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RECENT NEWS ARCHIVES

Fri./Sat., June 10-11

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  June 10, 2016
White House to Host Organ Summit
On Monday, June 13, the White House will host an Organ Summit as another essential step toward increasing access to organ transplants and reducing the organ waiting list. At the Summit, the Administration and private entities will announce a new set of actions that will build on the Administration's previous accomplishments to improve outcomes for individuals waiting for organ transplants and improve support for living donors.

This event will be webcast live (June 13, 2016, from 10:30AM-12:30PM EDT) at www.whitehouse.gov/live.
Finding Covert Fluid: Methods for Detecting Volume Overload in Children on Dialysis
Free, full-text, First Online article from Pediatric Nephrology.
Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
Development, Feasibility, and Efficacy of a Customized Exercise Device to Deliver Intradialytic Resistance Training in Patients with End Stage Renal Disease: Nonrandomized Controlled Crossover Trial
Early View abstract from Hemodialysis International.
JASN Express Abstracts:
Simultaneous Liver Kidney Transplant (SLK) Allocation Policy Change Proposal: Is It Really a Smart Move?
Letter to the Editor from American Journal of Transplantation.
PDI in Press Abstracts:
Long-Term Outcomes in Belatacept- Versus Cyclosporine-Treated Recipients of Extended Criteria Donor Kidneys: Final Results From BENEFIT-EXT, a Phase III Randomized Study
Early View abstract from American Journal of Transplantation.
Comparison of Equations for Dosing of Medications in Renal Impairment
Accepted Article abstract from Nephrology.
Colorectal Surgery Outcomes in Chronic Dialysis Patients: An American College of Surgeons National Surgical Quality Improvement Program Study
Abstract from Diseases of the Colon & Rectum.
Dissemination of Patient-Specific Information from Devices by Device Manufacturers
(6-page pdf) Draft guidance (not for implementation) for industry and Food and Drug Administration staff.
The Hawthorne Effect Hinders Accurate Hand Hygiene Observation, Study Says
Press release from the Association for Professionals in Infection Control.
Preliminary Data for Pre-kidney Transplant Drug Therapy Approach Being Presented June 13
Nephros Announces Closing of $1.2 Million Note and Warrant Offering
Expenditures for Commonly Treated Conditions among Adults Age 18 and Older in the U.S. Civilian Noninstitutionalized Population, 2013
Statistical brief from the HHS Agency for Healthcare Research and Quality.
Women in Areas with Zika Transmission Should Delay Pregnancy: WHO
Article from Reuters.
Olympic Games Are Likely to Be Free of Zika Cases, Say Officials
CMS Webinar: 2016 Dialysis Facility Compare – Star Ratings Refresh
In this webinar, CMS will provide an overview of the updated methodology for calculating Dialysis Facility Compare star ratings.  CMS invites you to learn about improvements to the Dialysis Facility Compare website and updates to the methodology for calculating dialysis facility star ratings.

Date: Wednesday, June 22, 2016

Time: 1–2 PM, ET

Register: To attend the webinar, visit the registration webpage.
RPA Comments to ONC Regarding Assessing Interoperability for MACRA
Letter from the Renal Physicians Association.
GAO Recommends HHS Take Steps to Reduce Medicare Appeals
News brief from AHANewsNow.


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Thursday, June 9

White House to Host Organ Summit
On Monday, June 13, the White House will host an Organ Summit as another essential step toward increasing access to organ transplants and reducing the organ waiting list. At the Summit, the Administration and private entities will announce a new set of actions that will build on the Administration's previous accomplishments to improve outcomes for individuals waiting for organ transplants and improve support for living donors.

This event will be webcast live (June 13, 2016, from 10:30AM-12:30PM EDT) at www.whitehouse.gov/live.
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  June 9, 2016
Hyperkalemia after Missed Hemodialysis
Images in Clinical Medicine feature from the New England Journal Of Medicine.
University of Michigan Kidney Epidemiology and Cost Center (UM-KECC) Seeks Input
UM-KECC is preparing a report for CMS that investigates avenues for acquiring the evidence, data, and infrastructure necessary to implement ESRD patient-driven measures, such as patient-reported outcomes (PROs) quality of life; patient centered outcomes (PCOs) and experience of care; and other measures that are patient driven. To complete this report UM-KECC are seeking feedback from the kidney community on the following:

1. What ESRD patient reported outcomes/patient centered outcome measures are meaningful to patients and health care providers?

2. What data may be available to support future development and testing of these measures?

Please send your feedback to dialysisdata@umich.edu by June 30, 2016 to ensure consideration for the report.
Effective Removal of ?-Free Light Chains with Hemodialysis Using Fresenius Ultraflux® EMiC®2 Dialyser in a Patient with Myeloma Cast Nephropathy, with Associated Cost Savings
Free, full-text, Issue-in-Progress article from Blood Purification.
Free, Full-Text, Open Access Articles from BMC Nephrology:
Mathematical Simulation of Open-Heart Surgery Lends Clues to Kidney Failure
News release from the National Institute for Mathematical and Biological Synthesis (NIMBIOS).
CJASN Express Abstracts:
Hemodialysis and Hemodiafiltration Lead to Similar Changes in Vascular Stiffness during Treatment
Advance Online abstract from the International Journal of Artificial Organs.
Abstracts from Seminars in Nephrology:
A New Sort Of Consultant: Advising Doctors, Patients On California's Aid-In-Dying Law
Article from Kaiser Health News.
Yuck Factor May Boost Hand Hygiene Compliance
News release from Henry Ford Health System.
Inspira Health Network (NJ) in Dialysis JV with DaVita
HHS Announces Plans To Curtail Consumers' Use Of Short-Term Insurance Policies
Article from Kaiser Health News.
CMS Measures Manual
Notice from the Northwest Renal Network.
CMS Moves From National to Regional ACO Benchmarking
Article from HFMA.


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Wednesday, June 8

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  June 8, 2016
Selected Abstracts from the 34th Vicenza Course on AKI & CRRT – June 7-10, 2016
36-page PDF from Blood Purification.
Free, Full-Text Articles from Clinical Journal of the American Society Of Nephrology:
CJASN Express Abstracts:
Articles in Press Abstracts from Kidney International:
A Retrospective Review of the Two-Step Tuberculin Skin Test in Dialysis Patients
Free, full-text, Open Access article from Canadian Journal of Kidney Health and Disease.
Abstracts from Nephron:
ISN Education: New Dialysis Webinar Series Begins June 10
Announcement from the International Society of Nephrology. The webinar is titled, "PD Access in Acute and Chronic Kidney Disease - A nephrologist's perspective."
Abstracts from Renal Failure:
NRAA Pediatric Dialysis Education Series
Four-part webinar series (fee required) from the National Renal Administrators Association.
Study Suggests Federal Standard May Be Thwarting Some Transplant Patients
Article from Kaiser Health News.
Virginia Ambulance Company Folds Waiting for Medicare Reimbursement
Obesity Rates Rising Among Women: CDC
Article from HealthDay. Press release #1, press release #2full-text article, and related abstract from the Journal of the American Medical Association.
U.S. Study Highlights Earnings Gap among Black and White Male Physicians
Press release and full-text article from BMJ.
U.S. Pays Highest Prices for Cancer Meds: Study
The Stars of Hospital Care: Useful or a Distraction?
Free, full-text article from the Journal of the American Medical Association.

Recent related abstract from Annals of Internal Medicine and related commentary (scroll down to 'You don't fatten a pig by weighing it') by Richard Lehman.


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Tuesday, June 7

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  June 7, 2016
Social Workers Are a Valuable Resource to Help Home Dialyzors Cope with Dialysis
Posting from the KidneyViews blog.

"Too-high caseloads and inappropriate task assignment, barriers that can prevent social workers from performing these functions, need to be eliminated."

Editor's note: This is another huge disconnect between what is needed in dialysis care and what the financial incentives in dialysis care actually force upon professionals and patients.

Education alone will not change the behaviors of the large for-profit corporations. Until the financial incentives are changed, the many disconnects of U.S. dialysis care — short dialysis times, unmet psychosocial needs, low employment, nonexistent rehabilitation, underutilization of home therapies, no well-patient model — will remain ignored and unaddressed by the most powerful players in the industry.

These corporations found out long ago that they can eliminate professional criticisms by financially partnering with nephrologists and by donating money to patient advocacy groups that attempt to fill the gaps in well-patient dialysis care by providing education and support programs of their own.

Profit incentives in medicine can drive incredible breakthroughs. However, when profit incentives are not properly aligned with patients' best interests, it can also result in a system of self-defeating medical care that no professional would choose for themselves.
CJASN Express Abstracts:
Association between Changes in Quality of Life and Mortality in Hemodialysis Patients: Results from the DOPPS
Advance Access abstract from NDT.
Free, Full-Text, First Online Editorial Commentaries from Pediatric Nephrology:
Blood Pressure and Mortality in Hemodialysis Patients: A Systematic Review of an Ongoing Debate
Early View abstract from Therapeutic Apheresis and Dialysis.
Electrolyte Disturbances and Risk Factors of Acute Kidney Injury Patients Receiving Dialysis in Exertional Heat Stroke
Free, full-text, Open Access article from BMC Nephrology.
Creating Arteriovenous Fistulas Using Surgeon Performed Ultrasound
Advance Online abstract from the Journal of Vascular Access.
Expansion of Kidney Progenitor Cells toward Regenerative Medicine
Press release from Kumamoto University.
Over-the-Counter Antacid Products Containing Aspirin: FDA Drug Safety Communication - Serious Bleeding Risk
Notice from the FDA MedWatch site.
Intensive Blood Sugar Control May Be Too Much for Some With Type 2 Diabetes
Article from HealthDay. Press release from Mayo Clinic. Online First abstract from JAMA Internal Medicine.
Empathy: A Prerequisite to Patient Centered Care
Shift Workers at Greater Risk of Heart ills, Study Says
Article from HealthDay.
The Revised Nutrition Facts Label — A Step Forward and More Room for Improvement
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
Women More Prone to Anxiety Than Men, Review Finds
CMS Issues Final Rule for Medicare Shared Savings Program ACOs
News brief from AHANewsNow. Press release and fact sheet from CMS.
CMS Reduces Risk in Comprehensive ESRD Care Model to Entice Smaller Dialysis Providers
Article from Nephrology News & Issues.
CMS Project Seeks Innovative Hospital Quality Practices To Share Nationwide
News brief from AHANewsNow.


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Monday, June 6

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  June 6, 2016
US Bid to Grow Human Organs for Transplant inside Pigs
Article from the BBC.
Feds Crack Down on Medicare Ambulance Fraud
Article from Philly.com.

Transporting a single dialysis patient by ambulance per year means $67,000 in revenue, said Ron Kerr, assistant special agent in charge of HHS's Office of Inspector General here.

"Those patients are viewed as assets by the criminals," he said.

Saving Lives, Protecting Donors: Transplantation Presents Update on Living Donor Organ Transplantation
Press release. 20 free, full-text articles from June 2016 issue of Transplantation including:
The Safety and Efficacy of Mineralocorticoid Receptor Antagonists in Patients Who Require Dialysis: A Systematic Review and Meta-analysis
Free, full-text, Article in Press from American Journal of Kidney Diseases.
Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
Historical Study (1986-2014): Improvements in Nutritional Status of Dialysis Patients
Article in Press abstract from Journal of Renal Nutrition.
Abnormalities of Vascular Structure and Function in Pediatric Hypertension
Free, full-text article from Pediatric Nephrology.
Association of Blood Pressure Variability and Neurocognition in Children with Chronic Kidney Disease
First Online abstract from Pediatric Nephrology.
Kidney Racket at Top Delhi Hospital
Article from the BBC.
Medical Homes Weren't Supposed to Be This Way. What Went Wrong?
Posting from the KevinMD blog.
A Stigma With Life And Death Consequences: Doctors Not Looking Past Patients' Weight
News brief from Kaiser Health News.
CMS Program Transmittal Update
(48-page pdf) Update to Pub. 100-02, Chapter 11 End-Stage Renal Disease (ESRD) for Calendar Year (CY) 2016.
GAO Makes Five MedPAC Appointments
Press release.

Announcing a Special Edition CROWNWeb Newsletter: EIDM/QARM



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Fri./Sat., June 3-4

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  June 3, 2016
Patient Trial Confirms Wearable Artificial Kidney Proof of Concept
Press release from University of Washington Health Sciences. Full-text article from JCI Insight.
Stem Cells Will Eventually Revolutionize Organ Transplants, And This Is How
Article from Quora via Forbes.
An International Observational Study Suggests That Artificial Intelligence for Clinical Decision Support Optimizes Anemia Management in Hemodialysis Patients
Article in Press abstract from Kidney International.
Accepted Articles Abstracts from Nephrology:
Retrograde Dissection of the Axillary Artery during Arteriogram Via Arteriovenous Access
Advance Online abstract from the Journal of Vascular Access.
Building Better Blood Vessels
(Registration required, but free.) Article from Medscape Nephrology.
Applications for Jenny Kitsen Patient Safety Lecture Endowment Due July 31
Notice from the American Association of Kidney Patients.
5 Keys to a Successful Organ Transplant Program
Article from HealthLeaders Media.
Genetic Variant May Help Predict Risk of Kidney Damage after Heart Surgery
Here Is Why So Many White Americans Are Dying Young
Article from STAT.

Medicaid Can Pay For Mosquito Repellent, Condoms In Effort To Curb Zika
News brief and 'Open Carry' cartoon from Kaiser Health News. Related article from HealthDay.



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Thursday, June 2

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  June 2, 2016
ASN, ERA-EDTA and ISN Declaration of Collaboration
Press release from the International Society of Nephrology.
Topic Discussion: Novel Ways to Combat Intradialytic Hypotension
Posting from the NephronPower blog.
Articles from Nephrology News & Issues:
FDA Calls for Less Salt in Processed Foods
Article from HealthDay. FDA press release. Online First article from the Journal of the American Medical Association. Online First article from the New England Journal of Medicine.
Symptomatic Fracture Risk in the Renal Replacement Therapy Population
Advance Access abstract from NDT.
Articles in Press Abstracts from American Journal Of Kidney Diseases:
Peripheral Artery Disease and Blood Pressure Profile Abnormalities in Hemodialysis Patients
First Online abstract from Journal of Nephrology.
Advance Online Abstracts from the Journal of Vascular Access:
Accepted Articles Abstracts from Nephrology:
Avenu Medical Wins CE Mark for Ellipsys Vascular Access System
When Things Go Wrong Operationally, Nurses Feel the Pain First
Posting from the KevinMD blog.

The Association between Medicare Eligibility and Rehabilitative Care
Press release from Brigham and Women's Hospital.

"Rehabilitation is an essential component of high-quality healthcare."

Editor's letter: Dear Drs. Franklin Maddux and Allen Nissenson...



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Wednesday, June 1

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  June 1, 2016
Financial Relationships between Biomedical Companies and Organizations
Press release and Open Access article from PLOS Medicine.

"Conclusions: Financial relationships between organizations that produce clinical practice guidelines and biomedical companies are common and infrequently disclosed in guidelines. Our study highlights the need for an effective policy to manage organizational conflicts of interest and disclosure of financial relationships."

Editor's note: The organization that sets quality performance measures in U.S. dialysis care is an industry-controlled lobbying group. Patient participation in this group is purposefully limited.
Here's How Lawmakers Want To Fix Our Kidney Shortage
Opinion piece from The Washington Post.

Editor's note:
With the large, for-profit, dialysis providers taking little action to improve U.S. dialysis care, it is time to help as many patients as possible escape the brutal treatment regimens that virtually no U.S. nephrologists would choose for themselves.

Which organizations will lobby against this bill? Likely Fresenius, DaVita, Amgen, and the National Kidney Foundation.

Fresenius Medical Care Establishes Regenerative Medicine Subsidiary, to Continue Successful Work with University of Turin
Press release.

USRDS ESRD Quarterly Update
Latest data from the United States Renal Data System. The 2015 Researcher's Guide is also now available.
Chronic Kidney Disease
Free JAMA Patient Page from the Journal of the American Medical Association.
Kidney Donation Before Imminent Circulatory Death
Free, full-text, Article in Press from American Journal of Kidney Diseases.
CJASN Express Abstracts:
Conventional Hemodialysis Is Associated with Greater Bone Loss Than Nocturnal Hemodialysis: a Retrospective Observational Study of a Convenience Cohort
Free, full-text, Open Access article from Canadian Journal of Kidney Health and Disease.
Free June 2016 Issue of Clinical Kidney Journal
27 full-text articles and a section on Psychosocial Issues including:
Clinical Presentation and Determinants of Mortality of Invasive Pulmonary Aspergillosis in Kidney Transplant Recipients: A Multinational Cohort Study
Early View abstract from American Journal of Transplantation.
Advance Online Abstracts from the Journal of Vascular Access:
Organ Transplants Between HIV-Positive Patients Now Legal In California
HHS: Hospital EHR Use, Data Exchange Continue to Climb
News brief from AHANewsNow.
The Unintended Consequences of a Hospital's Attempt to Improve
Press release and Article in Press abstract from the American Journal of Medicine.
Better Palliative Care for All — Improving the Lived Experience With Cancer
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
How Doctors Die in the United States
Press release from the American Geriatrics Society.
CMS Issues Memo on Revised Guidelines for Solid Organ Transplant Program Outcomes Thresholds
Summary from the American Society of Transplantation.
CMS: Certain Medicare ACOs Can Participate in New Medical Home Model
News brief from AHANewsNow.


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Tuesday, May 31

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  May 31, 2016
GUIDE, a Structured Predialysis Program That Increases the Use of Home Dialysis
Free, full-text, Advance Access article from Clinical Kidney Journal.
Kidney Caucus Letter Repayment Basis
Posting by Mel Hodge on the KidneyViews blog.
Does an Acid-Milieu in Chronic Kidney Disease Contribute to Its Increased Cardiovascular Mortality
Free, full-text, Issue-in-Progress editorial from American Journal of Nephrology.
Prevention of Contrast-Associated Acute Kidney Injury: What Should We Do?
Free, full-text, Article in Press from American Journal of Kidney Diseases.
Critical Care in The Emergency Department: Acute Kidney Injury
(Registration required, but free.) Article from Emergency Medicine Journal via Medscape Nephrology.
The Efficacy and Durability of the Venous Window Needle Guide Implanted on Uncannulatable Arteriovenous Fistulas
Article in Press abstract from Journal of Vascular Surgery.
Lower Extremity Permanent Dialysis Vascular Access
CJASN Express abstract.
Advance Access Abstracts from NDT:
Kidney Donation Before Imminent Circulatory Death
Article in Press abstract from American Journal of Kidney Diseases.
Three Decades of Atherosclerotic Reno-vascular Disease Management - Changing Outcomes in an Observational Study
Free, Issue-in-Progress, Open Access article from Kidney & Blood Pressure Research.
Articles from Kaiser Health News:
Free, Full-Text, Online First Articles from Annals of Internal Medicine:
7 Telemedicine Myths Debunked
Article from Medical Economics.
 
Public Reporting of Mortality Rates for Hospitalized Medicare Patients and Trends in Mortality for Reported Conditions
Online First abstract from Annals of Internal Medicine.

June MACRA Events
Notice from the Northwest Renal Network.

Most Medicare ACOs to Leave if Excluded from MACRA: Survey


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Monday, May 30

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  May 30, 2016
Kidney Caucus Letter Repayment Basis
Posting by Mel Hodge on the KidneyViews blog.
Does an Acid-Milieu in Chronic Kidney Disease Contribute to Its Increased Cardiovascular Mortality
Free, full-text, Issue-in-Progress editorial from American Journal of Nephrology.
Prevention of Contrast-Associated Acute Kidney Injury: What Should We Do?
Free, full-text, Article in Press from American Journal of Kidney Diseases.
The Efficacy and Durability of the Venous Window Needle Guide Implanted on Uncannulatable Arteriovenous Fistulas
Article in Press abstract from Journal of Vascular Surgery.
Lower Extremity Permanent Dialysis Vascular Access
CJASN Express abstract.
Furosemide Increases the Risk of Hyperparathyroidism in Chronic Kidney Disease
Issue-in-Progress abstract from American Journal of Nephrology.
Comparison of Oral Versus Intravenous Vitamin D Receptor Activator in Reducing Infection Related Mortality in Hemodialysis Patients: the Q-Cohort Study
Advance Access abstract from NDT.
Kidney Donation Before Imminent Circulatory Death
Article in Press abstract from American Journal of Kidney Diseases.
Free, Full-Text, First Online Articles from Pediatric Nephrology:
First of Its Kind Procedure Combines Scalp, Skull, Kidney and Pancreas Transplant
Articles from Kaiser Health News:

June MACRA Events
Notice from the Northwest Renal Network.

Most Medicare ACOs to Leave if Excluded from MACRA: Survey


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Fri./Sat., May 27-28

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  May 27, 2016
Rep. Cartwright Introduces Legislation to Address Nation's Organ Transplant Shortage
Press release. The proposed legislation is a 7-page pdf.
Articles from Medscape Nephrology (registration required):
Effects of the Prospective Payment System on Anemia Management in Maintenance Dialysis Patients: Implications for Cost and Site of Care
Free, full-text, Open Access article from BMC Nephrology.
Incentivizing Authorization for Deceased Organ Donation With Organ Allocation Priority: The First 5 Years (in Israel)
Early View abstract from American Journal of Transplantation.
Dialysis and Pregnancy: No Longer the Impossible
Advance Access extract from NDT.
Gut Bacteria May Contribute to Poor Health in Patients with Kidney Disease
Press release and JASN Express abstract from the American Society of Nephrology.
Continuous Venovenous Hemofiltration Using Customized Replacement Fluid for Acute Kidney Injury with Severe Hypernatremia
Free, full-text, Advance Access article from Clinical Kidney Journal.
Dialysis and Patient Factors Which Determine Convective Volume Exchange in Patients Treated by Postdilution Online Hemodiafiltration
Early View abstract from Artificial Organs.
Pericarditis and Pericardial Effusions in End-Stage Renal Disease
Early View abstract from Seminars in Dialysis.
Peritoneal Dialysis Use within the Context of the Population and Healthcare Systems of Europe-Differences, Trends and Future Challenges
Advance Online abstract from the International Journal of Artificial Organs.
Comparison of The Risk of de novo Cardiovascular Disease between Hemodialysis and Peritoneal Dialysis in Patients with End-Stage Renal Disease
In Press abstract from International Journal of Cardiology.
QuickStats: Age-Adjusted Prevalence, of Adults Aged =18 Years with Hypertension Who Are Aware They Have Hypertension, by Sex and Race/Ethnicity — National Health and Nutrition Examination Survey, United States, 2011–2014
Drug-Resistant Superbug Is Here: First Discovery in United States of Colistin Resistance in a Human E. coli Infection
Press release from the U. S. Military HIV Program. Articles from STAT and The Hill.
Proposed Rule Would Allow VA to Grant Full Practice Authority to APRNs
News brief from AHANewsNow.
10 Trends in Employer-Sponsored Insurance
Article from HFMA.
FDA Approves Implant to Battle Opioid Addiction

6/10 ESCO Webinar & 6/23 Workshop
Notice from the Northwest Renal Network.



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Thursday, May 26

Rep. Cartwright Introduces Legislation to Address Nation's Organ Transplant Shortage
Press release.
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  May 26, 2016

Fresenius Medical Care Launches 6008 CAREsystem, a New Hemodialysis Therapy System Enabling Better Care for Chronic Patients
Press release.

Editor's note: It is unclear whether this is intended for the US market. Unfortunately, from this picture, the new machine appears to remain as large in size as a refrigerator.

What Drs. Aren't Telling Young Obese Adults — Too Few Warn Patients of the Risk for Kidney Disease
Article from HealthDay. Press release from Albert Einstein College of Medicine. Free, full-text article from PLOS ONE.
Smoking Harms Black Americans' Kidneys, Study Suggests
Article from HealthDay. Abstract and press release from the Journal of the American Heart Association.

National Kidney Foundation Statement on The Organ Donation Clarification Act of 2016
Press release from the National Kidney Foundation.

Editor's note: It is time for the National Kidney Foundation to come down from its ivory tower. The financial incentives of U.S. dialysis care leads to minimal care, disability for nearly all patients, and worse outcomes for patients compared to Europe and Japan. Many U.S. nephrologists profit from the sub-optimal care of their dialysis patients.

Free, Full-Text, Early View Articles from American Journal of Transplantation:
Predicting Patient Survival after Deceased Donor Kidney Transplantation Using Flexible Parametric Modeling
Free, full-text, Open Access article from BMC Nephrology.
Kidney-Failure Risk Projection for the Living Kidney-Donor Candidate
Letter to the editor from the New England Journal of Medicine.
Exploring Depression amongst Kidney Transplant Recipients: a Literature Review
Early View abstract from Journal of Renal Care.
Fluid Control For Energy to Live Full Life
Article from Renal Support Network.
Outcomes of Vascular Access Care and Surgery Managed by Interventional Nephrologists: A Twelve-Year Experience
Issue-in-Progress abstract from Blood Purification.
Articles from Renal & Urology News:
NQF, CDC Issue Guide to Promote Appropriate Use of Antibiotics in Hospitals
News brief from AHANewsNow.
Regulatory Approval of New Medical Devices: Cross Sectional Study
Free, full-text article from the BMJ.

 



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Wednesday, May 25*

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  May 25, 2016
The Enemy Is Not Death. The Enemy Is Needless Suffering
Posting from the KevinMD blog.
"With the increasingly complex, confusing, and expensive nature of medical care, it is more important than ever that doctors "get it." They must accept that the enemy is not death; the enemy is needless suffering. They must understand the limits of their role. They must appreciate and respect the strength of their fellow man and the rights of every patient to choose their destiny."
Editor's note: Hopefully, someday U.S. nephrology will "get it," that what is important to dialysis patients is NOT Kt/V and biochemical markers.
A Doctor Yearns For A Return To The Time When Physicians Were ‘Artisans’
Article from Kaiser Health News.
"When you remember that being with the ill is a calling, then you remember that it is a tremendous privilege to be a physician. People trust you with their secrets, their fears and their hopes. They allow you to ask about their lives and to assess their bodies. So my lament is not for the loss of physician privilege — goodbye to that — but to the understanding of medicine as a calling."
Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
Advance Access Abstracts from NDT:
When Blood Is Sampled Affects Dialysis Patients' Phosphorus Values
Article from Renal & Urology News.
Living Kidney Donors Who Develop Kidney Failure: Excerpts of Their Thoughts
Issue-in-Progress abstract from American Journal of Nephrology.
Developing and Validating a Renal Nutrition Screening Tool to Effectively Identify Undernutrition Risk Among Renal Inpatients
Article in Press abstract from Journal of Renal Nutrition.
Regenerative Medicine in Kidney Disease
Article in Press abstract from Kidney International.
High-Salt Diets May Raise Heart Risks for Kidney Patients
Article from HealthDay. Free, full-text article and press release from the Journal of the American Medical Association.
Published Ahead-of-Print Abstracts from Current Opinion in Nephrology and Hypertension:
LCP-Tacrolimus: A Novel Extended-Release Tacrolimus for Use in Kidney Transplantation
Posting from the AJKD blog.
Fistula First Resources
Helpful resources from the ESRD National Coordinating Center.
Premarket Approval Application (PMA) for Bard Peripheral Vascular Device: Fluency® Plus Endovascular Stent Graft
49-page pdf from the FDA.
Weight-Loss Surgery Helps Treat Type 2 Diabetes
Article from HealthDay.

 



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Tuesday, May 24

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  May 24, 2016
Factors Affecting Outcomes in Patients Reaching End-Stage Kidney Disease Worldwide: Differences in Access to Renal Replacement Therapy, Modality Use, and Hemodialysis Practices
Online First abstract from The Lancet.

"For most patients with ESKD worldwide who are treated with in-centre haemodialysis, overall survival is poor, but longer in some Asian countries than elsewhere in the world, and longer in Europe than in the USA, although this gap has reduced."

Editor's note: Hasn't this statement remained unchanged for the last 5,10,15 years?

U.S. nephrologists continue to follow leaders like Kent Thiry, who stated in May 2013, "When your kidney fails, you die unless you’re one of the fortunate few who get transplanted."

Does a well-patient model of care have any place in for-profit, in-center, dialysis care in the USA?  U.S. nephrologists consider in-center hemodialysis treatments to be a deathtrap and would avoid it for themselves for their own family members.
BP Swings Tied to Faster Decline in Mental Skills
Article from HealthDay. Press release from the American Heart Association. Published online before print abstract from Hypertension.
Free, Full-Text Articles from American Journal Of Kidney Diseases:
Free, Full-Text Articles from NDT:
Health Insurance Trends in United States Living Kidney Donors (2004 to 2015)
Early View abstract from American Journal of Transplantation.
First Online Abstracts from International Urology And Nephrology:
Treatment of Pediatric Hyperkalemia with Sodium Polystyrene Sulfonate
First Online abstract from Pediatric Nephrology.
Press Releases from the European Society of Cardiology:
House Republicans Offer Obamacare Alternative: 'World's Greatest Healthcare Plan Act of 2016'
Articles from The Hill and MedPage Today (registration required, but free).

"But much of ObamaCare would remain, including its safeguards against insurers discriminating based on pre-existing conditions. The law's tax increases would also be kept."
Cash Prizes for Pharma Are Needed to Fight Superbugs
Article from STAT.
Living Near Fast-Food Places Hurts Less-Educated Most

Din Erupts Over Obama's Proposed Medicare Payment Plan
News brief from Kaiser Health News.

Implementing MACRA — Implications for Physicians and for Physician Leadership
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.


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Monday, May 23

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  May 23, 2016
Free, Full-Text, Online First Articles from the Journal of the American Medical Association:

"Conclusions and Relevance: Among critically ill patients with AKI, early RRT compared with delayed initiation of RRT reduced mortality over the first 90 days. Further multicenter trials of this intervention are warranted."

Editor's note:
These full-text, Online First articles appeared one week earlier in The New England Journal Of Medicine:

"Discussion: In this trial, a strategy of delayed initiation of renal-replacement therapy in critically ill patients with severe acute kidney injury obviated the need for renal-replacement therapy in almost 50% of cases (resulting in a considerable difference in the total number of renal-replacement therapy sessions). Mortality at day 60 did not differ significantly between the early-strategy group and the delayed-strategy group."
ERA-EDTA 53rd Congress — May 21-24 in Vienna
News releases from the European Renal Association - European Dialysis and Transplantation Association:
  • Final program - (418-page pdf)
  • Late Breaking Clinical Trials - (2-page pdf)
  • Specific Renal Nutrition Guidelines Are Needed to Prevent Sarcopenia and Frailty in Dialysis Patients - (1-page pdf)
  • Baby Dialysis Machine Revisited: CAREPEDIEM Decreases Mortality Rate by 50 Percent! - (2-page pdf)
  • Nephrology in Austria is a Model to Be Emulated Europe-wide - (1-page pdf)
As We Grow Old: Nutritional Considerations for Older Patients on Dialysis
Free, full-text, Advance Access article from NDT.
Free, Full-Text, Articles in Press from American Journal Of Kidney Diseases:
Early View Abstracts from Seminars In Dialysis:
Ratio of Surface Roughness to Flow Scale As Additional Parameter for Shear Induced Hemolysis
Advance Online abstract from the International Journal of Artificial Organs.
Effectiveness of N-acetylcysteine for Preserving Residual Renal Function in Patients Undergoing Maintenance Hemodialysis: Multicenter Randomized Clinical Trial
First Online abstract from Clinical and Experimental Nephrology.
Renal Support Network's 14th Annual Essay Contest
This year's theme: "What Do You Know Now About Chronic Kidney Disease That You Wish You'd Known When You Were Diagnosed?" Entries are due August 1st.
Donated Organs Kept 'Alive' May Ease the Transplant Shortage
Article from The Washington Post.
Diatlysis Patient Celebrates 100th Birhday
Study: US Spends More on Mental Disorders Than Any Other Condition
News brief from AHANewsNow. Article from Health Affairs.
Analysis: 40 Percent Of Cancer Deaths In U.S. Are Preventable By Adjusting Lifestyle Habits
News summary from Kaiser Health News.

 



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Fri./Sat., May 20-21

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  May 20, 2016
Announcement of CMS Request for Applications for the Comprehensive ESRD Care Model
The Centers for Medicare & Medicaid Services (CMS) is officially announcing a Request for Applications (RFA) for the Comprehensive ESRD Care (CEC) Model.  Applicants will have the opportunity to apply to join the Model starting in its second year, on January 1, 2017. The application deadline is July 15, 2016.

CEC Model
information web page from CMS. The Request for Applications (RFA) is a 50-page pdf.
Kidney Charity (Dialysis Patients Citizens) Files Civil Rights Complaint Against Idaho Blue Cross For Rejecting Qualified Health Plans (QHP) Payments
Headline only from the pay-for-view web site InsideHealthPolicy.com.

DaVita, Northwell Health Announce Joint Venture to Deliver Full Suite of Kidney Care Services
Press release.

Editor's note: Still no mention of employment or rehabilitation. If patients want to be well or work, they and their families must also take on the burden of home dialysis. The "sick-patient" model (under-dialyzed and debilitated) continues to be the sole option available for most patients at in-center, for-profit dialysis clinics.

Simple Public Health Intervention May Prevent Chronic Kidney Disease
Press release and CJASN Express abstract from the American Society of Nephrology.
Screening Strategy Identifies Adults at Risk for Developing Kidney Disease
Press release and CJASN Express abstract from the American Society of Nephrology.
DaVita Announces Agreement to Acquire a Prominent Medical Group in Orlando Area
Press release.

"(DaVita)... announced that it entered into a definitive agreement to acquire Family Health Care of Central Florida, a highly reputable primary care group serving the Orlando metro area for more than 30 years."

Editor's note:
DaVita tries to buy a new reputation?
Patient and Other Stakeholder Engagement in Patient-Centered Outcomes Research Institute Funded Studies of Patients with Kidney Diseases
CJASN Express abstract.

Editor's note: Perhaps more patients would participate in research that is based on a well-patient model.

Lowering Blood Pressure Reduces Risk of Heart Disease in Older Adults
Press release from Wake Forest Baptist Medical Center. Also see these Online First articles from the Journal of the American Medical Association:

Results of Human Factors Testing in a Novel Hemodialysis System Designed for Ease of Patient Use
Early View abstract from Hemodialysis International.

Abstracts from Renal Failure:

End-Of-Life Care for People with Chronic Kidney Disease: Cause of Death, Place of Death and Hospital Costs
Advance Access abstract from NDT.
Access to and Characteristics of Palliative Care Related Hospitalization in the Management of End-Stage Renal Disease Patients on Renal Replacement Therapy in France
Accepted Article abstract from Nephrology.
How Do Patients Experience a Kidney Biopsy
Early View abstract from Journal of Renal Care.
A Chinese Hospital Tries to Buy Off Another Victim of Search Engine Baidu's Medical Ads (to eliminate dialysis)
Article from Epoch Times.
Nikkiso America Launches DBB-06 Hemodialysis System with Dialysis Dose Monitor in U.S.
Global Antibiotics 'Revolution' Needed
Article from the BBC.
Thousands of Public Pools, Hot Tubs Closed for Dirty Water: CDC
Article from HealthDay.

CROWNWeb Town Hall Event: Connecting the Pieces: Introducing EIDM and QARM
Scheduled for May 26, 2 PM ET.

Medigap Plans for Home or In-center Dialyzors
Posting from the KidneyViews blog.


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Thursday, May 19

Nikkiso America Launches DBB-06 Hemodialysis System with Dialysis Dose Monitor in U.S.
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  May 19, 2016
Overtime Pay Rules Will Affect Millions of Healthcare Workers
(Registration required, but free.) Article from Modern Healthcare. Fact sheet from WhiteHouse.gov.
University of Delaware Computer Scientists Team with Clinicians to Improve Care for Patients with Chronic Kidney Disease
Press release.
Factors Associated with the Receipt of Antimicrobials among Chronic Hemodialysis Patients
Article in Press abstract from American Journal of Infection Control.
Inflammation Regulates Fibroblast Growth Factor 23 Production
Published Ahead of Print abstract from Current Opinion in Nephrology and Hypertension.
Primary and Tertiary Health Professionals' Views on the Health-Care of Patients with Comorbid Diabetes and Chronic Kidney Disease -- a Qualitative Study
Free, full-text, Open Access article from BMC Nephrology.
The Tego™ Needleless Connector for Hemodialysis Catheters May Protect against Catheter Colonization
First Online abstract from European Journal of Clinical Microbiology & Infectious Diseases.
Canagliflozin (Invokana, Invokamet): Drug Safety Communication - Clinical Trial Results Find Increased Risk of Leg and Foot Amputations
FDA MedWatch notice.
High Blood Pressure Linked to Vascular Dementia
Superbugs Will 'Kill Every Three Seconds'
Article from the BBC.
Ways and Means Leaders Unveil 'Hospital Bill'
News brief from AHANewsNow.
Early Palliative Care Seems to Help Caregivers, Too
Article from HealthDay.

Critics Of Medicare's Overall Hospital Star Rating Push For Changes
Article from Kaiser Health News.



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Wednesday, May 18

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  May 18, 2016
The New Era of Informed Consent — Getting to a Reasonable-Patient Standard Through Shared Decision Making
Article from the Journal of the American Medical Association.
"Informed consent discussions are often devoid of details about the material risks, benefits, and alternatives that are critical to meaningful patient decision making."
Nephrologists' Likelihood of Referring Patients for Kidney Transplant Based on Hypothetical Patient Scenarios
Free, full-text, Advance Access article from Clinical Kidney Journal.

Editor's note:
This study, done by U.S. nephrologists, completely ignores the financial incentives for U.S. nephrologists to avoid referrals for transplants.
Bisphenol A in Hemodialysis Patient: An Open Question
Free, full-text, Issue-in-Progress editorial from Blood Purification.

Issue-in-Progress Abstracts from Blood Purification:

Advance Access Abstracts from NDT:
Association of mGFR of the Remaining Kidney Divided by Its Volume before Donation with Functional Gain in mGFR among Living Kidney Donors
CJASN Express abstract.
May-June 2016 Issue of Saudi Journal of Kidney Diseases and Transplantation
Over 20 free, full-text articles.
A Simultaneous Liver-Kidney Transplant? Not So Fast
(Registration required, but free.) Berns on Nephrology video blog from Medscape Nephrology.
Could Potatoes Be Bad for Blood Pressure?
Article from HealthDay. Free, full-text article from BMJ.
Late Mortality after Sepsis: Propensity Matched Cohort Study
Article from the BMJ.
Magic Mushrooms 'Promising' in Depression
How Much Time Is Left? Doctors, Loved Ones Often Disagree
Article from HealthDay. Free, full-text article from the Journal of the American Medical Association.
New Online Menu Of Doctors Aims To Remove ‘Blind Date’ Facet Of Telemedicine
Article from Kaiser Health News.
 


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Tuesday, May 17

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  May 17, 2016
Finding Organ Donors Concealed in Plain Sight
Article from The New York Times.
Hansa Medical: Ongoing US Study Shows That IdeS Allows for Transplantation of Highly Sensitized Patients
Press release.
Standardized Best Practices and Individual Craft-Based Medicine — A Conversation About Quality
Free, full-text, Online First special communication from JAMA Internal Medicine.

"Finally, I fear that standardization undermines the humanity and the joy in doctoring. Historically, society has permitted physicians a great deal of autonomy and discretion in their work—and the quid pro quo for this privilege has been physicians' dedication to their patients and the public good. What happens to this dedication when physicians' work begins to seem like a list of tasks rather than a calling? If physicians become disengaged, patient care suffers and is more variable, and standardization becomes ever more necessary. We may be entering a vicious cycle in which standardization attempts to compensate for the very loss of professionalism that it engenders."
Living with Moderate to Severe Renal Failure from the Perspective of Patients
Free, full-text, Open Access article from BMC Nephrology.
Conclusions: This study offers important new insights into an expanding group of patients having moderate-to-severe chronic kidney disease. Healthcare professionals should acknowledge their problems instead of ignoring or rejecting them and they should support patients in finding a way to deal with them. The assumptions of Personalised Care Planning could be used to support patients.
A Nephrology Listicle
Posting from the AJKD blog.
ICUs Strained by Increased Volume and a near Doubling of Opioid Related Deaths
Press release from American Thoracic Society.
"...these patients are 30 percent more likely to need acute dialysis, and have contributed to an increased healthcare cost of 46 percent over the last 7 years."
Chemistry Testing on Plasma Versus Serum Samples in Dialysis Patients: Clinical and Quality Improvement Implications
JASN Express abstract.
External Dilator Assisted Banding for High Flow Hemodialysis Arteriovenous Fistula
Abstract from Renal Failure.
Hemodiafiltration With Endogenous Reinfusion Improved Microinflammation and Endothelial Damage Compared With Online-Hemodiafiltration: A Hypothesis Generating Study
Early View abstract from Artificial Organs.
Wearable Monitor Helps Spot 'Masked' High Blood Pressure
Article from HealthDay. Published Ahead of Print abstract from Hypertension.
SPRINT Confuses Ambulatory BP Expectations
(Registration required, but free.) Article from MedPage Today.
Lowering Target Blood Pressure Would Save Lives and Money
Press release from Columbia University Medical Center.
Intervention to Prevent Major Depression in Primary Care: A Cluster Randomized Trial
Abstract from Annals of Internal Medicine.
New York Dialysis Unit Temporarily Closed Due to Mold
China to Double Organ Transplant Hospitals by 2020
HHS Issues Final Rule on Nondiscrimination in Health Programs
News brief from AHANewsNow.
Articles from Kaiser Health News:
Exercise May Cut Risk of 13 Cancers, Study Suggests
Frequent Religious Service Attendance Linked with Decreased Mortality Risk among Women
Kentucky Ambulance Service Accused of Medicare Fraud
Another Philadelphia Ambulance Owner Is Charged with Medicare Fraud


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Monday, May 16

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  May 16, 2016

Free, Full-Text, Online First Articles from the New England Journal Of Medicine:

"Discussion: In this trial, a strategy of delayed initiation of renal-replacement therapy in critically ill patients with severe acute kidney injury obviated the need for renal-replacement therapy in almost 50% of cases (resulting in a considerable difference in the total number of renal-replacement therapy sessions). Mortality at day 60 did not differ significantly between the early-strategy group and the delayed-strategy group."

Postings from the AJKD Blog:

The Economic Considerations of Patients and Caregivers in Choice of Dialysis Modality
Free, full-text, Early View article from Hemodialysis International.
"Discussion: Our data suggests that economic considerations underpin the choices patients make about dialysis treatments, however these are rarely reported. To promote home dialysis, strategies to improve employment retention and housing, and to minimize out-of-pocket costs, need to be addressed directly by healthcare providers and payers."
Do Patient Reported Measures of Symptoms and Health Status Predict Mortality in Hemodialysis? An Assessment of POS-S Renal and EQ-5D
Early View abstract from Hemodialysis International.
News Items from the International Society of Nephrology:
First Online Abstracts from Pediatric Nephrology:
Approach to the Treatment of Methanol Intoxication
Article in Press abstract from American Journal of Kidney Diseases.
Articles in Press Abstracts from Journal of Vascular Surgery:
Social Determinants of Racial Disparities in CKD
JASN Express abstract.
The Uremic Toxin Oxythiamine Causes Functional Thiamine Deficiency in End-Stage Renal Disease by Inhibiting Transketolase Activity
Article in Press abstract from Kidney International.
Reconsidering the Lack of Urea Toxicity in Dialysis Patients
Early View abstract from Seminars in Dialysis.
Cardiac Troponin T Elevation at Dialysis Initiation Is Associated with All Cause and Cardiovascular Mortality on Dialysis in Patients without Diabetic Nephropathy
First Online abstract from Clinical and Experimental Nephrology.
Big Data Will Meet Personalized Medicine at Kidney Congress
(Registration required, but free.) Conference news from Medscape Medical News.
FDA April 2016 Drug Safety Labeling Changes
Includes 29 products with revisions to Prescribing Information.
More Support for Aggressive Blood Pressure Treatment for Elderly
Your Patient Should Get a Health Coach. Here's Why
Posting from the KevinMD blog.
CMS Warned About Unintended Consequences of Part B Drug Proposal
Article from HFMA.
Study: Few Rural Medicare Beneficiaries Receive Telehealth Services
News brief from AHANewsNow.


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Fri./Sat., May 13-14

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  May 13, 2016
Live and Let Dialyse
Full-text editorial from The Lancet (UK).
"Dialysis sessions are often too short, leading to inadequate fluid removal, hypertension, and cardiac disease. Conversely, the dialysis procedure can also contribute to hypotension, leading to loss of valuable residual kidney function and cardiac, cerebral, and gut ischaemia. In some settings, commercial considerations outweigh those of patient benefit. Dialysis contributes to poor quality of life—both the process itself and accompanying symptoms such as insomnia, pruritus, myalgia, arthralgia, anxiety, and depression. Psychological support, appropriate exercise, and occupational therapy, which are crucial to the wellbeing of patients on dialysis, are often neglected."
Editor's note: What further condemnations do the American Society of Nephrology and the Renal Physicians Association require in order to act?

Is U.S. dialysis care doomed to spiral downward even further into the hands of junk-bond-financed corporations?

Should U.S. nephrologists profit from the ownership and sales of dialysis facilities?
Thomas Parker, M.D. Retires After 18 Years With Renal Ventures Management, LLC
Press release.

Editor's note: In August of 2015, Renal Ventures Management announced that it would be acquired by DaVita HealthCare Partners for $415 million. Estimating that Renal Ventures Management had 2500 patients at that time, the per-patient price was $166,000.

According to the United States Renal Data System (USRDS), DaVita is the worst place for dialysis patients to receive care in terms of mortality and hospitalizations (see Tables 10.2 and 10.4 in Chapter 10 of the 2015 USRDS report). DaVita also led the list of U.S. companies that settled fraud allegations with the U.S. government in 2015 ($800 million).

Who pays top dollar for dialysis facility acquisitions? Junk-bond-financed for-profit corporations.

Are dialysis patients aware that they are being sold for profit like commodities?
Bioengineered Blood Vessel Is Safe for Dialysis Patients, Study Finds
Article from Yale News. Abstract from The Lancet.
Smartphone-based System May Improve Health of Patients with Chronic Diseases
Press release and CJASN Express abstract from the American Society of Nephrology.
Kidney Disease May Increase Hospitalized Patients' Risk of Complications
Press release and CJASN Express abstract from the American Society of Nephrology.
Free, Full-Text Articles from Canadian Journal of Kidney Health and Disease:
Free Issue of Kidney International June 2016
27 full-text articles including:
Optimal Management of Bone Mineral Disorders in Chronic Kidney Disease and End Stage Renal Disease
(Registration required, but free.) Free, full-text article from Current Opinion in Nephrology and Hypertension via Medscape Nephrology.
Articles in Press Abstracts from Kidney International:
Donor Kidneys May Be Discarded Due to 'Weekend Effect' at Hospitals
Press release and Article in Press abstract from Kidney International.
Association between Serum Hepcidin-25 and Primary Resistance to Erythropoiesis Stimulating Agents in Chronic Kidney Disease: A Secondary Analysis of the HERO Trial
Accepted Article abstract from Nephrology.
Comparison of Cancer Diagnoses Between the US Solid Organ Transplant Registry and Linked Central Cancer Registries
Early View abstract from American Journal of Transplantation.
Hepatitis Awareness Month and Testing Day — May 2016
Why Population Health and Palliative Care Need Each Other
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
Finding Value-Based Payment Measures That Work — Some Measures Have Unintended Consequences
(Registration required, but free.) Article from MedPage Today.
 


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Thursday, May 12

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  May 12, 2016
Congress Wants You to Be Able to Sell Your Organs
Article from The Daily Beast.

Editor's note: With all its perverse financial incentives and profiteering, the U.S. dialysis care model has failed patients. It is time to make transplantation available for all surgery-eligible ESRD patients. Paying for kidneys makes medical, moral, and economic sense.
Depression Strikes, Stays With Many Caregivers of Critically ill
Article from HealthDay. Free, full-text editorial and related abstract from The New England Journal of Medicine.

"Despite the substantial burden borne by informal caregivers, our society has only recently recognized that our conception of illness as solely an individual experience is too narrow. For many patients with chronic illness, the majority of care is delivered not through health care institutions but in the home, by (44 million) spouses, parents, adult children, and other informal caregivers."
The Time a 28-year-old MBA Told a Physician Where to Round First
Posting from the KevinMD blog.

Editor's note: The 50+ comments are very interesting.
DaVita HealthCare Partners Recognized as Top Workplace by The Denver Post
Press release.

Editor's note: According to the United States Renal Data System (USRDS), DaVita is the worst place for dialysis patients to receive care in terms of mortality and hospitalizations (see Tables 10.2 and 10.4 in Chapter 10 of the 2015 USRDS report).

What exactly is the focus of this healthcare company?
Residual Kidney Function Decline and Mortality in Incident Hemodialysis Patients
JASN Express abstract.
Oral Vitamin C Supplementation Reduces Erythropoietin Requirement in Hemodialysis Patients with Functional Iron Deficiency
First Online abstract from International Urology and Nephrology.
The Weekend Effect Alters the Procurement and Discard Rates of Deceased Donor Kidneys in the United States
Article in Press abstract from Kidney International.
Weekend Versus Weekday Transplant Surgery and Outcomes after Kidney Transplantation in the USA: a Retrospective National Database Analysis
Free, full-text, Open Access article from BMJ Open.

Inpatient Citrate-Based Hemodialysis in Pediatric Patients
First Online abstract from Pediatric Nephrology.

Antiplatelet and Oral Anticoagulant Therapies in Chronic Hemodialysis Patients: Prescribing Practices and Bleeding Risk
Early View abstract from Pharmacoepidemiology and Drug Safety.
Published Ahead of Print Abstract from Current Opinion in Nephrology and Hypertension:
Do You Give a Flux about Flux?
Posting from the Precious Bodily Fluids blog.
Rockwell Medical Reports First Quarter Results
Eversense 90-day Continuous Glucose Monitor CE Marked in Europe
Free, Full-Text, Online First Articles from the New England Journal of Medicine:
WalletHub Publishes 2016's Best, Worst States For Nurses
Article from Nurses.com.
 


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Wednesday, May 11

Congress Wants You to Be Able to Sell Your Organs
Article from The Daily Beast.

Editor's note: With all its perverse financial incentives and profiteering, the U.S. dialysis care model has failed patients. It is time to make transplantation available for all surgery-eligible ESRD patients. Paying for kidneys makes medical, moral, and economic sense.
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  May 11, 2016
How to Help People with Kidney Disease Keep Their Jobs
Posting from the KidneyViews blog.

Editor's note: Failing to examine the financial incentives involved in dialysis patient employment (or overall dialysis care) in the U.S. is like studying a patient's genetic history by investigating only one parent's DNA. You're missing half the story.

After 17 years of chronicling scientific advancements in dialysis care, it is obvious to me that the financial incentives in U.S. dialysis care are at least as powerful as scientific truths in controlling patient care.

It is time that professional dialysis conferences in the U.S. include the problems and conflicts of financial incentives in the U.S. dialysis care system.
Urgent Peritoneal Dialysis Starts for ESRD: Initial Multicenter Experiences in the United States
Article in Press abstract from American Journal of Kidney Diseases.
Issue in Progress Abstracts from American Journal Of Nephrology:
Articles in Press Abstracts from Kidney International:
Latent Tuberculosis Diagnostic Tests to Predict Longitudinal Tuberculosis during Dialysis: a Meta-Analysis
Abstract from the International Journal of Tuberculosis and Lung Disease.
High Prevalence of Frailty in End-Stage Renal Disease
Free, full-text, Open Access article from International Urology and Nephrology.
Patient's Perceptions of Chronic Kidney Disease and Their Association with Psychosocial and Clinical Outcomes: a Narrative Review
Free, full-text, Advance Access article from Clinical Kidney Journal.
Cognitive Impairment and Depression in a Population of Patients with Chronic Kidney Disease in Colombia: a Prevalence Study
Free, full-text, Open Access article from Canadian Journal of Kidney Health and Disease.
Advance Access Abstracts from NDT:
Healthcare Costs of the Progression of Chronic Kidney Disease and Different Dialysis Techniques Estimated through Administrative Database Analysis
First Online abstract from Journal of Nephrology.
Accepted Articles Abstracts from Nephrology:
DaVita Appoints President for Kidney Care Business in Asia Pacific
We Can't All Have It All: The Economic Limits of Pharmaceutical Innovation
Free, full-text article from the Journal of the American Medical Association.
Clues to How Popular Heartburn Drug Might Harm Arteries
Article from HealthDay.
PCORI Awards $1.1 Million to 44 Projects through Second Tier
Study Examines Use of Telemedicine among Rural Medicare Beneficiaries
Press release and research letter extract from the Journal of the American Medical Association.
Watchdog Report Sharply Criticizes Fed's Efforts To Recoup Medicare Advantage Overcharges
News brief from Kaiser Health News.


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Tuesday, May 10

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  May 10, 2016

To Make Big Heath Care Changes, Think Small
Posting from the KevinMD blog.

"The prevailing top-down health care leadership mindset is responsible for the death of the very spirit and behaviors that are essential to its transformation."
Opiate Overdoses Leads to Surge in Organ Donations
Article from The Washington Post.
Free, Full-Text Articles from PLOS ONE:
Urgent Hemodialysis with the Use of Peripheral Veins to Avoid Catheter Insertion
Early View abstract from Hemodialysis International.
Financial Neutrality for Living Organ Donors: Reasoning, Rationale, Definitions, and Implementation Strategies
Early View abstract from American Journal of Transplantation.
Accepted Articles Abstracts from Nephrology:
Association between Preoperative Vascular Function and Postoperative Arteriovenous Fistula Development
JASN Express abstract.
Relationship between the Target Dose for Hemodialysis Adequacy and Nutritional Assessment
Abstract from Annals of Saudi Medicine.

Articles from Nephrology News & Issues:

Association of Environmental Contamination in the Home With the Risk for Recurrent Community-Associated, Methicillin-Resistant Staphylococcus aureus Infection
Free, full-text, Online First abstract and editor's note from JAMA Internal Medicine.
Ohio Health System Opens Healthful Grocer In Food Desert
Article from Hospitals & Health Networks.
Life Expectancy Gap Between Black And White Americans Shrinks To Smallest In History
News brief from Kaiser Health News.
With Zika at the Doorstep, U.S. Health Officials Brace for Battle
Second article on Zika virus from HealthDay.
Cutting Brand-Name Drug Use Could Save U.S. $73 Billion: Study
Article from HealthDay. Online First abstract from the JAMA Internal Medicine.
Study: Medicare Part D Boosts Medication Adherence, Reduces Blood Pressure Risk
Press release from North Carolina State University.


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Monday, May 9

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  May 9, 2016
Neither Hematocrit Normalization nor Exercise Training Restores Oxygen Consumption to Normal Levels in Hemodialysis Patients
JASN Express abstract.
Mistakes We Make in Dialysis
Early View abstracts from Seminars in Dialysis:
Nurses' Bereavement Needs and Attitudes Towards Patient Death: a Qualitative Descriptive Study of Nurses in a Dialysis Unit
Free, full-text article from Journal of Renal Care.
Articles from Nephrology News & Issues:
Hepatitis B Reverse Seroconversion and Transmission in a Hemodialysis Center: A Public Health Investigation and Case Report
Article in Press abstract from American Journal of Kidney Diseases.
Diuretics, Limited Ultrafiltration, and Residual Renal Function in Incident Hemodialysis Patients: A Case Series
Early View abstract from Seminars in Dialysis.
1.3 Million Seniors with Severely Impaired Vision Report Falling in 2014
High Blood Pressure Lowers Significantly after Drinking Tart Montmorency Cherry Juice
Don't Look To Biosimilar Knock-Offs For Lower Drug Prices
Article from Kaiser Health News.
Humana To Exit Virginia, Alabama ACA Markets
 


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Fri./Sat., May 6-7

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  May 6, 2016
Climate Change May Contribute to Rising Rates of Chronic Kidney Disease
Press release and CJASN Express abstract from the American Society of Nephrology.
Catheter-Related Bloodstream Infection in End-Stage Kidney Disease: a Canadian Narrative Review
Free, full-text, Open Access article from Canadian Journal of Kidney Health and Disease.
Predictors of 30-Day Hospital Readmission among Maintenance Hemodialysis Patients: A Hospital's Perspective
CJASN Express abstract.
Blood Pressure and Mortality in Hemodialysis Patients: A Systematic Review of an Ongoing Debate
Early View abstract from Therapeutic Apheresis and Dialysis.
JASN Express Abstracts:
Stent Graft Repair of Iatrogenic Femoral Arteriovenous Fistula with Acute Bleeding after Hemodialysis Catheter Insertion
Free, full-text, Early View case report from Hemodialysis International.
Acute Kidney Injury in Critically Injured Combat Veterans: A Retrospective Cohort Study
Article in Press abstract from American Journal of Kidney Diseases.
Early View Abstracts from Hemodialysis International:
Prolonged Ischemic Time, Delayed Graft Function, and Graft and Patient Outcomes in Live Donor Kidney Transplant Recipients
Early View abstract from American Journal of Transplantation.
HIV-Infected Organs Transplant Success in UK
Article from the BBC.
PDI in Press Abstracts:
Prolonged QT Interval Is Linked to All Cause and Cardiac Mortality in Chronic Peritoneal Dialysis Patients
Accepted Article abstract from Nephrology.
Obesity and CKD: How Big Is This?
Posting from the Renal Fellow Network blog.
Drug Combination Could Help Reduce Risk of Death in Type 2 Diabetes
Baxter Announces Appointment of Interim President for Its Renal Business
Warfarin Tied to Dementia Risk
CDC Launches New Hand Hygiene Campaign
As Hep C Deaths Hit Record High, Experts Hopeful New Drugs Will Make ‘Major Dent’ In Mortality Rate
News summary from Kaiser Health News.
6 Years Later, Obamacare Still Divides America: Poll
Article from HealthDay.
More Than 2000 Doctors Join Call for Single-Payer Healthcare
Article from The Hill.
Federal Register Notice: CMS Seeks Public Comments on:
  • End Stage Renal Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting Regulations
  • Organ Procurement Organization's (OPOs) Health Insurance Benefits Agreement and Supporting Regulations


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Thursday, May 5

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  May 5, 2016
DaVita HealthCare Partners Inc. 1st Quarter 2016 Results
Press release. Edited transcript of DVA earnings conference call.
DaVita, Khazanah and Mitsui to Create Joint Venture to Expand Kidney Care Services in Asia Pacific
Press release.
Dialog+ Hemodialysis Systems by B. Braun Medical: Class I Recall - Defective Conductivity Sensors
Notice from FDA MedWatch and recall notice.
Education Key to Increasing Home Dialysis
Interview from Nephrology News & Issues.
Hepatitis C Now Leading Infectious Disease Killer in U.S.
Article from HealthDay.
Early View Abstracts from Hemodialysis International:
Hidden Obesity in Dialysis Patients: Clinical Implications
Early View abstract from Seminars in Dialysis.
Externally Oriented Thinking Predicts Phosphorus Levels in Dialyzed Patients
Abstract from Transplantation Proceedings.
Advance Access Abstracts from NDT:
Development of Quality Indicators for Care of Chronic Kidney Disease in the Primary Care Setting Using Electronic Health Data: a RAND-Modified Delphi Method
First Online abstract from Clinical and Experimental Nephrology.
Rockwell Medical Provides Update on Preparations for Calcitriol Commercial Launch
NxStage Reports First Quarter Financial Results
'Kidney on a Chip' Could Lead to Safer Drug Dosing
Free, Full-Text Articles from BMJ:
Seniors: Pump Iron, Live Longer
CROWNWeb New User Training — May 10


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Wednesday, May 4

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  May 4, 2016
Study Suggests Medical Errors Are Third Leading Cause of Death in the US
Articles from HealthDay, ProPublica, and STAT.  Press release from Johns Hopkins Medicine. Press release and full-text article from the BMJ.
Comparison of Turkish and US Hemodialysis Patient Mortality Rates: an Observational Cohort Study
Free, full-text, Advance Access article from Clinical Kidney Journal.

"Results: The crude mortality rate in Turkey was 95.1 per 1000 patient-years. Compared with the US reference population, the annual mortality rate for Turkey was significantly lower, irrespective of gender, age and diabetes. After adjustments for age, gender and diabetes, the mortality risk in the Turkish cohort was 50% lower than US whites [95% confidence interval (CI) 0.46–0.54, P < 0.001], 44% lower than US African-Americans (95% CI 0.52–0.61, P < 0.001) and 20% lower than Asian-Americans (95% CI 0.74–0.86, P < 0.05)."

Editor's note: First, Brazil, now Turkey. Europe and Japan have long had far better dialysis patient outcomes than the U.S.

U.S. dialysis care, which is effectively controlled by junk-bond-financed, for-profit corporations, is unnecessarily harming and killing thousands of dialysis patients each year. U.S. nephrologists would never accept for themselves the treatment regimens that the vast majority of their patients receive. Until U.S. nephrologists, the American Society of Nephrology, and the Renal Physicians Association break free from the financial ties and medical practice controls of these corporations, U.S. dialysis care will continue to be the prime example of medical materialism gone wrong... and the shame of U.S. medicine. Physicians cannot serve two masters.

By now, it should be clear to all that the standards and routine practices of U.S. dialysis care ARE — by themselves — medical errors.

Prominent Democratic Consultants Sign Up to Defeat Single Payer in Colorado
Article from The Intercept.

"The anti-single-payer effort is funded almost entirely by health care industry interests, including $500,000 from Anthem Inc., the state's largest health insurance provider; $40,000 from Cigna, another large health insurer that is current in talks to merge with Anthem; $75,000 from Davita, the dialysis company; $25,000 from Delta Dental, the largest dental insurer in the state; and $100,000 from SCL Health, the faith-based hospital chain."
Free, Full-Text Articles from the Journal of the American Society of Nephrology:
Discovery's Edge: Tackling Polycystic Kidney Disease
Article from the Mayo Clinic.

Class I FDA Recalls of B Braun Dialog+ Hemodialysis Machines
All refer to potential leakage of conductivity sensors. Use the Advanced Search feature for the following recall notices:

  • Z-1531-2016 - 370 units
  • Z-1532-2016 - 40 units
  • Z-1533-2016 - 318 units
  • Z-1534-2016 - 90 units
  • Z-1535-2016 - 68 units
  • Z-1536-2016 - 147 units
Articles in Press Abstracts from Clinical Nutrition:
Published Ahead-of-Print Abstracts from Current Opinion in Nephrology and Hypertension:
Study Finds High Rate of Inappropriate Antibiotic Prescriptions in US
Press release and abstract from the Journal of the American Medical Association.
Shortages Of Essential Emergency Care Drugs Increase, Study Finds
Article from Kaiser Health News.
CMS Publishes Final Rule on Fire Safety Requirements for Certain Health Care Facilities
Press release.


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Tuesday, May 3

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  May 3, 2016
Cash for Kidneys: Idea of Selling Organs Gains Ground
(Commericial message appears first.) Article and video from Fox 13 Salt Lake City.
'The Day My Life Went Back to Normal'
Article from Mid Sussex Times (UK).
Fresenius Medical Care Q1 Results
Press release.
FMC Says 120,000 Patients on Mircera at End-Q1
News brief from Reuters. Related article from Nephrology News & Issues.
Fresenius Renal Therapies Announces Crit-Line Product Updates
Press release.

Editor's note: Something, finally. Awful product stewardship. This product has been on the market for over 15 years.
Oral Hypoxia–Inducible Factor Prolyl Hydroxylase Inhibitor Roxadustat (FG-4592) for the Treatment of Anemia in Patients with CKD
Free, full-text CJASN Express article.
Articles from Nephrology News & Issues:
Cinacalcet Versus Standard Treatment for Chronic Kidney Disease: a Systematic Review and Meta-Analysis
Abstract from Renal Failure.
A Quick Look at Dangerous Lung Water in Hemodialysis Patients
Free, full-text, Issue-in-Progress letter to the editor from Blood Purification.
CVVHD Treatment with CARPEDIEM: Small Solute Clearance at Different Blood and Dialysate Flows with Three Different Surface Area Filter Configurations
First Online abstract from Pediatric Nephrology.
The Impact of Renal Failure and Renal Replacement Therapy on Outcome During Extracorporeal Membrane Oxygenation Therapy
Early View abstract from Artificial Organs.
Hydration and Chronic Kidney Disease Progression: A Critical Review of the Evidence
Free, full-text, Issue-in-Progress article from American Journal of Nephrology.
Satellite Healthcare's Sheila Doss-McQuitty to Assume Role of President at 2016 American Nephrology Nurses' Association National Symposium
Press release.

Nonprofit Hospitals Earn Substantial Profits
Press release from Johns Hopkins University Bloomberg School of Public Health.

Even Non-Obese Report Better Mood, Sex Drive After Dieting
Article from HealthDay. Press release from NIH/National Heart, Lung and Blood Institute. Free, full-text, Online First articles from JAMA Internal Medicine:

American College of Physicians Recommends Cognitive Behavior Therapy as Initial Treatment for Chronic Insomnia
Press release. Free, full-text, Online First articles from Annals of Internal Medicine:

Zika Virus: Rapid Spread in the Western HemisphereZika Virus in the Western Hemisphere
Free, full-text article from Annals of Internal Medicine.
CROWNWeb Newsletter for May 2016
2-page pdf.
Medicare Pays Bonuses To 231 Hospitals With Lower Quality Because Of Cheaper Costs
Article from Kaiser Health News.


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Monday, May 2

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  May 2, 2016
Latest Update to U.S. DOPPS Practice Monitor
Includes data from the Dialysis Outcomes and Practice Patterns Study Program (DOPPS) through December 2015. A web conference on DOPPS Practice Monitor merging trends will be held on Thursday, May 5 at 3PM EDT. Click here to register.
Articles in Press Abstracts from American Journal Of Kidney Diseases:
Psychonephrology.com
A Canadian web site.
AJKD Blog Coverage of NKF 2016 Spring Clinical Meetings:
Renal & Urology News Coverage of NKF Spring Clinical Meetings:
(Registration required) MedPage Today Coverage of NKF Spring Clinical Meetings:

Nephrology News & Issues Coverage of NKF Spring Clinical Meetings:

Mistakes We Make in Dialysis
Early View abstracts from Seminars in Dialysis:
Free, Full-Text Articles from American Journal of Transplantation:
Using Organs from High Risk Donors
PowerPoint presentation from UKidney.
Dialysis Waste Management: Why Won't Anybody Listen?
Posting from the KidneyViews blog.
Gut Microbiome and Kidney Disease: a Bidirectional Relationship
Free, full-text, First Online article from Pediatric Nephrology.
Electrophysiologic Substrate and Risk of Mortality in Incident Hemodialysis
JASN Express abstract.
Washington University Nephrology Web Episode - Bone Mineral Metabolism
Video from the Renal Fellow Network blog.
Issue-In-Progress Abstracts from American Journal Of Nephrology:
Transplant Immuno-Diagnostics: Crossmatch and Antigen Detection
Free, full-text, educational review from Pediatric Nephrology.
Drone Delivery of Medical Supplies Takes Off
Working Longer May Lead to a Longer Life, New OSU Research Shows

Hospital Discharge: It's One Of The Most Dangerous Periods For Patients
Article from Kaiser Health News.

Abbott & St. Jude to Create Massive Medical Device Manufacturer with $25 B Acquisition
FAQ: Medicare Lays Out Plans For Changing Doctors' Pay
Article from Kaiser Health News.


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