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RenalWEB's Daily News Archive

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Tuesday, July 22

Wild Day for Obamacare: Appeals Court Rulings Conflict
Articles from POLITICO and USA Today.
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  July 22, 2014
Hepatitis C Treatment in Dialysis Patients: Is a New Dawn Approaching?
Free, full-text article from American Journal of Kidney Diseases.
Barbiturate Poisoning and the Role of the Nephrologist
Posting from the eAJKD blog.
July 22 Free Webinar: Patient- and Family-Centered Care
Notice from Agency for Healthcare Research and Quality.
Provisional Abstracts and Full-Text PDFs from BMC Nephrology:
High-Performance Information Search Filters for CKD Content in PubMed, Ovid MEDLINE, and EMBASE
Article in Press abstract from American Journal of Kidney Diseases.
bullet point Nutrition Assessment and Risk Prediction in Dialysis Patients—A New Integrative Score
Article in Press abstract from Journal of Renal Nutrition.
bullet point Depression, 5HTTLPR and BDNF Val66Met Polymorphisms, and Plasma BDNF Levels in Hemodialysis Patients with Chronic Renal Failure
Abstract from Neuropsychiatric Disease and Treatment.
bullet point Taurolidine-Citrate-Heparin Catheter Lock Solution Reduces Staphylococcal Bacteremia Rates in Hemodialysis Patients
Advance Access abstract from QJM: An International Journal of Medicine.
bullet point Sonographic Detection of a Radiolucent Object in Dialysis Vascular Access
Early View abstract from Journal of Clinical Ultrasound.
bullet point Fluid Resuscitation in Sepsis: A Systematic Review and Network Meta-analysis
Online First abstract from Annals of Internal Medicine.
bullet point Stroke Risk Higher in Patients Who Recover from AKI
bullet point Big Data Peeps At Your Medical Records To Find Drug Problems
Article from NPR.
bullet point New Poll Finds Consumers Have Trouble Comparing Physicians' Quality Of Care
News summary from Kaiser Health News.
bullet point Study: Size of RN Workforce Surpasses Forecasts
Article from Nurse.com.
bullet point Has Congress Gotten So Pathetic That Even the Protesters Aren't Bothering To Show Up?
Article from The Washington Post.


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Monday, July 21

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  July 21, 2014
DaVita HealthCare Partners Announces Leadership Transition
Press release.
Until Phosphorus Gets on the USDA's Radar, Labeling Policy Won't Change: NKF
Article from FoodNavigator-USA.com.
Champion Bodybuilder in UK Faced with Dialysis
Article from the Leicester Mercury (UK).
Predictors for and Impact of High Peritonitis Rate in Taiwanese Continuous Ambulatory Peritoneal Dialysis Patients
Online First abstract from International Urology and Nephrology.
Abstracts from Journal of Nephrology:
Iron Repletion Is Associated with Reduction in Platelet Counts in Nondialysis Chronic Kidney Disease Patients Independent of Erythropoiesis Stimulating Agent Use: a Retrospective Cohort Study
Provisional abstract and full-text article (14-page pdf) from BMC Nephrology.
bullet point Online First Abstracts from Pediatric Nephrology:
bullet point Usability of Mobile Technology to Screen for Drug-Drug Interactions in Kidney Transplant Patients
Issue in Progress abstract from American Journal of Nephrology.
bullet point New Expensive Treatments for Hepatitis C Infection
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point CROWNWeb July 31 Clinical Deadline: Finding Patients with Missing or Saved Clinical Data
Notice and video from the Project CROWNWeb website.
bullet point CROWNWeb June 26 Town Hall Materials Now Online
Notice from the Project CROWNWeb website.
bullet point CMS Launches Next Phase of New Quality Improvement Program
Press release.


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Fri./Sat., July 18-19

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  July 18, 2014
Amgen Parathyroid Drug Found Effective in Dialysis Patient Trial
Article from Reuters. Press release from Amgen.
Articles from Nurse.com:
Vascular Access in High Risk PD Patients?
Posting from the eAJKD blog.
Chronic Kidney Disease and Support Provided by Home Care Services: a Systematic Review
Provisional abstract and full-text article (26-page pdf) from BMC Nephrology.
Cost of Kidney Donation May Be Too Much for Potential Donors with Low Income
Press release and JASN Express abstract from the American Society of Nephrology. Article from HealthDay.
CJASN Express Abstracts:
Heparin-Free Dialyzer Effective in High-Risk Patients
(Registration required, but free.) Article from Medscape Medical News.
bullet point New Opportunities in the Changing Landscape of Prevention
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point Gambro Acquisition Boosts Baxter's Sales
Article from Reuters.
bullet point Programs Honored for Innovation in Palliative, End-Of-Life Care
bullet point 1st Case of Locally Acquired Chikungunya Virus Reported in U.S.
bullet point Deaths by Medical Mistakes Hit Records
Article from Healthcare IT News. News item with links from AHANews.com.
bullet point Biggest Insurer Drops Caution, Embraces Obamacare
Posting from the KHN blog.
bullet point NIH System to Monitor Emerging Drug Trends
Press release from the National Institutes of Health.
bullet point New Study Finds Diabetes Risk Rises With Statin Adherence
(Registration required, but free.) Article from Medscape Medical News.
bullet point SynCardia Freedom Driver FDA Approved to Discharge Patients with Total Artificial Heart
Article from MedGadget.
bullet point Patient Engagement in a Mobile World
bullet point 2013 ESRD QIP Performance Scores Available for Dialysis Clinics


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Thursday, July 17

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  July 17, 2014
Baxter Recalls 0.9% Sodium Chloride and Highly Concentrated Potassium Chloride Injection
 Recall notice via the FDA web site.
2014 NxStage® Freedom Tour
Press release and web page.
Over 5000 Lawsuits Target Fresenius Medical Care
Article from the Boston Herald.
Aggression on Hemodialysis Units: a Mixed Method Study
Early View abstract from Journal of Renal Care.
Vancomycin-Resistant Enterococci Colonization Among Dialysis Patients: A Meta-analysis of Prevalence, Risk Factors, and Significance
Article in Press abstract from American Journal of Kidney Diseases.
Rationale for Early Treatment of Polycystic Kidney Disease
Online First abstract from Pediatric Nephrology.
bullet point Baclofen in Dialysis Patients: Just Say No!
Posting from the Renal Fellow Network blog.
bullet point HHS Honors Hospitals for Outstanding Organ Donation Efforts
News item from AHANews.com.
bullet point Study Warns of Kidney Damage Risk with Popular Mesothelioma Drug, Reports Surviving Mesothelioma
bullet point

The 'Obesity Paradox': Cardiovascular Mortality Lowest among Overweight Patients
Article from HealthDay. Press release and full-text articles with videos from Mayo Clinic Proceedings:

bullet point Registered Nurses Increasingly Delay Retirement, Study Finds
Postings from the KHN blog and ForbesFull-text article from Health Affairs.
bullet point Chikungunya at the Door — Déjà Vu All Over Again?
Free, full-text, Online First perspective piece from The New England Journal of Medicine.
bullet point Study Finds No Sign That Health Law Has Created Crush Of Medical Demand
Article from Kaiser Health News.
bullet point What's Wrong with the Five Star Rating System for the Renal Community
Article from Nephrology News & Issues.


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Wednesday, July 16

2014 NxStage® Freedom Tour
Press release and web page.
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  July 16, 2014

The Top-Ranked Hospitals for Nephrology
Annual feature from U.S. News and World Report.

The top five adult nephrology departments listed are:

The top five pediatric nephrology departments listed are:

Richard Lehman's Journal Review—30 June 2014
Scroll down to JAMA 25 June 2014 Vol 311 Page 2518.

"(The article states) "Chronic kidney disease (CKD) is a worldwide public health problem, with increasing prevalence, poor outcomes, and high treatment costs." I don't know if I believe a word of this."

Editor's comment: After seeing this recent posting on the Precious Bodily Fluids blog, I began reading some of Richard Lehman's reviews and tweets.

Wow!!  I'll bet this "ancient English GP" could slay a hundred corporate nephrologists with one hand tied behind his back. I especially appreciate the statement that appears under his photo on his Twitter page: "Use your right brain to make a better world for yourself and others."

If there is one field of medicine that seemingly treats its patients without ever tapping into its right brain, it is U.S. corporate nephrology. The numbers in the medical charts define these nephrologists' concepts of "quality care." The purpose and meaning of the lives of their working-age patients are nearly always treated as inconsequential... while at the same time they routinely dialyze 80-year olds with multiple comorbidities. This left-brain-only thinking has controlled U.S. nephrology practices and policies for the last 40 years and it has failed patients horribly. In order for chronic dialysis patients to thrive, they need right-brain-using physicians and leaders in all aspects of their care. Unfortunately, these people have largely eliminated from leadership positions in corporate dialysis care — and are sadly missing from most "patient" organizations.

(P.S. If you've never seen Dr. Jill Bolte Taylor's TED Talk on the right/left brain and her "stroke of insight," it's well worth the 18 minutes. It has been reported that she practiced delivering the talk 200 times before the 2008 conference in Monterey.  It shows. In her book and other online talks, she speaks of the tremendous differences she experienced as a patient when interacting with left-brain-only doctors as compared to right-brain-using physicians.)

Donating a Kidney May Make it Difficult to Change or Initiate Life and Health Insurance
Additional press releas and Early View abstract from the American Journal of Transplantation.
Pre-Diabetes Label 'Worthless', Researchers Claim
Article from the BBC.
Home Blood Pressure Monitoring Likely Saves Money, Study Finds
Article from HealthDay.
Association between Depression and Inflammatory/Anti-Inflammatory Cytokines in Chronic Kidney Disease and End-Stage Renal Disease Patients: a Review of Literature
Early View abstract from Hemodialysis International.
FDA's June 2014 Safety Labeling Changes
Includes 52 products with revisions to Prescribing Information.
bullet point Physicians Have Higher Rate of Organ Donation Registration Than General Public
bullet point 40-Year-Old Mom with Kidney Disease Becomes New Orleans Saints' Cheerleader
bullet point Mayo Clinic Ranked No. 1 Hospital on U.S. News & World Report's Honor Roll
Posting from the Mayo Clinic blog. Rankings from U.S. News and World Report.
bullet point Telecare Collaborative Management of Chronic Pain in Primary Care:  A Randomized Clinical Trial
Free, full-text article from the Journal of the American Medical Association.
bullet point Missouri Law Creates New 'Assistant Physician' Designation
(Registration required, but free.) Article from Medscape Medical News.
bullet point Global AIDS Epidemic Can Be Controlled by 2030, U.N. Says
bullet point $100 Million CMS Initiative Aims to Improve Medicaid


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Tuesday, July 15

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  July 15, 2014
Effects of Nurse-Managed Protocols in the Outpatient Management of Adults With Chronic Conditions: A Systematic Review and Meta-Analysis
Free, full-text, review article from Annals of Internal Medicine.

Editor's comment: Since nephrologists generally avoid dealing with dialysis patients' psychosocial needs, wouldn't advanced practice nurses be better at managing their overall care?

UK Research Finds Kidney Transplant Waiting Time Is Equivalent to Two Trips to Mars
Article from Kidney Research UK.
United States Organ Transplantation: OPTN / SRTR 2012 Annual Data Report
(Released June 2014) Chapters can be downloaded as PDFs.
Peritonitis: Where Do We Stand?
Posting from the eAJKD blog.
Early Online Abstracts from Renal Failure:
bullet point Free, Full-Text Articles from Indian Journal of Nephrology:
bullet point Peritoneal Dialysis and Problems with Vascular Access Problems
(7-page pdf) Free, full-text article from Portuguese Journal of Nephrology and Hypertension.
bullet point Seven New Cases of MERS-CoV are Reported to WHO
bullet point Study Finds People May Stop Taking Heart Medications If Color or Shape of Pill Changes
Article from HealthDay. Abstract from Annals of Internal Medicine.
bullet point Engineering a Better Health Care System:  A Report From the President's Council of Advisors on Science and Technology
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point Nurse Practitioners Gain Flexibility With New State Law
Article from Kaiser Health News.
bullet point High Blood Pressure May Protect the Very Old From Dementia
bullet point  


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Monday, July 14

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  July 14, 2014

National Minority Donor Awareness Week Aug. 1-Aug. 8
Press release.

Zumba Therapy for Dialysis Patients
12-minute audio program from Australia.
ACEIs and ARBs in CKD: Should Anyone Not Receive Them?
(Registration required, but free.) Article from Medscape Medical News.
Provisional Abstracts and Full-Text PDFs from BMC Nephrology:
Articles in Press Abstracts from Journal of Renal Nutrition:
bullet point Articles in Press Abstracts from the Journal of Vascular Access:
bullet point Endotoxemia in End-Stage Kidney Disease
Early View abstract from Seminars in Dialysis.
In Lab Studies, Hydroxyethyl Starch Has Direct Harmful Effects on Kidney Cells
Press release from Wolters Kluwer Health.
bullet point US Nephrologists View Hyperphosphatemia Treatment
bullet point Kidney Donors Face Higher ESRD Risk
bullet point Great Potassium Links
bullet point Offering Options for Dialysis: 'We Need to Do a Better Job'
(Registration required, but free.)
Berns on Nephrology video blog from Medscape Nephrology.

"I queried the audience at the talk I gave at the Spring Clinical Meeting, and absolutely no one indicated that they would be willing to do 3-times-weekly, in-center hemodialysis as their own initial dialysis modality.

There is clearly a tremendous disconnect between what we as nephrologists would opt to do if we needed renal replacement therapy and what our patients end up doing. This is troubling and disconcerting."

Editor's comment: Unfortunately, the kind of medicine that nephrologists want to practice is not the kind of medicine that dialysis patients need. Nephrologists, being gods of internal medicine alchemy, disdain dealing with patients' psychosocial needs. Nephrology much prefers a formulaic/alchemical approach to medicine and has successfully avoided a whole-patient approach to dialysis care for forty years.

Adding to the problem, business leaders and the government have assisted them in creating systems that enable and richly reward nephrologists for practicing a perverse form of medicine... and for being lousy physicians. By design, these systems don't respond to patients' needs, they ignore them. As a result, after forty years we have the wrong machines, wrong clinics, wrong care teams, wrong quality measures, and wrong reimbursement incentives, as well as no significant employment or rehabilitation programs.

While I commend Dr. Berns for speaking out, I don't believe he — or any other prominent nephrologist — has come close to understanding the depth and true nature of the problems. Nephrology has huge blind spots and misconceptions as to its roles in poor patient outcomes. As a start, we should no longer allow nephrology to hide behind its alchemical knowledge and command of statistics. Nephrologists need to evolve into being better physicians.

Nephrology needs to embrace approaches to dialysis care that continually balance the patients' preferences, their psychosocial needs, and their medical needs. After 40 years, we should be restoring a large percentage of dialysis patients to health who are also living as normal lives as possible. That's what nephrologists would do for themselves. What are we paying them for?

bullet point One in Three Alzheimer's Cases Preventable, Says Research
Article from the BBC. Press release from the Alzheimer's Association.
bullet point  


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Fri./Sat., July 11-12

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  July 11, 2014
bullet point Offering Options for Dialysis: 'We Need to Do a Better Job'
(Registration required, but free.)
Berns on Nephrology video blog from Medscape Nephrology.

"I queried the audience at the talk I gave at the Spring Clinical Meeting, and absolutely no one indicated that they would be willing to do 3-times-weekly, in-center hemodialysis as their own initial dialysis modality.

There is clearly a tremendous disconnect between what we as nephrologists would opt to do if we needed renal replacement therapy and what our patients end up doing. This is troubling and disconcerting."

Editor's comment: Unfortunately, the kind of medicine that nephrologists want to practice is not the kind of medicine that dialysis patients need. Nephrologists, being gods of internal medicine alchemy, disdain dealing with patients' psychosocial needs. Nephrology much prefers a formulaic/alchemical approach to medicine and has successfully avoided a whole-patient approach to dialysis care for forty years.

Adding to the problem, business leaders and the government have created systems that enable and richly reward nephrologists for practicing a perverse form of medicine and for being lousy physicians. These systems don't respond to patients' needs, they ignore them. As a result, after forty years we have the wrong machines, wrong clinics, wrong care teams, wrong quality measures, and wrong reimbursement incentives, as well as no significant employment or rehabilitation programs.

While I commend Dr. Berns for speaking out, I don't believe he — or any other prominent nephrologist — has come close to understanding the depth and true nature of the problems. New thinking and ideas in nephrology are badly needed. As a start, we should no longer allow nephrology to hide behind its alchemical knowledge and command of statistics. They need to evolve into being better physicians.

Nephrology needs to embrace approaches to dialysis care that continually balance the patients' preferences, their psychosocial needs, and their medical needs. After 40 years, we should be restoring a large percentage of dialysis patients to health who are also living as normal lives as possible. That's what nephrologists would do for themselves. What are we paying them for?

Tell Medicare, Patients Deserve Access to Home Hemodialysis!
Press release from Home Dialyzors United.
bullet point Report: Adults With Serious Mental Illnesses Face 80% Unemployment
Posting from the Kaiser Health News blog.

Editor's note: This is the same unemployment rate as working-age dialysis patients. Does any other field of medicine besides nephrology have no emphasis on patient employment and rehabilitation?
Erythropoiesis-Stimulating Agent Use Among Non-Dialysis-Dependent CKD Patients Before and After the Trial to Reduce Cardiovascular Events With Aranesp Therapy (TREAT) Using a Large US Health Plan Database
Press release from Medical Technology and Practice Patterns Institute, Inc.
The Mental Health Comorbidities of Diabetes
Free, full-text Online First viewpoint article from the Journal of the American Medical Association.
AKI: What Do the Nephrologists Think?
Posting from the eAJKD blog.
Predictors of Progression to Chronic Dialysis in Survivors of Severe Acute Kidney Injury: a Competing Risk Study
Provisional abstract and full-text article (18-page pdf) from BMC Nephrology.
JASN Express Abstracts:
bullet point Hyponatremia Is a Surrogate Marker of Poor Outcome in Peritoneal Dialysis Related Peritonitis
Provisional abstract and full-text article (13-page pdf) from BMC Nephrology.
Serum Metabolomic Profiling and Incident CKD among African Americans
CJASN Express abstract.
bullet point The Effect of Biocompatible Peritoneal Dialysis Solutions on Neutrophil to Lymphocyte Ratio
Early Online abstract from Renal Failure.
bullet point

Critical Appraisal of Biomarkers of Dietary Intake and Nutritional Status in Patients Undergoing Dialysis
Early View extract from Seminars In Dialysis.

bullet point Interleukin-6 in Renal Disease and Therapy
Advance Access abstract from NDT.
bullet point EU Nations Join Forces against 'Exorbitant' Hepatitis C Drug
Article from AFP.
bullet point FDA Recall Notice: Baxter, MiniCap with Povidone-Iodine solution, 5C4466P, for Dialysis
bullet point Kidney Institute in India To Get 600 Beds
bullet point Hotter Weather May Bring More Kidney Stones
bullet point Bridging the Patient-Doctor Communication Gap: Interview with DoctorBase CEO John Kim
Article from MedGadget.
bullet point Uninsured Rate Sinks to Record Low
bullet point Study: Anti-Obamacare Ads Might Have Increased Sign-Ups
bullet point

Mississippi Girl Thought Cured of HIV Shows Signs of Infection

bullet point CMS Proposed Rules Published in the Federal Register:


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Thursday, July 10

Tell Medicare, Patients Deserve Access to Home Hemodialysis!
Press release from Home Dialyzors United.
Erythropoiesis-Stimulating Agent Use Among Non-Dialysis-Dependent CKD Patients Before and After the Trial to Reduce Cardiovascular Events With Aranesp Therapy (TREAT) Using a Large US Health Plan Database
Press release from Medical Technology and Practice Patterns Institute, Inc.
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  July 10, 2014
bullet point Transplant Champ Goes Nuts Begging for Pills
Article from Bloomberg.
bullet point Dr. Martin Schreiber Joins DaVita To Lead Home Dialysis Program
Press release.
bullet point Advance Online Abstracts from Kidney International:
bullet point Mortality and Cardiovascular Disease Among Older Live Kidney Donors
Early View abstract and press release from American Journal of Transplantation. Article from HealthDay.
bullet point European Renal Best Practice Guideline on Kidney Donor and Recipient Evaluation and Perioperative Care
Advance Access abstract from NDT.
bullet point Gelsolin and Adipokines Are Associated With Protein-Energy Wasting in Hemodialysis Patients
Early View
abstract from Artificial Organs.
bullet point Provisional Abstracts and Full-Text PDFs from BMC Nephrology:
bullet point Renal Denervation for Resistant Hypertension
Correspondence from the New England Journal of Medicine.
bullet point Organ Transplants Up for Eighth Straight Year in UK
bullet point Drug Companies' Patient-Assistance Programs — Helping Patients or Profits?
Free, full-text, perspective piece from the New England Journal of Medicine.
bullet point Health Affairs Articles Highlight Opportunities for Patients, Other Stakeholders to Shape Health Research
Press release from the Patient-Centered Outcomes Research Institute (PCORI).
bullet point

Rehabilitation Helps Prevent Depression from Age-Related Vision Loss
Press release from the National Institutes of Health.

Editor's comment: Why is there no rehabilitation in dialysis care?

bullet point Health Care Innovation Awards To Provide Better Health Care and Lower Costs
Press release.
bullet point The Medicare Physician-Data Release — Context and Rationale
Free, full-text, perspective piece from the New England Journal of Medicine.


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Wednesday, July 9

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  July 9, 2014
bullet point Keys to a Successful Home Dialysis Program
(Registration required, but free.)
Video blog from Berns on Nephrology via Medscape Nephrology.
bullet point UAB Celebrates Nation's Longest Kidney Transplant Chain (21)
Article and video from WSFA.com. Web page from the University of Alabama Birmingham.
bullet point Home Visit Program Improves Technique Survival in Peritoneal Dialysis
Free, full-text, Issue in Progress article from Blood Purification.
bullet point Vegan, Vegetarian, & Variety: What You Need to Know!
KidneyTalk podcast from Renal Support Network.
bullet point Articles in Press Abstract from American Journal Of Kidney Diseases:
bullet point Warfarin Tied to Progression of Aortic Stiffness in Dialysis Patients
(Registration required, but free.)
Article from Reuters Health via Medscape Nephrology News.
bullet point An Error Taxonomy System for Analysis of Hemodialysis Incidents
Early View abstract from Journal of Renal Care.
bullet point Articles in Press Abstracts from the Journal of Vascular Access:
bullet point Early View Abstracts from American Journal of Transplantation:
bullet point Study Finds Kidney Donation Safe for Healthy Older Adults
bullet point AAMI Publishes User Guide for Dialysis Facilities
bullet point Inactivity May Be Main Culprit in Obesity Epidemic: Study
Article from HealthDay.
bullet point When Religious Freedom Clashes with Access to Care
Free, full-text, Online First perspective piece from the New England Journal of Medicine.
bullet point NIH Study Finds Extreme Obesity May Shorten Life Expectancy up to 14 Years
bullet point VA Apologizes to Whistleblowers Facing Retaliation
bullet point  


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Tuesday, July 8

UAB Celebrates Nation's Longest Kidney Transplant Chain (21)
Article and video from WSFA.com. Web page from the University of Alabama Birmingham.
AAMI Publishes User Guide for Dialysis Facilities
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  July 8, 2014
bullet point Stem Cell Research May Unlock Cures for Kidney Disease and More
Article from USC News.
bullet point Consumer Advocate: House Innovation Initiative Getting One-Sided Patient View
Pay-for-view article extract from InsideHealthPolicy.com.

"Some patients advocates worry that the House Energy and Commerce Committee is favoring industry-backed patient groups as part of its new medical production innovation initiative, said Diana Zuckerman, president of the National Center for Health Research, which advocates consumer health and safety through medical research.
bullet point Renal Support Network's 12th Annual Essay Contest
This year's theme is "Explain a choice you've made to improve your health and how it could benefit others."
bullet point Medical Inventions from MedGadget:
bullet point Does a Fasting Phosphorus Predict Mortality?
Posting from the eAJKD blog.
bullet point Evidence for the Prevention and Treatment of Stroke in Dialysis Patients
Early View abstract from Seminars in Dialysis.
bullet point Early View Extracts from Seminars in Dialysis:
bullet point Hemodialysis-Specific Factors Associated With Salivary Flow Rates
Early View abstract from Artificial Organs.
bullet point Big Data in Organ Transplantation: Registries and Administrative Claims
Early View abstract from American Journal of Transplantation.
bullet point Effects of Ghrelin on Sepsis Induced Acute Kidney Injury: One Step Forward
Online First abstract from Clinical and Experimental Nephrology.
bullet point Ahead of Print Abstracts from the International Journal of Artificial Organs:
bullet point Peritoneal Microvascular Endothelial Function and the Microinflammatory State Are Associated with Baseline Peritoneal Transport Characteristics in Uremic Patients
Online First abstract from International Urology and Nephrology.
bullet point An Epidemiologic Model to Project the Impact of Changes in Glomerular Filtration Rate on Quality of Life and Survival among Persons with Chronic Kidney Disease
Abstract from International Journal of Nephrology and Renovascular Disease.
bullet point Association of Leptin With Mortality in Patients on Maintenance Hemodialysis: a Prospective Study
Abstract from Iranian Journal of Kidney Diseases.
bullet point Spring/Summer 2014 Live & Give Newsletter
16-page newsletter from Renal Support Network.
bullet point ASN Foundation Provides $2.8 million for Kidney Research
bullet point Avoiding Nocebo Effects to Optimize Treatment Outcome
Free, full-text, Online First viewpoint article from the Jounal of the American Medical Association.
bullet point A Guide to Reading Health Care News Stories
Free, full-text article from JAMA Internal Medicine.
bullet point Alzheimer's Research in 'Major Step' Towards Blood Test
Article from the BBC.
bullet point Experts Reject Routine Screening for Narrowed Neck Arteries
bullet point Medicare Proposes Dollar Figure for New Chronic-Care Code
(Registration required, but free.) Article from Medscape Medical News.


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Monday, July 7

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  July 7, 2014
bullet point British Woman Is First To Give Birth To Twins While on Dialysis
Article from The Daily Mail (UK).
bullet point Independence and Dialysis
July 4th-themed video and press release from NxStage.
bullet point Acute Kidney Injury, Chronic Kidney Disease Each a Risk of the Other
Press release from the National Institutes of Health.
bullet point ISN Position Statement on Chronic Kidney Disease of Uncertain Cause
News release from the International Society of Nephrology.
bullet point Articles in Press Abstracts from American Journal of Kidney Diseases:
bullet point Patient Attitudes Towards Kidney Transplant Listing: Qualitative Findings from the ATTOM Study
Advance Access abstract from NDT.
bullet point Increasing Access to Kidney Transplantation in Countries with Limited Resources: the Indian Experiencw with Kidney Paired Donation
Accepted Article abstract and full-text PDF from Nephrology.
bullet point CJASN Express Abstracts:
bullet point Avoidance of Systemic Anticoagulation during Intermittent Hemodialysis with Heparin Grafted Polyacrilonitrile Membrane and Citrate Enriched Dialysate: a Retrospective Cohort Study
Provisional abstract and full-text article (12-page pdf) from BMC Nephrology.
bullet point Effects of Hemodialysis on Ventricular Activation Time in Children with End-Stage Renal Disease
Early View abstract from Hemodialysis International.
bullet point The Relationship of Cystatin-C Change and the Prevalence of Death or Dialysis Need after Acute Kidney Injury: a Meta-Analysis
Accepted Article abstract from Nephrology.
bullet point FDA Finalizes Guidance on Medical Device ID Database
bullet point The Latest In Medical Convenience: ER Appointments
Article from Kaiser Health News.
bullet point No Practicing on Patients: New Docs Get Boot Camp
Article from AP.
bullet point Sharp Rise of Chikungunya Virus Cases in the Caribbean
bullet point

Medicare Proposes To Slightly Raise Kidney Care Payments

bullet point Kidney Care Community Plans Careful Review of CMS' Proposed Rule


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Thursday, July 3

Articles in Press Abstracts from American Journal of Kidney Diseases:
Patient Attitudes Towards Kidney Transplant Listing: Qualitative Findings from the ATTOM Study
Advance Access abstract from NDT.
CJASN Express Abstracts:
British Woman Is First To Give Birth To Twins While on Dialysis
Article from The Daily Mail (UK).
Kidney Care Community Plans Careful Review of CMS' Proposed Rule
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  July 3, 2014
bullet point Survival of Propensity Matched Incident Peritoneal and Hemodialysis Patients in a United States Health Care System
Advance Online abstract from Kidney International.

"The cumulative hazard ratio for death at one year was 2.38 (95% CI 1.68–3.40) and 2.10 (1.50–2.94) for HD relative to PD patients in the as-treated and intent-to-treat analyses, respectively. The cumulative risk of death, as estimated by the cumulative hazard ratio, favored PD for almost up to 3 years of follow-up in the as-treated analysis and nearly 2 years of follow-up in the intent-to-treat analysis with no differences thereafter."
bullet point Antibiotic Therapy Reduces Mortality by 68 Percent in Hemodialysis Patients
Press release from the Henry Ford Health System. CJASN Express abstract.
bullet point A Missing Ingredient in Diabetes Care Today
Free, full-text article from Diabetes Technology & Therapeutics.

Editor's note: Please read the 10 commandments for improving communication in the diabetes clinic. A similar list is badly needed for the dialysis clinic.
bullet point Multinational Inventory on Chronic Kidney Disease Is Released
Article from the International Society of Nephrology.
bullet point Eight NxStage Product Recall Notices in FDA Enforcement Report for July 2, 2014
#1, #2, #3, #4, #5, #6, #7 and #8.
bullet point Advance Online Abstracts from Kidney International:
bullet point Special Issue: Clinical Findings of Lanthanum Carbonate in Japan
6 abstracts from a supplemental issue of Therapeutic Apheresis and Dialysis.
bullet point Is the Staple Diet Eaten in Medawachchiya, Sri Lanka, a Predisposing Factor in the Development of Chronic Kidney Disease of Unknown Etiology? - A Comparison Based on Urinary Beta2-Microglobulin Measurements
Provisional abstract and full-text article (16-page pdf) from BMC Nephrology.
bullet point Issue in Progress Abstracts from Blood Purification:
bullet point Early Online Abstracts from Renal Failure:
bullet point Low Bicarbonate Predicts Rapid Renal Function Decline
bullet point Insulin Pumps May Outperform Daily Injections for Type 2 Diabetes: Study
bullet point Japanese Stem-Cell 'Breakthrough' Findings Retracted
Article from the BBC.
bullet point Chronic Diseases Are Main US Public Health Concern
(Registration required, but free.) Article from Medscape Medical News. The Health of Americans reviews from The Lancet.
bullet point

Transplant Reverses Sickle Cell in Adults
Article from The Boston Globe. News release from the National Institutes of Health.

bullet point CMS Proposal To Update Policies and Payment Rates for End-Stage Renal Disease Providers for CY 2015
(5-page pdf)

“CMS projects that the ESRD bundled market basket adjusted for multifactor productivity (MFP) update would have been 1.6 percent. However, section 217(b) of the Protecting Access to Medicare Act requires the CY 2015 ESRD payment update to be 0.0 percent. In addition, CMS would apply a proposed wage index budget-neutrality adjustment factor of 1.001306, resulting in a CY 2015 ESRD PPS base rate of $239.33.”

CMS estimates this will increase payments by about 0.3%, or $30 million, in 2015.

bullet point CMS Proposal To Update Quality Measures for End-Stage Renal Disease Prospective Payment System for CY 2015
(3-page pdf)

CMS will accept comments on both proposed rules until September 2, 2014.


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Wednesday, July 2

CMS Proposal To Update Policies and Payment Rates for End-Stage Renal Disease Providers for CY 2015
(5-page pdf)

“CMS projects that the ESRD bundled market basket adjusted for multifactor productivity (MFP) update would have been 1.6 percent. However, section 217(b) of the Protecting Access to Medicare Act requires the CY 2015 ESRD payment update to be 0.0 percent. In addition, CMS would apply a proposed wage index budget-neutrality adjustment factor of 1.001306, resulting in a CY 2015 ESRD PPS base rate of $239.33.”

CMS Proposal To Update Quality Measures for End-Stage Renal Disease Prospective Payment System for CY 2015
(3-page pdf)

CMS will accept comments on both proposed rules until September 2, 2014.
FacebookTwitter
  July 2, 2014
bullet point New Joint Position Paper Published — Renal Physicians and Physician Assistants: Excellence in Team-Based Medicine
"Store" item for purchase ($50!!) from the Renal Physicians Association.
bullet point A Regulated System of Incentives for Living Kidney Donation: It Is Time for Opposing Groups to Have a Meaningful Dialogue!
Free, full-text Letter to the Editor from American Journal of Transplantation.
bullet point Dialysis Patients Complain of Negligence at Jeddah (Saudi Arabia) Center
Article from Saudi Gazette.
bullet point Phosphate Binders and Metabolic Acidosis in Patients Undergoing Maintenance Hemodialysis-Sevelamer Hydrochloride, Calcium Carbonate, and Bixalomer
Free, full-text, Early View article from Hemodialysis International.
bullet point Chronic Kidney Disease Results in Deficiency of ABCC6, the Novel Inhibitor of Vascular Calcification
Issue in Progress abstract from American Journal of Nephrology.
bullet point Differences between Pediatric and Adult Presentation of ESKD in Attainment of Adult Social Goals
Online First abstract from Pediatric Nephrology.
bullet point Mechanisms of Muscle Wasting in Chronic Kidney Disease
Advance Online abstract from Nature Reviews Nephrology.
bullet point Evaluation of Nutritional Status with Different Methods in Geriatric Hemodialysis Patients: Impact of Gender
Online First abstract from International Urology and Nephrology.
bullet point Early View Abstracts from Journal of Renal Care:
bullet point Initial Experience with the Gore® Acuseal Graft for Prosthetic Vascular Access
Ahead of Print abstract from the Journal of Vascular Access.
bullet point FDA Safety Alert: Coumadin (warfarin sodium) for Injection by Bristol-Myers Squibb: Recall - Particulate Matter
Posting from the MedWatch web site.
bullet point HCV Infection Raises Kidney Failure Risk
bullet point In China, Surveyed Nephrologists Report Significant Declines in the Use of ESAs in Stage 3, 4 and 5 Chronic Kidney Disease Non-Dialysis Patient Populations, Compared with 2011
bullet point Inhaled Insulin Afrezza: FAQ
bullet point Childhood Malnutrition May Raise HTN Risk
bullet point Anemia Treatments Don't Boost Recovery From Brain Injury, Study Finds
bullet point Staff Motivation Key to Change
Article from HFMA.
bullet point American College Of Physicians: Doctors Should Not Perform Routine Pelvic Exams
News summary from Kaiser Health News.
bullet point Former O-Care Adviser: Health Insurers Will Be 'Dead' by 2025
Article from The Hill.
bullet point Ebola: WHO Calls Emergency Talks on Outbreak
bullet point CMS Extends Joint Commission's Deeming Authority for Six Years


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Tuesday, July 1

FacebookTwitter
  July 1, 2014
bullet point Three Times a Week Dialysis: Is There Evidence for This Dogma
Posting from the eAJKD blog.
bullet point Most Chronic Kidney Disease Patients Misunderstand Palliative and Hospice Care
(Registration required, but free.) Article from Reuters Health. Abstract from BMJ Supportive & Palliative Care.
bullet point Free, Full-Text Articles from Kidney International:
bullet point Measuring Pain in Patients Undergoing Hemodialysis: a Review of Pain Assessment Tools
Advance Access abstract from Clinical Kidney Journal.
bullet point Tuberculosis Screening in a Dialysis Unit: Detecting Latent Tuberculosis Infection Is Only Half the Problem
Abstract from Journal of Hospital Infection.
bullet point Rapid Access to Renal Transplant Waiting List in Children: Impact of Patient and Center Characteristics in France
Advance Access abstract from NDT.
bullet point

Development and Psychometric Evaluation of the Chronic Kidney Disease Screening Index
Early Online abstract from Renal Failure.

bullet point Free, Full-Text Articles from Annals Of Internal Medicine:
bullet point Update in Nephrology: Evidence Published in 2013
First Page Preview from Annals of Internal Medicine.
bullet point Concerns Rise About Delays In Getting Generic Drugs To Market
bullet point Xenetic Biosciences Announces Ongoing Safety Data From Phase 2 Trial of ErepoXen(R)
bullet point Insulin, Other Drugs May Do More Harm Than Good for Some Type 2 Diabetes Patients
bullet point Fresenius Sells Its 5 Pct Stake in Rhoen-Klinikum
bullet point Rockwell Medical Announces FDA Approves $2.2 Million Application Fee Refund for Triferic(TM) New Drug Application
bullet point Birth Control Ruling Sparks Political Clash
Articles from AP, The Hill, and Kaiser Health News.
bullet point Medical Boards Draft Plan To Allow Greater Use Of Telemedicine
News summary from Kaiser Health News.
bullet point Obama To Name Former P&G Chief To Head VA
bullet point  


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Monday, June 30

FacebookTwitter
  June 30, 2014
bullet point Louisiana Files Lawsuit Against Fresenius Medical Care
Article from The Advocate.
bullet point Organ Transplants: 'Supercooling' Keeps Organs Fresh
Article from the BBC.
bullet point Television Viewing Time Linked to All-Cause Mortality
Article with CME information from HealthDay. Full-text article from the Journal of the American Heart Association.
bullet point

FDA Approves Inhaled Diabetes Medication
Articles from HealthDay and Bloomberg.

bullet point Trace Elements in Dialysis
Free, full-text educational review from Pediatric Nephrology.
bullet point Abstracts from Pediatric Nephrology:
bullet point Oregon State University Researchers Build Novel Sepsis Filter
Article from MedGadget.com.
bullet point Flawed Saudi Response Fueled Outbreak of MERS, Middle East Virus
Article from The New York Times.
bullet point Court: Patients Responsible for Outcomes of Risky Behavior
Article from HealthDay.
bullet point Nurse Practitioners to Play Vital Role in Healthcare Reform
Article from Nurse.com.
bullet point For Heat Stroke Victims, Cool First, Then Transport
bullet point  


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Fri./Sat., June 27-28

Louisiana Files Lawsuit Against Fresenius Medical Care
Article from The Advocate.
FacebookTwitter
  June 27, 2014
bullet point Fresenius Medical Care Takes $600M Majority Stake in Sound Physicians; Also Buys MedSpring Urgent Care Centers
Article from Reuters. Press release from Fresenius Medical Care. Sound Physicians website. MedSpring Urgent Care Centers website.
bullet point CKD and the Interdisciplinary Team: The Logic Behind the Trend
Free, full-text article from Advances in Chronic Kidney Disease.

"In considering the high rates of depression associated with a diagnosis of CKD, Schell and others outline the evaluation and management of depression in patients with CKD. All too often, we are occupied with the medical management of our patients, and we fall short of addressing their emotional needs. Although resources do exist for depression assessment and counseling of patients with ESKD on dialysis, these resources have not been routinely extended to patients with CKD before onset of dialysis."

Editor's comment: Neither the 2009 Boston meeting on improving dialysis mortality nor the recent Chief Medical Officers Initiative meetings have dealt with psychosocial issues.

Nephrology has not seen the value in improving the psychosocial health of dialysis patients. Nephrologists must stop being internal medicine alchemists and instead become dialysis patients' PHYSICIANS. It is time to them to end their collective disdain of the importance of psychosocial health in dialysis care.

Over several decades, this has led to the wrong machines, the wrong clinics, the wrong dialysis therapy for most patients, wrong interdisciplinary teams, wrong nephrology training, wrong dialysis products and companies, as well as entrenched medical, regulatory, and business models that do not value patient rehabilitation or employment. Virtually no professional expertise in dialysis patient psychosocial health exists.

It has been a perfect storm for creating and sustaining widespread depression amongst dialysis patients. Nothing will change until the nephrologists change. New leadership in nephrology — and especially in dialysis care — is badly needed.
bullet point Abstracts from Advances in Chronic Kidney Disease:
bullet point Nepal's Organ Trail: How Traffickers Steal Kidneys
Article and video from CNN.
bullet point Big Jump in Mers Cases Reported in Saudi Arabia
Article from the BBC.
bullet point Primary Prevention of Diabetic Kidney Disease: Thumbs Up/Down
(Registration required, but free.) Article from Internal Medicine News Digital Network.

"Contrary to conventional wisdom, neither ACE inhibitors nor angiotensin receptor blockers have any role to play in primary prevention of diabetic kidney disease, according to Dr. Robert C. Stanton, chief of nephrology at the Harvard University's Joslin Diabetes Center, Boston."
bullet point Free, Full-Text Articles from the Saudi Journal of Kidney Diseases and Transplantation:
bullet point Small Changes to US Kidney Allocation Policy May Help Reduce Geographic Disparities
Press release and CJASN Express abstract from the American Society of Nephrology.
bullet point Risk Factors for Chronic Kidney Disease Are Present Decades before Diagnosis
Press release and JASN Express abstract from the American Society of Nephrology.
bullet point CJASN Express Abstracts:
bullet point Outcomes of Arteriovenous Grafts Following Simultaneous Thrombectomy and Stent Graft Placement Across the Venous Anastomosis
Early View abstract from Seminars in Dialysis.
bullet point Amelioration of Uremic Tumoral Calcinosis with High Flux Hemodialysis Treatment
Online First letter to the editor from International Urology and Nephrology.
bullet point 'Big Data' Technique Improves Monitoring of Kidney Transplant Patients
Press release from PLOS.
bullet point Low Sodium Diet May Not Reduce Renal Risks
bullet point Vitamin D Blog: Could Vitamin D Play a Role in BP?
bullet point ACOs' Advantages and Drawbacks
Article from Medical Economics.
bullet point Health Care System Needs To Prepare For Global Warming
Article from Kaiser Health News.
bullet point After Stroke, Spouse May Also Need Care
bullet point Special Fraud Alert: Laboratory Payments to Referring Physicians
(7-page pdf) Memo from the U.S. Department of Health and Human Services Office of Inspector General. (There are no direct references to dialysis or ESRD in the memo.)


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Thursday, June 26

Nepal's Organ Trail: How Traffickers Steal Kidneys
Article and video from CNN.
Special Fraud Alert: Laboratory Payments to Referring Physicians
(7-page pdf) Memo from the U.S. Department of Health and Human Services Office of Inspector General. (There are no direct references to dialysis or ESRD in the memo.)
FacebookTwitter
  June 26, 2014
bullet point Rounding on Dialysis: Quality Over Quantity
(Registration required, but free.) Skype chat with text from Medscape Nephrology.

"I have been interested in this for a long time because of the for-profit/not-for-profit dialysis unit controversy, in which not-for-profit dialysis units in the States had better outcomes, and the for-profit dialysis units seemed to do a better job at reaching their benchmarks of care, probably because of their fabulous IT systems.

"How can you reach better outcomes and get better grades on your benchmarks of care, but then have poor outcomes in your dialysis units?"

Editor's comment: Nephrologists do not seem able to see beyond biochemical markers, hospitalizations, and mortality. Once they enter the world of internal medicine, they seem to put on blinders to seeing the needs of the whole patient — as well as the negative effects of providing care that does not meet their patients' psychosocial needs.

Does becoming a nephrologist mean disdaining the importance of psychosocial and mind/body-connection health? Is this the "group think" factor that has been holding this field of medicine back for so long?

bullet point DaVita Kidney Care Outperforms All Dialysis Providers in Quality Incentive Program
Press release.

Editor's comment: These are "quality" markers of dialysis care that only a corporate nephrologist and CMS could love.

How can DaVita use the word "holistic" without mentioning any psychosocial outcomes that are important to patients?

Successful major organ replacement therapy requires that you treat the whole patient. After 50 years of chronic dialysis treatments, nephrologists (and CMS) still do not understand this.
bullet point "He's the Bravest Kid I've Ever Seen" - Boo's Kidney Transplant
Video from the Mayo Clinic.
bullet point Free, Full-Text Articles from NDT:
bullet point Incidence and Prediction of Ischemic Stroke among Atrial Fibrillation Patients with End-Stage Renal Disease Requiring Dialysis
Abstract from Heart Rhythm.
bullet point Issue in Progress Abstracts from Blood Purification:
bullet point Online First Abstracts from International Urology And Nephrology:
bullet point Novel Hemoglobin Particles—Promising New-Generation Hemoglobin-Based Oxygen Carriers
Early View abstract from Artificial Organs.
bullet point Effectiveness of Integrated Care on Delaying Chronic Kidney Disease Progression in Rural Communities of Thailand (ESCORT study): Rationale and Design of the Study
Provisional abstract and full-text article (16-page pdf) from BMC Nephrology.
bullet point Effect of Chitosan Chewing Gum on Reducing Serum Phosphorus in Hemodialysis Patients: a Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial
Provisional abstract and full-text article (17-page pdf) from BMC Nephrology.
bullet point A Predictive Model of Chronic Kidney Disease in Patients with Congenital Anomalies of the Kidney and Urinary Tract
Online First abstract from Pediatric Nephrology.
bullet point FDA Drug Safety Communication: FDA Review of Cardiovascular Risks for Diabetics Taking Hypertension Drug Olmesartan Not Conclusive; Label Updates Required
bullet point 5 Ways You Can Conquer Restless Legs at Night
bullet point Relation of Completeness of Reporting of Health Research to Journals' Endorsement of Reporting Guidelines: Systematic Review
Free, full-text article from British Medical Journal.

"Reporting of health research is, in general, bad."
bullet point Shortage Of Saline Solution Has Hospitals On Edge
Article from NPR, KQED, and Kaiser Health News.
bullet point Boosting Diversity and Reducing Disparities
Video from Hospitals & Health Networks.
bullet point MLN Connects™ National Provider Calls: Dialysis Facility Compare: Rollout of Five Star Rating — Registration Now Open
Call is scheduled for July 10, 2:30 - 4:00 PM.
bullet point CMS Fraud Prevention System Identified or Prevented $210 Million in Improper Medicare Payments in 2nd Year of Operations


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Wednesday, June 25

FacebookTwitter
  June 25, 2014
bullet point Decline in Estimated Glomerular Filtration Rate and Subsequent Risk of End-Stage Renal Disease and Mortality
Free, full-text article from the Journal of the American Medical Association.
bullet point Q & A: Living Donor Kidney Donation Starts with Thorough Medical Evaluation
Article from the Mayo Clinic.
bullet point Affymax Board Approves Dissolving Troubled Company
Article from Genetic Engineering & Biotechnology News.
bullet point Stem Cell Advances May Quell Ethics Debate
Article from the Lafayette Journal & Courier.
bullet point Early View Abstracts from Artificial Organs:
bullet point Significant Racial Differences in the Key Factors Associated with Early Graft Loss in Kidney Transplant Recipients
Article in Press abstract from American Journal of Nephrology.
bullet point Thrombosis in the Uremic Milieu — Emerging Role of “Thrombolome”
Early View abstract from Seminars in Dialysis.
bullet point Blood Pressure Kiosks May Not Always Give Accurate Readings
bullet point Healthy People 2020: A Report Card on the Health of the Nation
Free, full-text viewpoint article from the Journal of the American Medical Association.
bullet point Blistering Review Criticizes VA For Downplaying Whistleblower Reports Of Deficient Patient Care
News summary from Kaiser Health News.
bullet point  


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Tuesday, June 24

FacebookTwitter
  June 24, 2014
bullet point Depression and All-Cause Mortality in Hemodialysis Patients
Issue in Progress abstract from American Journal of Nephrology.

"After adjusting for age, sex, race, primary cause of kidney failure, dialysis vintage and access, baseline depression was associated with an increased risk of all-cause mortality (HR 1.51 and 95% CI 1.06-2.17)."
bullet point Page the Renal Fellow, Please!
Posting from the eAJKD blog.

"...nearly a quarter of fellows in other internal medicine subspecialties indicated that they did not choose nephrology for concerns about negative lifestyle perception."

Editor's comment: And how much training do nephrology fellows receive in coordinating and facilitating dialysis patients' care so that they lead as fulfilling and normal lives as possible?

Virtually none.

Yet, nephrologists consider themselves the "captains of the ships" of dialysis patient care.
bullet point 2014 Hemodialysis University (HDU) in Chicago
Scheduled for Aug. 15-16.
bullet point The Sodium Conundrum
Fun with Twitter from the Precious Bodily Fluid blog.
bullet point Rockwell Medical Receives FDA Approval for Calcitriol
Press release.
bullet point Drinking (How Much) Water: What's the Science?
(Registration required, but free.) Berns on Nephrology video from Medscape Nephrology.
bullet point Physical Fitness Level Affects Kidney Function in Type 2 Diabetes
bullet point Common BPA-like Chemical, BPS, Disrupts Heart Rhythms in Females
bullet point QardioArm Ultra-Portable Blood Pressure Cuff Now Available for Purchase
bullet point Ebola Epidemic in West Africa Is 'Out of Control'
Articles from CNN, the BBC, and AFP.
bullet point Nurses Prove to be Powerful Allies in Improving Quality, Bolstering Bottom Line
Article from Hospitals & Health Networks.
bullet point Screening for Abdominal Aortic Aneurysm: U.S. Preventive Services Task Force Recommendation Statement
Free, full-text, Online First article and Summary for Patients from Annals of Internal Medicine.
bullet point Mustaches, Home Oxygen Therapy, Sparks Do Not Mix
bullet point  


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Monday, June 23

Rockwell Medical Receives FDA Approval for Calcitriol
FacebookTwitter
  June 23, 2014
bullet point Medicare Cuts Payments to 11 Ohio Dialysis Centers
Article from the Columbus Dispatch.
bullet point Now Is the Time To Take Kidney Care in America to the Next Level
Commentary in Roll Call by the chair of Kidney Care Partners.

Editor's comment: Contrary to Dr. Jones' comments, few dialysis patients thrive. The nephrology community places little emphasis on restoring dialysis patients to health. Nephrologists, internal medicine specialists that excel at addressing biochemical imbalances, are perhaps the worst physicians and advocates to oversee the care of people who need a balanced, whole-patient, whole-life approach to their care. Nephrologists have not focused on real-life outcomes such as employment and rehabilitation. They have not demanded better technology and smaller and easier-to-use machines which are essential to patients living as normal lives as possible. And why has nephrology lagged so far behind the rest of medicine in improving mortality rates? Shouldn't nephrologists simply be consultants in long-term dialysis patient care?

This legislation continues nephrology's awful legacy of providing a level of care to the vast majority of dialysis patients that nephrologists would never accept for themselves. Truly taking kidney care to the next level would mean that nephrologists would finally recognize that they have been failing dialysis patients for decades... and are finally willing to change the deeply entrenched corporate economics that reward them for doing so.
bullet point Tributes to Karl Nolph
News item from the International Society of Nephrology.
bullet point Deadline for 2014 ICH-CAHPS Registration is June 30, 2014
In-Center Hemodialysis (ICH) Consumer Assessment of Healthcare Providers and Systems (CAHPS) web site.
bullet point Interventions to Improve Medication Adherence in Adult Kidney Transplant Recipients: a Systematic Review
Advance Access abstract from NDT.
bullet point Combined Evaluation of Nutrition and Hydration in Dialysis Patients with Bioelectrical Impedance Vector Analysis (BIVA)
Abstract from Clinical Nutrition.
bullet point Tunneled Catheters with Taurolidine-Citrate-Heparin Lock Solution Significantly Improve the Inflammatory Profile of Hemodialysis Patients
Abstract from Antimicrobial Agents and Chemotherapy.
bullet point Pyogenic Liver Abscess in End-Stage Renal Disease Patients: a Nationwide (Taiwan) Longitudinal Study
Early View abstract from Hemodialysis International.
bullet point Articles in Press Abstracts from American Journal Of Kidney Diseases:
bullet point What Is the Real Impact of Acute Kidney Injury?
Provisional abstract and full-text article (20-page pdf) from BMC Nephrology.
bullet point Shortage Of Saline Solution Has Hospitals On Edge
Article from NPR.
bullet point Breakthrough Development in Kidney Fibrosis Could Be Worth $600M
Article from Herald Sun (Melbourne, Australia).
bullet point DaVita Names Chief Medical Officer for Saudi Operations
bullet point Survey: Nurses Harsh on Overweight Patients
(Registration required, but free.) Article from MedPage Today.
bullet point Mosquito-Borne Chikungunya Virus May Be Headed for U.S.
Article from HealthDay.
bullet point CDC: 14.4% of Americans Uninsured in 2013, Down from 16% in 2010
bullet point Burwell Announces CMS Management Changes


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