical Care.

Editor's note: The chief medical officer of Fresenius Medical Care again fails to mention dialysis patient employment or rehabilitation as a goal of overall care. He does advocate for:

"...tailoring dialysis prescriptions and schedules to current physiologic needs;" (but apparently not for psychosocial needs).

These junk-bond-financed medical corporations need to extract maximum profits from existing infrastructure and capital investments. Their corporate officers have little interest in major breakthroughs that would destroy their business model. These corporate officers continue to fail chronic kidney disease patients and the U.S. taxpayers by failing to target patient rehabilitation and employment. Only a small percentage of patients being treated by these junk-bond corporations are able to avoid enslavement to a life called dialysis. On top of all this, according to more than a decade of USRDS data, these junk-bond corporations provide worse outcomes for their patients than the largest non-profit dialysis care corporation.

Until U.S. nephrologists and the American Society of Nephrology extricate themselves from the profit schemes of junk-bond medical corporations and instead become true patient advocates, U.S. dialysis patient care will continue to trail other first-world countries not only in mortality, but also in patients' quality of life.

Dialysis patients need to wake up to the fact that junk-bond medical corporations have failed them... and will continue to fail them.


DaVita HealthCare Partners Celebrates 10 Years Among FORTUNE Magazine's World's Most Admired Companies
Press release.

Editor's note: It's junk-bond corporation reality check time.

In 2015, DaVita led the list of all U.S. companies settling fraud allegations with the government.

According to the 2015 USRDS, DaVita provides the worst outcomes for its patients (see Tables 10.2 and 10.4 in Chapter 10).
Canadian Organ Donations Fall Short of Meeting Demand: Report
Article from CTV.
Free, Full-Text Articles from Kidney International:
Advance Access Abstracts from NDT:
Early View Abstracts from Therapeutic Apheresis and Dialysis:
Laparoscopic Renal Denervation for Uncontrolled Hypertension Due to Medication Intolerance: A Case Report
Article in Press abstract from American Journal of Kidney Diseases.
A Best Practice Position Statement on Pregnancy in Chronic Kidney Disease: the Italian Study Group on Kidney and Pregnancy
First Online abstract from Journal of Nephrology.
Signed, Sealed, Undelivered: Mechanisms Underlying Polycystic Kidney Disease
Press release from the Medical University of South Carolina.
CKD Booklet for Professionals
Jury Rules In Favor Of Amgen In Cholesterol Drug Patent Dispute
Now There's Proof: Docs Who Get Company Cash Tend to Prescribe More Brand-Name Meds
Article from ProPublica.
CMS Releases Interactive Mapping Medicare Disparities Tool
Press release.


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Thursday, March 17

Now There's Proof: Docs Who Get Company Cash Tend to Prescribe More Brand-Name Meds
Article from ProPublica.
Canadian Organ Donations Fall Short of Meeting Demand: Report
Article from CTV.
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  Mar. 17, 2016

Understanding an ESCO to Improve Kidney Care
KidneyTalk podcast from Renal Support Network. The web site of the DCI ESCO is www.metropolitankidneycare.com.

Editor's note: If CMS and U.S. nephrologists had targeted improving dialysis patient employment rates from the beginning, the ESCO concept would have been integrated into the system of care for decades.

Providing financial incentives to increase employment rates would:

  • improve patients' medical care
  • drive technological advancements
  • improve care coordination
  • improve psychosocial support services
  • improve patients' quality of life
  • create a more diverse dialysis infrastructure
  • drive more individualized, patient-centered care

What other target/incentive does this?

Effectiveness of a Computerized Decision Support System for Anticoagulation Management in Hemodialysis Patients: a Before-After Study
Free, full-text, Early View article from Hemodialysis International.
Free, Full-Text Articles from Journal of Nephrology:
Biomarkers Can Help Guide Immune Suppressing Treatment after Organ Transplantation
Press release and free, full-text article from Therapeutic Drug Monitoring.
A Nephrology Fellows' Communication Skills Course: An Educational Quality Improvement Report
Article in Press abstract from American Journal of Kidney Diseases.
Early View Abstracts from Therapeutic Apheresis and Dialysis:
Correlation of Bioelectrical Impedance Analysis Phase Angle with Changes in Oxidative Stress on End-Stage Renal Disease Patients, before, during, and after Dialysis
Abstract from Renal Failure.
Psoas Muscle Cross-sectional Area as a Measure of Whole-body Lean Muscle Mass in Maintenance Hemodialysis Patients
Article in Press abstract from Journal of Renal Nutrition.
Nephros Launches SSUmini and Provides S100 Update
Press release.
High Coronary Calcium Score May Signal Increased Risk of Cancer, Kidney and Lung Disease
A Healthy Heart May Protect an Aging Brain
Doctors Are So Much More Than Quality Metrics
Article from Medical Economics. Also see:

5 Crucial Tips To Master Metrics Before They Become Mandates.
4 Steps to Achieve Patient Engagement With Technology
Article from Hospitals & Health Networks.
'Difficult' Patients More Likely to Be Medically Misdiagnosed
(Registration required, but free.) Article from Medscape Medical News.
US Hospitals Prepare for Penis Transplants
Doctors Ponder Delicate Talks As Medicare Pays For End-Of-Life Counsel
Article from Kaiser Health News.


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Wednesday, March 16

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  Mar. 16, 2016
Scripps Scientists Identify Molecular Markers of Kidney Transplant Rejection — Opens Door to Early Intervention
Press release from Scripps Research Institute. Early View editorial and study abstract from the American Journal of Transplantation.
Penn Study Suggests Reduced Immunosuppression Drug Dose May Be Best for Kidney Transplant Outcomes
Press release from the University of Pennsylvania School of Medicine. Early View abstract from the American Journal of Transplantation. Research review (267-page pdf) from the Agency for Healthcare Research and Quality.
Baxter Enrolls First Patient in U.S. Clinical Trial for VIVIA Investigational Home Hemodialysis System
Press release.
The Lancet  Kidney Campaign
The Lancet Kidney Campaign builds on the International Society of Nephrology's initiative, called '0by25', to eliminate preventable deaths from acute kidney injury by 2025, bringing together the best science for better lives.
Free, Full-Text, April 2016 Issue of Clinical Kidney Journal
24 full-text articles including:
Psychosocial Factors That Create Barriers to Managing Serum Phosphorus Levels in Pediatric Dialysis Patients: A Retrospective Analysis
Article in Press abstract from Journal of Renal Nutrition.
Sodium Thiosulfate and the Anion Gap in Patients Treated by Hemodialysis
Article in Press abstract from American Journal of Kidney Diseases.
Self-Centering Split-Tip Catheter Versus Conventional Split-Tip Catheter in Prevalent Hemodialysis Patients
Advance Online abstract from the Journal of Vascular Access.
Cleveland Clinic Receives $2 Million Gift for Nephrology, Hypertension Research
To Increase Group Exercise, Penn Study Suggests Rewarding the Individual and the Team
CDC Issues Tough New Guidelines on Use of Prescription Painkillers
Article from HealthDay. News release and guidelines (52-page pdf) from the Centers for Disease Control and Prevention.

Free, full-text, Online First perspective piece from the New England Journal of Medicine. Online First editorials #1 and #2 from the Journal of the American Medical Association. Online First editorial from JAMA Internal Medicine.
Is There a Donald Trump at Your Hospital?
Posting from the KevinMD blog.
Forget Insulin Injections: New Patches Integrate Pancreatic Beta Cells to Control Blood Glucose
Article from MedGadget.
Health Leaders Should Beware of the Lemming Approach to Change
Article from Hospitals & Health Networks.
The Match Day Medical Student Musical You've Been Waiting For
MedPAC Fee-For-Service Payment Update Recommendations
(1-page pdf) Fact sheet, press release (3-page pdf) and Report to Congress (460-page pdf) from the Medicare Payment Advisory Commission. From fact sheet:
"Outpatient dialysis: The Congress should increase the outpatient dialysis base payment rate by the update specified in current
law for calendar year 2017."


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Tuesday, March 15

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  Mar. 15, 2016
It's Not Just Doctors And Nurses, Patients Need To Wash Their Hands, Too
Article from Kaiser Health News. Press release and research letter extract from JAMA Internal Medicine.
Free, Full-Text Articles from Annals Of Internal Medicine:
Free, Full-Text Articles from PLOS ONE:
Fluid Overload and Outcomes in Neonates Receiving Continuous Renal Replacement Therapy
First Online abstract from Pediatric Nephrology.
Advance Online Abstracts from the International Journal of Artificial Organs:
March-April 2016 Issue of Saudi Journal of Kidney Diseases and Transplantation
Over 20 free, full-text articles.
Free, Full-Text, Online First Articles from the Journal of the American Medical Association:

The Patient-Centered Medical Home and Associations With Health Care Quality and Utilization: A 5-Year Cohort Study
Abstract from Annals of Internal Medicine.

The Burden of Hypertension and Associated Risk for Cardiovascular Mortality in China
Online First abstract from JAMA Internal Medicine.
A How-To Guide to Prescribing Exercise for Chronic Health Conditions
Press release and Early Release article from Canadian Medical Association Journal.
FDA: February 2016 Drug Safety Labeling Changes
Includes 21 products with revisions to Prescribing Information including Fosrenol.
FDA Will Expedite Reviews Of Generic Versions Of 'Sole-Source' Drugs
Actress Says Kidney Disease Not Caused by 'Waist Training'
Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention
Free, full-text article from Annals of Internal Medicine.
Study: Trump Healthcare Plan Would End Coverage for 21 Million
Article from The Hill.
Do Difficult Patients Sabotage Their Medical Care?
Article from STAT.
'Cold Turkey' May Work Best for Quitting Smoking
Article from HealthDay. Online First abstract and Summary for Patients from Annals of Internal Medicine.
CROWNWeb: ESRD Applications Unavailable March 16 – 21, 2016


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Monday, March 14

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  Mar. 14, 2016
Study Finds Kidney Transplant Donation Rates Vary Widely across Europe
Press release from the European Association of Urology.
New Treatment for Hepatitis C in Chronic Kidney Disease, Dialysis, and Transplant
Free, full-text, Article in Press from Kidney International.
Effects of Epoetin Alfa Titration Practices, Implemented After Changes to Product Labeling, on Hemoglobin Levels, Transfusion Use, and Hospitalization Rates
Article in Press abstract from American Journal of Kidney Diseases.
Articles in Press Abstracts from Journal Of Renal Nutrition:
Pediatric Obesity and Renal Transplantation: Current Challenges and Solutions
Free, full-text article from Pediatric Nephrology.
Former Surgeon General Regina M. Benjamin to Chair National Kidney Foundation's Chronic Kidney Disease Prevention Initiative
Press release.
Mass. General Decellularizes, Rebuilds Donated Hearts with Recipients' Own Cells
Article from MedGadget.
He Rescued A Dog. Then The Dog Rescued Him
Article from NPR.

"He looked at me like I was the best person on the planet, and I wanted to become the person he thought I was."
In Zika Fight, FDA Gives Tentative OK to Tests of Gene-Modified Mosquito
Article from HealthDay.
 


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Fri./Sat., March 11-12

Study Finds Kidney Transplant Donation Rates Vary Widely across Europe
Press release from the European Association of Urology.
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  Mar. 11, 2016
Blacks Face a Higher Risk of Kidney Failure Than Whites, Regardless of Genetics
Press release and JASN Express abstract from the American Society of Nephrology. Article from HealthDay.

Dying for Improvement: The Not-So-Hidden Cost of Harsh In-Center HD?
Posting from the KidneyViews blog.

Editor's note: It's not just about getting everyone to home dialysis therapies.

I believe we need to differentiate between non-profit dialysis centers and the for-profit, junk-credit-rating-corporation dialysis centers. In most for-profit centers, patients must fit the corporation's system which targets "numbers" that must be acheived — regardless of patients' needs. Isn't it a question of the values, morals and ethics of the nephrologist?

Why has DCI (large non-profit dialysis provider) had better outcomes than Fresenius or DaVita (junk-credit-rating for-profit providers) for more than 15 years?

This National Kidney Month, Help Your Children Adopt Healthy Habits
Statement from the National Institutes of Health.
The Lancet Kidney Campaign Launches on World Kidney Day
Annoucement and video via the International Society of Nephrology web site.
NephMadness 2016
Posting from the AJKD blog.
End-Of-Life Care Decisions for Hemodialysis Patients — 'We Only Tend to Have That Discussion with Them When They Start Deteriorating'
Free, full-text, Early View article from Health Expectations.
The OPTN Deceased Donor Potential Study: Implications for Policy and Practice
Early View abstract from American Journal of Transplantation.
A Comparison of Uremic Pruritus in Patients Receiving Peritoneal Dialysis and Hemodialysis
Abstract from Medicine.
Plastic Cannula Use in Hemodialysis Access
Advance Online abstract from the Journal of Vascular Access.
Outcomes after Peritoneal Dialysis Catheter Placement
Article in Press abstract from Journal of Pediatric Surgery.
Cognitive Impairment and Progression of CKD
Article in Press abstract from American Journal of Kidney Diseases.
KIDney Notes for Jan/Feb 2016
(12-page pdf) Newsletter from the American Society of Pediatric Nephrology.
The Role of the Gastrointestinal Tract and Microbiota on Uremic Toxins and Chronic Kidney Disease Development
First Online abstract from Clinical and Experimental Nephrology.
Negative Pressure Wound Therapy for Diabetic Ischemic Foot Wounds in Hemodialysis Patients
First Online abstract from European Journal of Plastic Surgery.
NephCure Kidney Network Commits to PCORnet's Pledge to Facilitate Patients' Access to Their EHR Data
Widely Used Kidney Cancer Drugs Can't Stop Recurrence
Measurement of the Patient Experience — Clarifying Facts, Myths, and Approaches
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
CROWNWeb DQM (Data Quality Management) Guidelines Review Process
Notice from the Heartland Kidney Network.
CROWNWeb Monthly Newsletter - March
2-page pdf.
Cigna Profits As Medicare Softens Penalty Policy
Article from Kaiser Health News.


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Thursday, March 10

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  Mar. 10, 2016
New Procedure Allows Kidney Transplants From Any Donor
Articles from The New York Times and HealthDay. Press release from Johns Hopkins Medicine. Abstract and editorial extract from The New England Journal of Medicine. From NYT:

"In the anguishing wait for a new kidney, tens of thousands of patients on waiting lists may never find a match because their immune systems will reject almost any transplanted organ. Now, in a large national study that experts are calling revolutionary, researchers have found a way to get them the desperately needed procedure.

In the new study, published Wednesday in The New England Journal of Medicine, doctors successfully altered patients' immune systems to allow them to accept kidneys from incompatible donors. Significantly more of those patients were still alive after eight years than patients who had remained on waiting lists or received a kidney transplanted from a deceased donor."

Editor's note: Today, March 10, is World Kidney Day. Finally, something to really celebrate.

At this point, it makes both economic and ethical sense to create incentives to provide a kidney transplant to everyone on dialysis.

It is time to end the disgraceful practices of the U.S. junk-bond dialysis care industry. CMS and U.S. nephrology have failed kidney disease patients in their 44-year mission to restore these patients to health and to allow them to lead near-normal lives. Kidney disease patients should no longer be enslaved to a life called "dialysis."
The Affordable (PD) Dialysis Prize Awarded
Article from SBS (Australia).

The inventor of the innovative design, engineer Vincent Garvey of the UK, has been awarded the Affordable Dialysis Prize and taken home US$100,000. The prize was jointly established by The George Institute for Global Health, the International Society of Nephrology and the Asian Pacific Society of Nephrology and supported by the Farrell Family Foundation.

"... Garvey revealed that the machine uses a standard solar panel to heat water taken from any source. Pure water, sterilised by steam, then fills empty peritoneal dialysis (PD) bags, which are ready for dialysis."
Bulk Printing of Home HD Manual
Notice from the International Society for Hemodialysis.
ESAs and QoL: Patient Selection Matters
(Registration required, but free.) Video blog from Berns on Nephrology via Medscape Nephrology.
US Transplant Policy Should Strengthen Bridges, Not Build Walls
Free, full-text, Early View editorial from American Journal of Transplantation.
Article in Press Abstracts from Kidney International:
Recent Analysis of Status and Outcomes of Peritoneal Dialysis in the Tokai Area of Japan: the Second Report of the Tokai Peritoneal Dialysis Registry
First Online abstract from Clinical and Experimental Nephrology.
A Novel Calcium Infusion Regimen after Parathyroidectomy for Renal Hyperparathyroidism
Accepted Article abstract from Nephrology.
Early View Abstracts from American Journal of Transplantation:
The Demands on the Nephrology Practice
Article from Nephrology News & Issues.
UCSF Cleared to Resume Living Kidney Donor Transplants
Article from SFGate.
High Coronary Calcium Score May Signal Increased Risk of Cancer, Kidney and Lung Disease
Online First Articles on the Zika Virus:
HHS Reports on Trends in Prescription Drug Spending
News brief from AHANewsNow.
Drug Makers Now Spend $5 Billion a Year on Advertising — Here's What That Buys
Article from STAT.
FDA Allows Off-Label Marketing of Drug as 'Right to Free Speech'
'Stunning' Operation Regenerates Eye's Lens
Study: Health Apps Often Sell Medical Information To Marketers
Finding Value in Unexpected Places — Fixing the Medicare Physician Fee Schedule
Free, full-text perspective piece from the New England Journal of Medicine.


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Wednesday, March 9

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  Mar. 9, 2016
Medicaid Rules Can Thwart Immigrants Who Need Dialysis
Article from NPR.
Patient and Caregiver Priorities for Outcomes in Hemodialysis: An International Nominal Group Technique Study
Article in Press abstract from American Journal of Kidney Diseases.

"Conclusions: Although trials in hemodialysis have typically focused on outcomes such as death, adverse events, and biological markers, patients tend to prioritize outcomes that are more relevant to their daily living and well-being. Researchers need to consider interventions that are likely to improve these outcomes and measure and report patient-relevant outcomes in trials, and clinicians may become more patient-orientated by using these outcomes in their clinical encounters."
The Kidney Project (at UCSF)
KidneyTalk podcast from Renal Support Network.
Advance Access Abstracts from NDT:
Impact of Pre-Dialysis Care on Clinical Outcomes in Peritoneal Dialysis Patients
Issue in Progress abstract from American Journal of Nephrology.
Abstracts from ASAIO Journal:
Kidney Transplantation, Cardiovascular Risk, and Long-Term Dialysis in Japan
Abstract from Transplantation Proceedings.
People in Their 60s Uniquely Benefit from Giving Advice despite Fewer Chances to Offer It
Press release from the American Sociological Association.
The Ethical Challenges of Compassionate Use
Viewpoint article from the Journal of the American Medical Association.
CMS Proposes to Test New Medicare Part B Prescription Drug Models to Improve Quality of Care and Deliver Better Value for Medicare Beneficiaries
Press release. News brief from AHANewsNow. Article from Kaiser Health News.


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Tuesday, March 8

Medicaid Rules Can Thwart Immigrants Who Need Dialysis
Article from NPR.
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  Mar. 8, 2016
Managing Depression A Challenge In Primary Care Settings, Study Finds
Article from Kaiser Health News. Abstract from Health Affairs.
“The approach to depression should be like that of other chronic diseases,” said Dr. Harold Pincus.
In the Last Months or Days, These Treatments Can Make Things Worse
Article from The Washington Post.
  • Resuscitation
  • Dialysis
  • Feeding tubes
NephMadness for Dummies
Posting from the AJKD blog.
Mobile Telephone Text Messaging for Medication Adherence in Chronic Disease — A Meta-Analysis
Abstract and editorial extract from JAMA Internal Medicine.
Lower C-Reactive Protein and Better Hemodialysis Survival Are Associated with Regular Exercise Activity: Longitudinal Outcomes from the ACTIVE-ADIPOSE Special Study
Early View abstract from Hemodialysis International.
Dance Class May Be Gateway to Exercise for Older Latinos
Article from HealthDay.
Changes in Markers of Mineral and Bone Disorders and Mortality in Incident Hemodialysis Patients
Issue-in-Progress abstract from American Journal of Nephrology.
Sofosbuvir-Containing Regimen for HCV Infection in Hemodialysis Patients: 400 mg Daily or Only on the Day of Hemodialysis
Article in Press abstract from Journal of Hepatology.
Relationship Among Body Fat Percentage, Body Mass Index, and All-Cause Mortality: A Cohort Study
Online First abstract from Annals of Internal Medicine.
Stop Kidney Disease Initiative — Prevention Is the Only Cure
Posting from the International Society of Nephrology blog.
Physical Fitness During Adolescence and Long-Term Risk for Type 2 Diabetes Mellitus
Free, full-text, Online First Summary for Patients from Annals of Internal Medicine.
Nutrition Roadmap Aims to Advance Research to Provide More Individualized Advice
Press release from HHS.gov.
3D Printing of 'Complex' Human Tissue Moves Forward
Article from HealthDay.
Too Many Avoidable Errors in Patient Care, Says Report
Press release from Imperial College London.
More than 1,700 RNs to Strike in Los Angeles Next Week
Press release from the California Nurses Association.
Study: Physician Practices Spend $15.4 Billion Annually to Report Quality Measures
News brief from AHANewsNow.
TrumpCare Takes It On The Chin
Article from Kaiser Health News.
Medicare Plans Score Higher Ratings And Millions In Bonuses
Article from Kaiser Health News.


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Monday, March 7

In the Last Months or Days, These Treatments Can Make Things Worse
Article from The Washington Post.
  • Resuscitation
  • Dialysis
  • Feeding tubes
FacebookTwitter
  Mar. 7, 2016
Fresenius, Plaintiffs Ask for More Time for $250M Settlement in Dialysate Cases
Article from Mass Device.
FDA Product Recall: Fresenius NaturaLyte Liquid Acid Concentrate Catalog Number: 08-2301-3
Notice from the FDA Enforcement Report for March 2, 2016.
Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
Efficacy and Safety of Cinacalcet on Secondary Hyperparathyroidism in Chinese Chronic Kidney Disease Patients Receiving Hemodialysis
Free, full-text, Early View article from Hemodialysis International.
Roles of the Kidney in the Formation, Remodeling and Repair of Bone
Free, full-text, First Online article from Journal of Nephrology.
Mouthwashes Can Relieve Upper GI Symptoms in CKD Patients
Article from Renal & Urology News.
Laparoscopic Versus Traditional Peritoneal Dialysis Catheter Insertion: a Meta-Analysis
Abstract from Renal Failure.
Estimated GFR Trajectories of People Entering CKD Stage 4 and Subsequent Kidney Disease Outcomes and Mortality
Article in Press abstract from American Journal of Kidney Diseases.
Recent Trends in the Prevalence of Chronic Kidney Disease in Korean Adults: Korean National Health and Nutrition Examination Survey from 1998 to 2013
First Online abstract from Journal of Nephrology.
Chronic Kidney Disease (CKD) Surveillance Project: 20 New Indicators of CKD Added
In 2016, 20 new indicators of CKD have been added to the resources on this CDC site. Browse all indicators.
UK Diagnoses Children's Kidney Cancer at a Later Stage Than Germany
Utah Clinic Settled Suit over Missed-Dialysis Death for $100,000
Monkey Controls Wheelchair Using Only Thoughts
Article from MedGadget.
HHS Says It Hit Goal Ahead Of Schedule For Tying Medicare Payments To Quality
News summary from Kaiser Health News.


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Fri./Sat., March 4-5

Fresenius, Plaintiffs Ask for More Time for $250M Settlement in Dialysate Cases
Article from Mass Device.
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  Mar. 4, 2016

DaVita Kidney Care Leads Dialysis Industry in Clinical Performance
Press release.

Editor's note: In junk-credit-rating corporations, business executives routinely manipulate financial reports to report optimal results. Failing to 'hit the numbers' often results in an even worse credit-rating, increased costs of attaining capital, and a possible stock price collapse.

In order for a junk-credit-rating corporation to succeed in healthcare, its financial successes cannot be seen as the result of providing lower quality care or worse patient outcomes. Unfortunately, the mentality of junk-credit-rating business executives has seeped into patient-related data reporting. In recent years, widespread cheating has been reported in the dialysis industry. This insidious need to report optimal results ultimately leads to a breakdown in the purpose and sanctity of physician-patient relationships.

In junk-credit-rating healthcare corporations, decisions regarding patient care routinely default to the selection that is best for the corporation's finances. These selections can only be overturned by defiant personal stances or irrefutable scientific evidence. Unfortunately, these instances rarely occur. Junk-credit-rating corporations richly reward executives at the top and — to a less degree — the nephrologists, managers, and employees who are willing to put corporate financial needs first. As a result, far too many patients end up in a junk-bond dialysis hell which no nephrology professional would ever choose for themselves or their family members.

Those who choose not to profit from kidney patients' illnesses provide better care. This junk-bond-healthcare reality has been staring us in the face for over a decade. DCI, the largest non-profit dialysis provider, has long had the best mortality and hospitalization data in the industry. While DaVita may claim a new rating system shows it provides the best care, the most recent USRDS data shows that DaVita provides the worst outcomes for its patients (see Tables 10.2 and 10.4 in Chapter 10 of the 2015 USRDS report).

DaVita would do much better by its patients to turn its DaVita Patient-Focused Quality Pyramid upside down and instead began its patient interactions by defining the values and activities which are most important to each individual patient.


(In 2015, DaVita led the list of all U.S. companies settling fraud allegations with the government.)

Effect of Dialysis Day on Intradialytic Hypotension Risk
Free, full-text, Issue-in-Progress article from Kidney and Blood Pressure Research.
New Paper Highlights Strategies to Foster Home Dialysis in the United States
(18-page pdf) Report from Matrix Global Advisors.
Which Patients with Chronic Kidney Disease Have the Greatest Symptom Burden? A Comparative Study of Advanced CKD Stage and Dialysis Modality
Early View abstract from Journal of Renal Care.
Free, Full-Text, Articles in Press from American Journal Of Kidney Diseases:
Frequent Monitoring of Mineral Metabolism in Hemodialysis Patients with Secondary Hyperparathyroidism: Associations with Achievement of Treatment Goals and with Adjustments in Therapy
Advance Access abstract from NDT.
No-Touch Technique for Radiocephalic Arteriovenous Fistula — Surgical Technique and Preliminary Results
Free, full-text article from the Journal of Vascular Access.
Free, Full-Text, Open Access Articles from BMC Nephrology:
Heparin-Bonded Expanded Polytetrafluoroethylene Grafts in Hemodialysis Access
Advance Online abstract from the Journal of Vascular Access.
Kidney Lung Connections in Acute and Chronic Diseases: Current Perspectives
First Online abstract from Journal of Nephrology.
Living Kidney Donor Profile Index: Utility and Limitations
Free, full-text, Early View editorial from American Journal of Transplantation.
Re-Examining Risk of Repeated HLA Mismatch in Kidney Transplantation
JASN Express abstract.
Should Organ Donation Be an Opt-Out?
Posting from The Hill's Congress Blog.
National Kidney Month—March 2016
Cells Collected from Preterm Infants' Urine May Advance Regenerative Kidney Repair
'Broken' Heart Breakthrough: Researchers Reprogram Cells to Better Battle Heart Failure
'Chilling' Data on Antibiotic-Resistant Infections in US Hospital Patients
News release from the Centers for Disease Control and Prevention. Articles from HealthDay and Medscape Medical News (registration required).
18 Deaths in Wisconsin: Federal Health Officials Help In Search For Deadly Bacteria
Article from Wisconsin Public Radio.
Donald Trump's Health Care Plan Included Just One Number. Here's What's Wrong with It
Article from STAT. Article from Kaiser Health News.
Four Reasons Why Telemedicine Can Improve Patient Engagement
 


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Thursday, March 3

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  Mar. 3, 2016
Smartphone Blood-Pressure App Often Wrong, Study Finds
Article from HealthDay. Free, full-text, Online First research letter from JAMA Internal Medicine.
Intradialytic Hypoxemia and Clinical Outcomes in Patients on Hemodialysis
Free, full-text, CJASN Express article.
Study: End Stage Renal Disease Patients Face Policy Barriers to Home Dialysis
Press release from the Alliance for Home Dialysis. Blog posting from The Hill. Press release from NxStage.
Articles from Renal & Urology News:
Radiation Exposure from Medical Imaging in Dialyzed Patients Undergoing Renal Pretransplant Evaluation
First Online abstract from Journal of Nephrology.
Articles in Press Abstracts from American Journal Of Kidney Diseases:
Electrolytes-Enriched Hemodiafiltration Solutions for Continuous Renal Replacement Therapy in Acute Kidney Injury: A Crossover Study
Issue-in-Progress abstract from Blood Purification.
Early View Abstracts from Therapeutic Apheresis and Dialysis:
Clinical and Biochemical Parameters of Hemodialysis Patients Before and During Islamic Month of Ramadan
Abstract and link to full-text PDF from Iranian Journal of Kidney Diseases.
FDA Advisers Urge More Regulation of Apheresis Devices
(Registration required, but free.) Article from Medscape Medical News.
Better Medication Adherence Didn't Equal Better Outcomes in T2D
(Registration required, but free.) Article from MedPage Today.
Too Much Sitting Can Harm Older, Female Heart Attack Survivors
Chronic Kidney Disease in Cats – Expert Guidance on a Quality of Life Issue
Donald Trump Releases Health Care Reform Plan
Article from CNN.
Business Card with a Built-in Electrocardiograph
Group Says Kidney Patients Should Be Allowed To Enroll In Medicare Advantage
Article from Inside Health Policy via Kidney Care Partners.


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Wednesday, March 2

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  Mar. 2, 2016
Depression Is More Than a Mental Disorder: It Affects the Whole Organism
Press release from University of Granada. Abstract from the Journal of Clinical Psychiatry.
Should You Accept a ‘Compromised Organ’ for Transplant?
Article from U.S. News & World Report.
Free, Full-Text Articles from the Journal of Vascular Access:
Metastatic Pulmonary Calcification
(Registration required, but free.) Free, full-text article from Applied Radiology via Medscape Nephrology.
Preventing Calcium Buildup in Arteries May Lower Dementia Risk in Old Age
Article from HealthDay. Abstract from the Journal of the American College of Cardiology.
Articles from Renal & Urology News:
Height at First RRT and Mortality in Children
CJASN Express abstract.
Articles in Press Abstracts from American Journal Of Kidney Diseases:
Therapeutic Drug Monitoring of Enteric-Coated Mycophenolate Sodium by Limited Sampling Strategies Is Associated with a High Rate of Failure
Free, full-text, Advance Access article from Clinical Kidney Journal.
Early View Abstracts from Hemodialysis International:
Looking beyond "Fistula First" in the Elderly on Hemodialysis
Early View abstract from Seminars in Dialysis.
High-Dose Perioperative Atorvastatin and Acute Kidney Injury Following Cardiac Surgery — A Randomized Clinical Trial
Abstract and editorial extract from the Journal of the American Medical Association.
Someone Suffers, Someone Wins
Article from Nephrology News & Issues.
Donor Organ Recovery at Standalone Facility Increases Suitable Organs for Transplant
HHS Announces Major Commitments from Healthcare Industry to Make Electronic Health Records Work Better for Patients and Providers
Press release and fact sheet from the US Department of Health and Human Services. News summary from Kaiser Health News.
Leading Scope Manufacturer To Pay Hefty Settlement ($646M) For Alleged Kickbacks And Bribery
Article from Kaiser Health News.
Physicians Want to Know More about End-of-Life Counseling
Article from Hospitals & Health Networks.
CMS Releases the 2016 ESRD PC Pricer


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Tuesday, March 1

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  Mar. 1, 2016
Pregnancy and Kidney Transplantation: Frequently Asked Questions
Posting from the Renal Fellow Network blog.
Highlights of the 2015 ERA-EDTA Congress: Chronic Kidney Disease, Hypertension
Free, full-text, Advance Access article from NDT.
Free, Full-Text, Open Access Articles from BMC Nephrology:
Serum Cardiac Troponin T and Effective Blood Flow in Stable Extracorporeal Dialysis Patients
Free, full-text article from International Urology and Nephrology.
Free, Full-Text Articles from Canadian Journal of Kidney Health and Disease:
Diabetes Mellitus Does Not Affect the Incidence of Acute Kidney Injury after Cardiac Surgery; a Nested Case-Control Study
First Online abstract from Journal of Nephrology.
Advance Access Abstracts from NDT:
First Online Abstracts from Clinical and Experimental Nephrology:
Early View Abstracts from Therapeutic Apheresis and Dialysis:
Ultra-Small Neonatal Dialysis Circuits Do Not Maintain Safe Fluid Balance
First Online Letter to the Editor from Pediatric Nephrology.
Effect of Twice-Yearly Denosumab on Prevention of Bone Mineral Density Loss in De Novo Kidney Transplant Recipients: A Randomized Controlled Trial
Early View abstract from American Journal of Transplantation.
Diabetic Management: Subcutaneous Insulin Therapy Fails to Protect against Oxidative Stress and Inflammation
Press release from the Society for Experimental Biology and Medicine.
Diagnosis and Management of Diabetes: Synopsis of the 2016 American Diabetes Association Standards of Medical Care in Diabetes
Free, full-text, Online First clinical guidelines from Annals of Internal Medicine.
Not the Needle! A Day in the Life of Someone Living With Diabetes
Video from Annals of Internal Medicine.
Renal Insufficiency: Frequently Undetected
Press release from Deutsches Aerzteblatt International.
Rockwell Medical Reports Fourth Quarter and Fiscal 2015 Results
DaVita HealthCare Partners and The Everett Clinic Complete Merger
Blood Vessels Sprout under Pressure
Chronic Conditions Rise in Older People
Study Finds 5x Increase in Hand Sanitizer Use When Located in Hospital Lobby
Many Dislike Health Care System But Are Pleased With Their Own Care
Article from NPR.
Study Shows Zika 'Might Cause' Guillain-Barré Syndrome
Article from the BBC.
For Cancer Patients, Pain May Rise as Finances Dwindle
Kidney Care Partners Lobbies for Medicare Advantage Enrollment
Posting by Fresenius Medical Director Frank Maddux in The Hill Congress Blog.
CMS Comment Request — Ends 5/2/16
Notice from the Federal Register.
  • CMS-685 - End Stage Renal Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting Regulations
  • CMS-576A - Organ Procurement Organization's (OPOs) Health Insurance Benefits Agreement and Supporting Regulations
CMS Comment Request — Ends 3/31/16
Notice from the Federal Register.
  • End Stage Renal Disease Application and Survey and Certification Report
CMS Finalizes Improvements for the 2017 Health Insurance Marketplace
CMS press release. News briefs from AHANewsNow and Healthcare DIVE.


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Monday, Feb. 29

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  Feb. 29, 2016
“Doc, How Long Do I Need to Be on Dialysis?”
Posting from the KidneyViews blog.
Dietary Management of Incremental Transition to Dialysis Therapy: Once-Weekly Hemodialysis Combined With Low-Protein Diet
Free, full-text, Article in Press from Journal of Renal Nutrition.
Free, Full-Text Articles from American Journal of Transplantation:
Wasp Sting Induced Acute Kidney Injury
Free, full-text, Advance Access article from Clinical Kidney Journal.
Hemodiafiltration, Hemofiltration and Hemodialysis for End-Stage Kidney Disease
Accepted Article abstract from Nephrology.

"All but four studies were at high risk of other sources of bias including: commercial sponsor on authorship, or data management, or both."
Dialysate Induced Hypocalcemia Presenting As Acute Intradialytic Hypotension: a Case Report, Safety Review, and Recommendations
Early View abstract from Hemodialysis International.
Brachiobasilic Fistulae: an Upper Limb Autologous Option for Everyone?
Abstract from Renal Failure.
Potential Survival Benefit of Polymyxin B Hemoperfusion in Septic Shock Patients on Continuous Renal Replacement Therapy: A Propensity-Matched Analysis
Issue-in-Progress abstract from Blood Purification.
A Risk Index for Living Donor Kidney Transplantation
Early View abstract from American Journal of Transplantation.
Articles from MedPage Today (registration required):

Quick Thinking and Feeling Healthy Predict Longer Life
Press release from the Association for Psychological Science.

The Agonizing Limbo Of Abandoned Nursing Home Residents
Article from Kaiser Health News.
CDC: Flu Vaccine 59% Effective This Year
Zika Found in 9 U.S. Pregnancies, Outcomes Often Severe: CDC
 


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Fri./Sat., Feb. 26-27

“Doc, How Long Do I Need to Be on Dialysis?”
Posting from the KidneyViews blog.
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  Feb. 26, 2016
IRON or No IRON: Does One Size Fit All?
Posting from the AJKD blog.
How Have Changes in the Use of Anemia Drugs Affected Dialysis Patients?
Press release and JASN Express abstract from the American Society of Nephrology.

Editor's note:
This awful story is beginning to be told by U.S. nephrologists. No mention of cancer rates?
Previous Vaccination and Age are More Important Predictors of Immune Response to Influenza Vaccine than Inflammation and Iron Status in Dialysis Patients
Free, full-text, Issue-in-Progress article from Kidney & Blood Pressure Research.
Free, Full-Text Articles from PLOS ONE:
Transforming Living Kidney Donation with a Comprehensive Strategy
Free, full-text essay from PLOS MEDICINE.
Approach to the Highly Sensitized Kidney Transplant Candidate
CJASN Express abstract.
ISPD Guideline/Recommendations: a Syllabus for Teaching Peritoneal Dialysis to Patients and Caregivers
PDI In Press abstract.
With Special Tax Suspended, Medical Device Firms Reap Big Savings
Article from Minnesota Public Radio via Kaiser Health News.
Cerner, IBM, Epic, Verily, Others Sign On for Obama's Precision Medicine Initiative
(Registration required, but free.) Article from Healthcare IT News.
New Societal Approaches to Empowering Antibiotic Stewardship
Free, full-text, viewpoint article from the Journal of the American Medical Association.
ObamaCare Reducing Extra Hospital Stays, Study Finds
Article from The Hill. Free, full-text, Online First article from the New England Journal of Medicine.
Cleveland Surgeons Perform Nation's First Uterus Transplant
CMS Issues Program Integrity Rule for Medicare Providers, Suppliers
News item from AHANewsNow. Fact sheet on proposed rule (152-page pdf) from CMS.
CROWNWeb March 2 Webinar: Completing the 2015 CMS-2744 Annual Facility Survey Training (Encore)


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Thursday, Feb. 25

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  Feb. 25, 2016
Call for PCORI Advisory Panel Members
Posting from the American Nephrology Nurses Association web site.
AST Applauds Senators Kirk (R-IL) & Gillibrand (D-NY) and Congressmen Nadler (D-NY) & Burgess (R-TX) for Introducing the Living Organ Donor Protection Act
News release from the American Society of Nephrology of Transplantation.
Patient and Caregiver Values, Beliefs and Experiences When Considering Home Dialysis as a Treatment Option
(Registration required, but free.) Free, full-text article from NDT via Medscape Nephrology.
Predicting Residual Kidney Function in Hemodialysis Patients Using Serum ß-trace Protein and ß2-Microglobulin
Free, full-text, Article in Press from Kidney International.
The Choice of Dialysate Bicarbonate: Do Different Concentrations Make a Difference?
Article in Press abstract from Kidney International.
Risk Factors for Early Failure of Arteriovenous Vascular Access Among Patients With Type 2 Diabetes Mellitus
Early View abstract from Therapeutic Apheresis and Dialysis.
An Unusual Yet "Mg"nificent Indication for Hemodialysis
Early View abstract from Seminars in Dialysis.
Intensive Blood Pressure Lowering Treatment May Harm People with Diabetes
Press release from Umeå University. Article from the BMJ.
Abstracts from Renal Failure:
Versago Vascular Access Raises $1.65MM In Funding To Develop World's First Reverse Needle Access Port
Why Health Care Needs a Steve Jobs-Style Disruptor
Opinion piece from STAT.
FDA Statement on Senate Confirmation of Dr. Robert M. Califf
News release.
Healthgrades Announces America's Best Hospitals™ for 2016
Press release.
Dealing with Racist Patients
Free, full-text perspective piece from the New England Journal of Medicine.
38 House Members Show Support for Charity Premium Assistance
Article from Health Care Daily Report via Bloomberg BNA.


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Wednesday, Feb. 24

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  Feb. 24, 2016

FMC Aims for 110,000 U. S. Patients to Be on Mircera in Q1
Article from Reuters. Mircera, marketed by Hoffmann-La Roche, is a long-acting erythropoietin receptor activator (CERA) indicated for the treatment of patients with anemia associated with chronic kidney disease.

Fresenius Medical Care Reports Fourth Quarter and Full Year 2015 Results
Press release from FMC.
Call for TEP (Technical Expert Panel) Members: ESRD Emergency Department Visits TEP
The Centers for Medicare & Medicaid Services (CMS) has contracted with the University of Michigan Kidney Epidemiology and Cost Center (UM-KECC) to develop a quality measure(s) related to Emergency Department (ED) visits.

If you wish to nominate yourself or other individuals for consideration, please complete the form and email it to dialysisdata@umich.edu by close of business (5:00pm ET) on March 21, 2016.
Presence of Atrial Fibrillation at the Time of Dialysis Initiation Is Associated with Mortality and Cardiovascular Events
Free, full-text, Issue-in-Progress article from Nephron.
High-Dose Statin before, after Cardiac Surgery Does Not Reduce Risk of Kidney Injury
Press release and free, full-text, Online First article and editorial from the Journal of the American Medical Association.
Hollow Fiber Bioreactor Technology for Tissue Engineering Applications
Free, full-text, Advance Online article from the International Journal of Artificial Organs.
Cognition in People With End-Stage Kidney Disease Treated With Hemodialysis: A Systematic Review and Meta-analysis
Article in Press abstract from American Journal of Kidney Diseases.
Aichi Cohort Study of the Prognosis in Patients Newly Initiated into Dialysis (AICOPP): Baseline Characteristics and Trends Observed in Diabetic Nephropathy
First Online abstract from Clinical and Experimental Nephrology.
Effect of Tolvaptan in Autosomal Dominant Polycystic Kidney Disease by CKD Stage: Results from the TEMPO 3:4 Trial
CJASN Express abstract.
Articles in Press Abstracts from Journal Of Renal Nutrition:
First Online Abstracts from International Urology and Nephrology:
Genetic Mismatches Linked to Kidney Transplant Failure
News release from the National Institute of Diabetes and Digestive and Kidney Diseases.
Poor Leg Circulation Hits Women With Kidney Disease Earlier Than Men
Clinical Manual Addresses How to Approach Organ Donation after Euthanasia
New Criteria Released for Defining Sepsis, Septic Shock
Article (registration required) from MedPage Today. Press release and free, full-text articles from the Journal of the American Medical Association:
Acute Respiratory Distress Syndrome Appears to Be Underrecognized, Undertreated and Associated with High Risk of Death
Press release and free, full-text, Online First articles from the Journal of the American Medical Association:
CDC Cites 14 Potential New Cases of Zika Transmitted By Sex
Dueling Star Ratings May Confuse Some Home Health Patients
Article from Kaiser Health News.
CROWNWeb Restarts to Begin February 24, 2016


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Tuesday, Feb. 23

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  Feb. 23, 2016
Obama's Budget Proposal Includes Increase to Withhold for ESRD Networks
News item from Nephrology News & Issues.
Free, Full-Text Articles from American Journal Of Kidney Diseases:
Free, Full-Text, Articles in Press from American Journal Of Kidney Diseases:
Free, Full-Text Articles from NDT:
Encapsulating Peritoneal Sclerosis
Article from UKidney.
Low Dialysate Calcium: Between Low Arterial Calcification and Improved Low Bone Turnover
Free, full-text, Issue-in-Progress article and related abstract from Blood Purification.
First Online Abstracts from International Urology And Nephrology:
New Definitions Created for Sepsis and Septic Shock
Rockwell Medical Files IND to Investigate Triferic for Rare Orphan Disease Iron-Refractory, Iron-Deficiency Anemia (IRIDA)
Dartmouth Researchers Invent 'Magic Wand' to Improve Healthcare, Cybersecurity
Press release.
Healthcare Spending Growth Slows
Article from HFMA.
Senate Vote Removes Major Hurdle in Robert Califf's Bid to Lead FDA
Article via STAT.
CROWNWeb Event: “Have You Done Your PART?”
Registration now open for Feb. 25, 2 PM ET webinar.
CMS Publishes Medicare Fee-for-Service Provider & Supplier Lists
CMS press release and related blog posting.


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Monday, Feb. 22

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  Feb. 22, 2016
Thoughts on Home Haemodialysis in Australia and the U.S, from a Patient's Perspective
Posting from the KidneyViews blog.

Editor's note: A 'must read,' epecially for U.S. nephrologists!

A patient writing and promoting such a piece in a U.S. clinic would likely be labeled "disruptive" by many for-profit dialysis providers.
Free, Full-Text, Articles in Press from American Journal Of Kidney Diseases:
From Journal of Renal Nutrition: National Kidney Foundation 2016 Spring Clinical Meetings Abstracts:
Free, Full-Text Articles from Journal of Renal Nutrition:
Association of NTproBNP and cTnI with Outpatient Sudden Cardiac Death in Hemodialysis Patients: the Choices for Healthy Outcomes in Caring for ESRD (CHOICE) Study
Free, full-text, Open Access article from BMC Nephrology.
Peritoneal Dialysis Can Be an Option for Unplanned Chronic Dialysis: Initial Results from a Developing Country
First Online abstract from International Urology and Nephrology.
World Kidney Day 2016 Sets out to Make Us Aware of How Much Adult Kidney Disease Is Actually Initiated in Childhood
Article from International Society of Nephrology.

Free, Full-Text, Issue-In-Progress Articles from American Journal Of Nephrology:

Advance Online Abstracts from the Journal of Vascular Access:
Articles in Press Abstracts from Journal Of Renal Nutrition:
Effect of Statins on Kidney Disease Outcomes: A Systematic Review and Meta-analysis
Article in Press abstract from American Journal Of Kidney Diseases.
The Metabolome and Microbiome Connection
Article from the International Society of Nephrology.
When Doctors Start Civil Disobedience It's Time to Take Notice
Article from the BMJ.
Experiencing Financial Stress May Lead to Physical Pain
Press release from the Association for Psychological Science.
New TB Test May Help Simplify Diagnosis
QIP: 2/28 ICH CAHPS Exemption Deadline; New Admin Manual
Notice from the Northwest Renal Network.
CMS Proposes 2017 Payment and Policy Updates for Medicare Health and Drug Plans
CMS press release. Related article from The Hill.
It Took CMS Four Years to Finalize Its 60 Day Overpayment Rule. Here's How the Industry Is Reacting


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Fri./Sat., Feb. 19-20

Thoughts on Home Haemodialysis in Australia and the US, from a Patient Perspective
Posting from the KidneyViews blog.

Editor's note: MUST READ! Especially for U.S. nephrologists!

A U.S. patient writing and promoting such a piece would likely be labeled "disruptive" by many for-profit dialysis providers.
FacebookTwitter
  Feb. 19, 2016
Dialysis Equipment Maker (FMC) Settles Lawsuit for $250 Million
Article from The New York Times.
"Mr. Seeger, who is a founding partner at the New York firm Seeger Weiss, said he disagreed that there was no problem with GranuFlo.

""When you're paying hundreds of millions, you can say all you want that there's no admission of wrongdoing or liability, but people draw their own conclusions from that," he said."
Editor's note: Fresenius Medical Care (FMC) was able to push back to show that GranuFlo® itself did not cause cardiac arrests. What they could not dispute, however, is that GranuFlo product use led to significant buffer (bicarbonate/acetate) dosing errors.

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