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RECENT NEWS ARCHIVES

Fri./Sat., June 26-27

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  June 26, 2015
bullet point The Peer Kidney Care Initiative: Improving Dialysis Care in the US
Posting from the AJKD blog. Free, full-text, supplement issue of American Journal of Kidney Diseases on the Peer Kidney Care Initiative.

Editor's note: One would usually want to applaud such an effort by so many experienced physicians.  Unfortunately, it fails to address the greatest shortcomings and blind spots of U.S. dialysis care.

U.S. dialysis care has trailed far behind other fields of medicine in improving patient outcomes and has trailed other first-world countries in dialysis care for decades. U.S. nephrology has always focused solely on hospitalizations and mortality statistics as the way to improve the patients’ quality of life.  This Peer effort continues and solidifies that mistake. It also continues a very limited search for solutions that will improve morbidity and hospitalization rates, as the solutions must fit the infrastructure, dialysis machines, and mindset that U.S. nephrologists have invested in over the last several decades.

Usually, only the top specialists in a field of medicine make astronomical amounts of money. The Stark law, which permitted nephrologists to own the clinics to which they referred patients, made it possible for most U.S. dialysis-care nephrologists to become multi-millionaires. A nephrologist's net worth was based on the number of patients they had in their dialysis clinics. Not unlike cattle farmers, they found a herd medicine approach was best for them. There was no need to be a great physician or even an engaged physician. With fixed reimbursements per treatment, the cheapest and fastest dialysis treatments were the primary goal of most nephrologists’ care and business. There were no centers of excellence that focused on patients’ life and health goals.  As patients had no other options, U.S. nephrologists could ignore patients’ needs and concerns and still become rich. This is the revered tradition of U.S. nephrology, where this easily-gained wealth ─ unfortunately ─ seems to equate with being right.

Does any other field of medicine avoid patient engagement like U.S. dialysis care? Major organ replacement therapy must include, as was expected forty years ago when federal funding was approved, major emphases on rehabilitation, psychosocial wellbeing, and patient employment. U.S. nephrology has ignored all of these with disastrous results. Patients become enslaved to a life called dialysis. Without focus on the meaning and purpose of patients’ lives, too many patients become depressed, lose hope, as well as the will to survive.  Nephrologists admit that virtually none of them would accept the therapy that over 85% of their patients receive. According to the USRDS, less than 10% of working-age patients are employed.  Why won’t U.S. nephrology leaders address this? Is it because the money would come out of their own pockets?

Due largely to their ownership positions, U.S. dialysis care nephrologists continue to cling to the image and power of being "captains of the ship." Dialysis care will be greatly improved when they finally realize that while they can continue to be the captain for acute care, for long-term chronic care they should simply be the ship's doctor … on the patient's boat.

The Stark law keeps U.S. nephrologists firmly aligned with business interests. As a result, this Peer group, the Renal Physicians Association, and Kidney Care Partners can and will never act as effective patient advocates to policymakers and lawmakers.

I have watched this Peer movement evolve since the 2009 Boston meeting. From the beginning, they did NOT attempt to include patients, address their psychosocial needs, or consider the impact of their financial interests in caring for their patients.  

A message for U.S. dialysis-care nephrology: First, diagnose (and demote) thyself. Acknowledge that you can’t serve two masters. Change the system so you can be physicians -- and effective patient advocates -- once again.

bullet point Dental Health and Mortality in People With End-Stage Kidney Disease Treated With Hemodialysis: A Multinational Cohort Study
Free, full-text, Article in Press from American Journal of Kidney Diseases.
bullet point 2015 American Transplant Congress Targets Hot Issues in Transplantation
Free full-text article from American Journal of Transplantation.
bullet point Tapping into Electronic Health Records to Improve Care for Patients with Chronic Kidney Disease
Press release and CJASN Express abstract from the American Society of Nephrology.
bullet point Early Dialysis and Adverse Outcomes After Hurricane Sandy
Article in Press abstract from American Journal of Kidney Diseases.
bullet point Implantable Cardioverter-Defibrillators in Patients
CJASN Express abstract.
bullet point Association Between Angiotensin-Converting Enzyme 2 and Coronary Artery Calcification in Patients on Maintenance Hemodialysis Therapy
Early View abstract from Therapeutic Apheresis and Dialysis.
bullet point

The Incidence of Thrombocytopenia Associated with Continuous Renal Replacement Therapy in Critically Ill Patients
Early Online abstract from Renal Failure.

bullet point Smart Glucose Responsive Patch for Insulin Delivery to Replace Injections
Article and photos from MedGadget.
bullet point Supreme Court Upholds Obamacare Health Law Subsidies
Article and news summary from Kaiser Health News.
bullet point In Wake of High Court Ruling, What's Next for Obamacare
Article from HealthDay.
bullet point 4 Rules for Using the Internet When You're in the Hospital
Article from The Daily Dot.
Medicare Learning Network (MLN) Connects: ESRD QIP System Training on July 8, 1:30 - 3 PM ET
Registration is now open.
NRAA Sponsoring 3-Part Webinar Series on New QIP Measurement Review System — Open to Non-Members
Announcement and link to registration from the National Renal Administrators Association.
Physicians Are Not Ready for ICD-10: Here's Why
Article from Medical Economics.


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Thursday, June 25

Supreme Court Upholds Obamacare Health Law Subsidies
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  June 25, 2015
bullet point DaVita to Pay $450 Million to Resolve Allegations That it Sought Reimbursement for Unnecessary Drug Wastage
Press release from the U.S. Department of Justice. News summary from Kaiser Health News.

Editor's note: This is the official notice of the settlement reached in April. See this May 4th press release from DaVita. See this 2012 CNN story (10-minute video) on this case.

Kent Thiry wants his employees to vote him among the most influential people in healthcare (Modern Healthcare poll). There is no argument that he does influence DaVita doctors and nurses to practice perverse forms of medicine. It is painful and sad to read his statements about EPO use in this 2007 New York Times article. This illustrates why business people shouldn't try to influence medical decisions.
bullet point Geography Is Destiny in Deaths from Kidney Failure (Due to Catheter vs. A/V Fistula-related Mortality)
Press release from Johns Hopkins Medicine. Online First abstract from JAMA Surgery.
bullet point First European Society of Cardiology Recommendations for Arrhythmias and Chronic Kidney Disease Published
Press release.
bullet point A Nephrology Guide to Reading and Using Systematic Reviews of Observational Studies
Free, full-text, Advance Access article from NDT.
bullet point

Cost of Renal Replacement: How to Help As Many As Possible While Keeping Expenses Reasonable?
Advance Access abstract from NDT.

Editor's note: One must also remember that fast, cheap dialysis treatments debilitate nearly all hemodialysis patients, as is routinely done in the U.S. This results in enormous additional social services costs and lost opportunity costs.

bullet point Advance Online Abstracts from Kidney International:
bullet point Advance Online Abstracts from the Journal of Vascular Access:
bullet point Older Patients with ANCA Associated Vasculitis and Dialysis Dependent Renal Failure: a Retrospective Study
Provisional abstract and full-text article (5-page pdf) from BMC Nephrology.
bullet point GOP Keeps in Place Funding Ban on Gun Violence Research
Article from The Hill. Australian comedian Jim Jeffries's stand-up routine (15-minute YouTube video) on U.S. gun control policies.
bullet point Articles from Kaiser Health News:
RPA Comments to Senate Finance Committee Chronic Care Working Group on Impact of Chronic Disease and the Medicare Program
Letter from the Renal Physicians Association.

Editor's note: Are these physicians or renal administrators?


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Wednesday, June 24

Geography Is Destiny in Deaths from Kidney Failure (Due to Catheter vs. A/V Fistula-related Mortality)
Press release from Johns Hopkins Medicine. Online First abstract from JAMA Surgery.
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  June 24, 2015
bullet point DaVita HealthCare Subpoenaed Over Medicare Coding
Articles from StreetInsider.com, Denver Business Journal, and Bloomberg.

Editor's note: I believe what Kent Thiry is building is unsustainable because no other healthcare executive would be willing to bend and abuse government rules as he does.

He has settled three whistleblower lawsuits within the last three years for a total of nearly $1 billion. The government is unlikely to tolerate his actions much longer.

He can walk away at any time with hundred of millions of dollars. Who would want his job then?
bullet point

Can CMO Agenda Influence Dialysis Providers in Improving Quality?
Article from Nephrology News & Issues.

Editor's note: The chief medical officers (CMOs) in U.S. dialysis care seem unable to consider a bigger picture than their internal medicine toolbox. Despite trailing the rest of medicine for decades in improving patient outcomes, they continue to ignore:

  • The effects of physician ownership of dialysis centers on patient outcomes
  • The effects of financial incentives on dialysis care
  • Patient engagement and what is important to them
  • Renal rehabilitation, psychosocial wellbeing, and patient employment

This CMO group continues to search the data for answers, despite the fact that much of it is routinely "scrubbed" for the purpose of fraudulent gains. They practice the kind of medicine they want to practice, not what patients need. They seem collectively unable to "think outside the box," apparently trapped by their financial interests, infrastructure, and legal positions. As patient advocates, they should be opposing business interests, not be in bed with business.

What is the biggest problem in U.S. dialysis care? IMO, those trusted professionals who think they can serve two masters... but are unwilling to discuss it. In reality, there are egregious conflicts of interest in U.S. dialysis care which allows corruption to thrive. New leadership is needed.

bullet point Renal Dietitians' Perceptions of Roles and Responsibilities in Outpatient Dialysis Facilities
Article in Press abstract from Journal of Renal Nutrition.

"It appears that the renal dietitian's role of providing nutrition assessments and counseling in outpatient dialysis facilities is being expanded to include administrative and (care) coordination responsibilities."

Editor's note: The dietitians are spending their time enrolling patients in pharmacy programs, while the social workers are coordinating transportation and filling out insurance forms to get maximum reimbursements for the clinics. The patient-to-social worker and patient-to-dietitian ratios are already well above 100.

This is patient-centered care?
bullet point National Kidney Foundation Proposes New Medicare Payment System to Improve Care for Kidney Patients
Press release.
bullet point Peritoneal Dialysis for Chronic Congestive Heart Failure
Free, full-text, Issue-in-Progress in-depth review from Blood Purification.
bullet point Nephrology in China: Similarities, Differences Astound
(Registration required, but free.) Berns on Nephrology video blog from Medscape Nephrology.
bullet point Dialysis Health Starts in the Digestive Tract
News item from the National Kidney Foundation.
bullet point Cost-Effectiveness Analysis of High-Efficiency Hemodiafiltration Versus Low-Flux Hemodialysis Based on the Canadian Arm of the CONTRAST Study
Free, full-text article from Applied Health Economics and Health Policy.
bullet point Treatment Time or Convection Volume in HDF: What Drives the Reduced Mortality Risk
Issue in Progress abstract from Blood Purification.
bullet point Early View Abstracts from Hemodialysis International:
bullet point Improved Cognitive Performance after a Single Dialysis Session: Where Do We Go from Here?
Advance Access extract (and abstract) from NDT.
bullet point Early Online Abstracts from Renal Failure:
bullet point Full-text, Online First articles from the New England Journal of Medicine: Article from the American College of Cardiology.
bullet point Thyroid Status, Cardiac Function and Mortality in Patients with Idiopathic Dilated Cardiomyopathy
Abstract from the Journal of Clinical Endocrinology & Metabolism.
bullet point When Inflammation Occurs, Kidneys Work to Protect Themselves, Researchers Find
bullet point Evidence Supports Medical Pot for Some Conditions, Not Others
Article from HealthDay. JAMA Patient Page and press release.
bullet point China Bets on Telemedicine to Solve Its Healthcare Woes
Medicare Slow To Adopt Telemedicine Due To Cost Concerns
Article from Kaiser Health News.
Fewer Than 1 in 10 Older Heart Patients (on Medicare) Get Life-Saving Defibrillators
Press release from Duke University Medical Center. Free full-text article from the Journal of the American Medical Association.


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Tuesday, June 23

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  June 23, 2015
bullet point Improving Outcomes with Better CKD Care
Article by Doug Johnson, M.D. from Nephrology News and Issues.
bullet point Free, Full-Text Articles from NDT:
bullet point Study Shows Importance of Cause of Kidney Failure When Planning Future Treatment
Press release from Stanford University Medical Center. CJASN Express abstract.
bullet point Free, Full-Text Articles from American Journal of Kidney Diseases:
bullet point Generic Immunosuppression in Solid Organ Transplantation: Systematic Review and Meta-Analysis
Free, full-text article from The BMJ.
bullet point Supervised Oral Protein Supplementation during Dialysis in Patients with Elevated C-Reactive Protein Levels: a Two Phase, Longitudinal, Single Center, Open Labeled Study
Provisional abstract and full-text article (8-page pdf) from BMC Nephrology.
bullet point Inertia in Health Care Organizations: A Case Study of Peritoneal Dialysis Services
Abstract from Health Care Management Review.
bullet point Outcome and Treatment of Elderly Patients with ANCA-Associated Vasculitis
CJASN Express abstract.
bullet point Management of Dyslipidemia for Cardiovascular Disease Risk Reduction: Synopsis of the 2014 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline
Free, full-text, Online First clinical guidelines from Annals of Internal Medicine.
bullet point More Than Two-Thirds of U.S. Adults Now Overweight or Obese: Study
Article from HealthDay. Extract from JAMA Internal Medicine. Article from Kaiser Health News.
bullet point Seven Questions for Personalized Medicine
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point Airing, a Hoseless Micro-CPAP, Hoping to Become a Reality
Recent Medicare Learning Network (MLN) Transmittals:


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Monday, June 22

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  June 22, 2015
bullet point Fresenius Medical Care Recalls 22.6 Million CRIT-LINE Blood Chambers Due to Leaks
FDA Recall Notice from the June 17, 2015 Enforcement Report.
bullet point Can Too Much Sitting Make You Anxious?
Article from HealthDay.
bullet point Manhattan Nephrologist Arrested for Assaulting Kidney Patient
Article from New York Post.
bullet point Internists Give Senate Recommendations to Improve Care for Patients with Chronic Diseases
Press release from the American College of Physicians.
bullet point "Out of Sight, Out of Mind": The Failed Renal Allograft as a Cause of ESA Resistance
Free, full-text, Early View article from Seminars in Dialysis.
bullet point Renal Effects of Anti-Cancer Medications
Posting from the Renal Fellow Network blog.
bullet point Debating Organ Procurement Policy Without Illusions
Article in Press abstract from American Journal of Kidney Diseases.
bullet point Iatrogenic Baclofen Neurotoxicity in ESRD: Recognition and Management
Early View abstract from Seminars in Dialysis.
bullet point Lean Body Mass Assessment Based on UV Absorbance in Spent Dialysate and Dual Energy X-Ray Absorptiometry
Advance Online abstract from the International Journal of Artificial Organs.
bullet point Cephalic Vein and Radial Artery Diameter in Formation of Radiocephalic Arteriovenous Fistula: a Systematic Review
Advance Online abstract from the Journal of Vascular Access.
bullet point CBO Finds 19 Million Would Become Uninsured If Health Law Repealed
Article from Kaiser Health News.
bullet point ACO Leaders Underscore Need for Two-Sided Models
Article from HFMA.
bullet point What Nurses Really Want
Blog posting from National Nurses United.
243 Arrested, Charged with $712 Million in False Medicare Billings. Includes Doctors, Nurses, and Other Licensed Professionals
Press release from the FBI. News summary and follow-up summary from Kaiser Health News.
CMS: Medicare Chronic Care Model Saves $25 Million in First Performance Year
News brief from AHA News Now.


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Fri./Sat., June 19-20

243 Arrested, Charged with $712 Million in False Medicare Billings. Includes Doctors, Nurses, and Other Licensed Professionals
Press release from the FBI. News summary from Kaiser Health News.
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  June 19, 2015
bullet point Share Your Passion for Nephrology: Ten Tips to Invigorate Attending Rounds and Precepting Sessions
Free, full-text, Article in Press from the American Journal of Kidney Diseases. Related posting from the AJKD blog.

Editor's note: While I applaud the author's emphasis on patient engagement, this field of medicine still has no concept of patient wellness and places no emphasis on renal patient rehabilitation and employment. We need leaders who see a bigger picture than "fixing the numbers."
bullet point Survey on Sex Hormones in Chronic Kidney Disease
Online survey from the University of Calgary via the International Society of Nephrology web site.
bullet point Sexual Health in America: Improving Patient Care and Public Health
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point

Acute Kidney Injury after Transcatheter Aortic Valve Replacement: A Systematic Review and Meta-Analysis
Issue in Progress abstract and full-text editorial from American Journal of Nephrology.

bullet point The Relationship between Weight, Height and Body Mass Index with Hemodynamic Parameters Is Not Same in Patients with and without Chronic Kidney Disease
Online First abstract from Clinical and Experimental Nephrology.
bullet point Cost Effectiveness of Lanthanum Carbonate in Chronic Kidney Disease Patients in Spain before and during Dialysis
Abstract and full-text article (9-page pdf) from Health Economics Review.
bullet point Can U.S. Health-Care System Afford New, Improved Cholesterol Drugs?
Article from HealthDay.

"Medications may cost as much as $12,000 per person each year."
bullet point Margaret McCartney: Time to Give Patients Informed Choice
Viewpoint article from The BMJ.
bullet point FDA Seizes Counterfeit Drugs, Devices Sold Online
Article from HealthDay. Press release from the FDA.
Save the Date — MLN Connects: ESRD QIP System Training on July 8, 1:30 - 3 PM ET
Registration will open soon.


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Thursday, June 18

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  June 18, 2015
bullet point Simplified Phosphate Binder Pill Regimen Could Improve Health
News release from Dialysis Outcomes and Practice Patterns Study Program (DOPPS).

Editor's note: Guess what country has the highest pill burden.
bullet point Phosphorus Sky High and Hidden in Many U.S. Beverages
Press release from the National Kidney Foundation.
bullet point Young Adult Patient Retreat
Notice from the Northwest Renal Network.
bullet point A Randomized Trial of Intravenous and Oral Iron in Chronic Kidney Disease
Advance Online abstract from Kidney International.
bullet point Complementary and Alternative Medicine Use Among Patients With Chronic Kidney Disease and Kidney Transplant Recipients
Article in Press abstract from Journal of Renal Nutrition.
bullet point Lactate Clearance and Metabolic Aspects of Continuous High-Volume Hemofiltration
Free, full-text, Advance Access article from Clinical Kidney Journal.
bullet point Published Ahead-of-Print Abstracts from Current Opinion in Nephrology and Hypertension:
bullet point Tissue Engineering: Organs from the Lab
Article from Nature.com.
bullet point Scientists Grow Artificial Vessels Using Collagen, Human Muscle Cells
Article from MedGadget.
bullet point

How Four Words In Huge Health Law Divide The Supreme Court
Article from Kaiser Health News.

bullet point Progress and Hurdles for Follow-on Biologics
Free, full-text, perspective piece from the New England Journal of Medicine.
bullet point Middle East Respiratory Syndrome: A Global Health Challenge
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point Majority Polled Say Prescription Drug Prices Are Too High And Point Finger At Drugmakers
Save the Date — MLN Connects: ESRD QIP System Training on July 8, 1:30 - 3 PM ET
Registration will open soon.
Some ACOs Save Money By Adding Dentists


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Wednesday, June 17

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  June 17, 2015
bullet point Surgery Better Than Cinacalcet for Hyperparathyroidism
(Registration required, but free.) Article from Medscape Medical News. Recent posting from the Renal Fellow Network blog.
bullet point Patient Engagement Progress
Posting from the Northwest Renal Network.

"Still, the most common score in 2015 was 2 out of 13, so we've no shortage of work ahead of us."
bullet point Tissue 'Scaffold' Technology Could Help Rebuild Large Organs
Press release from the University of Bristol.
bullet point A Potential Solution to the Shortage of Solid Organs for Transplantation
Free, full-text, viewpoint article from the Journal of the American Medical Association.
bullet point In UK, Hospitals Urge Muslims to Donate Organs
Article from the BBC.
bullet point Kibow Biotech To Introduce Novel Concept of "ENTERIC DIALYSIS®" with its Product Renadyl™ at the 2015 BIO International Convention in Philadelphia - June 15-18
Press release.
bullet point Challenges and Clinical Decision-Making in HIV-to-HIV Transplantation: Insights From the HIV Literature
Early View abstract from American Journal of Transplantation.
bullet point Not Losing Sight of Your Dreams
KidneyTalk podcast from Renal Support Network.
bullet point Many Americans ill-Informed About Heart Failure: Survey
bullet point Poll: Most Want Congress to Save Obamacare Subsidies
Article from The Hill.
bullet point The FDA Takes Step to Remove Artificial Trans Fats in Processed Foods
FDA news release. Article from HealthDay.
bullet point Thinking Like Michael Porter
Article from Hospitals & Health Networks.
MedPAC Releases Report on Medicare and the Health Care Delivery System
(2-page pdf) Press release and fact sheets (5-page pdf) from the Medicare Payment Advisory Commission.
Prescription Drug Benefit Doesn't Save Money for Medicare
Press release from Northeastern University.
Medicare at 50: Is It Working?
Article from Medical Economics.


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Tuesday, June 16

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  June 16, 2015
bullet point Latest USRDS ESRD Quarterly Update
Data on end-stage renal disease from the United States Renal Data System.
bullet point More Dialysis Patients Living in Poor Neighborhoods, Study Finds
Press release from Loyola Medicine.
bullet point EURODOPPS Winners Have Been Announced
(2-page pdf) Press release from the European Renal Association-European Dialysis and Transplant Association (ERA-EDTA web site.)

Editor's note: Until there is a change in leadership in U.S. nephrology, American dialysis patients should look to Europe, Canada and Australia for the best dialysis care practices.
bullet point Trends in Anemia Management Practices in Patients Receiving Hemodialysis and Peritoneal Dialysis: A Retrospective Cohort Analysis
Issue in Progress abstract from American Journal of Nephrology.

"Conclusions: In patients receiving persistent dialysis, dose and frequency of ESA administrations decreased during the period 2007-2011. Mean hemoglobin levels decreased by more than 1 g/dl, while transfusion rates increased by approximately 25%."
bullet point Harms Associated with Single Unit Perioperative Transfusion: Retrospective Population Based Analysis
Free full-text article from The BMJ.

"In vitro data and data from animal and human studies show that packed red blood cell transfusion introduces inflexible hyperaggregable red blood cells, activates the thrombogenic potential of vascular endothelium and platelets, and can initially hamper tissue oxygenation, providing biological plausibility for a link between transfusion and perioperative stroke/myocardial infarction. We and others have now found that this association can be shown in large retrospective cohorts, though data from randomized controlled trials are lacking."

Editor's note: Weren't dialysis patients' hemoglobins lowered to reduce the risk of stroke and myocardial infarction?
bullet point Test Your Knowledge: Too High or Too Low Potassium in ESRD
Posting from the AJKD blog.
bullet point Introducing CExpress ~ Concise, Online Nephrology Education
Pay-for-CEs feature from the American Nephrology Nurses Association.
bullet point Eculizumab Induced Reversal of Dialysis Dependent Kidney Failure from C3 Glomerulonephritis
Free, full-text, Advance Access exceptional case article from Clinical Kidney Journal.
bullet point The Potential Use of Antisclerostin Therapy in Chronic Kidney Disease-Mineral and Bone Disorder
Free, full-text article from Current Opinion in Nephrology and Hypertension.
bullet point Hyperlipidemia, Caused by a High-Fat Diet, Aggressively Accelerates Organ Rejection
Press release from Tufts University.
bullet point Existing Drug Used in Transplants Causes Older Rats to Lose Weight
Press release from the University of Florida.
bullet point Intramuscular and Subcutaneous Forearm Parathyroid Autograft Hyperplasia in Renal Dialysis Patients: a Retrospective Cohort Study
Article in Press abstract from Surgery.
bullet point Therapeutic Area Data Standards for Autosomal Dominant Polycystic Kidney Disease: A Report From The Polycystic Kidney Disease Outcomes Consortium (PKDOC)
Article in Press abstract from American Journal of Kidney Diseases.
bullet point New AHRQ-Funded Centers to Study Health Systems and Their Efforts to Disseminate Patient-Centered Outcomes Research
Press release from the Agency for Healthcare Research and Quality.
bullet point The Consult Guys - Controlling Hypertension: The Pressure Is Killing Me!
Free, Web-Only video from Annals of Internal Medicine.
bullet point Temple University Researchers Look into the Brains of Chronic Itch Patients
bullet point Visualizing Calcified Coronary Arteries May Be Wake-Up Call to Change Lifestyle
bullet point Physicians Should Help Families with Decisions about End-Of-Life Care
bullet point Smoking Blamed for Half of Deaths From Major Cancers in People Over 35
Article from HealthDay.
bullet point Majority of Adults Favor Ban on Powdered Alcohol
Press release from the University of Michigan Health System. Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point Express Scripts, Insurers Press for Pay-For-Performance Drug Pricing
News brief from Healthcare DIVE.
Trends in Prevalence of Patient Case Mix Adjusters Used in the Medicare Dialysis Payment System
Article from Nephrology News & Issues.
CMS Pays out $1.3B to Hospitals to Clear Medicare Appeals Backlog


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Monday, June 15

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  June 15, 2015
bullet point 50 Years Later, Minnesota Woman's Donated Kidney Is Going Strong
Article from Duluth News-Tribune.
bullet point

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

bullet point Cancer Incidence Among US Medicare ESRD Patients Receiving Hemodialysis, 1996-2009
(Registration required, but free.) Free full-text article from American Journal of Kidney Diseases via Medscape Nephrology.
bullet point Increases in Intravenous Magnesium Use among Hospitalized Patients: an Institution Cross-Sectional Experience
Provisional abstract and full-text article (17-page pdf) from Canadian Journal of Kidney Health and Disease.
bullet point Dialysis Facility Safety: Processes and Opportunities
Early View abstract from Seminars in Dialysis.
bullet point Advance Online Abstracts from the Journal of Vascular Access:
bullet point FDA May 2015 Safety Labeling Changes
Includes 43 products with revisions to Prescribing Information.
bullet point Medtronic Fortex PTA High Pressure Balloon to Maintain Access During Dialysis
Article from MedGadget.
bullet point Here's How to Buy Your Way Into a Meeting With a Congressman
Article from The Daily Dot.

"Members of Congress are 231% more likely to meet with you if you've paid them."
bullet point HIMSS Survey: Nurses ‘Won't Go Back To Paper'
Article from Nurses.com.
ICD-10: The Four Steps to Being Prepared


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Fri./Sat., June 12-13

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  June 12, 2015
bullet point Evaluation of Wellness Determinants and Interventions by Citizen Scientists
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.

"Most medical research focuses on disease rather than health. Yet people are interested predominantly in health and wellness. Wellness refers to diverse and interconnected dimensions of physical, mental, and social well-being that extend beyond the traditional definition of health."


Editor's note: It is amazing that after 50 years of chronic dialysis care, virtually no literature exists on what helps patients thrive. Nephrology's vision of dialysis patient care has never expanded beyond treating disease and the patient groups have failed to target health and wellness as a target of overall care.

Unfortunately, in the U.S., the financial incentives in dialysis care system are horribly constructed and work against patients. Well, long-living, dialysis patients are unprofitable for dialysis corporations. With nephrologists financially invested in these corporations, they have little interest or reason to change their approach to patient care. Patient groups, who are financially dependent on these same corporations, don't want to rock the boat.

Is CMS's 2% QIP incentive doing anything - other than encouraging widespread cheating and fraud?

Will U.S. nephrologists ever correctly diagnose what is wrong with their system of care? I believe the answer can be found in simple ancient wisdom.

One cannot serve two masters.

Most U.S. nephrologists in dialysis care – and especially the leadership – have become businesspeople first.

If there was a financial incentive for dialysis patient employment in the U.S., everything could finally change.
bullet point Dialyzer Reuse and Outcomes of High Flux Dialysis
Free, full-text article from PLOS ONE.
bullet point An Incident Cohort Study Comparing Survival on Home Hemodialysis and Peritoneal Dialysis (Australia and New Zealand Dialysis and Transplantation Registry)
CJASN Express abstract.

"Home hemodialysis was associated with superior patient and technique survival compared with peritoneal dialysis."
bullet point Advance Access Abstracts from NDT:
bullet point Normal 25-Hydroxyvitamin D Levels Are Associated with Less Proteinuria and Attenuate Renal Failure Progression in Children with CKD
JASN Express abstract and press release.
bullet point How An Economist Helped Patients Find The Right Kidney Donors
Article from NPR via KPBS.
bullet point HHS Office of the Inspector General Targets Physician Compensation
Article from HFMA.
bullet point CDC Updates MERS Guidance for Health Care Professionals
News brief from AHA News Now.
bullet point Warfarin Linked to Greater Renal Function Decline
bullet point NIH Approves Strategic Vision to Transform National Library of Medicine
Press release from the National Institutes of Health.
bullet point The Doctor Will See You … On Your Smartphone
News summary from Kaiser Health News.
House Votes to Strike Medicare Cuts from Trade Legislation
News brief from AHA News Now.


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Thursday, June 11

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  June 11, 2015
bullet point Once Upon a Time in Dialysis: the Last Days of Kt/V?
Advance Online abstract from Kidney International.

"We conclude that apart from being a baseline parameter of dialysis adequacy, Kt/Vurea insufficiently represents all novel strategic changes of modern dialysis. Kt/Vurea is too simple a concept for the complexities of uremia and of today's dialysis."

Editor's note: Kt/V has been used for decades by U.S. nephrologists and for-profit dialysis corporations to enrich themselves. It is terrible medicine and is one of the biggest reasons why U.S. dialysis care has lagged so far behind the other first-world world countries... as well as the rest of medical science.

What is even worse is that many U.S. clinics have been cheating for more than a decade by scrubbing their Kt/V data before it is sent to CMS and DOPPS . All U.S. Kt/V data should be considered GIGO.
bullet point Best Hospitals for Pediatric Nephrology
Annual ranking from U.S. News & World Report.
bullet point North Carolina Man Celebrates 2500 Dialysis Treatments
Article from WECT.
bullet point Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
bullet point Improved Survival Associated with Acetate Free Hemodialysis in Elderly: a Registry-based Study
Advance Access abstract from NDT.
bullet point (Registration required) Articles from Medscape Nephrology:
bullet point The Role of Deconditioning in the End-Stage Renal Disease Myopathy: Physical Exercise Improves Altered Resting Muscle Oxygen Consumption
Issue in Progress abstract from American Journal of Nephrology.
bullet point Hemodialysis Impairs the Human Microcirculation Independent from Macrohemodynamic Parameters
Issue in Progress abstract from Blood Purification.
bullet point Time Trends in the Association of ESRD Incidence with Area Level Poverty in the US Population
Early View abstract from Hemodialysis International.
bullet point Magnesium Modifies the Association between Serum Phosphate and the Risk of Progression to End-Stage Kidney Disease in Patients with Nondiabetic Chronic Kidney Disease
Advance Online abstract from Kidney International.
bullet point Icodextrin Reduces Insulin Resistance in Nondiabetic Patients Undergoing Automated Peritoneal Dialysis: Results of a Randomized Controlled Trial (STARCH)
Advance Access abstract from NDT.
bullet point Organ Donation: State Efforts Have Done Little To Close The Supply Gap
Article from Kaiser Health News.
bullet point Collaboration between IBM and Medtronic Seeks to Personalize Diabetes Care
bullet point CDC to Hold June 11 Telebriefing on MERS
bullet point Selective Clinical Trial Reporting: Betraying Trial Participants, Harming Patients
Editorial from the British Medical Journal.
bullet point Behavioral Economics and Physician Compensation — Promise and Challenges
Free, full-text perspective piece from the New England Journal of Medicine.
bullet point Improving Outcomes and Quality Through Transparency: The Parent Perspective | Expert Analysis
Article from American College of Cardiology.
bullet point The Traits of Today's Ideal Health Care CEO
Article from Hospitals & Health Networks.
bullet point FDA Advisers Recommend Approval of 2nd New Cholesterol Drug
Medicare and Medicaid 50th Anniversary Count Down


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Wednesday, June 10

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  June 10, 2015
bullet point Fraud Alert: Physician Compensation Arrangements (for Medical Directorships) May Result in Significant Liability
Notice from the HHS Office of Inspector General.
bullet point EVOLVEing Past Cinacalcet
Posting from the Renal Fellow Network blog.
bullet point Novel Calcimimetic Lowers Parathyroid in Dialysis Patients
(Registration required, but free.) Article from Medscape Medical News.
bullet point

Relationship between Parathyroid Mass and Parathyroid Hormone Level in Hemodialysis Patients with Secondary Hyperparathyroidism
Provisional abstract and fulltext article (7-page pdf) from BMC Nephrology.

bullet point Patients with Chronic Kidney Disease and Their Intent to Use Electronic Personal Health Records
Provisional abstract and full-text article (15-page pdf) from Canadian Journal of Kidney Health and Disease.
bullet point Free, Full-Text Articles from Saudi Journal of Kidney Diseases and Transplantation:
bullet point Acute Kidney Injury Implicated in Nearly One-Third of Post-PCI Deaths
Article from Renal & Urology News.
bullet point

Antirejection Medications for Transplant Recipients Protect against Alzheimer's Disease

bullet point Sri Lanka's President Bans Glyphosate Nationwide to Protect the Health of the People
bullet point The Americans With Disabilities Act and HIV/AIDS Discrimination — Unfinished Business
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point Transfer of Services from NHS to Private Provider Was "Unmitigated Disaster," Report Says
Abstract from the British Medical Journal.
Medicare at 50: Is it Working?
Article from Medical Economics.


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Tuesday, June 9

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  June 9, 2015
bullet point Outset Medical Raises $91 Million for At-Home Dialysis Machine
Blog posting from the San Francisco Business Times. Outset Medical press release and web site.
bullet point Life Satisfaction and its Association with Mortality Risk in Older Adults
Press release from Chapman University.

Editor's note: More evidence that U.S. nephrology needs to expand its vision beyond biochemical markers.
bullet point Boosting Gut Bacteria Defense System May Lead to Better Treatments for Bloodstream Infections, Study Shows
Press release from UT Southwestern Medical Center.
bullet point Test Your Knowledge: CRS and the Role of Bone-Mineral Axis & Anemia
Posting from the AJKD blog.
bullet point Osteoporosis Treatment in Patients with Renal Failure: the Gray Zone…
Posting from the Renal Fellow Network blog.
bullet point Onco-Nephrology: Core Curriculum 2015
Free, full-text, Article in Press from American Journal of Kidney Diseases.
bullet point JASN Express Abstracts:
bullet point Acute Kidney Injury after Near Drowning: the Way from the Beach to Hemodialysis
Early View abstract from Hemodialysis International.
bullet point Pleuro-Peritoneal or Pericardio-Peritoneal Leak in Children on Chronic Peritoneal Dialysis—A Survey from the European Paediatric Dialysis Working Group
Online First abstract from Pediatric Nephrology.
bullet point Doctors Can Influence End-of-Life Care
Article from HealthDay.
bullet point Study: Highest-Charging U.S. Hospitals Are For-Profits, Concentrated In Florida
Article from Kaiser Health News. Press release from Johns Hopkins University.
bullet point 10 New Breakthrough Drugs Will Cost Government $50 Billion, Report Says
Article from The Hill.
bullet point Massive Breach Of Government System Linked To Health Data Thefts
News summary from Kaiser Health News.
bullet point The Lancet: Over 95% of the World's Population Has Health Problems – with over a Third Having More Than Five Ailments
Press release.
bullet point UCSF Study Projects Need for 2.5 Million More Long-Term Care Workers by 2030
bullet point Another Tick-Borne Illness Documented in Northeast
Online First abstract and editorial extract from Annals of Internal Medicine.
Accountable Care Organizations Mull Walking Away From Medicare Shared Savings Program
News summary from Kaiser Health News.


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Monday, June 8

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  June 8, 2015
bullet point The Source of Net Ultrafiltration during Hemodialysis Is Mostly the Extracellular Space Regardless of Hydration Status
Early View abstract from Hemodialysis International.

Editor's note: Another argument for longer dialysis? An explanation of patients' thirst after treatments?
bullet point High Convection Volume in Online Post-Dilution Hemodiafiltration: Relevance, Safety and Costs
Free, full-text, Advance Access article from Clinical Kidney Journal.
bullet point Modifiable Factors Associated with Achievement of High-Volume Post-Dilution Hemodiafiltration: Results from an International Study
Free, full-text Advance Online article from the International Journal of Artificial Organs.
bullet point Patients' Experiences of Safety during Hemodialysis Treatment -- a Qualitative Study
Early View abstract from Journal of Advanced Nursing.
bullet point CJASN Express Abstracts:
bullet point Early Kidney Disease, an Important Factor in Cognitive Decline or Merely a Harbinger of Early Vascular Brain Injury
Free, full-text, Issue-in-Progress editorial from American Journal of Nephrology.
bullet point Issue-in-Progress Abstracts from American Journal of Nephrology:
bullet point Renal Clearance of Mineral Metabolism Biomarkers
JASN Express abstract.
bullet point Advance Access Abstracts from NDT:
bullet point Financial Incentives for Living Kidney Donors: Are They Necessary?
Article in Press abstract from American Journal of Kidney Diseases.
bullet point New Strategies for Stopping the Spread of Staph and MRSA
Press release from Translational Genomics Research Institute.
bullet point Pee is Key to National Kidney Foundation's Bold Awareness Campaign
Press release. EverybodyPees website.
bullet point American Samoa Dialysis Clinic Reopens after Two Day Closure
bullet point Corporate Compliance Meme
bullet point Health Disparities in U.S. Still Persist According to Report
Press release from the National Institutes of Health.
bullet point South Korea Reports Sixth MERS Death, Surge in Infections
Articles from AFP and the BBC.
bullet point

Strokes Steal Eight Years' Worth of Brain Function, New Study Suggests

Medicare Gives ACOs More Options, Greater Flexibility In Bid To Keep Them
News summary from Kaiser Health News.


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Fri./Sat., June 5-6

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  June 5, 2015
bullet point American Samoa's Only Dialysis Clinic Temporarily Shut down after Recall of Treatment Product (NaturaLyte® Liquid Bicarbonate)
AP article.
bullet point Exteriorization of a Peritoneal Dialysis
Presentation (12-minute video) from UKidney (Internet School of Nephrology).
bullet point Nine-Way Kidney Swap Involving 18 Surgeries at Two San Francisco Hospitals
Article from SF Gate.
bullet point Texas Doctors Finish World's First Skull and Scalp Transplant (and Kidney and Pancreas, Too)
Article from Yahoo!
bullet point Children of a Lesser God or Miracles? An Emotional and Behavioral Profile of Children Born to Mothers on Dialysis in Italy: a Multicenter Nationwide Study 2000-12
Advance Access abstract from NDT.
bullet point Issue in Progress Abstracts from Nephron:
bullet point Gout After Living Kidney Donation: Another Unrecognized Risk?
Posting from the AJKD blog.
bullet point Cause-Specific Deaths in Non–Dialysis-Dependent CKD
JASN Express abstract.
bullet point Early Online Abstracts from Renal Failure:
bullet point Reduced Taste Function and Taste Papillae Density in Children with Chronic Kidney Disease
Online First abstract from Pediatric Nephrology.
bullet point June 24 Webinar: Improving Informed Consent and End-of-Life Communication
Notice from the Agency for Healthcare Research and Quality.
bullet point Age-Adjusted Percentage of Adults Aged =20 Years with Diabetes, by Race and Hispanic Ethnicity — National Health and Nutrition Examination Survey, United States, 1999–2002 and 2009–2012
QuickStats from the Morbidity and Mortality Weekly Report (MMWR).
bullet point Amgen Subpoenas a Journalist as it Fights a Shareholder Lawsuit
Article from The Wall Street Journal.
bullet point FDA Panel Endorses Women's Libido Pill
bullet point Quality Indicators for Physical and Behavioral Health Care Integration
Free, full-text, Online First article from the Journal of the American Medical Association.
bullet point Huggable Smart Teddy Bear Starting Clinical Trial at Boston Children's Hospital
Article from MedGadget.
bullet point Influenza Activity — United States, 2014–15 Season and Composition of the 2015–16 Influenza Vaccine
CMS Releases Final Medicare Shared Savings Program (MSSP) Rule
News item from AHA News Now. Press release from CMS.


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Thursday, June 4

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  June 4, 2015
bullet point New Treatment for Polycystic Kidney Disease
Press release from the University of Manchester.
bullet point Selected Abstracts from the 33rd Vicenza Course on Critical Care Nephrology, June 9–12, 2015
Free, Issue-in-Progress, 37-page PDF from Blood Purification (alternate link).
bullet point Usefulness and Feasibility of Measuring Ionized Calcium in Hemodialysis Patients
Free, full-text, Advance Access article from Clinical Kidney Journal.
bullet point Coping in Young People with Chronic Kidney Disease (CKD)
Early View abstract from Hemodialysis International.
bullet point Association Between Kidney Function, Rehabilitation Outcome, and Survival in Older Patients Discharged From Inpatient Rehabilitation
Article in Press abstract from American Journal of Kidney Diseases.
bullet point The Effects of Cinacalcet on Blood Pressure, Mortality and Cardiovascular Endpoints in the EVOLVE Trial
Advance Online abstract from the Journal of Human Hypertension.
bullet point Advance Access Abstracts from NDT:
bullet point Take a Good Bite: Dental Health & Nutrition
KidneyTalk podcast from Renal Support Network.
bullet point The Lancet: Middle East Respiratory Syndrome (MERS) Seminar
Press release and full-text article (registration required, but free) from The Lancet.
bullet point Amgen, Novartis Battle in U.S. Court Over Neupogen Copycat
bullet point Recent Hospitalization Might Raise Sepsis Risk, Study Says
bullet point 3 in 10 Americans Have Drinking Problem at Some Point in Their Lives
Article from HealthDay.
bullet point Home Health Technology To Reach 78.5 Million People
News feature from Nurses.com.
bullet point How Would You Have Handled This Whistleblower Matter?
Posting from Medical Device Business.
bullet point Guide to Privacy and Security of EHI
Bill to Reform Medicare Appeals Process Moves Forward
Article from The Hill.
CMS Study Highlights High Cost Of Cancer Drugs
News summary from Kaiser Health News. Article from The Wall Street Journal.


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Wednesday, June 3

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  June 3, 2015
bullet point Edmonton Dialysis Patient Dies after Machine Water Was Contaminated by Cleaning Chemical at the Royal Alexandra Hospital
Articles from the Edmonton Sun and CBC News (with video).
bullet point Outcomes of Predialysis Nephrology Care in Elderly Patients Beginning to Undergo Dialysis
Free, full-text article from PLOS ONE.
bullet point Hemodialysis Patients with Hepatitis C Infection Are Not Receiving the New Antiviral Medications
Free, full-text Letter to the Editor from American Journal of Nephrology.
bullet point Cardiovascular Risk in Chronic Kidney Disease Patients: Intima Media Thickness Predicts the Incidence and Severity of Histologically Assessed Medial Calcification in Radial Arteries
Provisional abstract and full-text article (9-page pdf) from BMC Nephrology.
bullet point Paclitaxel Drug-Eluting Balloons to Recurrent in-Stent Stenoses in Autogenous Dialysis Fistulas: a Retrospective Study
Advance Online abstract from the Journal of Vascular Access.
bullet point An Intradialytic Increase in Serum Interleukin-6 Levels Is Associated with an Increased Mortality in Hemodialysis Patients
Advance Online abstract from the International Journal of Artificial Organs.
bullet point Recent Publications from the ESRD Networks:
bullet point Justifying Conflicts of Interest in Medical Journals: a Very Bad Idea
Essay from the British Medical Journal. Also see Richard Lehman's commentary.
bullet point South Korea Reports Five More Cases of MERS Illness
Articles from Reuters and the BBC.
bullet point For Many Patients, Delirium Is A Surprising Side Effect Of Being In The Hospital
Article from Kaiser Health News. Full-text article from BMJ.
bullet point Texas Puts Brakes On Telemedicine — And Teladoc Cries Foul
CMS Announces Entrepreneurs and Innovators to Access Medicare Data
Press release.
Large Release Of Medicare Billing Data Details How Billions Of Health Care Dollars Are Spent
News summary from Kaiser Health News.
ICD-10 Acceptance Rates Increase


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Tuesday, June 2

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  June 2, 2015
bullet point One Man, One Bike, One Dream: Canadian Dialysis Patient Keeps His Dream of Biking Across Canada Alive
Press release.
bullet point New Discoveries Advance Efforts to Build Replacement Kidneys in the Lab
Press release from Wake Forest Baptist Medical Center.
bullet point

Uremic Toxins and New Methods to Control Their Accumulation: Game Changers for the Concept of Dialysis Adequacy
Free, full-text, Advance Access article from Clinical Kidney Journal.

"Kt/V is useful to calibrate the dialysis process, to verify that a dialysis has been delivered as prescribed and as a measure of dialysis dose, but the achievement of a universally specified Kt/V value should not be an objective in itself. Kt/V does not predict levels of any uraemic toxin. It does not even predict levels of urea. We need ways to quantify the uraemic state, so we can abandon Kt/V as a measure of dialysis adequacy."

bullet point U.S. Organ-Donor System Needs Overhaul: Study
Article from HealthDay. Press release, Online First abstract, and editorial extract from the JAMA Internal Medicine.
bullet point Selling the Human Body: Piece by Piece
Article from Epoch Times.
bullet point Rockwell Medical Announces Triferic Receives Q-Code Assignment for Product Reimbursement
Press release.
bullet point Early Peritonitis is an Independent Risk Factor for Mortality in Elderly Peritoneal Dialysis Patients
Free, full-text, Issue-in-Progress article from Kidney & Blood Pressure Research.
bullet point Advance Access Abstracts from NDT:
bullet point Trends in In-Hospital Cardiopulmonary Resuscitation and Survival in Adults Receiving Maintenance Dialysis
Abstract and related abstract from Annals of Internal Medicine.
bullet point Changes in Pulse Pressure during Hemodialysis Treatment and Survival in Maintenance Dialysis Patients
CJASN Express abstract.
bullet point Early Online Abstracts from Renal Failure:
bullet point Contemporary Management of Phosphorus Retention in Chronic Kidney Disease: a Review
Online First abstract from Clinical and Experimental Nephrology.
bullet point CKD Educational Materials are Greek to Most
Press release from the University of Sydney via the National Kidney Foundation.
bullet point Screening for Type 2 Diabetes Mellitus: A Systematic Review for the U.S. Preventive Services Task Force
Free, full-text article and editorial from Annals of Internal Medicine.
bullet point Nephrology Jumble Bumble: Uremic Pruritus
bullet point Implantable Wirelss Chip Measures Molecules Such as Glucose, Cholesterol, Drugs Taken
bullet point Zinc in the Body May Contribute to Kidney Stones
bullet point As the Patient Centered Medical Home Is Refined and Reevaluated, Study Finds Incentives Are Key to Success
Press releases from the Commonwealth Fund and the RAND Corporation. Online First abstract from JAMA Internal Medicine.
bullet point What Patients Gain By Reading Their Doctor's Notes
Article from Kaiser Health News.
bullet point Cancer Drug Manufacturers Criticized For Escalating Costs, Shortages
CMS Issues 2013 Data on Medicare Service Use, Payments for Hospitals, Physicians
News brief from AHA News Now.
Public Review of Proposed Health Insurance Rate Increases for the 2016 Coverage Year


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Monday, June 1

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  June 1, 2015
bullet point News and Daily Summaries from the ERA/EDTA Congress in London:
bullet point

Does 'Quality' of Your Life Determine the Quality of Your Care?
Posting from the HuffPost Healthy Living blog.

"A New England Journal of Medicine study found that insurance plans and pharmacy benefit managers are in effect working together to circumvent the Affordable Care Act and actively discriminate against sick people. Patients with chronic diseases who require lengthy treatment must "fail first" (also called step therapy) on cheaper, existing medicines before being allowed to access any novel, targeted therapies."

Editor's note: Isn't this what U.S. nephrologists have been doing to dialysis patients for decades? Millions of patients have been steered into the fastest, cheapest treatments. Unfortunately, even when they fail to thrive, few patients know enough to demand better.

bullet point Free, Full-Text Articles from Kidney International:
bullet point Natural Disasters and Dialysis Care in the Asia-Pacific
Accepted Article abstract and full-text (28-page pdf) from Nephrology.
bullet point Remote Ischemic Preconditioning (RIPC )- Preparing Your Kidneys for Surgery
Posting from the Renal Fellow Network blog.

Free, Full-Text, Online First Articles from the Journal of the American Medical Association:
bullet point Kidney Health Measures Beat Other Tests for Heart Risk
Press release from Johns Hopkins University Bloomberg School of Public Health. Abstract and press release from The Lancet Diabetes and Endocrinology. Articles from (registration required, but free) Medscape Medical News and MedPage Today.
bullet point 2015 Updates of AAMI Standards for Hemodialysis Now Available for Purchase:
bullet point Relationships Between Malnutrition, Inflammation, Sleep Quality, and Restless Legs Syndrome in Hemodialysis Patients
Early View abstract from Therapeutic Apheresis and Dialysis.
bullet point Advance Online Abstracts from the Journal of Vascular Access:
bullet point Prevalence of Gastroesophageal Reflux Disease Symptoms and Effects of Esomeprazole on the Quality of Life Related to Reflux and Dyspepsia in Patients on Maintenance Hemodialysis
Online First abstract from Clinical and Experimental Nephrology.
bullet point Incidence and Outcomes of Acute Kidney Injury after Cardiac Surgery Using Either Criteria of the RIFLE Classification
Provisional abstract and full-text article (9-page pdf) from BMC Nephrology.
bullet point Natremia, Tonicity, and Conductivity Measurements in Hemodialyzed Patients
Advance Online abstract from the International Journal of Artificial Organs.
bullet point Amgen Preps an FDA Pitch for Its Late-Stage Kidney Drug (for secondary hyperparathyroidism)
Article from Fierce Biotech. Press release from Amgen.
bullet point Baxter Presents Data Demonstrating Remote Technology May Help Reduce Barriers to Home Therapy
bullet point Four Patients Stable after Chemical Released into Dialysis Water at Royal Alexandra Hospital in Edmonton, Canada
bullet point NIOSH, OSHA Release New Toolkit to Better Protect Hospital Workers from Transmissible Diseases
Press release.
bullet point Hard Day's Night -- CDC Info on:
 


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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.
FacebookTwitter
  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:
FacebookTwitter
  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.
FacebookTwitter
  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)
FacebookTwitter
  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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