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RenalWEB's Daily News Archive

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Fri./Sat., April 29-30

AJKD Blog Coverage of NKF 2016 Spring Clinical Meetings:
Renal & Urology News Coverage of NKF Spring Clinical Meetings:

Nephrology News & Issues Coverage of NKF Spring Clinical Meetings:

Dialysis Waste Management: Why Won't Anybody Listen?
Posting from the KidneyViews blog.
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  Apr. 29, 2016

Analysis Shows Dialysis Center Five Star Rating Success Stories Not Tied to Quality of Care
Article from Nephrology News & Issues.

  #1)  Luck !!!

“There is no patient input to the quality ratings being used by Medicare for dialysis centers. Quality ratings that at least partially consider patient satisfaction with their dialysis treatments might produce very different rankings,” Stephens said.

Editor's note:
Is this outstanding medicine or what?

How many more millions of dollars and precious time must we waste trying to create a quality measurement system that uses biochemical markers that do not matter to patients — or uses measures that can be "manufactured" through manipulation and/or cheating?

The best example of excellence in dialysis care is a long-time employed ESRD patient. Unfortunately, CMS, U.S. nephrologists, and the large for-profit dialysis providers have ignored this outcome for decades. They have instead focused on biochemical markers, which has led to few improvements in the patients' quality of life or technological innovations over the last 40 years.

While DaVita and Fresenius have recently announced programs to support employment, there is little to them beyond "turfing" patients to government agencies that have no dialysis expertise. It seems to be a new version of the intern's way to avoid addressing patients' needs. Remember "buff and turf" from The House of God?

What if Fresenius and DaVita employed dialysis patients and also paid their health insurance premiums? Extending the Medicare Secondary Payer (MSP) period for employed patients would then drive tremendous changes in this field of for-profit medicine.

Speaker Paul Ryan Calls For End To Health Law's Premium-Cost Protections For People Who Are ill
News summary from Kaiser Health News.
Overcoming Barriers in Kidney Health—Forging a Platform for Innovation
JASN Express abstract.
AJKD Blog Coverage of NKF 2016 Spring Clinical Meetings:
Warm Weather, Heavy Rain Cause Many Dialysis Patients to Skip Treatment Days
Article from Nephrology News & Issues.
Feasibility of Intermittent Back Filtrate Infusion Hemodiafiltration to Reduce Intradialytic Hypotension in Patients with Cardiovascular Instability: a Pilot Study
Free, full-text, Online First article from Clinical and Experimental Nephrology.
Issue-in-Progress Abstracts from American Journal of Nephrology:
Leptin, Pre-Existing Vascular Disease, and Increased Arteriovenous Fistula Maturation Failure in Dialysis Patients
Article in Press abstract from Journal of Vascular Surgery.
Natural Killer Cells Play a Critical Role in Mediating Inflammation and Graft Failure during Antibody Mediated Rejection of Kidney Allografts
Article in Press abstract from Kidney International.
Early View Abstracts from Artificial Organs:
Female Hormones May Make Women Less Susceptible to Kidney Failure Than Men
Press release from the American Society of Nephrology.
Amgen Posts 1Q Sales, Profit Jumps, Raises Profit Forecasts
AP article.
"Overcoming Functional Iron Deficiency in Your Hemodialysis Patients" at the National Kidney Foundation (NKF) Spring Clinical Meeting in Boston, MA April 29, 2016
Toward an Integrated Federal Health System
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
Valeant Officials, Blasted By Lawmakers For ‘Immoral’ Pricing Practices, Admit To Making Mistakes
Article from Kaiser Health News.
 


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Thursday, April 28

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  Apr. 28, 2016
  Free, Full-Text Articles from NDT:
"We recommend that programmes for pre-emptive kidney transplantation with living donor kidneys should be stimulated (1D)."

"We recommend that pre-emptive transplantation is organized such that dialysis is avoided in a patient who otherwise would have to start it according to current guidelines (1A)."
Editor's note: This is from a leading European journal. Shouldn't this also be the policy for U.S. nephrologists — or are we condemned to continue our dialysis-for-profit system that fails so many patients? Can the Renal Physicians Association give up its path to great wealth?

It should be the policy of the American Society of Nephrology (ASN) to minimize the utilization of dialysis in surgery-eligible patients. Instead the ASN has fallen in behind the Kidney Care Partners lobbying group, which is controlled by the junk-bond-financed dialysis corporations, in setting policy and standards (48-page pdf) for U.S. ESRD care.
Free, Full-Text Articles from NDT:
Prevalence of Chronic Kidney Disease Risk Factors among Low Birth Weight Adolescents
Free, full-text, Online First article from Pediatric Nephrology.
Mistakes We Make in Dialysis — We Send Thrombosed AV Accesses to the Operating Room
Early View abstract from Seminars in Dialysis.
Impact of Dialysis Requirement on Outcomes in Tumor Lysis Syndrome
Accepted Article abstract from Nephrology.
Obstructive and Restrictive Lung Function Measures and CKD: National Health and Nutrition Examination Survey (NHANES) 2007-2012
Article in Press abstract from American Journal of Kidney Diseases.
Drug Prices Keep Rising Despite Intense Criticism
Article from The New York Times via National Nurses United.
U.S. Health Report Card Finds Racial, Ethnic Disparities Persist
Article from HealthDay. News brief from AHANewsNow.
Health Care Workers Could Use More Sleep
Article from Hospitals & Health Networks.
No Time to Get Fit? Think Again – Just 1 Min. of Intense Exercise Produces Health Benefits
Press release from McMaster University.
China: Obesity 'Explosion' in Rural Youth, Study Warns
MACRA Proposed Rule Published by HHS, Streamlining Federal Programs Including Meaningful Use
Press release from CMS. Article from Healthcare IT News. (registration required).
CMS Adds New Quality Measures to Nursing Home Compare


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Wednesday, April 27

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  Apr. 27, 2016
U.S. FDA Approves Rockwell's Triferic® Powder Packet for Treating Anemia in Hemodialysis Patients
Press release.
Life Expectancy with Chronic Kidney Disease: an Educational Review
Free, full-text, Online First educational review from Pediatric Nephrology.
Free, Full-Text Articles from Journal of Renal Nutrition:
Efficacy and Safety of Saxagliptin, a Dipeptidyl Peptidase-4 Inhibitor, in Hemodialysis Patients with Diabetic Nephropathy: a Randomized Open Label Prospective Trial
Free, full-text, Open Access Article in Press from Diabetes Research and Clinical Practice.
The Relevance of Geriatric Impairments in Patients Starting Dialysis: A Systematic Review
CJASN Express abstract.
Patient Education and Peritoneal Dialysis Modality Selection: A Systematic Review and Meta-analysis
Article in Press abstract from American Journal of Kidney Diseases.
Calcium Acetate/Magnesium Carbonate and Cardiovascular Risk Factors in Chronic Hemodialysis Patients
Abstract from Nephron.
Mistakes We Make in Dialysis — We Hold Antihypertensives Prior To Dialysis
Early View abstract from Seminars in Dialysis.
Prevalence of Constipation in Patients with Advanced Kidney Disease
Early View abstract from Journal of Renal Care.
Long Term Outcomes of Diabetic Hemodialysis Patients with Critical Limb Ischemia and Foot Ulcer
Article in Press abstract from Diabetes Research and Clinical Practice.
FDA Recall Notice for Baxter Automated Peritoneal Dialysis Cycler
10 units recalled for incomplete instructions. Use search function for recall number Z-1565-2016 on April 25, 2016.
Providing Supportive Care to Patients with Kidney Disease
Article from Nephrology News & Issues.
Cured from Hepatitis C
KidneyTalk podcast from Renal Support Network.
Night Shift Work May Be Tough on a Woman's Heart
Article from HealthDay. Free, full-text article from the Journal of the American Medical Association.
Loyola University Physician Believed to Be Only Doctor to Be Both an Organ Donor and Recipient
Article from The Chicago Tribune.
Baxter Tops Street 1Q Forecasts
American Renal Associates Holdings, Inc. Announces Closing of Initial Public Offering
NKF Recognizes Relypsa with Inaugural Corporate Innovator Award for First Drug Approved by FDA for Hyperkalemia in 50 Years
Hand Washing: Six Steps Are Better Than Three
Chronic Care Management: Is the $50 Billion Market More Hype Than Reality?
(Registration required, but free.) Article from Healthcare IT News.
Why Harvard Is Opening a Health and Happiness Center
Article from STAT.
To Help Some Patients, We Have To Change Our Attutudes
Posting from the KevinMD Blog.
PCORI Board Approves $44.4 Million for 21 New Patient-Centered Research Projects
Press release from the Patient-Centered Outcomes Research Institute.
 


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Tuesday, April 26

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  Apr. 26, 2016
Brazilian Chronic Dialysis Census 2014
Free, full-text article from Brazilian Journal of Nephrology.
"The gross death rate seen in Brazil is lower than the rate reported for patients on dialysis in the United States."
Editor's note: It is time to admit that U.S. dialysis care has failed patients and instead functions primarily to serve the financial interests of for-profit corporations and the many prominent U.S. nephrologists who find no fault with the current economic incentives.

To end this disgrace, we should advocate for transplantation as the primary and preferred treatment for ESRD.
Fighting The Fight (For Chris)
Posting by UCLA Associate Professor in Nephrology Amy Waterman from The Huffington Post. Her web site is Explore Transplant.
Current Issue of the Brazilian Journal of Nephrology
19 free, full-text articles available in English and Portuguese.
Free May 2016 Issue of Kidney International with 25 Articles Including:
Free, Full-Text Articles and 10 Abstracts from Advances in Chronic Kidney Diseases:
The Relation Between Variability of Intact Parathyroid Hormone, Calcium, and Cardiac Mortality in Hemodialysis Patients
Early View abstract from Artificial Organs.
Saliva Urea Nitrogen Continuously Reflects Blood Urea Nitrogen after Acute Kidney Injury Diagnosis and Management: Longitudinal Observational Data from a Collaborative, International, Prospective, Multicenter Study
Free, full-text, Issue-in-Progress article and Cappuccino with Claudio Ronco from Blood Purification.
Timing of First Arteriovenous Fistula Cannulation in Children on Hemodialysis
Online First abstract from Pediatric Nephrology.
Chronic Inflammation Leads to Imbalanced Blood System and Potentially Cancer Risk
Vaccinations Are More Effective When Administered in the Morning
Pharmacists Can Manage Some Chronic Conditions Effectively, Study Suggests
Article from HealthDay. Online First abstract from Annals of Internal Medicine.
Drug Companies To Pour $100M Into Battle Against California's Price Control Ballot Initiative
News brief from Kaiser Health News.
Fighting against Counterfeit Medicine
Press release from Michigan State University.
Some Firms Save Money By Offering Employees Free Surgery
CMS Releases Medicaid Managed Care Final Rule
News brief from AHANewsNow and Healthcare DIVEPress release from CMS. Posting from The CMS Blog. Final rule (1425-page pdf) from The Federal Register.
CROWNWeb Town Hall: Connecting the Pieces
Webinar scheduled for April 28 at 2PM EDT.


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Monday, April 25

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  Apr. 25, 2016
Articles from Nephrology News & Issues:
Smoking and Adverse Outcomes in Patients With CKD: The Study of Heart and Renal Protection (SHARP)
Free, full-text, Article in Press from American Journal of Kidney Diseases.
Application of New Acute Kidney Injury Biomarkers in Human Randomized Controlled Trials
Free, full-text, Article in Press from Kidney International.
Combined Liver and Kidney Transplantation in Children: Analysis of Renal Graft Outcome
First Online abstract from Pediatric Nephrology.
Gingival Bleeding and Bloody Dialysate: A Case Report of Scurvy in a Child With End-Stage Renal Disease Receiving Peritoneal Dialysis
Article in Press abstract from Journal of Renal Nutrition.
Study Links Hypoxemia from Obstructive Sleep Apnea with Renal Complications in Type 2 Diabetes
Post-Parathyroidectomy Follow-Up May Need to Be Open-Ended
CDC, OSHA Issue Guidance for Protecting Workers from Zika Exposure
News brief from AHANewsNow. Guidance (7-page pdf) from the Centers for Disease Control and Prevention.
Articles from Kaiser Health News:
CMS Extends Deadline for Next Generation ACO Model
News brief from AHANewsNow.


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Fri./Sat., April 22-23*

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  Apr. 22, 2016
Organ Recipients with Previous Cancers Linked to Higher Death Rates, New Cancers
Press release from St. Michael's Hospital (Toronto). Online First abstract from Transplantation.
Blood Pressure Targets for Individuals with Kidney Disease Should Consider Patients' Age
Press release and CJASN Express abstract from the American Society of Nephrology.
Caregiver Word Reading Literacy and Health Outcomes among Children Treated in a Pediatric Nephrology Practice
Free, full-text, Advance Access article from Clinical Kidney Journal.
Free, Full-Text, Issue-in-Progress Articles from American Journal of Nephrology:
Comparison of Ambulatory Blood Pressure Patterns in Patients With Intradialytic Hypertension and Hemodialysis Controls
Free, full-text, Issue-in-Progress article from Kidney & Blood Pressure Research.
A SPRINT to the Finish, or Just the Beginning? Implications of the SPRINT Results for Nephrologists
Free, full-text article from Kidney International.
Early View Abstracts from American Journal of Transplantation:
In Hemodialysis Patients, Intradialytic Resistance Exercise Improves Osteoblast Function: A Pilot Study
Article in Press abstract from Journal of Renal Nutrition.
Advance Access Abstracts from NDT:
Epicardial Adipose Tissue Volume Increase in Hemodialysis Patients Treated with Sevelamer or Calcium-based Phosphate Binders: a Substudy of the Renagel in New Dialysis Trial
First Online abstract from Journal of Nephrology.
Articles in Press Abstracts from American Journal of Kidney Diseases:
Effect and Safety of Daclatasvir-Asunaprevir Combination Therapy for Chronic Hepatitis C Virus Genotype 1b-Infected Patients on Hemodialysis
Early View abstract from Therapeutic Apheresis and Dialysis.
American Renal Soars in NYSE Debut
Stock chart from BigCharts.
Nephros Announces Submission of Special 510(k) Application to the FDA for the EndoPur™ Ultrafilter
Study Links Neighborhood Greenness to Reduction in Chronic Diseases
The New Era of Informed Consent — Getting to a Reasonable-Patient Standard Through Shared Decision Making
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
New May 2nd CROWNWeb Clinical Data Deadline


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Thursday, April 21

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  Apr. 21, 2016
Iatrogenic Iron Overload in Dialysis Patients at the Beginning of the 21st Century
Free, Open Access, First Online article from Drugs.
Regional Citrate Anticoagulation in Hemodialysis: an Observational Study of Safety, Efficacy, and Effect on Calcium Balance during Routine Care
Free, full-text, Open Access article from Canadian Journal of Kidney Health and Disease.
Free, Full-Text, Open Access Articles from PLOS ONE:
Free, Open Access, First Online Articles from Clinical and Experimental Nephrology:
Use of 2MD, a Novel Oral Calcitriol Analog, in Hemodialysis Patients with Secondary Hyperparathyroidism
Issue-in-Progress abstract from American Journal of Nephrology.
Educational Strategies and Challenges in Peritoneal Dialysis: a Qualitative Study of Renal Nurses' Experiences
Early View abstract from Journal of Clinical Nursing.
American Renal Associates IPO Prices At $22
Life Expectancy at Birth Rises for Black Men and Hispanics, Falls for White Women
News brief from AHANewsNow. Data brief from the Centers for Disease Control and Prevention.
FDA's Foray Into Big Data Still Maturing
Free, full-text, Online First perspective piece from the Journal of the American Medical Association.
Medicare Delays Plans For New Star Ratings On Hospitals After Congressional Pressure
Article from Kaiser Health News.


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Wednesday, April 20

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  Apr. 20, 2016
Nursing Homes: Publicly Funded Care Delivered in For-Profit Facilities Is Inferior to Care Delivered in Public or Nonprofit Facilities
Press release and full-text article from PLOS Medicine.

Editor's note: The Hippocratic Oath vs. medical materialism. The U.S. experiment in balancing medical decisions and profit motives does have its most spectacular failures.

It appears that our society's most vulnerable patients (in nursing homes and dialysis clinics) are also the most susceptible to medical decisions that favor corporate owners over patient well-being. The weakest get used.

In U.S. dialysis care, the Peer Group and the American Society of Nephrology continue to be blind to the impact of financial incentives/structures on U.S. dialysis care. Has any other field of medicine made so little progress in the last 40 years? Does any other field of medicine have so many physicians admitting that they would choose better treatment regimens for themselves than they provide for vast majority of their patients?

Why has the largest non-profit dialysis provider (DCI) delivered better mortality and hospitalization outcomes than the largest for-profit, junk-bond-financed, dialysis providers for 13 years?  Most U.S. nephrologists advocate for whom?

Our system is out of balance and, in many ways, self-defeating. Denial of the harmful effects of profit motives — and the legal implications of acknowledging the thousands of avoidable patient deaths — prevents any meaningful changes from occurring. As a result, most dialysis patients will continue to be shepherded into more harmful, for-profit, treatment regimens.
Free, Full-Text, CJASN Express Articles:
Impedance Ratio: a Novel Marker and a Powerful Predictor of Mortality in Hemodialysis Patients
First Online abstract from International Urology and Nephrology.
Measuring Fatigue in Hemodialysis Patients: the Factor Structure of the Chalder Fatigue Questionnaire (CFQ)
Abstract from Journal of Psychosomatic Research.
Hepatitis C Virus Infection in Chronic Kidney Disease
JASN Express abstract.
High Ferritin Level and Malnutrition Predict High Risk of Infection-Related Hospitalization in Incident Dialysis Patients: A Japanese Prospective Cohort Study
Issue in Progress abstract from Blood Purification.
Articles in Press Abstracts from Journal of Vascular Surgery:
Does This Biomarker Test for AKI 'Check' Out?
Berns on Nephrology video blog from Medscape Nephrology.
Articles from Kaiser Health News:
CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016
Free, full-text article and Summary for Patients from the Journal of the American Medical Association.
Nurses Say Stress Interferes With Caring For Their Patients
Article from NPR.
Healthcare Changes Causing Small Medical Practices to Disband
CMS Releases Medicare Advantage Quality Data for Racial and Ethnic Minorities
CMS press release.
May 15 NHSN QIP Deadline: Vaccination Data
ESRD bulletin from the Northwest Renal Network.


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Tuesday, April 19

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  Apr. 19, 2016
Penn Researchers Find Females More Resistant to Organ Damage Following Kidney Transplant
Press release from the University of Pennsylvania School of Medicine. Full-text article from the Journal of Clinical Investigation.
National Kidney Foundation 2016 Spring Clinical Meetings Abstracts
(18-page pdf) Meeting will be held April 27 - May 1, 2016 in Boston. Individual abstracts can be viewed in pdf format in the May issue of the American Journal of Kidney Diseases (see the Frontmatter section that extends for 9 pages).
New ISN Initiative: The Global Kidney Health Atlas
News release from the International Society of Nephrology.
Geriatric Nutritional Risk Index, Muscle Function, Quality of Life and Clinical Outcome in Hemodialysis Patients
Article in Press abstract from Clinical Nutrition.
Risk of Fracture in Adults on Renal Replacement Therapy: a Danish National Cohort Study
Advance Access abstract from NDT.
Should Sodium Removal in Peritoneal Dialysis Be Estimated from the Ultrafiltration Volume?
First Online abstract from Pediatric Nephrology.
Effect of Remote Ischemic Preconditioning on Postoperative Acute Kidney Injury among Patients Undergoing Cardiac and Vascular Interventions: a Meta-Analysis
First Online abstract from Journal of Nephrology.
Diagnosis and Management of Diabetes: Synopsis of the 2016 American Diabetes Association Standards of Medical Care in Diabetes
Free, full-text, clinical guidelines from Annals of Internal Medicine.
Islet Transplantation Restores Blood Sugar Awareness and Control in Type I Diabetes
News releases from National Institutes of Health and Northwestern Memorial Healthcare.
Metformin Safer for Heart Than Other Common Type 2 Diabetes Drugs: Study
Article from HealthDay. Online First abstract from Annals of Internal Medicine.
Palliative Care Study Exposes Stigma, Calls for Rebranding
Double Advantage of Potential New Diabetes Treatment
Doctors Issue Call to Combat Climate Change
Article from HealthDay. Online First abstract from Annals of Internal Medicine. Press release from the American College of Physicians.
Analysis: Health Law Has Halted Decades-Long Expansion Of The Gap Between Haves And Have-Nots
News brief from Kaiser Health News. Article from HealthDay.
Trying To Save Medicare: CMS Innovation Center Experiments With New Practices
News brief from Kaiser Health News.


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Monday, April 18

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  Apr. 18, 2016
Coping with Depression as a Dialysis Patient
Posting from the KidneyToday blog.
Towards Compassionate Dialysis: Thirst and Hemodialysis Duration
Posting from the KidneyViews blog.
Mayo Clinic Study Finds Long-term Benefits to the Kidney in Simultaneous Liver-Kidney Transplant
News release.
FDA March 2016 Drug Safety Labeling Changes
Includes 35 products with revisions to Prescribing Information including Renagel tablets and Renvela powder.
Mistakes We Make in Dialysis
Early View abstracts from Seminars In Dialysis:
Free, Full-Text Articles from American Journal of Kidney Diseases:
Intradialytic Oral Protein Supplementation and Nutritional and Inflammation Outcomes in Hemodialysis: A Randomized Controlled Trial
Article in Press abstract from American Journal of Kidney Diseases.
Relationship between Mortality and Speed of eGFR Decline in the 3 Months Prior to Dialysis Initiation
First Online abstract from Clinical and Experimental Nephrology.
The Novel Use of Infrared Thermal Imaging As an Adjunct for the Management of Hemodialysis Access Induced Distal Ischemia
Advance Online abstract from the Journal of Vascular Access.
Accepted Articles Abstracts from Nephrology:
Evaluation of Intraocular Pressure by Ocular Response Analyzer in Patients Undergoing Hemodialysis
Abstract from Journal of Glaucoma.
National Kidney Foundation and American Heart Association Join Forces against Epidemic High Blood Pressure
Press release.
Greenness around Homes Linked to Lower Mortality
News release from the National Institutes of Health. Advance Publication abstract and 33-page pdf from Environmental Health Perspectives.

Editor's note:
Considering the amount of water that the average dialysis facility runs down the drain, and the therapeutic value of gardening...
Tainted Medical Scope Infections Far Exceed Earlier Estimates
Article from Kaiser Health News.
Midwest Outbreak of Elizabethkingia
News release from the Mayo Clinic.
Generic Hepatitis C Drugs as Effective as Pricey Brand Names: Study
 


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Fri./Sat., April 15-16

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  Apr. 15, 2016
Common Heartburn Drugs (Proton Pump Inhibitors) Linked to Kidney Disease in Study
Article from HealthDay. Press release and JASN Express abstract from the American Society of Nephrology. Article from Medscape Nephrology (registration required).
Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
Webinar for Improving Care: The AHRQ Universal Precautions Health Literacy Toolkit
Notice from the Midwest Kidney Network. Webinar is scheduled for Thursday, May 12 @ 11:00 am ET (10:00 AM CT).

The Role of Renal Dietitians in an Integrated Care Model
Article from Nephrology News & Issues.

Editor's note: The Tassin approach to the renal diet is probably best for ESRD. The use of minimal hemodialysis treatment times requires the strict, unsatisfying, hard-to-comply-with renal diets that are common in the U.S.

Arteriovenous Fistula Construction with the VasQ™ External Support Device: a Pilot Study
Free, full-text, Advance Online article from the Journal of Vascular Access.
The Effect of Frequent Hemodialysis on Self-Reported Sleep Quality: Frequent Hemodialysis Network Trials
Advance Access abstract from NDT.
Early View Abstracts from Annals of Noninvasive Electrocardiography:
A Nationally Representative Study of Calcific Uremic Arteriolopathy Risk Factors
JASN Express abstract.
The Lancet Publishes AKI Global Snapshot Results
News release from the International Society of Nephrology. Abstract from The Lancet.
Most Doctors Unsure How to Discuss End-of-Life Care, Survey Says
Article from Kaiser Health News.
Nephros Receives FDA 510(k) Clearance of S100 Point of Use Filter
GAO Report: Additional Efforts Needed to Help Protect Health Care Workers from Workplace Violence
Highlights and full report (69-page pdf).
Toward a Safer Health Care System — The Critical Need to Improve Measurement
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
Here's Why You Can't Believe "Top Hospitals" Lists
Posting from the KevinMD Blog.
Brain Implant Allows Paralyzed Man To Move Hand Through Thoughts
 


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Thursday, April 14

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  Apr. 14, 2016
Physicians and Patients Must Retake Control of How Health Care Is Delivered
Posting from the KevinMD blog.
Fresenius Medical Care North America's Dialysis Division Is Now Fresenius Kidney Care
Press release.

From the Fresenius Kidney Care web site:

"Want to stay at your job or find a new one? Go for it. There are laws that protect your rights as a worker, like the Americans with Disabilities Act, the Family and Medical Leave Act, the Ticket to Work and Work Incentives Improvements Act and Social Security Work Incentive Programs."

Editor's note: Other than "assisting" a patient in choosing a dialysis modality (which may or may not be available locally), there seems to be little being done for patients regarding employment and rehabilitation.

Until these for-profit corporations have a financial incentive -- rather than disincentives -- to increase patient employment and rehabilitation, these "thrive" programs will consist of little more than throwing information and hyperlinks at patients and saying, "Go for it."

For working-age patients, this remains largely self-defeating and far from holistic dialysis care. Due to decades of paternalistic care and ineffective patient advocacy, the large for-profit corporations have neither the infrastructure, the technology, the professional expertise, nor the needed patient feedback mechanisms to drive significant improvements in employment and rehabilitation rates. Ratios of patients-to-social workers (and nurses) are far too high for any meaningful change to occur. As Dr. Scribner said, "If the treatment of chronic uremia cannot fully rehabilitate the patient, the treatment is inadequate."

Without financial incentives for these corporations, only the patients with a strong will to overcome enormous obstacles -- essentially on their own -- will thrive. Almost all other patients will default to short-time, in-center, daytime treatments, and enslavement to a life called dialysis.

This situation will only truly change when these profit-focused companies can tell working-age patients, "It is financially advantageous for our company that you remain employed and/or get rehabilitated." Physicians and patients must fight for the holistic care that was the norm in dialysis care 45 years ago.

Fresenius and DaVita should employ dialysis patients. Then they would gain the expertise needed to truly help working-age patients.
New Editor to Take the Reins at the American Journal of Kidney Diseases
Press release from the National Kidney Foundation.
Free, Full-Text Articles from Kidney International:
Mistakes We Make in Dialysis
Early View abstracts from Seminars in Dialysis:
Free, Full-Text, Articles in Press from Kidney International:
Evaluation of the Validity of a Novel CKD Assessment Checklist Used in the Frontier of Renal Outcome Modifications in Japan Study
Article in Press abstract from Journal of Renal Nutrition.
DOPPS Program To Present at 53rd European Renal Association-European Dialysis and Transplant Association (ERA-EDTA) Congress
News release from Dialysis Outcomes and Practice Patterns Study Program.
Zika Virus Causes Brain Defects in Babies: CDC
Article from HealthDay. Free, full-text, Online First special report from the New England Journal of Medicine.
Is the United States Prepared for a Major Zika Virus Outbreak?
Free, full-text, Online First viewpoint article and JAMA Patient Page from the Journal of the American Medical Association.
The Drive to Merge, Acquire, or Partner
Article from HealthLeaders Media.
The Virtues and Vices of Single-Payer Health Care
Free, full-text perspective piece from the New England Journal of Medicine.
Early Performance of Accountable Care Organizations in Medicare
Free, full-text, Online First special article from the New England Journal of Medicine.


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Wednesday, April 13

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  Apr. 13, 2016
In Rural States Policy Changes To Improve Access To Home Dialysis Are Vital
Posting from the Health Affairs blog.
DOPPS Practice Monitor Web Conference - Thursday, May 5 at 3 PM EDT
Registration now open for web conference on latest data from the Dialysis Outcomes and Practice Patterns Study.

Editor's note: How much current and/or archived U.S. data is fraudulent?
Postings from the KevinMD Blog:
Early View Abstracts from Therapeutic Apheresis and Dialysis:
Predicting Residual Kidney Function in Hemodialysis Patients Using Serum ß-Trace Protein and ß2-Microglobulin
Free, full-text Open Access article from Kidney International.
Articles in Press Abstracts from American Journal Of Kidney Diseases:
Advance Access Abstracts from NDT:
Efficacy of Two Combinations of Blood Purification Techniques for the Treatment of Multiple Organ Failure Induced by Wasp Stings
Issue-in-Progress abstract from Blood Purification.
Neurocognitive Functions of Pediatric Kidney Transplant Recipients
First Online abstract from Pediatric Nephrology.
Radial Access for PCI Seems to Cut Contrast-Nephropathy Risk
(Registration required, but free.) Conference news from Medscape Nephrology.
Merger Creates Colorado's Largest Nephrology Practice
Nebraska Hospital Settles Lawsuit over Dialysis Services
Coordinated Response Could Reduce Spread of Emerging Superbug in Health Facilities
Press release from Johns Hopkins University Bloomberg School of Public Health.
HHS Report: Dire Warnings of Obamacare Price Spikes Wrong
News brief from AHANewsNow. Article from The Hill.
New Medicare Primary Care Payment Initiative Designed To Switch Incentives
Article from Kaiser Health News.
Avalere: Biosimilars Cost Seniors More Than Brand Biologics In Medicare Part D
News item from Morning Consult.


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Tuesday, April 12

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  Apr. 12, 2016
Massachusetts Hospital Alerting over 500 Dialysis Patients of Possible Pathogen Exposure
Articles from New England Public Radio and WesternMassNews.com.
Mistakes We Make in Dialysis
Early View abstracts from Seminars in Dialysis:
High Ultrafiltration Rates Increase Troponin Levels in Stable Hemodialysis Patients
Issue-in-Progress abstract and free, full-text editorial from American Journal of Nephrology.

"Conclusions: A high UF rate during HD is associated with a biochemical evidence of myocardial injury. If confirmed, efforts to avoid rapid UF, protect residual kidney function or minimize weight gain between sessions may impact cardiovascular outcomes in this high-risk population."

Novel Approach to Cardiovascular Outcome Prediction in Haemodialysis Patients
Issue-In-Progress abstract and free, full-text editorial from American Journal Of Nephrology.

Cancer Incidence and Mortality in Chronic Dialysis Population: A Multicenter Cohort Study
Issue-In-Progress abstract from American Journal Of Nephrology.

Effectiveness and Value of Integrating Behavioral Health Into Primary Care
Free, full-text, Online First article from JAMA Internal Medicine.

"Our results suggest that the Collaborative Care Model (CCM) modestly improves outcomes related to depression and anxiety, as well as patient satisfaction and quality of life relative to usual, nonintegrated care."

Anemia Management in the China Dialysis Outcomes and Practice Patterns Study
Free, full-text, Issue-in-Progress article from Blood Purification.

Editor's note: Do the Chinese have a financial incentive to cheat when reporting the data?
Impacts of Geographic Distance on Peritoneal Dialysis Utilization: Refining Models of Treatment Selection
Early View abstract from Health Services Research.
Early View Abstracts from Seminars In Dialysis:
When Desensitization Makes Sense and When It Doesn't
Berns on Nephrology video blog via Medscape Nephrology.
Big Red Kidney Bus Gives Renal Dialysis Patients a Mildura Holiday
Article from the Australian Broadcasting Corporation.
Future of False Claims Act Recoveries Unclear, Attorney Says
Kidney Stone Patients Hospitalized on the Weekend May Get Delayed Treatment
Handwashing Gets Skipped a Third of the Time in Outpatient Healthcare
New Report: Hepatitis B and C Could Be Eliminated As Public Health Problems in US
Lung Ultrasound May Be a Safe Substitute for Chest X-Ray When Diagnosing Pneumonia in Children
CDC: Zika 'Scarier Than We Initially Thought'
Articles from the BBC and The Hill. Press release from the American Academy of Neurology.
Expert Panel Reaffirms Daily Aspirin's Use Against Heart Disease, Colon Cancer
Article from HealthDay.
CMS Uses CROWNWeb for Reporting Depression, Pain
Article from Renal & Urology News.
Medicare's Vision for Advanced Primary Care — New Directions for Care Delivery and Payment
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association. News brief from AHANewsNow. Press release from CMS.
60 Senators Urge CMS to Delay Overall Hospital Quality Star Ratings


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Monday, April 11

Massachusetts Hospital Alerting over 500 Dialysis Patients of Possible Pathogen Exposure
Article from WesternMassNews.com.
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  Apr. 11, 2016
UAB Receives $19 .5 M Grant to Transplant Genetically Modified Pig Kidneys to Humans
Article from TuscaloosaNews.com. Press release from the University of Alabama at Birmingham.

"From a cost perspective, a recent article in the American Journal of Transplantation showed that the cost of dialysis treatments averages $1.45 million per patient over the course of a lifetime. According to the article, the net benefit for society from saving thousands of lives each year and reducing the suffering of 100,000 more who are receiving dialysis would be about $46 billion per year. In addition, it would save taxpayers approximately $12 billion each year."

Editor's note: Why isn't the U.S. government focused on kidney transplantation instead of dialysis? Who benefits?

The Higher Your Income, The Longer You Live
Free, First Online, full-text articles from the Journal of the American Medical Association: Editor's note: More evidence suggesting that CMS and U.S. nephrologists have been harming dialysis patients for the last 40 years by failing to incorporate the patients' employment and rehabilitation goals into the system of care.
Expanding Access, Supporting Research and Sustaining Medicare Is the Future of Kidney Care
Article written by Rep. Tom Marino for The Hill Congress Blog via Kidney Care Partners.

Editor's note: This awful piece continues to overlook the failures and shortcomings of the stagnant and harmful model of U.S. dialysis care. This model functions primarily to maximize the benefits for junk-bond financed dialysis corporations which, in turn, fill the political campaign coffers of U.S. congresspeople.

DaVita To Acquire Mountain View Medical Group in Colorado Springs
Press release.
American Renal Associates Holdings, Inc. Announces Launch of Initial Public Offering
Press release.
Singapore NKF Looking to Develop Facilities to Better Meet Needs of Kidney Patients
Article from Channel NewsAsia.
(Indian) Government Rolls Out Dialysis Care Scheme, Experts Seek Clarity on Payments
Article from The Times of India.
World Repercussion of the NEJM Desensitization Article — a Brazilian Perspective
Posting from the Renal Fellow Network blog.
Pivotal Inflammatory Players Revealed in Diabetic Kidney Disease
Press release from UC San Diego Health.
Atrial Fibrillation in Dialysis Patients: Time to Abandon Warfarin?
Advance Online abstract from the International Journal of Artificial Organs.
Vitamin D in Patients with Chronic Kidney Disease: a Position Statement of the Working Group "Trace Elements and Mineral Metabolism" of the Italian Society of Nephrology
First Online abstract from Journal of Nephrology.
Long-Term Outcomes of End-Stage Kidney Disease for Patients with Lupus Nephritis
Article in Press abstract from Kidney International.
Risk Factors for Rapid Kidney Function Decline Among African Americans: The Jackson Heart Study (JHS)
Article in Press abstract from American Journal of Kidney Diseases.
Pediatric Combined Liver-Kidney Transplantation: a Single Center Experience of 18 Cases
First Online abstract from Pediatric Nephrology.
Metformin-containing Drugs: Drug Safety Communication - Revised Warnings for Certain Patients With Reduced Kidney Function
FDA Safety Alert.
Ransomware Scare: Will Hospitals Pay for Protection?
(Registration required, but free.) Article from Modern Healthcare.
Prices And Health Care Quality: Many Consumers Don't See A Link
Article from Kaiser Health News.
Life-Saving Health Care in Poor Nations Would Cost $5 Per Person: Study
Article from HealthDay.
The Lancet: Preventable Maternal and Child Deaths Could Be Virtually Eliminated in a Generation, Say Leading Experts
Association Between the Centers for Medicare and Medicaid Services Hospital Star Rating and Patient Outcomes
Free, full-text, Online First research letter from JAMA Internal Medicine.

Editor's note: DaVita publicizes the fact that they have the highest number of 5-star rated clinics, but according to the latest USRDS report, DaVita clinics have the worst mortality and hospitalization data.

Cheating has been rampant in the U.S. dialysis industry in the reporting of "quality" data to the government. As a result, we have decades of largely useless data.


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