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RECENT NEWS ARCHIVES

Fri./Sat., May 29-30

News and Daily Summaries from the ERA/EDTA Congress in London:
Amgen Preps an FDA Pitch for Its Late-Stage Kidney Drug (for secondary hyperparathyroidism)
Article from Fierce Biotech. Press release from Amgen.
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  May 29, 2015
bullet point HHS Office of Inspector General To Review Medicare Payments for Dialysis Services and Related Drugs; Ambulance Transport Also
(86-page pdf) HHS OIG Mid-Year Work Plan Update for Fiscal Year 2015 (see pages 11-12).

"We will review Medicare payments for and utilization of renal dialysis services and related drugs pursuant to the new bundled end-stage renal disease (ESRD) PPS. We will compare facilities' acquisition costs for certain drugs to inflation-adjusted cost estimates and determine how costs for the drugs have changed. Previous OIG work found that data from the Bureau of Labor Statistics (BLS) did not accurately measure changes in facilities' acquisition costs for high-dollar ESRD drugs. However, CMS has based the ESRD PPS price updates on wage and price proxy data from BLS.Effective January 1, 2011, Federal law required CMS to begin implementation of a new system that bundles all costs related to ESRD care (including drugs that were previously separately billable) into a single per-treatment payment."
bullet point A Neglected Issue in Dialysis Practice: Hemodialysate
Free, full-text, Advance Access article from Clinical Kidney Journal.
bullet point Advance Access Abstracts from NDT:
bullet point Increasing the Number of Organ Transplants in the United States by Optimizing Donor Authorization Rates
Early View abstract from American Journal of Transplantation.
bullet point Association of Restless Legs Syndrome with Oxidative Stress and Inflammation in Patients Undergoing Hemodialysis
Article in Press abstract from Sleep Medicine.
bullet point

Kidney Patient Advocacy Has a New Face -- 60 of Them
Press release from the National Kidney Foundation.

Editor's note: One must wonder who is funding this effort and what will be advocated. To date, there has never been an effective, independent patient voice in dialysis care.

bullet point Fresenius Medical Care Joins Health Care Transformation Task Force
Press release.

Editor's note: Ditto.
bullet point Diabetes Drug Metformin May Lower Glaucoma Risk
bullet point High Rates of MRSA Transmission Found between Nursing Home Residents, Healthcare Workers
Press release from the Society for Healthcare Epidemiology of America.
Registration Now Open for Medicare Learning Network (MLN) Provider Calls:
Medicare Payment Model Seeks to Reduce Cardiovascular Risk, Costs


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Thursday, May 28

Registration Now Open for Medicare Learning Network Provider Calls:
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  May 28, 2015
bullet point Wide Variability in Organ Donation Rates: Midwest Leads Nation in Highest Rates of Donations
Press release from the University of Pennsylvania School of Medicine.
bullet point Exploring Views on What Is Important for Patient-Centered Care (PCC) in End-Stage Renal Disease Using Q Methodology
Provisional abstract and full-text article (10-page pdf) from BMC Nephrology.

"Conclusions: The four views on PCC among patients in a haemodialysis department and the professionals treating them suggest that there is no one size fits all strategy for providing PCC to patients with end-stage renal disease. Some patients may benefit from educational interventions to improve their self-management skills and place them in charge of their own care, whereas other patients may benefit more from the availability of a care coordinator to make decisions for them, or with them."

Editor's note: The "herd medicine" approach, which dominates U.S. dialysis care, only works for nephrologists and their business partners.
bullet point Blood Pressure Measurement: Is It Time to Leave the Korotkoff Method Behind? - Expert Analysis
Article from the American College of Cardiology.
bullet point Free, Full-Text Articles from Pediatric Nephrology:
bullet point Landscape of Deceased Donors Labeled Increased Risk for Disease Transmission Under New Guidelines
Early View abstract from American Journal of Transplantation.
bullet point High Glucose Promotes TGF-ß1 Production by Inducing FOS Expression in Human Peritoneal Mesothelial Cells
Online First abstract from Clinical and Experimental Nephrology.
bullet point Vital Access Receives $10 Million Financing Commitment from Deerfield
Press release.
bullet point Taiwan's Biggest Share of Healthcare Costs Is for Dialysis
bullet point Signal Identified That Prompts One Kidney to Grow Larger When the Other Is Lost
bullet point Poorer Blacks May Face Higher Odds of Heart Disease
bullet point Margaret McCartney: Medical Journals and Their Parasitical Profit
Opinion piece from the BMJ.
bullet point ClinGen — The Clinical Genome Resource
Free, full-text, Online First special report from the New England Journal of Medicine.
bullet point Improved Economy, Obamacare Boost Demand For Travel Nurses
Article from Kaiser Health News.
bullet point The Good Merger
Free, full-text perspective piece from the New England Journal of Medicine.
CMS Releases Sweeping Rules For Private Medicaid Plans
News summary from Kaiser Health News.


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Wednesday, May 27

Vital Access Receives $10 Million Financing Commitment from Deerfield
Press release.
DaVita HealthCare Partners Certified as Freedom-Centered Workplace by WorldBlu
Press release.

Editor's note: One must ask how effective this "freedom" and engagement are if the company has had to pay nearly $1 billion over the last three years to settle whistleblower suits.

It is also a shame that DaVita patients are not allowed to participate.

As long as patients are not part of the "team," U.S. dialysis care will lag far behind other first-world countries as well as all other fields of medicine. By now, it should be obvious that Thiry's approach is not working and it only continues to marginalize patients.
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  May 27, 2015
bullet point Dream Randomized Controlled Trials - Version 2
Announcement and presentation from UKidney.

"Among all of the subspecialties of internal medicine, nephrology has the fewest randomized controlled trials."

Editor's note: Here's another problem with nephrologists having ownership stakes in dialysis centers. They have little interest in creating changes that may make their properties and investments obsolete.
bullet point Duration of Chronic Kidney Disease Reduces Attention and Executive Function in Pediatric Patients
(Registration required, but free.) Free, full-text article from Kidney International via Medscape Nephrology.
bullet point Acute Kidney Injury Associated with Androgenic Steroids and Nutritional Supplements in Bodybuilders
Free, full-text, Advance Access article from Clinical Kidney Journal.
bullet point The Hemodynamic Effects of Hemodialysis Needle Rotation and Orientation in an Idealized Computational Model
Early View abstract from Artificial Organs.
bullet point Bedside Ultrasonography for Arteriovenous Fistula Cannulation
Early View abstract from Seminars in Dialysis.
bullet point Impact of Continuous Positive Airway Pressure (CPAP) on the Respiratory Capacity of Chronic Kidney Disease Patients under Hemodialysis Treatment
Abstract from International Urology and Nephrology.
bullet point Early View Abstracts from American Journal of Transplantation:
bullet point MIQS Releases Stand-Alone Billing Solution
Press release.
bullet point Study: Health Literacy a Factor in Heart Failure Mortality
Article from Nurse.com News.
bullet point Even Slightly Overactive Thyroid Linked to Higher Fracture Risk
bullet point Hospice May Help Ease Depression After Loss of Spouse
Article from HealthDay. Online First abstract from the JAMA Internal Medicine.
bullet point More Nurses Allowed To Practice Without Doctor's Oversight
News summary from Kaiser Health News.
‘Milestone’ Rules Would Limit Profits, Score Quality For Medicaid Plans
Article and news summary from Kaiser Health News. Article from The Hill. Press release and factsheet from CMS.
The Repeal of Medicare's Sustainable Growth Rate for Physician Payment
Free, full-text article from the Journal of the American Medical Association.


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Tuesday, May 26

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  May 26, 2015
bullet point Free, Full-Text Articles from Journal of Nephrology:
bullet point (Protocol) — Prevalence and Clinical Impact of Magnesium Disorders in End-Stage Renal Disease: a Protocol for a Systematic Review
Provisional abstract and full-text article (10-page pdf) from Systematic Reviews.
bullet point Skin Autofluorescence Advanced Glycosylation End Products (AGEs) As an Independent Predictor of Mortality in High Flux Hemodialysis and Hemodialysis Patients
Accepted Article abstract from Nephrology.
bullet point Abstracts from Journal of Nephrology:
bullet point 'Morbid and Deadly' Drug Combinations to Avoid
(Registration required, but free.) Berns on Nephrology video blog from Medscape Nephrology.
bullet point The Gray Areas Of Assisted Suicide
Article from KQED via Kaiser Health News.
bullet point Active Tracing and Monitoring of Contacts Associated With the First Cluster of Ebola in the United States
Free, full-text, Online First article from Annals of Internal Medicine.
 


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Monday, May 25

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  May 25, 2015
bullet point Man Compares Dialysis Care in U.S. to Northern Ireland (UK National Health Service)
Article from Derry Journal (UK).
bullet point Outset Medical Raises $60 Million for Miniaturized Dialysis Machines
Posting from the Wall Street Journal venture capital blog. Outset Medical web site.

Editor's note: In 2015, this is what a dialysis machine should look like.
bullet point Technical Expert Panel (TEP) Nomination Period Open
(Scroll down page approximately 25%) The Centers for Medicare & Medicaid Services (CMS) has contracted with the University of Michigan Kidney Epidemiology and Cost Center (UM-KECC) to evaluate the potential of including prevalent comorbidities in the Standardized Hospitalization Ratio (SHR) and the Standardized Mortality Ratio (SMR) risk adjustment models for end-stage renal disease (ESRD). Nomination period closes June 18.
bullet point Living-Donor Kidney Transplantation: Reducing Financial Barriers to Live Kidney Donation—Recommendations from a Consensus Conference
CJASN Express abstract.
bullet point Article in Press Abstracts from American Journal Of Kidney Diseases:
bullet point The Use of the Early Cannulation Prosthetic Graft (Acuseal™) for Angioaccess for Hemodialysis
Online First abstract from the Journal of Vascular Access.
bullet point Peculiar Histiocytic Lesions With Massive Lanthanum Deposition in Dialysis Patients Treated With Lanthanum Carbonate
Abstract from American Journal of Surgical Pathology.
bullet point Depression Makes Heart Failure Worse
Articles from the BBC and HealthDay. Additional press release on cognitive impairment and heart failure.
bullet point Statins Linked to Diabetes and Complications in Healthy Adults
(Registration required, but free.) Article from Medscape Medical News. Abstract from Journal of General Internal Medicine.
bullet point American Gastroenterological Association Institute Guideline on the Prevention and Treatment of Hepatitis B Virus Reactivation during Immunosuppressive Drug Therapy
National Guideline Clearinghouse document.
bullet point Northwest Renal Network Merges with HealthInsight ESRD Alliance
bullet point Video from Argentina: The Man and the Dog  (94 seconds — Warning: onions)
bullet point Renal Denervation: Back to Square One
bullet point Drugmakers Funnel Payments to High Prescribing Doctors
Article from Modern Healthcare.
bullet point Study: California's Nurse to Patient Ratio Law Reduces RN Injuries
Article from Nurse.com News.
bullet point Ascension to Raise Minimum Wage to $11 per Hour
 


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Fri./Sat., May 22-23

Man Compares Dialysis Care in U.S. to Northern Ireland (UK National Health Service)
Article from Derry Journal (UK).
Outset Medical Raises $60 Million for Miniaturized Dialysis Machines
Posting from the Wall Street Journal venture capital blog. Outset Medical web site.

Editor's note: In 2015, this is what a dialysis machine should look like.
Technical Expert Panel (TEP) Nomination Period Open
(Scroll down page approximately 25%) The Centers for Medicare & Medicaid Services (CMS) has contracted with the University of Michigan Kidney Epidemiology and Cost Center (UM-KECC) to evaluate the potential of including prevalent comorbidities in the Standardized Hospitalization Ratio (SHR) and the Standardized Mortality Ratio (SMR) risk adjustment models for end-stage renal disease (ESRD). Nomination period closes June 18.
Northwest Renal Network Merges with HealthInsight ESRD Alliance
Video from Argentina: The Man and the Dog  (94 seconds — Warning: onions)
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  May 22, 2015
bullet point Dialysis Patients Win Quality Care Fight at NYC Public Hospitals
Press release from the New York State Nurses Association.
bullet point

Research Identifies Best Treatment for Blood Pressure in Diabetic Kidney Disease
Press releases from the University of Sydney and the University of OtagoAbstract from The Lancet.

""In absolute terms, our findings suggest that giving 1000 adults with diabetes and kidney disease a combination of an ACE inhibitor and an ARB for 1 year might prevent 14 patients developing end-stage kidney disease and induce regression of albuminuria in 208, at the cost of 55 patients having acute kidney injury and 135 developing hyperkalemia," says contributing author, Professor Jonathan Craig, a renal physician and professor of clinical epidemiology at the University of Sydney."

Editor's note: Remember GenoMed?

bullet point 18 Free, Full-Text Articles from June Issue of Clinical Kidney Journal; Highlights Include:
bullet point Free, Full-Text Articles from American Journal Of Kidney Diseases:
bullet point Prediction of Care Burden of Patients Undergoing Hemodialysis: Development of a Measuring Tool
Free, full-text article from Journal of Renal Care.
bullet point Cancer Incidence Among US Medicare Hemodialysis Patients
Posting from AJKD blog.
bullet point The Labile Side of Iron Supplementation in CKD
JASN Express abstract.
bullet point Incidence of Adverse Events during Continuous Renal Replacement Therapy
Issue in Progress abstract from Blood Purification.
bullet point Sarcopenia in Chronic Kidney Disease on Conservative Therapy: Prevalence and Association with Mortality
Advance Access abstract from NDT.
bullet point Diameter of Parathyroid Glands Measured by Computed Tomography as a Predictive Indicator for Response to Cinacalcet in Dialysis Patients with Secondary Hyperparathyroidism
Free, full-text Issue in Progress article from Kidney & Blood Pressure Research.
bullet point The Overuse, Underuse, and Misuse of Dialysis in ESKD Patients with Dementia
Early View abstract from Seminars in Dialysis.
bullet point Early View Abstracts from Hemodialysis International:
bullet point Underfeeding Can Benefit Critically ill
(Registration required, but free.) Article from Medscape Medical News. Free, full-text, Online First article from the New England Journal of Medicine.
bullet point Personalized Care during Eye Visits Didn't Lower HbA1c Levels for Diabetics
bullet point Curbing the Diabetes Pandemic: The Need for Global Policy Solutions
Free, full-text Online First viewpoint article from the Journal of the American Medical Association.
bullet point The Importance of Preventing Burnout Among Physicians and Nurses
Article from Hospitals & Health Networks.
bullet point House Energy and Commerce Committee Unanimously Approves 21st Century Cures Act
News item from AHA News Now. Article from The Hill.
GAO Makes MedPAC Appointments, Designates Chair
Press release. Gene L. Dodaro, Comptroller General of the United States and head of the U.S. Government Accountability Office (GAO), today announced the appointment of a new member to the Medicare Payment Advisory Commission (MedPAC), as well as the reappointment of five current members and the designation of the Commission's Chair.
Grassley Urges Tighter Scrutiny Of Medicare Advantage Plans
News summary from Kaiser Health News.


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Thursday, May 21

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  May 21, 2015
bullet point New Group Pushes to Overhaul Organ Donations
Article from The Hill. Coalition for Organ Distribution Equity (CODE) web site.
bullet point Association of Drug Effects on Serum Parathyroid Hormone, Phosphorus, and Calcium Levels With Mortality in CKD: A Meta-analysis
Free, full-text, Article in Press from American Journal of Kidney Diseases.
bullet point Kidney Failure Impacts Survival of Sepsis Patients
Press release from Duke University Medical Center. Advance Online abstract from Kidney International.
bullet point Free, Full-Text Articles from NDT:
bullet point Sclerostin Quo Vadis? - Is This a Useful Long-Term Mortality Parameter in Prevalent Hemodialysis Patients?
Free, full-text, Open Access article from Kidney & Blood Pressure Research.
bullet point The Effect of Psychological Intervention on Thirst and Interdialytic Weight Gain in Patients on Chronic Hemodialysis: A Randomized Controlled Trial
Article in Press abstract from Journal of Renal Nutrition.
bullet point Are Currently GFR Estimating Equations and Standard Kt/V Value Adequate for Advanced Chronic Kidney Disease (CKD) Frail Elderly Patients?
Online First abstract from International Urology and Nephrology.
bullet point Vitamin D Deficiency—Prognostic Marker or Mortality Risk Factor in End Stage Renal Disease Patients with Diabetes Mellitus Treated with Hemodialysis—A Prospective Multicenter Study
Free, full-text article from PLOS ONE.
bullet point Phosphate Kinetics During Weekly Cycle of Hemodialysis Sessions: Application of Mathematical Modeling
Early View abstract from Artificial Organs.
bullet point Prevalence of CMMSE Defined Cognitive Impairment among Peritoneal Dialysis Patients and Its Impact on Peritonitis
Online First abstract from Clinical and Experimental Nephrology.
bullet point HIV-Positive–to–HIV-Positive Kidney Transplantation
Correspondence from the New England Journal of Medicine.
bullet point Graphene: The Next Medical Revolution
Article from MedGadget.
Three Cheers for Logrolling — The Demise of the SGR
Free, full-text perspective piece from the New England Journal of Medicine.


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Wednesday, May 20

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  May 20, 2015
bullet point American Hospital Association Urges Congress to Preserve Ban on Physician Self Referral
News brief from AHA News Now.

“Conflict of interest is inherent in self-referral. To again allow for the proliferation of self-referral to physician-owned facilities would prove to be a giant step backward for both health care consumers and taxpayers."

Editor's note: Physician self-referral has ruined U.S. nephrology.  Nephrologists overutilized the fastest, cheapest, dialysis modality in order to maximize their profits. They built thousands of dialysis clinics that provide treatments they would never accept for themselves. Dialysis care has lagged far behind all other fields of medicine in terms of improving patients' life outcomes. A large percentage of U.S. nephrologists are led by a man in a musketeer outfit who has paid nearly a billion dollars in whistleblower settlements in the last three years for cultivating corrupt relationships with corporate nephrologists.

Even worse, correcting the situation would require these nephrologists to admit guilt and accept legal responsibility for the mistreatment of millions of patients over the last several decades. Nephrologists are trapped, financially and legally, by their ownership stakes in dialysis clinics. No effective leadership exists to make the necessary changes.

Is it any wonder that so few medical students want to go into nephrology?

bullet point Kidney Health Initiative Announces Inaugural Patient and Family Partnership Council
Press release from the American Society of Nephrology.
bullet point Hemodialysis Is Recommended for Acute Salicylate Poisoning
Press release from the American College of Emergency Physicians.
bullet point Association of Low Vitamin D Levels with Metabolic Syndrome in Hemodialysis Patients
Early View abstract from Hemodialysis International.
bullet point Articles in Press Abstracts from American Journal of Kidney Diseases:
bullet point Role of Therapeutic Plasmapheresis in ANCA-Associated Vasculitis
Free, full-text, Online First educational review from Pediatric Nephrology.
bullet point The Burden of Dialysis Requiring Acute Kidney Injury among Hospitalized Adults with HIV Infection: a Nationwide Inpatient Sample Analysis
Abstract from AIDS.
bullet point Magnesium and Cardiovascular Complications of Chronic Kidney Disease
Advance Online abstract from Nature Reviews Nephrology.
bullet point Arterial Stiffness and Increased Cardiovascular Risk in Chronic Kidney Disease
Online First abstract from International Urology and Nephrology.
bullet point Pelvic Drainage during Removal of Dialysis Catheter Decreases the Risk of Subsequent Intra-abdominal Complications in Refractory Peritoneal Dialysis-related Peritonitis
Accepted Article abstract from Nephrology.
bullet point Lifestyle Factors and Indices of Kidney Function in the Framingham Heart Study
Issue in Progress abstract from American Journal of Nephrology.
bullet point Conversations About How We Die
Free full-text article from the Journal of the American Medical Association.
bullet point Monsanto Sued for Deliberate Falsification to Conceal that Glyphosate (Roundup) is Harmful to Humans and Animals
Article from Global Research.
bullet point Cholesterol Drugs May Lower Stroke Risk for Healthy Older Adults
bullet point New Form of Interleukin-2 Could Be Fine-Tuned to Fight Disease
bullet point How U.S. Health Care Came to Cost Insanely More
Article from Hospitals & Health Networks.
bullet point The Plight of America's 'Elder Orphans'
Article from HealthDay.
bullet point Study: 'Underinsured' Population Has Doubled to 31 Million
Article from The Hill.
AMA Head Supports Bill to Skip ICD-10, Wants to Wait for ICD-11


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Tuesday, May 19

Kidney Health Initiative Announces Inaugural Patient and Family Partnership Council
Press release from the American Society of Nephrology.
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  May 19, 2015
bullet point The Most Distinctive Causes of Death by State, 2001-2010
"Death map" and article (3-page pdf) from the CDC. The most distinctive causes of death in Montana and Illinois were kidney-related.
bullet point Validation of a Dietary Intake Tool for African-American Dialysis Patients with Low Literacy
Free, full-text article from Journal of Renal Care.
bullet point Report on the US Pediatric Nephrology Workforce
Posting from the AJKD blog.
bullet point IV Iron Treatments Similarly Effective in Hemodialysis Patients
(Registration required, but free.) Article from Reuters Health via Medscape Nephrology. Free full-text article from NDT.
bullet point Early Survival on Maintenance Dialysis Therapy in South Africa: Evaluation of a Predialysis Education Program
Online First abstract from Clinical and Experimental Nephrology.
bullet point The Effect of Lanthanum Carbonate on Metabolic Acidosis in Patients with Chronic Kidney Disease Stage IV, V and V-D
Online First abstract from International Urology and Nephrology.
bullet point Basal Metabolic Rate in Children with Chronic Kidney Disease and Healthy Control Children
Online First abstract from Pediatric Nephrology.
bullet point The Association between the Duration of Postoperative Acute Kidney Injury and In-Hospital Mortality in Critically Ill Patients after Noncardiac Surgery: an Observational Cohort Study
Early Online abstract from Renal Failure.
bullet point European Consensus Group Calls for Standards to Move Renal Denervation Field Forward
Press release from EuroPCR 2015.
bullet point Five More Cases of MERS-CoV in Saudi Arabia are Reported to WHO
bullet point Medical Cures Bill on the Move
Articles (#2) from The Hill.
bullet point Saving Backs of Nurses & Caretakers: Chinese Safe Patient Handling & Movement Association
Article from MedGadget.
bullet point Stem Cell Clinics Are An Emerging Business — With Lots Of Questions But Little Regulation
News summary from Kaiser Health News.
bullet point 'Homebrewed Morphine' Possible with Beer-Making Kits
Article from the BBC.


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Monday, May 18

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  May 18, 2015
bullet point What Medical Directors Need to Know about Dialysis Facility Water Management
Free, full-text, CJASN Express article.
bullet point ESRD NCC Offers Free Webinar on Dialysis Catheter-Related Blood Stream Infections, June 11, 2015, CE Available
Notice from the End Stage Renal Disease National Coordinating Center.
bullet point How to Routinely Collect Data on Patient Reported Outcome and Experience Measures in Renal Registries in Europe: an Expert Consensus Meeting
Free, full-text, Advance Access article from NDT.
bullet point Cystatin C: an Alternative Dialysis Adequacy Marker in High Flux Hemodialysis
Free, full-text article from Indian Journal of Nephrology.
bullet point Association of BP with Death, Cardiovascular Events, and Progression to Chronic Dialysis in Patients with Advanced Kidney Disease
CJASN Express abstract.
bullet point Article in Press Abstracts from American Journal of Kidney Diseases:
bullet point In Vitro Comparative Assessment of Mechanical Blood Damage Induced by Different Hemodialysis Treatments
Early View abstract from Artificial Organs.
bullet point Updated Guideline: VA/DoD Clinical Practice Guideline for the Management of Chronic Kidney Disease in Primary Care
Full-text from the National Guideline Clearinghouse.
bullet point Study Suggests Need for Renal Protective Care in Pediatric Lung Transplant Patients
bullet point Americans are Kidney Clueless
bullet point Three Diabetes Drugs Linked to Ketoacidosis, FDA Warns
bullet point Prompt Treatment of Kidney Stones Keeps Costs Down: Study
bullet point Rockwell Medical Announces Triferic Clinical Data Selected for Four Presentations at the 52nd ERA-EDTA Congress May 28-31, 2015 in London, UK
bullet point Baxter Receives U.S. FDA Approval for 0.9% Sodium Chloride Injection, USP from Sabinanigo, Spain, Facility for the U.S. Market
bullet point New Guidelines Aim to Resolve Conflicts in Treating Critically ill Patients
Press release from the University of Pittsburgh.
bullet point Mental Health Costs Rising Faster Than for Other High-Cost Conditions
News brief from AHA News Now.
CROWNWeb Cancels Town Hall Meeting and Training
Notice that the May 2015 CROWNWeb Town Hall and June 2015 CROWNWeb New User Training events will be cancelled.


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Fri./Sat., May 15-16

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  May 15, 2015
bullet point Study Characterizes the Incidence and Effects of Severe Kidney Injury during Pregnancy
Press release and JASN Express abstract from the American Society of Nephrology.
bullet point Phosphate Binder Pill Burden, Patient Reported Nonadherence, and Mineral Bone Disorder Markers: Findings from the DOPPS
Early View abstract from Hemodialysis International.
bullet point Multidisciplinary Team Approach to End Stage Dialysis Access Patients
Article in Press abstract from Journal of Surgical Research.
bullet point Relationship of FGF23 to Indexed Left Ventricular Mass in Children with Nondialysis Stages of Chronic Kidney Disease
Online First abstract from Pediatric Nephrology.
bullet point Partner Agreement on Tasks for Home Dialysis (PATH-D) Tools
Checklists from Home Dialysis Central.
bullet point Revealing Kidney Cancer's Secret
Press release from UC Davis Health System.
bullet point Elderly People Who Exercise 'Live Five Years Longer'
Article from the BBC.
bullet point Nurse Confessions: Don't Get Sick in July
Article from Politico.com.
Senate Finance Working Group to Develop Medicare Chronic Care Legislation
News brief from AHA News Now. Statements and testimony of May 14trh hearing.
CMS' CY 2015 End Stage Renal Disease Prospective Payment System PC Pricer is Now Available for Download
Link from the California Dialysis Council.
RPA Sign-on Letter to Support Medicare Reimbursement of Advance Care Planning Services
Letter from the Renal Physicians Association.


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Thursday, May 14

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  May 14, 2015
bullet point 30 Years on Dialysis, Georgia Patient Beating the Odds
Article from Newnan Times-Herald.
bullet point Study Investigates the Quality of Organs from Potential Donors with HIV
Press release and Online First abstract from the American Journal of Transplantation. Press release from the University of Pennsylvania School of Medicine.
bullet point The Mortality and Hospitalization Rates Associated with the Long Interdialytic Gap in Thrice Weekly Hemodialysis Patients
Advance Online abstract from Kidney International.
bullet point Articles in Press Abstracts from American Journal Of Kidney Diseases:
bullet point Low Vitamin D and High Fibroblast Growth Factor 23 Serum Levels Associate with Infectious and Cardiac Deaths in the HEMO Study
JASN Express abstract.
bullet point Pegylated Interferon (Alone or With Ribavirin) for Chronic Hepatitis C in Haemodialysis Population
Free, full-text, Online First article from Kidney & Blood Pressure Research.
bullet point Diabetes-Related End-Stage Renal Disease in Austria 1965-2013
Advance Access abstract from NDT.
bullet point FDA's April 2015 Safety Labeling Changes
Includes 55 products with revisions to Prescribing Information.
bullet point Call for $2 Billion Global Antibiotic Research Fund
Article from the BBC.
bullet point Testing Handgrip Strength Could Be a Simple, Low-Cost Way to Predict Heart Attack and Stroke Risk
Press release from The Lancet.
bullet point Radical Approach To Huge Hospital Bills: Set Your Own Price
Article from Kaiser Health News.
bullet point High Costs Of Hep C Meds Are Breaking VA Budget
 


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Wednesday, May 13

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  May 13, 2015
bullet point Back in the Saddle: How Nocturnal Dialysis Helped Me Get My Life Back
Article from Nephrology News & Issues.
bullet point Living on the Bridge
KidneyTalk podcast from Renal Support Network. Judy Weintraub's web site.

"On dialysis for more than 40 years, Judy shares her wisdom, her philosophy of life and most importantly how she has come to accept her health and cherish every moment."
bullet point Is a Wider Push in Store for Organ Donation?
Article from Pittsburgh Post-Gazette.
bullet point Collaboration Leads to a Bright Future for Peritoneal Dialysis in Uganda
News item from the International Society of Nephrology.
bullet point Article in Press Abstracts from American Journal Of Kidney Diseases:
bullet point The Glycemic Indices in Dialysis Evaluation (GIDE) Study: Comparative Measures of Glycemic Control in Diabetic Dialysis Patients
Early View abstract from Hemodialysis International.
bullet point The Risk of End-Stage Renal Disease Among Living Donor Liver Transplant Recipients in the United States
Early View abstract from American Journal of Transplantation.
bullet point Magnesium and Cardiovascular Complications of Chronic Kidney Disease
Advance Online abstract from Nature Reviews Nephrology.
bullet point Rationale and Approaches to Phosphate and Fibroblast Growth Factor 23 Reduction in CKD
JASN Express abstract.
bullet point Articles in Press Abstracts from Journal of Vascular Surgery:
bullet point Enhanced Indoxyl Sulfate Dialyzer Clearance with The Use of Binding Competitors
Issue in Progress abstract from Blood Purification.
bullet point Avoidance of Polypharmacy and Excessive Blood Pressure Control Is Associated with Improved Renal Function in Older Patients
Early Online abstract from Renal Failure.
bullet point Managing Pain in Autosomal Dominant Polycystic Kidney Disease
Article from Renal & Urology News.
bullet point Mind-Body Practices Benefit Teens with Chronic Illnesses
(Registration required, but free) Article from Internal Medicine News Digital Network.
bullet point Pressure Sensing Stocking to Help Save Diabetic Feet
bullet point Doctors Urged To Stop 'Over-Treating'
Article from the BBC. Free, full-text article from British Medical Journal.
bullet point Free, Full-Text Articles from the Journal of the American Medical Association:
bullet point FDA Ready to Lift Ban on Blood Donations by Gay Men
CROWNWeb 4.7 Released on May 10, 2015 – List of Changes
CROWNWeb New User Training for May Begins on May 12, 2015


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Tuesday, May 12

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  May 12, 2015
bullet point A Potential Solution to the Shortage of Solid Organs for Transplantation
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association. Press release from New York University School of Medicine.
bullet point HRSA Rule to Allow People with HIV to Donate Organs to People with HIV
News item from AHA News Now. Final rule from the Federal Register (4-page pdf).
bullet point Outcomes Poor among HIV/HCV Coinfected Kidney Transplant Recipients
Article from Healio Infectious Disease News. Recent JASN Express abstract.
bullet point Why Patient-centered Care Is No Longer Good Enough
Interview from Hospitals & Health Networks.

Editor's note: The trouble with U.S. dialysis care is that our biggest dialysis clinic owner is focused on team-based care... that doesn't include patients on the team!
bullet point Randomized Controlled Trial of Individualized Dialysate Cooling for Cardiac Protection in Hemodialysis Patients
CJASN Express abstract.
bullet point Sudden Cardiac Death in CKD Patients
Online First abstract from International Urology and Nephrology.
bullet point Acute Kidney Injury Linked to Pre-Existing Kidney Health, Study Finds
Press release from Johns Hopkins University Bloomberg School of Public Health.
bullet point Early Online Abstracts from Renal Failure:

bullet point

Raoultella planticola Peritonitis in a Patient on Continuous Ambulatory Peritoneal Dialysis
Online First abstract from Infection.

bullet point Characteristics and Clinical Management of a Cluster of 3 Patients With Ebola Virus Disease, Including the First Domestically Acquired Cases in the United States
Free, full-text, Online First article from Annals of Internal Medicine.

Patient #1 was placed on CVVHD and later died.
bullet point Repurposed Anti-Cholesterol Drug Could Improve Treatment Resistant Anemias
bullet point

Only 1 In 10 Polled Are Highly Confident The Supreme Court Can Rule Fairly On Obamacare
News summary from Kaiser Health News.

bullet point Ease of Weight Loss Influenced by Individual Biology
Press release from the National Institutes of Health. Article from HealthDay.
bullet point Nurses Cut Stress 40% with Relaxation Steps at Work
Press release from Ohio State University.
5 Percent of Medicaid Patients Account for Half of Program's Costs
Article from The Hill. News brief from AHA News Now.


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Monday, May 11

FacebookTwitter
  May 11, 2015
bullet point Improving Patient Safety in Hemodialysis
Free, full-text, Advance Access editorial from Clinical Kidney Journal.
bullet point Online-Hemodiafiltration Versus Conventional Hemodialysis: a Crossover Study
Provisional abstract and full-text article (16-page pdf) from BMC Nephrology.
bullet point Dietary Mobile Apps and Their Effect on Nutritional Indicators in Chronic Renal Disease: a Systematic Review
Accepted Article abstract and full-text 26-page pdf from Nephrology.
bullet point Advance Access Abstracts from NDT:
bullet point Accepted Articles Abstracts from Nephrology:
bullet point Metformin Use in Type 2 Diabetes Mellitus With CKD: Is It Time to Liberalize Dosing Recommendations?
Free, full-text, Article in Press from American Journal of Kidney Diseases.
bullet point Blood Thinner Warfarin May Pose Greater Bleeding Risk for Obese: Study
Article from HealthDay.
bullet point American Nephrology Nurses' Association Publishes Core Curriculum for Nephrology Nursing, 6th Edition
bullet point Guide Helps Workers Handle Violence (Active Shooter) in Healthcare Facilities
News item from Nurse.com News.
bullet point Staffing An Intensive Care Unit From Miles Away Has Advantages
Article from WFAE, NPR and Kaiser Health News.
Success Of One Pilot ACO Program That Saved Medicare Millions May Be Hard To Replicate
News summary from Kaiser Health News.
CMS Issues Videos on ICD-10 Payment Impact, Testing
News brief from AHA News Now.


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Fri./Sat., May 8-9

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

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


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Thursday, May, 7

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

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

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

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

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

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

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


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Wednesday, May 6

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

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

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

A quote from the article:

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

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

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

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

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

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


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Tuesday, May 5

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

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

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

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

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

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

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

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

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

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


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Monday, May 4

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

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

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

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

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

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


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Fri./Sat., May 1-2

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

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

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

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

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

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


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Thursday, April 30

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

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

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

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

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

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


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Wednesday, April 29

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

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

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

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


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Tuesday, April 28

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

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

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

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


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Monday, April 27

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


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