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RECENT NEWS ARCHIVES

Fri./Sat., July 29-30

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  July 29, 2016

Kidney Korner with Host Dr. Wendy Kindig
32-minute video interview with Dr. Michael Kraus about home dialysis. Produced by the National Kidney Foundation of Indiana.

Potential Implications of Recent and Proposed Changes in the Regulatory Oversight of Solid Organ Transplantation in the United States
Free, full-text, Early View article from American Journal of Transplantation.
Ultrafiltration Rate Thresholds in Maintenance Hemodialysis: An NKF-KDOQI Controversies Report
Article in Press abstract from American Journal of Kidney Diseases.
Serum Alkaline Phosphatase Levels are Not Associated with Increased Death Risk in Prevalent Hemodialysis Patients: 5-Year Experience in a Single Hemodialysis Center
Free, full-text article from Kidney & Blood Pressure Research.
Discovery of Biomarkers for the Prognosis of Chronic Kidney Disease
Press release from Osaka University.
Acute Kidney Injury Urine Biomarkers in Very Low-Birth-Weight Infants
Press release and CJASN Express abstract from the American Society of Nephrology.
Are Low Birth Weight Neonates at Risk for Suboptimal Renal Growth and Function during Infancy?
Free, full-text, Open Access article from BMC Nephrology.
Non-Recruitment to and Selection Bias in Studies Using Echocardiography in Hemodialysis Patients
Accepted Article abstract from Nephrology.
FDA OKs New Injectable Type 2 Diabetes Medication
Article from HealthDay.
Free CE Courses
FDA Takes Steps to Protect Blood Supply in Florida amid Zika Probe
Article from Reuters.
Report Looks at New Realities of Care for New Physicians
News brief from AHANewsNow. Report (16-page pdf) from HealthCareerCenter.com.
 


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Thursday, July 28

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  July 28, 2016
Scientists Change Properties of Zeolites to Improve Hemodialysis
Press release from National Research Tomsk State University (Russia).
One Hour of Physical Activity per Day Could Offset Health Risk of 8 Hours of Sitting
Press release and abstract (full-text free with registration) from The Lancet. Article from HealthDay.
Free, Full-Text, August 2016 Issue of Clinical Kidney Journal
23 full-text articles including:
Hospitalization Rates for Patients on Assisted Peritoneal Dialysis Compared with In-Center Hemodialysis
CJASN Express abstract.
Non-Invasive Approaches in the Diagnosis of Acute Rejection in Kidney Transplant Recipients. Part I. In vivo Imaging Methods
Free, full-text, Advance Access article from Clinical Kidney Journal.

Intravenous Vitamin B6 Increases Resistance to Erythropoiesis-Stimulating Agents in Hemodialysis Patients: A Randomized Controlled Trial
Article in Press abstract from Journal of Renal Nutrition.

Echo Color Doppler Ultrasound: a Valuable Diagnostic Tool in the Assessment of Arteriovenous Fistula in Hemodialysis Patients
Advance Online abstract from the Journal of Vascular Access.
A Novel Factor for Primary Arteriovenous Fistula Failure: Hyperinsulinism
Abstract from Renal Failure.
Cardiac and Renovascular Complications in Type 2 Diabetes — Is There Hope?
Free, full-text, editorial and related full-text article and abstract from the New England Journal of Medicine.
The Dialysis Industry Is a Microcosm of What Ails the Health Care System
Posting from the KevinMD blog.

Editor's note: This explains only a small portion of what is wrong with the U.S. dialysis industry.

Dialysis patients with private insurance automatically convert to the Medicare rate after 33 months, so there is no financial incentive to increase long-term survival. Over the last several decades, a large percentage of U.S. nephrologists greatly profited from the rise of the duopoly of Fresenius and DaVita, selling their dialysis patients/facilities to these companies, which utilized junk-bond financing for these purchases. For most patients, this led to minimal, standardized care (cheapest possible dialysis) that focused on meeting biochemical marker targets, which some have alleged have been the source of widespread fraud. Dialysis patient employment and rehabilitation, which drove rapid technological innovations in the 1960s, were abandoned by nephrologists after the government began paying for dialysis in 1973.

As a result, U.S. dialysis care has lagged far behind all other fields of medicine in terms of advances in survival and technology. When asked, virtually all U.S. nephrologists state they would avoid the treatment regimens that the vast majority of their patients receive. More than any other medical specialty, U.S. dialysis care has tied its practice of medicine to the servicing of junk-bond debt.
Baxter Touts Study Indicating Cost Savings with Revaclear Dialyzer
Amgen 2nd-Quarter Profit Tops Street View, Raises 2016 Forecast
American Renal Associates Holdings, Inc. Opens Its 200th Dialysis Clinic
Study Suggests New Drug Candidate Could Treat Both Type 2 Diabetes and Bone Loss
Lack of Exercise Costs World $67.5 Billion and 5 Million Lives a Year
Article from Reuters. Abstract (full-text free with registration) from The Lancet.
Infectious Disease Expert Sees Threat From Colistin-Resistant Superbug
Free, full-text, Online First perspective piece from the Journal of the American Medical Association.
Emisoft Unveils Free Ransomware Decryptor to Unlock Your Own Data
Article from Healthcare IT News.
CMS Releases Controversial Overall Star Ratings on Hospital Quality
Articles from Healthcare Finance and Kaiser Health News. Fact sheet from CMS.


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Wednesday, July 27

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  July 27, 2016
The Dialysis Industry Is a Microcosm of What Ails the Health Care System
Posting from the KevinMD blog.

Editor's note: This explains only a small portion of what is wrong with the U.S. dialysis industry.

Dialysis patients with private insurance automatically convert to the Medicare rate after 33 months, so there is no financial incentive to increase long-term survival. Over the last several decades, a large percentage of U.S. nephrologists greatly profited from the rise of the duopoly of Fresenius and DaVita, selling their dialysis patients/facilities to these companies, which utilized junk-bond financing for these purchases. For most patients, this led to minimal, standardized care (cheapest possible dialysis) that focused on meeting biochemical marker targets, which some have alleged have been the source of widespread fraud. Dialysis patient employment and rehabilitation, which drove rapid technological innovations in the 1960s, were abandoned by nephrologists after the government began paying for dialysis in 1973.

As a result, U.S. dialysis care has lagged far behind all other fields of medicine in terms of advances in survival and technology. When asked, virtually all U.S. nephrologists state they would avoid the treatment regimens that the vast majority of their patients receive. More than any other medical specialty, U.S. dialysis care has tied its practice of medicine to the servicing of junk-bond debt.
Improving Distress in Dialysis (iDiD): A Tailored CBT Self-Management Treatment for Patients Undergoing Dialysis
Early View abstract from Journal of Renal Care.
Atrial Fibrillation and Chronic Kidney Disease Requiring Hemodialysis — Does Warfarin Therapy Improve the Risks of This Lethal Combination?
Abstract from International Journal of Cardiology.
The Pressing Need for Real-Time Risk Assessment of Hospital Acquired Acute Kidney Injury
Advance Access abstract from NDT.
Assessing the Impact of Educational Intervention in Patients with Hypertension
Early View abstract from Journal of Renal Care.
Arsonist Starts Fire in Dialysis Center in Albania
Article and video from RT.com.
FDA Updates Warnings for Fluoroquinolone Antibiotics
Flu Shot Tied to Fewer Hospitalizations, Deaths in Type 2 Diabetes Patients
Baxter Reports Second Quarter 2016 Results
U.S. Opens Door to a Change in Blood Donation Policy for Gay Men
Article from Reuters.
Red Cross Says Blood Need 'Urgent'
Article from HealthDay.
Accountable Care Organizations: Here to Stay or Fade Away?
Article from Hospitals & Health Networks.


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Tuesday, July 26

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  July 26, 2016
Nephrologists Compensations on the Rise!
Posting from the NephronPower blog.
Surgeon Says Apps May Turn Organ Donation Support Into ‘Concrete Action’
Article from Kaiser Health News.
Yemen: Dialysis Treatment at Breaking Point
Article from Doctors Without Borders.
Arrhythmias and Sudden Cardiac Death in Hemodialysis Patients
Article from Nephrology News & Issues.
Air Embolism Following Removal of Hemodialysis Catheter
Early View abstract from Hemodialysis International.
Modified Nutritional Recommendations to Improve Dietary Patterns and Outcomes in Hemodialysis Patients
Article in Press abstract from Journal Of Renal Nutrition.
Free, Full-Text, Open Access Articles from BMC Nephrology:
Free, Full-Text Articles from PLOS ONE:
Statins for the Prevention of Contrast-Induced Acute Kidney Injury
Published Ahead-of-Print abstract from Current Opinion in Nephrology and Hypertension.
FDA Clarifies Medical Device Tracking Rule
Article from The Hill. Draft guidance (10-page pdf) from the FDA.
A Medical Student Delays Reporting His Needlestick — Here's What He Learned
Posting from the KevinMD blog.
U.S. Health Officials Update Zika Transmission and Testing Guidance
Articles from Reuters and HealthDay.  Press release from the CDC.
Medication Reconciliation Slashes Readmissions
Article from HealthLeaders Media.
'Next Generation' ACOs: 4 Factors for Success
Article from Hospitals & Health Networks.
CMS Mandates New Bundled Payment Program, Will Qualify As MACRA Advanced Payment Model
Article from Healthcare Finance. News brief from Healthcare DIVE.


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Monday, July 25

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  July 25, 2016
International Forum on Quality and Safety in Healthcare - 2016 Gothenburg Keynote Address by Maureen Bisognano
64-minute video via YouTube. Extract from The BMJ.
Ask patients “What matters to you?” rather than “What’s the matter?”
Editor's note: The patient-focused portion of her talk starts at 24:00 min.
Phosphate-Binding Agents in Adults With CKD: A Network Meta-analysis of Randomized Trials
Free, full-text, Article in Press from American Journal of Kidney Diseases.
Free, Full-Text Articles from Nephron:
Hemodialysis Plastic Cannulae — A Possible Alternative to Traditional Metal Needles?
Free, full-text, Advance Online article from the Journal of Vascular Access.
Comparison of Urine Output among Patients Treated with More Intensive Versus Less Intensive RRT: Results from the Acute Renal Failure Trial Network Study
CJASN Express abstract.
Risk of Pulmonary Embolism in Patients with End-Stage Renal Disease Receiving Long-Term Dialysis
Advance Access abstract from NDT.
Abstracts from Nephron:
Advance Online Abstracts from the Journal of Vascular Access:
Cleveland Nephrologist Peter DeOreo Dies
Notice from the Cleveland Plain Dealer. Posting from the KidneyViews blog.
Could New 'Talk Therapy' Cut Cost of Treating Depression?
Play On!  In a First, Brain Training Cuts Risk of Dementia 10 Years Later
Article from STAT.
FDA Renews Call to Reduce Salt in Processed Foods
Three Individuals Charged in $1 Billion Medicare Fraud and Money Laundering Scheme
Press release from the U.S. Department of Justice. Article from Healthcare Finance.
CROWNWeb Town Event July 28th
Registration page.


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Fri./Sat., July 22-23

Cleveland Nephrologist Peter DeOreo Dies
Notice from the Cleveland Plain Dealer. Posting from the KidneyViews blog.
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  July 22, 2016
Driving Earlier, Better CKD Care Through a Patient-focused Payment Model
Posting from the AJKD blog.

Editor's note:
This will do little to change US dialysis care. There will still be no incentive for increasing patient employment and rehabilitation, nor will there be any incentive to drive changes in dialysis technology or infrastructure.

Until there is well-dialysis-patient statistical reporting and a substantial financial incentive for increasing employment rates, we are unlikely to see major improvements in patients' lives, technology, system infrastructure, or societal lost opportunity costs. Unfortunately, the business focus of the largest for-profit provider has been to drive out the competition by providing minimalist, standardized dialysis care utilizing their forty-year-old technology. They are unlikely to embrace changes that will damage their business model and also give opportunities for other providers to further surpass them in terms of providing positive patient outcomes.

US nephrology is still a long way away from having an effective understanding of the harmful effects of the financial incentives in its dialysis care system. More than any other medical specialty, US nephrology has tied its practice of medical to junk-bond financiers, resulting in a system of care that nephrologists would avoid for themselves and their own family members. Like chiropractors and naturopaths, too many US nephrologists fool themselves into believing they are doing the right thing... and take the easy money.
Association of Erythropoiesis-Stimulating Agents and the Incidence Risk of Cancer Diagnosis among Chronic Dialysis Patients: a Nested Case-Control Study
Advance Access abstract from NDT.
Kidney Transplant Organ Failure Risk Can Now Be Predicted Due to 'Landmark' Research
Article from ABC Online (Australia). Abstract from The Lancet.
Free, Full-Text Articles from American Journal Of Kidney Diseases:
Metabolic Profiling of Impaired Cognitive Function in Patients Receiving Dialysis
JASN Express abstract.
CJASN Express Abstracts:
Early Mortality on Continuous Renal Replacement Therapy (CRRT): the Prairie CRRT Study
Free, full-text, Open Access Article from Canadian Journal of Kidney Health and Disease.
Clinical Profile and Outcome of Patients with Acute Kidney Injury Requiring Dialysis-an Experience from a Hemodialysis Unit in a Developing Country
Free, full-text, Open Access article from BMC Nephrology.
Hemodialysis Plastic Cannulae-a Possible Alternative to Traditional Metal Needles?
Advance Online abstract from the Journal of Vascular Access.
World Hepatitis Day — July 28, 2016
Humana Pulling Out of Many Obamacare Markets
Article from Politico.com.
Living Past 90 Doesn't Doom You to Disease, Disability
Article from HealthDay.
$42 Billion Saved in Medicare and Medicaid Primarily Through Prevention
Posting from The CMS Blog.
102 Hospitals Will Earn 5 Stars in New Overall Star Ratings, CMS Says
Article from Healthcare Finance. Data brief from CMS. Article from Kaiser Health News.
Medicare Announces Participants for a New Initiative To Prevent Heart Attacks and Strokes
Comment Requests for CROWNWeb and Diabetes Outpatient Training


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Thursday, July 21

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  July 21, 2016
Hospital Alert System Improves Care Coordination at Northwest Kidney Centers
Article from Nephrology News & Issues.
Kidney Transplants from HLA-Incompatible Live Donors and Survival
Correspondence from the New England Journal of Medicine.
High Cut-Off Dialysis in Chronic Hemodialysis Patients Reduces Serum Procalcific Activity
Advance Access abstract from NDT.
Metabolomics in Diabetic Kidney Disease: Unraveling the Biochemistry of a Silent Killer
Free, full-text, Issue-in-Progress article from American Journal of Nephrology.
Malnutrition Assessment in Hemodialysis Patients: Role of Bioelectrical Impedance Analysis Phase Angle
Article in Press abstract from Journal of Renal Nutrition.
Pharmacodynamic Effects of Sucroferric Oxyhydroxide and Sevelamer Carbonate on Vitamin D Receptor Agonist Bioactivity in Dialysis Patients
Issue-in-Progress abstract from American Journal of Nephrology.

Medical Device Interoperability
New resource page from the FDA.

Sulfonylureas May Increase Hypoglycemia in Late-Stage CKD Patients
Article from Renal & Urology News.
Coming Up: The Global Kidney Health Summit
California Biotech with Hyperkalemia Drug Gets $1.5 Billion Buyout
Obamacare's Skyrocketing Premiums? Why the Sky Isn't Falling
Free, full-text perspective piece from the New England Journal of Medicine.
PCORI Board Approves $153 Million to Support Patient-Centered Comparative Clinical Effectiveness Research
Press release from the Patient-Centered Outcomes Research Institute.
AHRQ Report Looks at Trends in Employer-Sponsored Health Insurance
News brief from AHANewsNow. Report (11-page pdf) from the Agency for Healthcare Research and Quality.
30 Years Of Emphasizing Low-Fat Diets May Have Backfired, Study Finds
News summary from Kaiser Health News.
9/16 QIP PY2017 Preview Deadline
8/15 CW May Clinical Deadline Moved


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Wednesday, July 20

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  July 20, 2016
Depression in Dialysis Patients
Free, full-text, Accepted Review Article from Nephrology.
The Bioengineered Kidney: Science or Science Fiction?
(Registration required, but free.) Article from Current Opinion in Nephrology and Hypertension via Medscape Nephrology.
Wearable Biosensors Studied for Clinical Monitoring and Treatment
Free, full-text article from the Journal of the American Medical Association.
Arterial Line vs. Venous Line Administration of Low Molecular Weight Heparin, Enoxaparin for Prevention of Thrombosis in The Extracorporeal Blood Circuit of Patients on Hemodialysis or Hemodiafiltration: a Randomized Crossover Trial
Accepted Article abstract from Nephrology.
Trimethylamine N-Oxide and Cardiovascular Events in Hemodialysis Patients
JASN Express abstract.
Correspondence from BMC Nephrology:
The Association between Individual Counseling and Health Behavior Change: the See Kidney Disease (SeeKD) Targeted Screening Program for Chronic Kidney Disease
Free, full-text, Open Access article from Canadian Journal of Kidney Health and Disease.
Comparison of Peritonitis Rates and Patient Survival in Automated and Continuous Ambulatory Peritoneal Dialysis: a 10-Year Single Center Experience
Abstract from Renal Failure.
Mumbai Police Suspect Poor Are Targeted for Organs in Kidney Transplant Racket
Article from Reuters.
Meta-Analysis Shows No Clear Survival Benefit among Diabetes Drugs
Article from HealthDay. Article from MedPage Today (registration required, but free). Abstract and Patient Page from the Journal of the American Medical Association.
Researchers Identify Brain Circuits That Underlie 'Resilient Coping'
Press release from the National Institutes of Health.
U.S. Teen Diabetes Rate Exceeds Prior Estimates
Florida Zika Case Could Be First Local Transmission In U.S.
Article from Reuters.
Covered California Health Plan Rates To Jump 13.2 Percent In 2017
Article from Kaiser Health News.
Why Many Medicare Beneficiaries Cling to an Allegedly Worse Deal
Free, full-text article from the Journal of the American Medical Association.


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Tuesday, July 19

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  July 19, 2016
High Prevalence of Frailty in End-Stage Renal Disease
Free, full-text article from International Urology and Nephrology.
Mortality and Associated Risk Factors in Dialysis Patients with Cardiovascular Disease
Free, full-text, Issue-in-Progress, Open Access article from Kidney & Blood Pressure Research.
Organ Donor Research: It Is Time for Much Needed Clarity
Free, full-text, Early View editorial from American Journal of Transplantation.
Kidney Transplantation Outcomes across GN Subtypes in the United States
JASN Express abstract.
A Comparison of Patency and Interventions in Thigh Versus Hemodialysis Reliable Outflow Grafts for Chronic Hemodialysis Vascular Access
Article in Press abstract from Journal of Vascular Surgery.
Kidney Toxins and Kidney Injury Biomarker Detected in Children
Press release from Brigham and Women's Hospital.
Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians
Free, full-text article and Summary for Patients from Annals of Internal Medicine.
FDA Announces Voluntary Nationwide Recall of Oral Liquid Docusate Sodium Manufactured by PharmaTech and Distributed by Rugby Laboratories
Workplace Violence in Health Care — A Critical Issue With a Promising Solution
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
Helping Doctors Transform Their Practices into Patient-Centered Models of Health Care
 


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Monday, July 18

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  July 18, 2016
Hemodialysis Patients' Satisfaction and Perspectives on Complications Associated with Vascular Access Related Interventions: Are We Listening?
Free, full-text article from the Journal of Vascular Access.
The Impact of Hemodialysis Arteriovenous Fistula on Hemodynamic Parameters of the Cardiovascular System
Free, full-text, Advance Access article from Clinical Kidney Journal.
Free, Full-Text, Open Access Articles from BMC Nephrology:
Parathyroid Ultrasonography in Renal Secondary Hyperparathyroidism: An Overlooked and Useful Procedure
Early View abstract from Seminars in Dialysis.
Practical Tips for Home Dialysis Training Nurses
Posting from the KidneyViews blog.
9 Out of 10 Strokes Could Be Prevented
Psychotherapists Gravitate Toward Those Who Can Pay
Article from Kaiser Health News.
Massachusetts General Hospital Tells Staff to Stop Playing Pokémon Go at Work
Article from Healthcare FinanceNews item from Hospitals & Health Networks.
FDA Extends Authority to e-Cigarettes: Implications for Smoking Cessation?
Free, full-text, Online First article from the Journal of the American Medical Association.
 


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Fri./Sat., July 15-16

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  July 15, 2016
House Ways and Means Committee Approves ESRD Legislation
News release from Kidney Care Partners. H.R.5659 - ESRD Choice Act of 2016.

Editor's note: Among patient groups, only Dialysis Patient Citizens lobbied for this legislation. It would be interesting to know who paid for the "Patient Ambassadors" to appear in Washington.

In the grand scheme of things, who benefits most from this "sick-patient model" legislation?
Utilizing High-Risk Kidneys—Risks, Benefits, and Unintended Consequences?
Free, full-text, Early View editorial from American Journal of Transplantation.
Too Much Red Meat Might Harm Kidneys
Article from HealthDay. Press release and JASN Express abstract from the American Society of Nephrology.
Risk of Cerebral Infarction in Japanese Hemodialysis Patients: Miyazaki Dialysis Cohort Study (MID Study)
Free, full-text, Issue-in-Progress article from Kidney & Blood Pressure Research.
Test of the Recommended Dialysis Dose on One-Year Mortality of Nondiabetic Maintenance Hemodialysis Patients; Observations from a Single Dialysis Unit
Abstract from Renal Failure.
Low Dentin Matrix Protein 1 Is Associated with Incident Cardiovascular Events in Peritoneal Dialysis Patients
Accepted Article abstract from Journal of Bone and Mineral Research.
Technical Brief on Telehealth
National Health Spending Expected To Hit New High Of $10,000 Per Person
Brief from Kaiser Health News.
Professing the Values of Medicine — The Modernized AMA Code of Medical Ethics
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
Zika Epidemic Likely to End within 3 Years
June 2016 Data Book: Health Care Spending and the Medicare Program
(211-page pdf) Dialysis is covered in chapters 5 and 11. The MedPAC Data Book provides information on national health care and Medicare spending as well as Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care in the Medicare program, and Medicare beneficiary and other payer liability.
CMS Draft PRS Review Call Aug. 2
CROWNWeb QARM Review July 19


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Thursday, July 14

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  July 14, 2016
CDC to Host NHSN Dialysis Event Surveillance Training Webinars on Aug. 1 and 11
Training is for new or experienced National Healthcare Safety Network (NHSN) users.
Willingness to Participate in a Randomized Trial Comparing Catheters to Fistulas for Vascular Access in Incident Hemodialysis Patients: an International Survey of Nephrologists
Free, full-text, Open Access article from Canadian Journal of Kidney Health and Disease.
Proton Pump Inhibitor Use Linked to Low Magnesium in Dialysis Patients
Article from Renal & Urology News.
Initiation Strategies for Renal-Replacement Therapy in the Intensive Care Unit
Abstract and editorial extract from the New England Journal of Medicine.
Free, Full-Text, Early View Articles from American Journal of Transplantation:
Early View Abstracts from American Journal of Transplantation:
Influence of Staff Encouragement on Perceived Burden of Dietary Restriction among Patients Living Alone
Early View abstract from Therapeutic Apheresis and Dialysis.
Renal/Nephrology Organization Newsletters:
New Study Shows Differences in Blood Pressure Variation across Ethnicity
Press release from Binghamton University.
Role of Vitamin D in Vascular Complications and Vascular Access Outcome in Patients with Chronic Kidney Disease
2015-2025 Projections of National Health Expenditures Data Released
Press release from CMS. Free, full-text, Web First article from Health Affairs.
The Importance of Listening to the Patient before We Develop Our Plans
Posting from the KevinMD blog.
Should Nurse Licenses Hold Across States?
Article from Hospitals & Health Networks.
Americans Say Political Candidates Are Not Listening to Their Health Concerns
2016 Dialysis Facility Compare Star Ratings Refresh
32-slide (pdf) presentation and transcript given on June 22, 2016.
Social Risk Factors Can Be Addressed in Medicare: National Academies Report
Article from Hospitals & Health Networks. Press release and report from the National Academies of Sciences, Engineering and Medicine.
CMS Chief Suggests Possible Delay in MACRA Implementation
Article from HFMA.
CMS Proposed Rule for Transplant Centers and Transplant Reporting
186-page document from The Federal Register.
CROWNWeb Deadline for Pain Assessment is Aug. 1
CROWNWeb Downtime Scheduled for July 14-18


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Wednesday, July 13

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  July 13, 2016
Behind the Expansion of Home Dialysis, Rigorous Training and Texting
Article from HealthLeaders Media.

"For two days in June, Satellite brought patients from its service area to San Jose, CA to brainstorm new technology and workflows in an effort to double its home dialysis rate again to 40%."

Editor's note: The best and most innovative dialysis care is occurring at the non-profit chains. If these non-profits were given a significant financial incentive to improve employment and rehabilitation, they would reinvest the profits in patient care. Their ever-improving outcomes would then leave the large for-profit providers even further behind. While publishing this employment data would be extremely helpful to patients, it would be detrimental to the interests of most for-profit providers.

Is that one of the reasons why the KIDNEYWORKS conference (see below) did not focus on dialysis patients?
Labor Force Initiative Targets Kidney Patients
Press release from the American Association of Kidney Patients.

Editor's note: This KIDNEYWORKS conference was about patients who are NOT  on dialysis. I believe patients would want the leadership of this "Dream Team" to explain the reasons why, with their decades of experience, they failed to address dialysis patient employment and rehabilitation.

Considering today's abysmal employment and rehabilitation rates after more than 40 years of Medicare funding, the methods embraced by the leaders of this Dream Team have failed dialysis patients miserably. These leaders have become part of the problem (see comments) and too often function as apologists for the large for-profit providers that fund them.

In his 1991 book, Kidney Failure and the Federal Government, Richard Rettig identified patient employment as the issue in most need of immediate attention in dialysis care. He urged the creation of a financial incentive (pg. 50) to boost employment. KIDNEYWORKS and its leadership has always failed to acknowledge this crucial need and have instead pushed solutions that utilizes MEI products.

In my opinion, the real story of this conference was not the work being done at the table, but the money being passed and channeled under the table.
Patients To Lead National Research Priorities for Kidney Disease
Press release from the National Kidney Foundation.

Editor's note: It would be far better to have patients take the lead in creating financial incentives to improve chronic kidney disease care.
Good Samaritan Donor Kicks Off a Kidney Donation 'Chain Reaction'
Article from the Mayo Clinic.
Ways and Means Announces Markup of Health, Tax, and Social Security Legislation
The July 13 meeting includes consideration of HR 5659, Expanding Seniors Receiving Dialysis (ESRD) Choice Act of 2016.
Free, Full-Text Articles from Kidney International:
HIV and Transplantation: New Reasons for HOPE
Free, full-text article from the Journal of the American Medical Association.
Dialysis Headache: A Narrative Review
Early View abstract from Headache: The Journal of Head and Face Pain.
Advance Access Abstracts from NDT:
Free, Full-Text Articles from Indian Journal of Nephrology:
Patterns of End-Stage Renal Disease Caused by Diabetes, Hypertension, and Glomerulonephritis in Live Kidney Donors
Early View abstract from American Journal of Transplantation.
Design and Baseline Characteristics of the LANDMARK Study (Phosphate Binders)
First Online abstract from Clinical and Experimental Nephrology.
Educational Interventions for CKD Patients
Posting from the AJKD blog.
Transitioning Pediatric Patient to Adult Facility
KidneyTalk podcast from Renal Support Network.
New Diabetes Screening Recommendation Misses More Than Half of High-Risk Patients
Lighter Weights Just As Effective As Heavier Weights to Gain Muscle, Build Strength
Hospital Leaders Urge Congress to Remove Legal Barriers to Health Care Transformation
News brief from AHANewsNow.
Free, Full-Text, Online First Articles from the Journal of the American Medical Association:
 


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Tuesday, July 12

Labor Force Initiative Targets Kidney Patients
Press release from the American Association of Kidney Patients.
Patients To Lead National Research Priorities for Kidney Disease
Press release from the National Kidney Foundation.

Editor's note: It would be far better to have patients take the lead in creating financial incentives to improve chronic kidney disease care.
Ways and Means Announces Markup of Health, Tax, and Social Security Legislation
The July 13 meeting includes consideration of HR 5659, Expanding Seniors Receiving Dialysis (ESRD) Choice Act of 2016.
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  July 12, 2016
Physician Payment Reform Has Led to Decrease in Home-Based Dialysis
Press releases from Rice University and Baylor College of Medicine. Full-text article from American Journal of Managed Care.
"Our findings indicate that economic incentives have had a substantial effect on physicians' decisions regarding dialysis modality, and that payment reform had the unintended consequence of leading fewer patients to home dialysis. Since the choice of dialysis modality is central to patients' quality of life, independence, and healthcare costs, a reduction in the use of home dialysis can be seen as a failure of the policy."
Editor's note: Why wasn't this published in JASN?

It is hoped the Medicare Telehealth Bill that was introduced in February and last week's proposed changes to Medicare Physician Fee Schedule will change this perverse financial incentive. Also see this GAO report from Nov. 2015.

The majority of U.S. dialysis care is driven by financial incentives, not the pursuit of medical excellence. Creating a strong financial incentive to increase dialysis patient employment would revolutionize U.S. dialysis care.

Opinion Piece from Dr. Frank Maddux Appears in The Hill
Copy of opinion piece from the Renal Care Partners web site.

Editor's note:
I simply do not understand how Franklin Maddux can sleep at night.

He ends his article by stating "As a nephrologist and chair of the nation's largest advocacy organization for quality kidney care...".

This is a field of medicine in which nearly all nephrologists would avoid for themselves the treatment regimens that over 85% of their patients receive. As a patient advocate, will he ever be able to state this out loud or in print?

This legislation continues the "sick-patient model" of dialysis care that nephrologists themselves would avoid. It funnels more Medicare money to Fresenius Medical Care — which will likely funnel more patients into more treatment regimens that no nephrologist would accept for themselves.

"If the treatment of chronic uremia cannot fully rehabilitate the patient, the treatment is inadequate." — B. Scribner.

The Physician Influence Industry Is Under Scrutiny
Article from Hospitals & Health Networks.

Editor's note: U.S. nephrology should be the poster child of physician self-interest.
Hemodialysis Vascular Access Roundtable on July 18
Notice from the National Institute of Diabetes and Digestive and Kidney Diseases.
Articles from Nephrology News and Issues:
Cancer and Mortality in Solid-Organ Transplantation: Preventable or Inevitable?
Free, full-text Article in Press from American Journal of Kidney Diseases.
Discriminative Value of Frailty Screening Instruments in End-Stage Renal Disease
Free, full-text, Advance Access article from Clinical Kidney Journal.
Free, Full-Text, Open Access Articles from BMC Nephrology:
CJASN Express Abstracts:
Pragmatic Trials in Maintenance Dialysis: Perspectives from the Kidney Health Initiative
JASN Express abstract.
Risk Factors for the Development of Active Methicillin-Resistant Staphylococcus aureus (MRSA) Infection in Patients Colonized with MRSA at Hospital Admission
Article in Press abstract from American Journal of Infection Control.
NRAA and Renal Services Exchange (RSE) Sell Renal Purchasing Group (RPG) to Cardinal Health
Notice from the National Renal Administrators Association.
  Effectiveness of a Multicomponent Quality Improvement Strategy to Improve Achievement of Diabetes Care Goals: A Randomized, Controlled Trial
Online First abstract from Annals of Internal Medicine.
True Impact of Global Diabetes Epidemic Is Vastly Underestimated
Press release from Monash University.
Study: Water Intake Overlooked in Obese Individuals
Magnesium May Modestly Lower Blood Pressure
Many Drugs Can Cause or Worsen Heart Failure, Cautions New Statement
Personal Actions to Minimize Mosquito-Borne Illnesses, Including Zika Virus
Free, full-text, Online First article from Annals of Internal Medicine.
Obama Renews Call For A Public Option In Health Law
Article from Kaiser Health News.
Pregnancy Multivitamins 'Are a Waste of Money'
Healthcare Providers Push for MACRA Delay
(Registration required, but free.) Article from MedPage Today.


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Monday, July 11

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  July 11, 2016
Choosing Between Home HD and Home PD: When, and Why
Posting from the KidneyViews blog.
'Gift Certificate' Enables Kidney Donation When Convenient and Transplant When Needed
Press release from Ronald Reagan UCLA Medical Center.
Organ Transplants Have Come a Long Way but Hurdles Remain
AP article.
July 2016 Issue of Renal Society of Australasia Journal
4 full-text articles and 2 book reviews in PDF format.
Comparison of Pregabalin with Doxepin in the Management of Uremic Pruritus: a Randomized Single Blind Clinical Trial
Early View abstract from Hemodialysis International.
Mortality Trends among Japanese Dialysis Patients, 1988-2013: a Joinpoint Regression Analysis
Advance Access abstract from NDT.
Seasonal Variations of Nutritional Status in Maintenance Hemodialysis Patients
Early View abstract from Therapeutic Apheresis and Dialysis.
Recurrent Vascular Access Dysfunction as a Novel Marker of Cardiovascular Outcome and Mortality in Hemodialysis Patients
Issue-in-Progress abstract from American Journal of Nephrology.
Free, Full-Text, Open Access Articles from BMC Nephrology:
Physical Function at the Time of Dialysis Initiation Is Associated with Subsequent Mortality
First Online abstract from Clinical and Experimental Nephrology.
Safety and Efficacy of Denosumab in Osteoporotic Hemodialyzed Patients
First Online abstract from Journal of Nephrology.
Ultrashort Cell-Free DNA Reveals Health of Organ Transplants
Press release from Cornell University.
Rio 2016: Aries Merritt Misses Olympic Title after Kidney Transplant
Diabetes Reversal after Bypass Surgery Linked to Changes in Gut Microorganisms
Press release and Article in Press abstract from the American Journal of Pathology.
 


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Fri./Sat., July 8-9

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  July 8, 2016
Medicare Proposes Substantial Improvements to Paying for Care Coordination and Planning, Primary Care, and Mental Health in Doctor Payment Rule
Press release, fact sheet, and posting from the CMS Blog. News brief from AHANewsNow.

CMS is proposing to add several codes to the list of services eligible to be furnished via telehealth.  These include:

  • End-stage renal disease (ESRD) related services for dialysis;
  • Advance care planning services;
  • Critical care consultations furnished via telehealth using new Medicare G-codes.
KCP Applauds Legislation to Expand Medicare Coverage Options for Dialysis Patients
Press release from Kidney Care Partners. Text of the bill (HR 5659) is not available at this time.
KDIGO Announces Appointment of Programs Director
Press release from Kidney Disease | Improving Global Outcomes.
Olympic Hurdler Isn't Letting (Kidney) Disease Stand in His Way
Article from The New York Times.
Patient Acceptability of the Yorkshire Dialysis Decision Aid (YoDDA) Booklet: A Prospective Non-Randomized Comparison Study Across 6 Predialysis Services
Free, full-text, Open Access article from Peritoneal Dialysis International.
Free, Full-Text Articles from BMC Nephrology:
Dose-Response Efficacy and Safety of PA 21 in Japanese Hemodialysis Patients with Hyperphosphatemia: a Randomized, Placebo-Controlled, Double-Blind, Phase II Study
Free, full-text, First Online, Open Access article from Clinical and Experimental Nephrology.
Identifying and Integrating Patient and Caregiver Perspectives for Clinical Practice Guidelines on the Screening and Management of Infectious Microorganisms in Hemodialysis Units
Early View abstract from Hemodialysis International.
FDA MedWatch: June 2016 Safety Labeling Changes
Includes 42 products with revisions to Prescribing Information including Hectorol.
July 26 Webinar: Shared Decisionmaking for Chronic Conditions and Long-Term Care Planning
July 27 Webinar: Understanding and Managing Fabry Disease
Feds Announce Slew of New Actions to Address Nation's Deadly Opioid Epidemic
Article from Hospitals & Health Networks.
Articles from the KevinMD Blog:
CMS Calls for 90-Day Reporting in 2016 and Easing Meaningful Use Stage 3 EHR Objectives
Article from Healthcare IT News.
CMS Proposes Expanding Diabetes-Prevention Model


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Thursday, July 7

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  July 7, 2016
Dialysis Choice or Dollars?
Posting from the KidneyViews blog.
Living Kidney Donor Profile Index: Utility and Limitations
Free, full-text editorial from American Journal of Transplantation.
Comparison of High-Flux Hemodialysis with Hemodialysis Filtration in Treatment of Uremic Pruritus: a Randomized Controlled Trial
First Online abstract from International Urology and Nephrology.
Structured Exercise in Obese Diabetic Patients with Chronic Kidney Disease: A Randomized Controlled Trial
Issue-in-Progress abstract from American Journal of Nephrology.
The Mode of Sensitization and Its Influence on Allograft Outcomes in Highly Sensitized Kidney Transplant Recipients
Advance Access abstract from NDT.
For the Love of Nursing and Patient Care
KidneyTalk podcast from Renal Support Network.
Articles from Nephrology News & Issues:
Wealthier Americans Now Get Much More Health Care Than Middle Class or Poor: Harvard Study
Press release from Physicians for a National Health Program. Abstract from Health Affairs.
NIH Awards $55 Million to Build Million-Person Precision Medicine Study
Press release from the National Institutes of Health.
Does Medical Marijuana Reduce Need for Other Meds?
Article from HealthDay.
CMS Issues Proposed Rule for 2017 Hospital Outpatient Prospective Payment System Rates
News brief from AHANewsNow.


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Wednesday, July 6

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  July 6, 2016
Apple Urges Organ Donation Via New iPhone Software
AP article via STAT. Press release from Donate Life America. Statement from the National Kidney Foundation.
Comments from Home Dialyzors United on KECC Request for Information on ESRD Patient Reported Outcomes and Patient Centric Measures
Letter (5-page pdf) to the University of Michigan Kidney Epidemiology and Cost Center.
Free, Full-Text Articles from Nephrology:
Cognitive Impairment and CKD Progression Among Adults with CKD
Posting from AJKD blog.
Medicaid, Private Insurers Begin To Lift Curbs On Pricey Hepatitis C Drugs
Article from Kaiser Health News.
Effect of Palliative Care–Led Meetings for Families of Patients With Chronic Critical Illness — A Randomized Clinical Trial
Abstract and Patient Page from the Journal of the American Medical Association.
Pharmacist-Led Chronic Disease Management: A Systematic Review of Effectiveness and Harms Compared With Usual Care
Abstract from Annals of Internal Medicine.
Pill Organizers Could Cause Adverse Effects among Elderly
Press release from University of East Anglia.
Pay-for-Performance: Will the Models Provide Value? — So Far, Evidence Weak That They Boost Quality or Cut Costs
(Registration required, but free.) Article from MedPage Today.
Doctor-Assisted Deaths Didn't Soar After Legalization
Article from HealthDay. Free, full-text, special communication and press release from the Journal of the American Medical Association.
Stemming the Escalating Cost of Prescription Drugs: A Position Paper of the American College of Physicians
Free, full-text, position paper from Annals of Internal Medicine.
 


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Mon-Tues, July 4-5

Comments from Home Dialyzors United on KECC Request for Information on ESRD Patient Reported Outcomes and Patient Centric Measures
Letter (5-page pdf) to the University of Michigan Kidney Epidemiology and Cost Center.
FacebookTwitter
  July 4-5, 2016
Refugees Who Cannot Pay People Smugglers 'Being Sold for Organs'
Articles from The Independent (UK) and The Times (London).
UnitedHealthcare Sues Dialysis Chain Over Billing
Article from The New York Times.

Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:

Independent and Incremental Prognostic Value of Novel Cardiac Biomarkers in Chronic Hemodialysis Patients
Article in Press abstract from American Heart Journal.
Chitotriosidase As a Novel Biomarker of Early Atherosclerosis in Hemodialysis Patients
Early View abstract from Hemodialysis International.
CKD Prevalence Varies across the European General Population
Free, full-text article from the Journal of the American Society of Nephrology.
HRSA Recognizes Hospitals for Organ Donation Efforts
Dangerous and Deadly Drug Combinations
(Registration required, but free.) 12-slide presentation from Medscape.
Placebo Effect May Reveal Some of Its Secrets in New Study
Article from STAT.
False Claims Penalties Set to Double
News brief from Healthcare DIVE. Interim rule from The Federal Register.
July CROWNWeb News Letter
2-page pdf.
CMS Rule Would Allow Qualified Entities to Share/Sell Nonpublic Analyses of Claims Data
News brief from AHANewsNow.


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Fri./Sat., July 1-2

UnitedHealthcare Sues Dialysis Chain Over Billing
Article from The New York Times.
FacebookTwitter
  July 1, 2016
RPA Response to KECC Request for Information on ESRD Patient Reported Outcomes and Patient Centric Measures
Letter from the Renal Physicians Association to the University of Michigan Kidney Epidemiology and Cost Center.

Editor's note: It appears the RPA is taking its first tentative steps towards meeting patients' psychosocial needs. There is still a long way to go before the RPA and the ASN can be considered patient advocates.
Artificial Pancreas Likely to Be Available by 2018
Press release and full-text article from Diabetologia.
Please Give Me Your Kidney: How to Crowdsource for an Organ
Article from U.S. News & World Report.
New Machine Designed to Streamline Dialysis
Article and video about the Tablo machine from KGO-TV (San Francisco).
Lawsuit Claims DaVita Hid Harmful Effects of Dialysis Solution (GranuFlo) That Caused Heart Attacks
Article from The Denver Post. In February of this year, Fresenius Medical Care reached a $250 million agreement in principle to settle claims related to GranuFlo and NaturaLyte.
Free, Full-Text Article from Hemodialysis International:
Perceptions of Pediatric Nephrologists Regarding Timing of Dialysis Initiation in Children in Canada
Free, full-text, Open Access article from Canadian Journal of Kidney Health and Disease.
Early View Abstracts from Hemodialysis International:
Early View Abstracts from Journal of Renal Care:
Air Pollution Linked to Increased Rates of Kidney Disease
Press release and JASN Express abstract from the American Society of Nephrology.
Pharmacokinetics, Efficacy and Safety of Daclatasvir Plus Asunaprevir in Dialysis Patients with Chronic Hepatitis C: Pilot Study
Early View abstract from Journal of Viral Hepatitis.
Dietary Advanced Glycation End Products and Risk of Chronic Kidney Disease
Article in Press abstract from Journal of Renal Nutrition.
Factors Predictive of Critical Value of Hypocalcemia after Total Parathyroidectomy without Autotransplantation in Patients with Secondary Hyperparathyroidism
Abstract from Renal Failure.
Anemia and Iron Deficiency Linked to Mortality in Heart Failure
(Registration required, but free.) Article from MedPage Today.
Webinar - An Update on the FDA's Medical Device Clinical Trials Program - July 14, 2016
Former Ambulance Company Owner in Philadelphia Pleads Guilty in Fraud Case
Short How-To Recipe Videos Launch for Kidney Disease and Dialysis Patients
Heart Disease No. 1 Cause Of Death For Americans
News brief from Kaiser Health News.
Hundreds of U.S. Clinics Sell Unapproved Stem Cell 'Therapies'
Article from HealthDay.
Biden Vows To Cut Off Cancer Funding For Research Facilities That Don't Share Trial Results
CMS Releases Third Year of Open Payments Data
Posting from The CMS Blog. CMS press release.


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Thursday, June 30

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  June 30, 2016
Presentations from the NKF Spring Clinical Meeting:
Pregnancy in Women With CKD: A Success Story
Free, full-text, Article in Press from American Journal of Kidney Diseases.
Free, Full-Text Articles from Journal Of Renal Nutrition:
NephCure Kidney Network to Participate in $4 Million Research Study Comparing Stress Management Approaches
Press release.
Psychological Rejection of the Transplanted Organ and Graft Dysfunction in Kidney Transplant Patients
Abstract and link to full-text PDF from Transplant Research and Risk Management.
Belatacept and Long-Term Outcomes in Kidney Transplantation
Letter to the Editor and responses from the New England Journal of Medicine.
Advance Access Abstracts from NDT:

Early View Abstracts from Hemodialysis International:

Vascular Access Scenario in Italy: Evolution and Comparison by Two Surveys (1998-2013)
Advance Online abstract from the Journal of Vascular Access.
Medical Adjuvant Treatment to Improve the Patency of Arteriovenous Fistulae and Grafts: A Systematic Review and Meta-analysis
Article in Press abstract from European Journal of Vascular & Endovascular Surgery.
KIDney Notes for May-June 2016
(10-page pdf) Newsletter from the American Society of Pediatric Nephrology.
Intensive vs Standard Blood Pressure Control and Cardiovascular Disease Outcomes in Adults Aged =75 Years — A Randomized Clinical Trial
Free, full-text article from the Journal of the American Medical Association.
FDA Asks How Safe Is That Hand Sanitizer?
Article from HealthDay. Notice from the FDA.
Infographic: Beat the Heat! Stay Hydrated without Overdoing Fluids
As Walking Movement Grows, Neighborhood Walkability Gains Attention
Free, full-text, Online First perspective piece from the Journal of the American Medical Association.
Nursing Coalition and Veterans Groups Join Forces in Unprecedented Response to VA Proposed Rule to Increase Veterans' Access to Care
Press release from the American Nurses Association.
Patient Satisfaction Must Start with Nursing Satisfaction
Posting from the KevinMD blog.
 


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Wednesday, June 29

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  June 29, 2016
Eight-Year Experience with Nocturnal, Every-Other-Day, Online Haemodiafiltration
Abstract from Nephron.

Results: Nocturnal, every-other-day OL-HDF was well tolerated and 56% of patients were working. The convective volume increased from 26.7 ± 2 litres at baseline to 46.6 ± 6.5 litres at 24 months (p < 0.01). Increasing the dialysis dose significantly decreased bicarbonate, blood-urea-nitrogen and creatinine values. Predialysis phosphate levels fell markedly with complete suspension of phosphate binders from the second year of follow-up. Although haemoglobin was unchanged, there was a 50.4% reduction in darbepoetin dose at 24 months and a significant decrease in the erythropoietin resistance index. Blood pressure significantly decreased in a few months. Antihypertensive medication requirements were decreased by 60% after 3 months and by 73% after 1 year and this difference was maintained thereafter.

Conclusions: Nocturnal, every-other-day OL-HDF could be an excellent therapeutic alternative since it is well tolerated and leads to clinical and social-occupational rehabilitation with satisfactory morbidity and mortality.

Editor's note: Wow! Thank you, Spain!

This is the dialysis modality I would choose for myself. Personally, I would not want dialysis to interfere with my home life. This appears to be even better than Tassin (no 3-day weekend).

U.S. nephrology has next to no experience with hemodiafiltration and instead has built its infrastructure and care system — as well as their personal finances and wealth — around 40-year-old dialysis technology and a high-school education labor force.

Resistance Exercise in the Hemodialysis Population - Who Should Do the Heavy Lifting
Free, full-text, Issue-in-Progress article and related abstract from American Journal of Nephrology.

Editor's note: Must read!
Modelling the Cost-Effectiveness of Delaying End-Stage Renal Disease
Free, full-text article from Nephron.
From Infections to Chronic Kidney Disease: Why Nephrologists Need to Pay Heed
Posting from the AJKD blog.
The NoNo Sleeve: RNs Take up Arms to Avert Errors (with AV Fistulas)
Article from Nurse.com.
A Comparison between Physicians and Computer Algorithms for Form CMS-2728 Data Reporting
Early View abstract from Hemodialysis International.
Issue-in-Progress Abstracts from Blood Purification:
Racial Disparities in End-of-Life Communication and Preferences among Chronic Kidney Disease Patients
Issue-in-Progress abstract from American Journal of Nephrology.
FDA Recall Notice: Baxter PrismaSate BGK2/0 Dialysis Solution — Recall # Z-2049-2016
Notice from the FDA Enforcement Report.

Editor's note: Due to changes in the FDA's web site, there are no longer direct links available to individual recall notices. You must use their "Advanced Search" feature and type/paste in the recall number ( Z-2049-2016 ).
End of Shift: Maintaining Hope
Article from Nurse.com.

"...when I see a patient at the lowest point in health, I think back to how well Mrs. S is doing now, and I am reminded of how important it is for all parties involved to maintain hope — starting with me."
Gilead Wins FDA Approval for Cheaper Hepatitis C Cure
Article from The Hill.
Is Obamacare Actually Making America Healthier?
Article from Medical Economics.
655,000 Patient Records Reportedly for Sale on the Dark Web after Ransom Demand
Article from Healthcare IT News.
HHS Center to Develop Zika Vaccine
HHS Proposes Changes to Medicare Appeals Procedures
News brief from AHANewsNow.


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Tuesday, June 28

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  June 28, 2016
Patient Avoids Dialysis Through Simultaneous Polycystic Kidney Removal and Kidney Transplant During 28-Person Kidney Swap
Press release from the University of Maryland.
Virtual Tissue Technology Reveals New Drug Target in Polycystic Kidney Disease
Press release from Indiana University.
Early View Abstracts from Hemodialysis International:

Recipient Outcomes Following Transplantation of Allografts From Live Kidney Donors Who Subsequently Developed End-Stage Renal Disease
Early View abstract from American Journal of Transplantation.
CJASN Express Abstracts:
Venous Window Needle Guide for Deep Vessels and Difficult Arteriovenous Fistula Cannulation
First Online abstract from Journal of Nephrology.
The Use of Vitamin D Analogs Is Independently Associated with the Favorable Renal Prognosis in Chronic Kidney Disease Stages 4-5: the CKD-ROUTE Study
First Online abstract from Clinical and Experimental Nephrology.
Subtotal Parathyroidectomy Safe, Effective, Study Finds
Article from Renal & Urology News.
How to Measure The Success of End-of-Life Care
Article from Hospitals & Health Networks.
Nestlé Appoints Fresenius Head as Chief Executive
Avoiding the Unintended Consequences of Screening for Social Determinants of Health
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association. Online First extract from JAMA Internal Medicine.
In Worst-Case Scenarios, Nurses Strikes Can Lead To More Deaths
News brief from Kaiser Health News.
Docs, Nurses Press for Changes to MACRA Rule
(Registration required, but free.) Article from MedPage Today.


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Monday, June 27

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  June 27, 2016
Fresenius SE Promotes Sturm to Chief Executive as Schneider Departs
Article from Bloomberg.

How Would You Improve Dialysis Care If You Had Unlimited Resources?
Posting from the Renal Fellow Network blog.

Editor's note: I would try to maximize the power of free-market profit incentives to deliver rapid progress and positive change on many fronts. I would create a strong, long-lasting, financial incentive to increase employment and rehabilitation rates for working-age patients. As a guide, I would use Scribner's statement, "If the treatment of chronic uremia cannot fully rehabilitate the patient, the treatment is inadequate."

These changes would (finally!) establish a well-patient model for dialysis care and would drive continual improvements in patient care, technology and infrastructure, as well as permanently integrate patient feedback into all care processes (all of which were routinely done in the 1960s).

P.S.  We could do this today by extending the MSP-period for employed patients — at no cost to the government!

CMS Proposed Updates to Policies and Payment Rates for ESRD PPS, QIP, Coverage and Payment for Acute Kidney Injury, DMEPOS Competitive Bidding Program and Fee Schedule, and Comprehensive ESRD Care Model (CMS 1651-P)
Fact sheet from CMS. The proposed CY 2017 ESRD PPS base rate is an increase of $0.65 from the CY 2016 base rate of $230.39. Under the proposed rule (260-page pdf), dialysis facilities would receive $50 million more in 2017 than they received in reimbursement from CMS in 2016.

Comments on the rule are due Aug. 23.

Editor's comment: Same old evolutionary changes to the sick-patient model of U.S. dialysis care.
Kidney Care Partners Encouraged by House and Senate Interest in Care Coordination for Patients with Kidney Failure
Press release. (An earlier press release on this legislation was deleted.)

Editor's note: This refers to bill HR 5506. It is another sick-patient model of care. Neither the words "employment" nor "rehabilitation' are mentioned in the legislation (à la Maddux).
Study Examines Quality of End Life Care for Patients with Different Illnesses
Press release, Online First full-text article, and commentary from JAMA Internal Medicine. Press release from Brigham and Women's Hospital.
"Families reported better quality of end-of-life care for patients with cancer or dementia than for patients with end-stage renal disease..."
The Difficult Ethics of Organ Donations From Living Donors
Article from The Wall Street Journal.
HIV-to-HIV Organ Transplants Moving Forward
(Registration required, but free.) Article from MedPage Today.
New Treatment Approaches to Improve Peritoneal Dialysis
Press release from the Medical University of Vienna.
Maintenance of Blood Flow Rate on Dialysis with Self Centering CentrosFLO Catheter: a Multicenter Prospective Study
Free, full-text, Early View article from Hemodialysis International.
Functional and Cognitive Impairment, Frailty, and Adverse Health Outcomes in Older Patients Reaching ESRD—A Systematic Review
CJASN Express abstract.
Old Habits Die Hard: Screening for and Treating Asymptomatic Bacteriuria After Kidney Transplantation
Free, full-text, Early View letter to the editor from American Journal of Transplantation.
Pregnancy in Women With CKD: A Success Story
Article in Press abstract from American Journal of Kidney Diseases.
Long-Term Effects of Angiotensin II Blockade with Irbesartan on Inflammatory Markers in Hemodialysis Patients: a Randomized Double Blind Placebo Controlled Trial (SAFIR Study)
Early View abstract from Hemodialysis International.
Coping Skills of Iranian Family Caregivers' in Caretaking of Patients Undergoing Hemodialysis: a Qualitative Study
Early View abstract from Journal of Renal Care.
AKF Webinar: Staying Employed with Kidney Disease
American Kidney Fund event scheduled for July 19.
Intermountain Surgeons Save Patient's Kidney with 3D Printing during Dicey Operation
Press release from Intermountain Medical Center..
What Comes Next after Brexit Vote, Scientists Ask
Article, editorial, and blog posting from the BMJ.
How One Hospital Reduced Noise and Patient Complaints With A Sound Study
Article from Hospitals & Health Networks.
Contaminated Gloves a No-No in Hospitals
Nurses Strike Averted at Brigham and Women's Hospital in Boston
  Connecting the Pieces: CROWNWeb 5.0 Sneak Peek on June 30


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Fri./Sat., June 24-25

CMS Proposed Updates to Policies and Payment Rates for ESRD PPS, QIP, Coverage and Payment for Acute Kidney Injury, DMEPOS Competitive Bidding Program and Fee Schedule, and Comprehensive ESRD Care Model (CMS 1651-P)
Fact sheet from CMS. The proposed CY 2017 ESRD PPS base rate is an increase of $0.65 from the CY 2016 base rate of $230.39. Under the proposed rule (260-page pdf), dialysis facilities would receive $50 million more in 2017 than they received in reimbursement from CMS in 2016.

Comments on the rule are due Aug. 23.

Editor's comment: Same old evolutionary changes to the sick-patient model of U.S. dialysis care.
FacebookTwitter
  June 24, 2016
Report: China Still Harvesting Organs from Prisoners at a Massive Scale
Article from CNN. Update from the International Coalition to End Organ Pillaging in China.
"If somebody goes to China to get an organ, at this point, in this day and age, chances are they are receiving it, they are getting their organ from a Falun Gong practitioner, who was murdered on their behalf."

– Ethan Gutmann
Diabetes, Kidney Disease, and Cardiovascular Outcomes in the Jackson Heart Study
CJASN Express abstract and press release from the American Society of Nephrology. Article from HealthDay.

Free, Full-Text Articles from American Journal of Kidney Diseases:

Needs Assessment: Towards a More Responsive Canadian Society of Nephrology Annual Gen. Meeting (CSN AGM) Program
Free, full-text, Open Access article from Canadian Journal of Kidney Health and Disease.
Iron-Related Parameters in Dialysis Patients Treated with Sucroferric Oxyhydroxide
Free, full-text, Advance Access article from NDT.
Home- or Institutional Hemodialysis? - a Matched Pair-Cohort Study Comparing Survival and Some Modifiable Factors Related to Survival
Issue-in-Progress abstract from Kidney & Blood Pressure Research.

CJASN Express Abstracts:

Vitamin E–Coated and Heparin-Coated Dialyzer Membranes for Heparin-Free Hemodialysis: A Multicenter, Randomized, Crossover Trial
Article in Press abstract from American Journal of Kidney Diseases.
The Current State of Peritoneal Dialysis
JASN Express abstract.
Risk of Renal Cell Carcinoma Among Kidney Transplant Recipients in the United States
Early View abstract from American Journal of Transplantation.
New Baxter Study Demonstrates Perceived Value of Telemedicine to Increase Access to Care and Reduce Hospitalizations
Press release. Article from PLOS ONE.
Parathyroidectomy Rates Stable Despite Changes in Medical Therapy
Article from Renal & Urology News.
Wearable Biosensors Studied for Clinical Monitoring and Treatment
Free, full-text, Online First article from the Journal of the American Medical Association.
Hidden Harm: US Healthcare Emits More Greenhouse Gas Than Entire UK
Article from Reuters Health.
CDC Says Flu Nasal Spray Doesn't Work
 


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Thursday, June 23

Report: China Still Harvesting Organs from Prisoners at a Massive Scale
Article from CNN.
FacebookTwitter
  June 23, 2016
Some Older Adults Live Well, despite Advancing Years and the Burdens of Chronic Diseases
Press release and free, full-text article from the Journal of the American Geriatrics Society.

"The researchers said "adapter" older adults who were more vigorous than expected, based on their disease burden, lived longer lives when compared to those who were more frail than expected based on their disease burden. These "adapters" could have unique characteristics, perhaps some undefined coping mechanism, that should be studied further, suggested the researchers."

Editor's note: I believe most long-term dialysis professionals would agree that if a patient has a "will to live" or a "reason to live," it has a strong positive effect on their prognosis. Failing to support patient life goals, such as employment, is iatrogenic.
Ultrafiltration Rates and the Quality Incentive Program: Proposed Measure Definitions and Their Potential Dialysis Facility Implications
CJASN Express abstract.
Patient Specific Modeling of Multicompartmental Fluid and Mass Exchange during Dialysis
Advance Online abstract from the International Journal of Artificial Organs.
Free, Full-Text Articles from Advances in Chronic Kidney Disease (also see 8 new abstracts in July 2016 issue):

Articles in Press Abstracts from Kidney International:

A Fib More Deadly in Blacks: Study
Article from HealthDay. Press release and free, full-text, Online First article from JAMA Cardiology.
New Heart Failure Therapy Could Prevent Substantial Number of Deaths, Study Finds
Press release from UCLA Health Sciences. Free, full-text, Online First article from JAMA Cardiology.
Diabetes Raises Risk of Heart Attack Death by 50%
Hibernation Study Yields Insights about Organ Protection
Australia 20 Years after Gun Reform: No Mass Shootings, Declining Firearm Deaths
Article from HealthDay. Editorial and Online First  full-text article from the Journal of the American Medical Association. Press release from the University of Sydney.
Rates of Nonmedical Prescription Opioid Use and Opioid Use Disorder Double in 10 Years
Press release from National Institutes of Health.
Medicare Has Funding through 2028, Trustees Say, Two Years Less Than Earlier Thought
Article from Healthcare Finance. News brief from AHANewsNow. Report (267-page pdf) from the Medicare and Social Security Boards of Trustees.
More Than 300 Charged Nationwide in Massive $900 M Medicare Fraud Sweep
Articles from Healthcare Finance and Healthcare DIVE.


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Wednesday, June 22

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  June 22, 2016
Product Recall: Fresenius Medical Care Crit Line in a Clip (CLiC) — Recall # Z-2044-2016
Notice from the FDA Enforcement Reports.

Reason for recall: Use of the Blood Pressure Graph located on the Crit-Line screen of the 2008T Hemodialysis Machine may result in a frozen screen, possibly causing the blood pump to stop.

Editor's note: Due to changes in the FDA's web site, there are no longer direct links available to individual recall notices. You must use their "Advanced Search" feature and type/paste in the recall number ( Z-2044-2016 ).
Alabama Telehealth Project Focuses on Home Dialysis Patients
Article from MHealth Intelligence.
Toxicology and Dialysis
Resource from UKidney. #NephJC tweetchat today at 3 PM ET.
Best Hospitals for Pediatric Nephrology
Annual feature from U.S. News & World Report. The top three are:
  1. Boston Children's Hospital
  2. Cincinnati Children's Hospital Medical Center
  3. Texas Children's Hospitals
Patient Perspectives on the Choice of Dialysis Modality: Results From the Empowering Patients on Choices for Renal Replacement Therapy (EPOCH-RRT) Study
Article in Press abstract from American Journal of Kidney Diseases.
Early View Abstracts from Hemodialysis International:
Renal Outcome in Children Born Preterm with Neonatal Acute Renal Failure: IRENEO - A Prospective Controlled Study
First Online abstract from Pediatric Nephrology.
Patients with Inflammation More Likely to Develop Diabetes after Transplant
Press release from Thomas Jefferson University.
Microbiota Affect the Rate of Transplant Acceptance and Rejection
Press release from the University of Chicago Medicine.
Hepatitis C Core Antigen Testing for Diagnosis of Hepatitis C Virus Infection: A Systematic Review and Meta-analysis
Online First abstract from Annals of Internal Medicine.
Tenofovi Designed to Prevent Renal Problems in HIV Patients
(Registration required, but free.) Article from MedPage Today.
The Healing Powers of Music: Mozart and Strauss for Treating Hypertension
Baxter Nixes Vivia Home Hemodialysis Machine
In Doctors We Trust – Especially When They Admit to Bias
Press release from Cornell University.
Another Potential Use for Statins?
Article from HealthDay.
 


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Tuesday, June 21

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  June 21, 2016
Unwitting Victims or Informed Medical Consumers? How are Dialysis Patients Viewed by Their Nurses and Staff?
Posting from the KidneyViews blog.
ChoosingDialysis Web Site Opens
"Empowering patients on choices for renal replacement therapy"

Editor's note:
Was this designed by Fresenius and DaVita? It steers patients into the two most profitable treatment regimens for their existing infrastructure: in-center dialysis and at-home peritoneal dialysis.
Dialysis in Houston Helps Immigrants amid Cost Challenges
Article from Houston Chronicle.

"Some patients admit to eating entire bunches of bananas or drinking the fluid from canned tomatoes to boost potassium levels and increase their odds of treatment."
Fresenius Medical Care Releases Annual Medical Report
Press release. The report is a 52-page pdf.

Editor's note: A search reveals that the report never mentions these words: rehabilitation, employment, psychosocial, or depression. How can patients "thrive" if the corporation won't even use these words?

What kind of medicine is this? A "sick-patient" model, reimbursement-driven, statistics-focused, corporate herd medicine.

Why has DCI, a non-profit, had better mortality and hospitalization data for over a decade?
Kt/Vurea and Nonurea Small Solute Levels in the Hemodialysis Study
JASN Express abstract.

"These results further suggest that an index only on the basis of urea does not provide a sufficient measure of dialysis adequacy."
CDC Dialysis Safety Web Site Updated
The Making Dialysis Safer for Patients Coalition is a partnership of healthcare-related organizations, patient advocacy organizations, industry partners, and other public health partners that span the dialysis spectrum.
Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
Just Say No: Stemming the Tide of Antibiotic Overprescription
Free, full-text, Early View editorial from American Journal of Transplantation.
The 50 Most Active Kidney Transplant Centers in 2015
Data from the Organ Procurement and Transplant Network (OPTN) via NN&I.
Awareness of Chronic Kidney Disease and Depressive Symptoms: National Health and Nutrition Examination Surveys 2005-2010
Issue-in-Progress abstract from American Journal of Nephrology.
Health Care Providers' Support of Patients' Autonomy, Phosphate Medication Adherence, Race and Gender in End Stage Renal Disease
First Online abstract from Journal of Behavioral Medicine. Related article from Renal & Urology News.
Citrate Versus Acetate Dialysate on Intradialytic Heparin Dose: a Double Blind Randomized Crossover Study
Early View abstract from Hemodialysis International.
Association between Clinical Variables and Mortality after Parathyroidectomy in Maintenance Hemodialysis Patients
Article in Press abstract from The American Journal of Surgery.
Postpartum Acute Kidney Injury: a Review of 99 Cases
Abstract from Renal Failure.
Effect of Treatment Education Based on the Roy Adaptation Model on Adjustment of Hemodialysis Patients
Abstract from Clinical Nurse Specialist.
New Strategies to Tackle Diabetic Kidney Disease
(Registration required, but free.) Article from Current Opinion in Nephrology and Hypertension via Medscape Nephrology.
Study Finds Surgery Can Lengthen Survival of Metastatic Kidney Cancer Patients
FDA Approves New Drug Application for RAYALDEE® to Treat Secondary Hyperparathyroidism Associated with Vitamin D Insufficiency in Stage 3-4 Chronic Kidney Disease
CDC Issues Preparedness Plan for Locally Acquired Zika Cases
News brief from AHANewsNow.
Why is EHR Use Dropping?
Article from Medical Economics.
Pharmaceutical Industry–Sponsored Meals and Physician Prescribing Patterns for Medicare Beneficiaries
Free, full-text, Online First original investigation and Editor's Note from JAMA Internal Medicine.
Association Between Medicare Accountable Care Organization Implementation and Spending Among Clinically Vulnerable Beneficiaries
Online First abstract from JAMA Internal Medicine.


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Monday, June 20

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  June 20, 2016
Reps. Young, Blumenauer Introduce HR. 5506, the Dialysis PATIENT (Patient Access to Integrated-Care, Empowerment, Nephrologists, and Treatment) Demonstration Act
News release from Congressman Todd Young of Indiana (No text of the bill is available at this time.)

Kidney Care Partners Encouraged by Congressional Interest in Care Coordination Models for Patients with Kidney Failure
Press release from Kidney Care Partners.

Editor's note: The for-profit providers will likely capture more dollars from their sick-patient model of care. They have completely failed patients in terms of a well-patient model of care, patient employment, and rehabilitation.

When will they publish their employment and rehabilitation statistics?

Nearly 100 Children Attend DCI's Kidney Camp
Press release.
European Transplant & Dialysis Sports Championships Program
Competition will be held in Finland on July 10-17.

Editor's note: Why is there no athletic competition for U.S. dialysis patients? Could it be that U.S. nephrology only focuses on the sick-patient model?
Can Changes in Quality of Life Predict Mortality in Hemodialysis Patients?
News item from Dialysis Outcomes and Practice Patterns Study Program (DOPPS).
Abstracts from the Fourth World Congress of Vascular Access (WoCoVA 2016), June 22-24, 2016, Lisbon, Portugal
(Click on link to "Download PDF") Free, Advance Online feature (49-page pdf) from the Journal of Vascular Access.
Prevalence of Autosomal Dominant Polycystic Kidney Disease in the European Union
Free, full-text, Advance Access article from NDT.
A Delphi Consensus Panel on Nutritional Therapy in Chronic Kidney Disease
First Online abstract from Journal of Nephrology.
Nutritional Management in the Critically Ill Child with Acute Kidney Injury: a Review
First Online abstract from Pediatric Nephrology.
Seattle Hospital Warns 650 Dialysis Patients of Possible Hepatitis B Exposure
Zika Spreading Rapidly Through Puerto Rico: CDC
Article from HealthDay.
A National Trauma Care System to Achieve Zero Preventable Deaths After Injury — Recommendations From a National Academies of Sciences, Engineering, and Medicine Report
Free, full-text, Online First article from the Journal of the American Medical Association. Article from HealthDay.
Palliative Care Is Not Just for Those Who Are Dying
Article from the BMJ.
CMS Measures Webinar on June 28
Notice from the Northwest Renal Network.
CMS Issues Final Rule Revising Medicare Payment System for Laboratory Tests
News brief from AHANewsNow.


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