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RenalWEB's Daily News Archive

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Fri./Sat., April 24-25

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  Apr. 24, 2015
bullet point A Sad Direction in Home Dialysis Research: The FHN 2 Nocturnal Survival Analysis
Blog posting by Dr. John Agar from Home Dialysis Central.

Editor's note: When the AJKD Article in Press abstract appeared on April 9th, I immediately e-mailed lead author Dr. Michael Rocco and requested the full-text article. I wanted to read the entire document before commenting. At the same time I specifically asked him why the "elite" of U.S. nephrology would reach such a conclusion from such an underpowered study and then publish it in a top journal. When he did not reply, I repeated the request. I have still not heard from him.

I fear this awful paper will be used to justify the denial of patient requests for home and nocturnal hemodialysis.

In my opinion, this paper serves primarily to protect U.S. nephrologists' legal positions and business interests.
bullet point Biosimilars: Does a Rose by Any Other Name Smell As Sweet?
Posting from the Renal Fellow Network blog.
bullet point

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

bullet point Outcomes of In-Hospital Cardiopulmonary Resuscitation in Maintenance Dialysis Patients
JASN Express abstract.
bullet point Preferred Strategy for Hemodialysis Access Creation in Elderly Patients
Article in Press abstract from European Journal of Vascular and Endovascular Surgery.
bullet point Organ Harvest Documentary Wins Prestigious Peabody Prize
Article and video from Epoch Times.
bullet point What Does the Public Think about Paying People to Donate Their Organs?
Press release and CJASN Express abstract from the American Society of Nephrology.
bullet point Living Donor Kidney Transplantation: Facilitating Education about Live Kidney Donation—Recommendations from a Consensus Conference
CJASN Express abstract.
bullet point Ciprofloxacin Pharmacokinetics in Critically Ill Patients Receiving Concomitant Continuous Venovenous Hemodialysis
Article in Press abstract from American Journal of Kidney Diseases.
bullet point Clinical Practice of Steroid Avoidance in Pediatric Kidney Transplantation
Early View abstract from American Journal of Transplantation.
bullet point Reducing Sepsis Mortality
Article from H&HN Daily.
bullet point Hepatitis C Infection Linked to Increased Risk of Heart Disease
bullet point Baxter Reports First Quarter Financial Results
bullet point Antibiotic Shortages On the Rise in U.S.
Article from HealthDay. Press release from the Infectious Diseases Society of America.
bullet point Occupational Traumatic Injuries Among Workers in Health Care Facilities — United States, 2012–2014
Article from the Morbidity and Mortality Weekly Report.
bullet point Principles and Challenges in Access to Experimental Medicines
Online First viewpoint article from the Journal of the American Medical Association.
bullet point Rays of Bipartisanship As Health Chief Faces Senate Panel
Article from The Hill.
Medicare and Medicaid Programs; Application by the American Association of Diabetes Educators for Continued Deeming Authority for Diabetes Self-Management Training
Proposed notice from The Federal Register.
CMS Releases Proposed FY 2016 Inpatient Rehabilitation Facility Rule


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Thursday, April 23

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  Apr. 23, 2015
bullet point

Technician in Fatal Case Forgot Prison Dialysis Appointment
AP article via the Washington Post.

bullet point A Randomized Trial of Cinacalcet versus Vitamin D Analogs as Monotherapy in Secondary Hyperparathyroidism (PARADIGM)
CJASN Express abstract.
bullet point Articles in Press Abstracts from American Journal Of Kidney Diseases:
bullet point Self-Motivation Is Associated With Phosphorus Control in End-Stage Renal Disease
Article in Press abstract from Journal of Renal Nutrition.
bullet point Assessment of Current Practice and Barriers to Antimicrobial Prophylaxis in Peritoneal Dialysis Patients
Advance Access abstract from NDT.
bullet point The Relationship between Glycemic Control, Beta2-Microglobulin and Inflammation in Patients on Maintenance Dialysis Treatment
Provisional abstract and full-text article (13-page pdf) from Journal of Diabetes and Metabolic Disorders.
bullet point Initiation of Renal Replacement Therapy in The Intensive Care Unit in Vicenza (IRRIV) Score
Issue in Progress abstract from Blood Purification.
bullet point Geographic Variation and Neighborhood Factors Are Associated with Low Rates of Pre-End-Stage Renal Disease Nephrology Care
Advance Online abstract from Kidney International.
bullet point A Prospective Observational Study Comparing a Non-Operator Dependent Automatic PWV Analyzer to Pulse Pressure, in Assessing Arterial Stiffness in Hemodialysis
Provisional abstract and fulltext article (23-page pdf) from BMC Nephrology.
bullet point FDA Recall Notice: Bard Dialysis Catheter Kits
Notice from the Enforcement Report for April 22, 2015.
bullet point MSD Announces Results from Phase 2/3 Study of Investigational Chronic Hepatitis C Therapy Grazoprevir/Elbasvir in Patients with Advanced Chronic Kidney Disease
Press release.
bullet point Depression Tied to Worse Outcomes for Black Patients With Heart Failure
Article from HealthDay.
bullet point New Finding Could Help Develop Test for Kidney Disease
bullet point Patient-Doctor Ethnic Differences Thwart End-Of-Life Conversations
bullet point Hepatitis C Infection Linked to Increased Risk of Heart Disease
bullet point The Safety of the Blood Supply — Time to Raise the Bar
Online First perspective piece from the New England Journal of Medicine.
Restructuring Medicaid as Block Grants — Unconstitutional Coercion?
Online First perspective piece from the New England Journal of Medicine.


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Wednesday, April 22

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  Apr. 22, 2015
bullet point Amgen Tops Estimates with 51 Percent Spike in 1Q Profit
Articles from AP and Bloomberg.

"...and a 16 percent jump to $534 million for Epogen, for treating anemia in kidney dialysis patients."

Editor's note: Amgen's total cost in manufacturing, sales, and all overhead for this $534 million in sales was likely less than $50 million. The amount of profit Amgen has made on dialysis patients is unmatched by any other company for any other other disease... in history. They have had no competition in the U.S. since 1989. Year after year, Amgen is among the top spenders in political lobbying among all U.S. companies.

Yet, improvements in outcomes for U.S. dialysis patients have lagged far behind all other fields of medicine.

With Amgen, DaVita and Fresenius having so much political power through their financial contributions to Congress, how do dialysis patients get heard... or taken seriously?
bullet point Coverage from the American Nephrology Nurses Association Annual Symposium (by NN&I):
bullet point (Registration Required, but Free) Full-Text Articles from Medscape Nephrology:
bullet point Early View Abstracts from Journal of Renal Care:
bullet point CJASN Express Abstracts:
bullet point Effects of Resistance Exercise Training on Acyl-Ghrelin and Obestatin Levels in Hemodialysis Patients
Early Online abstract from Renal Failure.
bullet point Free, Full-Text Articles from American Journal Of Kidney Diseases:
bullet point Endocarditis and Spondylodiscitis Associated with Tunneled Cuffed Hemodialysis Catheters: Hospitalizations with Poor Outcomes
Advance Online abstract from the International Journal of Artificial Organs.
bullet point Antidiabetic Therapy in End-Stage Renal Disease
Early View abstract from Seminars in Dialysis.
bullet point Free, Full-Text Editorials from Advances in Chronic Kidney Disease:
bullet point The Myths and Facts about Donating Organs
Interview from St. Louis Public Radio.
bullet point Link between Serotonin and Depression Is a Myth, Says Top Psychiatrist
Press release and editorial from British Medical Journal.
bullet point Depression Raises Risk of Poor Outcomes for Blacks with Heart Failure
bullet point What's At Stake In The Supreme Court Obamacare Case
Article from Kaiser Health News.
bullet point PCORI Board Approves $120 Million for New Patient-Centered Research Projects
Press release from the Patient-Centered Outcomes Research Institute.
bullet point Another Study Finds No Vaccine-Autism Link
Article from HealthDay. Free, full-text article from the Journal of the American Medical Association.
bullet point Life Is Not a Premortality Condition, and Death Is Not Treatment Failure
QDFC Comment Period May 1-15


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Tuesday, April 21

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  Apr. 21, 2015
bullet point Panel To Review 5-Star Rating System for Dialysis Facilities
News item from Nephrology News & Issues.

Editor's note: Reviewing the methodology for the 5-star system is not going to solve a bigger problem with the system: GIGO.

As Dr. Jeffrey Berns noted about Kt/V values reported to DOPPS in this February video blog posting:

"One example is the Kt/V. More than half of patients on hemodialysis in the United States have a Kt/V of 1.6 or greater, and another 43% have a Kt/V between 1.2 and 1.59, with a mean of about 1.6, which seems good, although I wonder whether the Kt/V is higher than it needs to be given data showing an absence of benefit from such high Kt/Vs. Somewhat discordant is the fact that 80% of patients in this country are still dialyzed for 4 hours or less, and 30% for 3 hours or less, with a mean treatment time still only slightly longer than 3 hours."

Dr. Joanne Bargman reported during a keynote address at a scientific meeting this year that she is aware of widespread cheating in data reported to CMS/CROWNWeb and DOPPS.

Who is going to investigate the widespread data fraud in the dialysis industry? The two medical directors from the largest for-profit corporations? The representatives from the non-profit organizations which happen to receive significant funding from the for-profit corporations? The biostatisticians from outside the industry who are unlikely to challenging U.S. nephrology's tradition of self-policing?

I would contend that there has been widespread, undetected cheating in dialysis data reporting for 15 years, that these practices has become institutionalized, and that the conclusions drawn from this data should be considered worthless.
bullet point The Association Between Dialysis Facility Quality and Facility Characteristics, Neighborhood Demographics, and Region
Online First abstract from American Journal of Medical Quality.
bullet point In-Center Nocturnal Hemodialysis: the Experience of a Center
(6-page pdf) Article from the Portuguese Journal of Nephrology & Hypertension.
bullet point Update on Veebot, The Automatic Phlebotomist
News brief and video from MedGadget.
bullet point How African-Americans Can Get Better Kidney Care
Health Hub posting from the Cleveland Clinic.
bullet point DNA Abnormalities Found in Children with Chronic Kidney Disease
Press release and video from Columbia University Medical Center.
bullet point Strategies to Increase Living Kidney Donation: a Retrospective Cohort Study
Provisional abstract and full-text article (13-page pdf) from Canadian Journal of Kidney Health and Disease.
bullet point Shortage of Peritoneal Dialysis Solution and the Food and Drug Administration's Response
CJASN Express abstract.
bullet point Association between Serum Bicarbonate and pH with Depression, Cognition and Sleep Quality in Hemodialysis Patients
Early Online abstract from Renal Failure.
bullet point Early View Abstracts from Artificial Organs:
bullet point Body Composition Affects Urea Distribution Volume Estimated by Watson's Formula
Article in Press abstract from Journal of Renal Nutrition.
bullet point Advance Online Abstracts from the Journal of Vascular Access:
bullet point Ibuprofen Associated Acute Kidney Injury in Dehydrated Children with Acute Gastroenteritis
Online First abstract from Pediatric Nephrology.
bullet point Depression: 'Mindfulness-based Therapy Shows Promise'
Article from the BBC.
bullet point Global Pandemic of Fake Medicines Poses Urgent Risk, Scientists Say
Press release from the National Institutes of Health.
bullet point Obamacare Support Hits Two-Year High
News brief from The Hill.
bullet point Diabetes Risk Higher Among Indians in India Than in US
Guiding Principles for Center for Medicare & Medicaid Innovation Model Evaluations
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
CROWNWeb: February 2015 Clinical Data Closes on April 30 – Finding “Saved” vs. “Submitted” Data


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Monday, April 20

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  Apr. 20, 2015
bullet point DaVita to Settle Whistleblower Fraud Claims; Sanctions Motions Are Dropped
Article from the Daily Report (registration required, but free).

"If successful, the attorney said that total damages in the case, including the possibility of treble punitive damages, could top $2 billion."

Editor's note: How many of DaVita's nephrologists knew of this fraud and said nothing?
bullet point The Case for Compensating Kidney Donors
Article from The Week.
bullet point Barriers to Adopting a Fistula First Policy in Europe: an International Survey among National Experts
Free, full-text article from the Journal of Vascular Access.
bullet point Reduced Cardiovascular Reserve in Chronic Kidney Failure: A Matched Cohort Study
Article in Press abstract from American Journal of Kidney Diseases.
bullet point The Effect of Cinacalcet on Calcific Uremic Arteriolopathy Events in Patients Receiving Hemodialysis: The EVOLVE Trial
CJASN Express abstract.
bullet point Dialysis Enrollment Patterns in Guatemala: Evidence of the Chronic Kidney Disease of Nontraditional Causes Epidemic in Mesoamerica
Provisional abstract and full-text article (16-page pdf) from BMC Nephrology.
bullet point Health-related Quality of Life in Survivors of Acute Kidney Injury: The Post-RENAL Study Outcomes
Accepted Article abstract from Nephrology.
bullet point Body Composition in Chronic Kidney Disease
Published Ahead of Print abstract from Current Opinion in Nephrology & Hypertension.
bullet point Continuous Lead Exposure Increases Blood Pressure but Does Not Alter Kidney Function in Adults 20-44 Years of Age in a Lead-Polluted Region of China
Free, full-text, Issue in Progress article from Kidney & Blood Pressure Research.
bullet point May 18 Webinar: Overcoming Barriers to Shared Decision Making
Notice from the Agency for Healthcare Research and Quality.
bullet point New Drug for Hepatitis C Contributes to 13% Rise in Spending on Prescription Drugs in US
Abstract from the BMJ.
bullet point Aspirin May Help Ward Off Gastro Cancers, Study Finds
Article from HealthDay.
Obama Signs ‘Doc Fix’ Bill Overhauling How Medicare Pays Doctors
News summary from Kaiser Health News.
The Repeal of Medicare's Sustainable Growth Rate for Physician Payment
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.


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Fri./Sat., April 17-18

DaVita to Settle Whistleblower Fraud Claims; Sanctions Motions Are Dropped
Article from the Daily Report (registration required, but free).

"If successful, the attorney said that total damages in the case, including the possibility of treble punitive damages, could top $2 billion."

Editor's note: How many of DaVita's nephrologists knew of this fraud and said nothing?
FacebookTwitter
  Apr. 17, 2015
bullet point DaVita To Settle False Claims Act Whistleblower Suit After Witness Coaching Inquiry
(Registration required) Article from Law360.com. January 2015 article (registration required) from the Daily Report.

This current case is another medication-related whistleblower suit against DaVita. See this 2012 CNN story (10-minute video) on this case when it began.

Editor's note: It is time to ban Kent Thiry from doing business with Medicare and the U.S. government. He shows no remorse for continually gaming the dialysis care system for financial gain.

In 2012, DaVita settled a whistleblower suit on ESA use and related billing for $55 million.

In October of last year, DaVita settled another whistleblower suit and related claims on physician kickbacks for $400 million. Press release from the U.S. Department of Justice.

There is also ongoing rampant fraud occurring in the current Medicare Quality Improvement Program (QIP), also making CROWNWeb and DOPPS data the sources of incorrect information for formulating federal patient care policies. (Are the quality-of-life survey results also useless?)

This cheating and fraud will continue to be the norm in dialysis corporations until managers face felony charges and jail time, as Atlanta educators did this week for student test score cheating.
bullet point Absurd! EPOCH-RRT Study "Decision Aid" Won't Include Home Hemodialysis
Posting by Dr. John Agar from Home Dialysis Central.

Editor's note: It is time to recognize that, as a group, U.S. dialysis-care nephrologists are the worst physicians in the U.S. Their field of medicine has lagged far behind all others. They have greatly increased the unemployment rate among working-age patients over the course of the last 40 years. They are heavily invested in brick-and-mortar clinics that continually harm patients with inadequate and inappropriate care, which they would never accept for themselves. They are holding patients hostage in their clinics, demanding more money from CMS for home dialysis training.

Forty years ago, U.S. nephrologists make a huge mistake when they agreed that time on dialysis did not matter, only small molecule clearances did. They then built an industry based on that theory which provides fast, cheap, in-center dialysis to nearly all. Unfortunately, no nephrologist today would say that time on dialysis does not matter, but few changes have been made.

U.S. nephrologists were wrong and dialysis patients have been being harmed and dying prematurely in the U.S. unnecessarily for decades. This care has also made employment and rehabilitation nearly impossible. When will they finally find leadership that will admit all this and address these problems?
bullet point Fresenius Medical Care Releases 2015 Annual Medical Quality Report
News release.

Editor's note: Another year with no mention of patient employment or rehabilitation. What kind of medical care is this?
bullet point Lag Censoring Analysis: Lights and Shades
Free, full-text, Advance Access article from NDT.

Editor's note: Article from a European journal about the misuse of statistical analyses, specifically in regard to Cinacalcet.
bullet point Risk-Based Individualization of Target Hemoglobin in Hemodialysis Patients with Renal Anemia in the Post-TREAT Era: Theoretical Attitudes Versus Actual Practice Patterns (MONITOR-CKD5 study)
Free, full-text, Online First article from International Urology and Nephrology.
bullet point JASN Express Abstracts:
bullet point CJASN Express Abstracts:
bullet point Provisional Abstracts and Full-Text PDFs from BMC Nephrology:
bullet point ICU Patients on RRT Rarely Have Nephrology Follow-up
Article from Renal & Urology News.
bullet point Early View Abstracts from Hemodialysis International:
bullet point Advance Access Abstracts from NDT:
bullet point New-Onset Diabetes After Transplantation: Results From a Double-Blind Early Corticosteroid Withdrawal Trial
Early View abstract from American Journal of Transplantation.
bullet point The Body's Clock Key to Regulating Glucose Levels
(Registration required, but free.) Article from MedPage Today.
bullet point Adverse Childhood Events Appear to Increase the Risk of Being a Hypertensive Adult
bullet point Common Heartburn Drugs Linked to Kidney Failure in the Elderly
bullet point Measles — United States, January 4–April 2, 2015
Summary from the Morbidity and Mortality Weekly Report.
bullet point More Individuals Discussing End-Of-Life Wishes with Loved Ones
Only 251 Hospitals Score Five Stars In Medicare's New Ratings
Article from Kaiser Health News.
Medicare Changes In ‘Doc Fix’ Bill OK’d By Congress Has Benefits, Risks
News summary from Kaiser Health News.
Bipartisanship Breaks out at 'Doc Fix' Signing Ceremony


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Thursday, April 16

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  Apr. 16, 2015
bullet point Comfortably Numb Device Cools Skin to Prevent Pain of Drug Injections
Article and video from MedGadget.
bullet point Free, Full-Text, CJASN Express Articles:
bullet point Results of the ABIM Nephrology Examination: Quality Nephrologists, Quality Board Examinations
Free, full-text, Article in Press from American Journal of Kidney Diseases.
bullet point Risk Factors for Loss of Residual Renal Function in Children Treated with Chronic Peritoneal Dialysis
Free, full-text, Advance Online article from Kidney International.
bullet point Preoperative Assessment and Planning of Hemodialysis Vascular Access
Free, full-text, Advance Access article from Clinical Kidney Journal.
bullet point Early View Abstracts from Seminars In Dialysis:
bullet point Sodium Zirconium Cyclosilicate for Urgent Therapy of Severe Hyperkalemia
Full-text correspondence from the New England Journal of Medicine.
bullet point FDA March 2015 Safety Labeling Changes
67 products with revisions to Prescribing Information including Feraheme and Rapamune.
bullet point Amgen's Corlanor for Heart Failure Gets FDA Nod
bullet point Incidence of "Never Events" among Weekend Admissions Versus Weekday Admissions to US Hospitals: National Analysis
Full-text article from British Medical Journal.
bullet point Performance Differences in Year 1 of Pioneer Accountable Care Organizations
Free, full-text, Online First article from the New England Journal of Medicine.
bullet point Cognitive Aging: A Report From the Institute of Medicine
Free, full-text, Online First article from the Journal of the American Medicial Association.
Depression, Diabetes Associated with Increased Dementia Risk
Press release from JAMA Psychiatry.
Senate Approves Bill To Change The Way Medicare Pays Doctors
News summary and FAQs about the bill from Kaiser Health News.
Medicare Payment "Fix" Includes Key Provisions for Nurses
CMS Announces $201 Million in Grants To Support Marketplace Navigators


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Wednesday, April 15

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  Apr. 15, 2015
bullet point DOPPS Practice Monitor Web Conference - May 7, 2015
Will cover latest DOPPS Practice Monitor findings and emerging trends through December 2014. Registration is now open.
bullet point Dialysis Catheter-Related Blood Stream Infections Webinar Available Online April 23, 2015
Announcement from the End Stage Renal Disease National Coordinating Center (ESRD NCC).
bullet point Infection Prevention and the Medical Director: Uncharted Territory
Free, full-text, CJASN Express article.
bullet point DaVita HealthCare Partners Inc. Announces Upsizing and Pricing of Senior Notes Offering
Press release. The principal amount of the Senior Notes was increased from $1.25 billion to $1.5 billion.
bullet point Longest Kidney Transplant Chain Shares Gift of Life 34 Times
Article from the Milwaukee Wisconsin Journal Sentinel. Press release from Porter Adventist Hospital (Denver).
bullet point CJASN Express Abstracts:
bullet point Reporting Organ Trafficking Networks: A Survey-Based Plea to Breach the Secrecy Oath
Early View abstract from American Journal of Transplantation.
bullet point Towards a Biomarker Panel for the Assessment of AKI in Children Receiving Intensive Care
Free, full-text, Online First article from Pediatric Nephrology.
bullet point Association of Kidney and Cysts Dimensions with Anthropometric and Biochemical Parameters in Patients with ADPKD
Early Online abstract from Renal Failure.
bullet point Prevalence of Intestinal Parasite Infections and Associated Clinical Symptoms among Patients with End-Stage Renal Disease Undergoing Hemodialysis
Abstract from Infection.
bullet point Adherence to Blood Thinner Best with Pharmacist Management
Press release from Stanford University Medical Center.
bullet point FDA Panel Backs New Safety Warnings on Two Diabetes Drugs
(Registration required, but free.) Articles from Medscape Nephrology and MedPage Today.
bullet point WHO Calls for Results of All Clinical Trials to Be Posted within a Year
Press release.
bullet point Pain-Free Blood Tests
Press release from the University of Wisconsin-Madison.
Senate Overwhelmingly Approves House 'Doc Fix' Bill
Article from The Hill.
Proposed Rule: Electronic Health Record Incentive Program-Modifications to Meaningful Use in 2015 Through 2017
Notice from the Federal Register.


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Tuesday, April 14

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  Apr. 14, 2015
bullet point Yale Nephrology Professor Working as DaVita Medical Director Accused of Sexual Harassment
Article from The New York Times.

"In December 2013, Elizabeth Chiapperino, a DaVita facility manager, contacted a DaVita vice president about the doctor’s conduct, the complaints say. The vice president “trivialized” the matter, according to the court papers, and expressed concern about how the accusations might affect DaVita’s relationship with Yale. Ms. Chiapperino resigned Jan. 3." - NYT

Editor's note: DaVita senior management gives "taking one for the team" a whole new meaning. Makes one wonder how a patient's complaint would have been handled.
bullet point FDA Recall Notice: Med Comp Catheters
Notice from the FDA Enforcement Report for April 8, 2015.
bullet point Early View Abstracts from American Journal of Transplantation:
bullet point Genes May Make 'Placebo Effect' Stronger for Some, Study Says
Article from HealthDay. Press release from Beth Israel Deaconess Medical Center.
  The Terrifying Rise of Diabetes, in Every Corner of the US
Posting from The Washington Post Wonkblog.
bullet point Screening for Type 2 Diabetes Mellitus: A Systematic Review for the U.S. Preventive Services Task Force
Free, full-text, Online First review article from Annals of Internal Medicine.
bullet point Diabetes More Likely in Children in Stressful Homes
(Registration required, but free.) Article from MedPage Today.
bullet point Kids with Type I Diabetes Almost 5 Times As Likely to Be Admitted to Hospital
bullet point Electronic Prescribing Is Not Reducing Fatal Medication Errors
Article from HFMA.
bullet point Uninsured Rate Drops To 11.9%, Poll Finds
bullet point  


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Monday, April 13

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  Apr. 13, 2015
bullet point Free Webinar for Donors and Patients on Living-donor Kidney Transplants
The April 14 (noon CDT) webinar is being hosted by the Mayo Clinic.
bullet point CJASN Express Abstracts:
bullet point Understanding Patient Beliefs May Aid Phosphorus Control
Article from Renal & Urology News.
bullet point Feasibility and Safety of Intradialysis Yoga and Education in Maintenance Hemodialysis Patients
Article in Press abstract from Journal of Renal Nutrition.
bullet point Early View Abstracts from Artificial Organs:
bullet point Early View Abstracts from Seminars In Dialysis:
bullet point Sevalamer Hydrochloride, Sevelamer Carbonate and Lanthanum Carbonate: In Vitro and In Vivo Effects on Gastric Environment
Early View abstract from Therapeutic Apheresis and Dialysis.
bullet point Trace Element Supplementation in Hemodialysis Patients: a Randomized Controlled Trial
Provisional abstract and full-text article (17-page pdf) from BMC Nephrology.
bullet point Can We Compare Serum Sclerostin Results Obtained with Different Assays in Hemodialysis Patients?
Online First abstract from International Urology and Nephrology.
bullet point Medical Schools Try To Reboot For 21st Century
Article from Kaiser Health News.
bullet point Medical Costs Hit Residents of Texas, Florida Especially Hard, Study Finds
Article from HealthDay.
bullet point CMS Proposes Modifying EHR Reporting Period in 2015 to 90 Days
News brief from AHANews. 210-page pdf from CMS. Related article from The Hill.
bullet point Upcoming ESRD Technical Expert Panels
You can find this information in the “downloads” section at the bottom of the CMS TEP website: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TechnicalExpertPanels.html.

Meeting Schedule:

  • Access to Kidney Transplantation Pre-TEP Conference Call
    April 15, 2015: 12:30 – 2:00pm ET
  • Access to Kidney Transplantation TEP In-Person Meeting
    April 20-21, 2015 at the DoubleTree by Hilton Baltimore - BWI Airport
  • Vascular Access TEP In-Person Meeting
    April 22-23, 2015 at the DoubleTree by Hilton Baltimore - BWI Airport
  • DFC Star Rating Public Reporting/Patient and Consumer Understanding Workgroup Pre-TEP Conference Call
    April 13, 2015: 1:00 – 2:00pm ET
  • DFC Star Rating Methodology Workgroup Pre-TEP Conference Call
    April 14, 2015: 4:00 – 5:00pm ET
  • DFC Star Rating TEP In-Person Meeting
    April 27-28, 2015 at the DoubleTree by Hilton Baltimore - BWI Airport


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Fri./Sat., April 10-11

Understanding Patient Beliefs May Aid Phosphorus Control
Article from Renal & Urology News.
FacebookTwitter
  Apr. 10, 2015
bullet point A Human Harvest: China's Organ Trafficking Exposed in Shocking Documentary That Alleges the Illegal Trade Is Now Worth a Staggering US$1 Billion a Year
Article from the Daily Mail (UK). Article from SBS ONE (Australia).
bullet point Baxter Initiates Voluntary Recall of Select Lots of IV Solutions due to the Potential Presence of Particulate Matter
Press release and table (1-page pdf).
bullet point Maggie Colin Looks Back at 51 Years As a Dialysis Nurse
Article from Nephrology News & Issues.

"During her 51 years in the business, Colin has seen changes, but not as many as she would have hoped for. She believes the current practice of in-center dialysis three times a week with high-efficiency machines leaves patients needing more.

"The sad thing is that in-center dialysis treatment has not changed one iota," she said. "Dialyzers have become smaller and machines have become more automated, but the best treatment is eight hours overnight.""

Editor's note: Who would you believe, a nurse with 51 years of experience... or Kent Thiry?
bullet point Phosphorus Content of Popular Beverages
Free, full-text, Article in Press article from American Journal of Kidney Diseases.
bullet point The Chronic Disease Self-Management Program — A Pilot Study in Patients Undergoing Hemodialysis
Article from Nephrology News & Issues.
bullet point Magnesium and Dialysis: The Neglected Cation
Article in Press abstract from American Journal of Kidney Diseases.
bullet point Advance Access Abstracts from NDT:
bullet point A Modified Delphi Process to Identify Process of Care Indicators for the Identification, Prevention and Management of Acute Kidney Injury after Major Surgery
Provisional abstract and full-text article (21-page pdf) from Canadian Journal of Kidney Health and Disease.
bullet point Effects of Lowering Dialysate Calcium Concentration on Mineral Metabolism and Hemodynamic Parameters in Hemodialysis Patients
Abstract and full-text article from Iranian Journal of Kidney Diseases.
bullet point New High Throughput Screening Method May Uncover Novel Treatments for Kidney Disease
Press release from the American Society of Nephrology.
bullet point Door to EPO in Cancer Therapy Bolted Shut
(Registration required, but free.) Article from MedPage Today.
bullet point A New Piece in the 'French Paradox' Puzzle – Cheese Metabolism
Press release from the American Chemical Society.
bullet point Being Underweight in Middle Age Associated with Increased Dementia Risk
Press release from The Lancet Diabetes & Endocrinology.
bullet point Rep. Lois Capps To Retire After 10 Terms In House
bullet point ICD-10 Testing Results Improve


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Thursday, April 9

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  Apr. 9, 2015
bullet point DaVita to Suffer $50 Million Loss from New Medicare Advantage Reimbursement Rates
Article from Denver Business Journal.
bullet point Editorial: With a Prison, Where Matters Less Than What
Editorial from The Salt Lake Tribune.
bullet point Ischemic Brain Injury in Hemodialysis Patients: Which Is More Dangerous, Hypertension or Intradialytic Hypotension?
Advance Online abstract from Kidney International.
bullet point JASN Express Abstracts:
bullet point

Long-term Effects of Frequent Nocturnal Hemodialysis on Mortality: The Frequent Hemodialysis Network (FHN) Nocturnal Trial
Article in Press abstract from the American Journal of Kidney Diseases.

bullet point Patients Undergoing Hemodialysis Have Higher Prevalence of Pulmonary Hypertension and Heart Disease
Full-text article from Kidney Research and Clinical Practice (Korea).
bullet point Black Women Less Likely to Struggle With Depression Than Whites: Survey
Article from HealthDay.
bullet point The Impact of Depression on Fatigue in Patients with Hemodialysis: a Correlational Study
Early View abstract from Journal of Clinical Nursing.
bullet point Outcomes of Infection-Related Hospitalization according to Dialysis Modality
CJASN Express abstract.
bullet point Early View Abstracts from Hemodialysis International:
bullet point Early View Abstracts from Seminars In Dialysis:
bullet point Cardiorenal Syndrome in Chronic Kidney Disease
(Registration required, but free.) Free, full-text article from Current Opinion in Nephrology and Hypertension via Medscape Nephrology.
bullet point CRIT-LINE: A Noninvasive Tool to Monitor Hemoglobin Levels in Pediatric Hemodialysis Patients
Online First abstract from Pediatric Nephrology.
bullet point Accepted Articles Abstracts from Nephrology:
bullet point Gestational Hypertension and Preeclampsia in Living Kidney Donors
Letter to the editor from the New England Journal of Medicine.
bullet point Genes May Leave Short People Prone to Heart Disease
Article from HealthDay. Free, full-text, Online First article from the New England Journal of Medicine.
bullet point Cheap Allergy Drug May Hold Potential as Hepatitis C Treatment
bullet point Insensible Losses: When The Medical Community Forgets The Family
Full-text article from Health Affairs.
bullet point Women Missing From Healthcare's Top Positions
Article from Nurses.com.
bullet point Obama Ties Climate Change to Health Issues
bullet point  


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Wednesday, April 8

FacebookTwitter
  Apr. 8, 2015
bullet point Utah Department of Corrections: Prison Inmate Dies after Missed Dialysis Treatments due to Scheduling Error
Article and video from KLS.com. Article from the Salt Lake Tribune.
bullet point The First Year on Hemodialysis: a Critical Transition
Free, full-text, Advance Access article from Clinical Kidney Journal.
bullet point Mortality and Blood Pressure Directly Linked to Relationship Quality
Press release from Oxford University Press USA.

"This research also indicates that it is important to consider the couple as a whole rather than the individual when examining marriage and health."

Editor's note:
U.S. dialysis care needs not only to begin addressing the psychosocial needs of its patients, but must also stop harming the psychosocial well-being of patients' relationships.
bullet point Only about 0.3% of Americans Now Meet World Health Organization Dietary Targets for Sodium and Potassium
Press release from University of Washington Health Sciences.
bullet point NephMadness 2015: APOL1, The Champion
Posting from the AJKD blog.
bullet point Pharmacokinetics of Nalbuphine Hydrochloride Extended Release Tablets in Hemodialysis Patients with Exploratory Effect on Pruritus
Provisional abstract and full-text article (23-page pdf) from BMC Nephrology.
bullet point Early View Abstracts from Therapeutic Apheresis and Dialysis:
bullet point Hemodialysis-Induced Hypoglycemia and Glycemic Disarrays
Advance Online abstract from Nature Reviews Nephrology.
bullet point Articles in Press Abstracts from Journal of Vascular Surgery:
bullet point Osteoprotegerin and Sclerostin in Chronic Kidney Disease Prior to Dialysis: Potential Partners in Vascular Calcifications
Advance Access abstract from NDT.
bullet point Serum Sodium Levels and Patient Outcomes in an Ambulatory Clinic-Based Chronic Kidney Disease Cohort
Issue in Progress abstract from American Journal of Nephrology.
bullet point Multiple Blood Pressure Medications and Mortality Among Elderly Individuals
Abstract from the JAMA Network.
bullet point Renal Support Network's Annual Essay Contest Rules - Entries Due August 1
bullet point 9 Devices That Are Changing Medicine
(Registration required, but free.) Slideshow from WebMD via Medscape.
bullet point AZ Allows Patients to Order Lab Tests without Physician Order
News brief from Healthcare DIVE.
bullet point Inside the Industry: Exploring Healthcare's Big Ticket Issues
Article from Nurse.com.
bullet point Lonely Seniors Visit Doctors More Often
bullet point Last-Minute Lobbying Threatens $200 B Medicare Package
Article from The Hill.


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Tuesday, April 7

FacebookTwitter
  Apr. 7, 2015
bullet point ASCEND Study on Dialysis and Depression Being Done by Kidney Research Institute
The Kidney Research Institute is a collaboration between Northwest Kidney Centers and UW Medicine.
bullet point Kidney Health Initiative Seeking Patient Input into New Therapies for Kidney Disease
Press release from the American Society of Nephrology.
bullet point More Scientists Doubt Salt Is As Bad for You As the Government Says
Posting from The Washington Post Wonkblog.
bullet point GIA Medial Announces Partnership with Dialysis Training Institute LLC (DTI) and the Launch of the Nephrology Biomedical Technologist Program
(1-page pdf) Press release.
bullet point Rise in Chronic Kidney Disease Driving Demand for Dialysis Nurses
Article from TravelNursing.com.
bullet point FGF-23 Steps into the Spotlight as a Key Player in Phosphate Metabolism and Kidney Disease
Press release from the National Institute of Diabetes and Digestive and Kidney Diseases.
bullet point Effects of Low Blood Pressure in Cognitively Impaired Elderly Patients Treated With Antihypertensive Drugs
Abstract from JAMA Internal Medicine.
bullet point A Brief Journey through the Immune System
Free, full-text, CJASN Express article.
bullet point Purging CMV from Organ Transplants
Press release from Ecole Polytechnique Fédérale de Lausanne.
bullet point Early View Abstracts from Seminars in Dialysis:
bullet point Abstracts from Complementary Therapies in Medicine:
bullet point Bariatric Surgery in Patients with Dialysis-Dependent Renal Failure
Abstract from Obesity Surgery.
bullet point Influence of Institutional Culture and Policies on Do-Not-Resuscitate Decision Making at the End of Life
Online First abstract from JAMA Internal Medicine.
bullet point Is a Big Share Buyback Coming to DaVita?
bullet point PCORI Offers Up to $90 Million in Funding in Fourth Call for Pragmatic Clinical Study Proposals
Press release from The Patient-Centered Outcomes Research Institute.
bullet point Violence in Healthcare
Posting from the National Institute for Occupational Safety and Health (NIOSH).
bullet point What Is the Right Number of Clinic Appointments? Visit Frequency and the Accountable Care Organization
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point Healthcare Deals Surge in 2015
bullet point NRAA Comments on CMS Conditions of Coverage
4-page pdf from the National Renal Administrators Association.
CMS To Boost Medicare Advantage Payments by 1.25% in 2016
News brief from Healthcare DIVE. Press release and fact sheet from CMS.
Medicare Is Stingy In First Year Of Doctor Bonuses
Article from Kaiser Health News.


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Monday, April 6

Kidney Health Initiative Seeking Patient Input into New Therapies for Kidney Disease
Press release from the American Society of Nephrology.
FacebookTwitter
  Apr. 6, 2015
bullet point The Horror of Syrian Refugees Selling Body Parts
Slideshow from The Daily Beast.
bullet point Survey of Home Hemodialysis Patients and Nursing Staff regarding Vascular Access Use and Care
Free, full-text article from Hemodialysis International.
bullet point A Nurse Led Case Management Program on Home Exercise Training for Hemodialysis Patients: a Randomized Controlled Trial
Article in Press abstract from International Journal of Nursing Studies.
bullet point Advance Access Abstracts from NDT:
bullet point HOMECHOICE CLARIA Automated Peritoneal Dialysis with Auto Reporting
Article from MedGadget.com. (The CE mark allows the device to be marketed in Europe.)
bullet point Lessons in Diabetes Care from Around the World
(Registration required, but free.) Article from MedPage Today.
bullet point Are Human Head Transplants Coming Soon?
Article from CNN.
bullet point Nurses Confess Some of the Secrets in Their Profession
7-minutte video from ABC News.
 


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Fri./Sat., April 3-4

The Horror of Syrian Refugees Selling Body Parts
Slideshow from The Daily Beast.
FacebookTwitter
  Apr. 3, 2015
bullet point RPA Comments on Conditions for Coverage for ESRD Facilities
Letter from the Renal Physician Association.
bullet point KDIGO Announces Collaboration with Cochrane Kidney and Transplant
Press release from Kidney Disease | Improving Global Outcomes.
bullet point FDA Alerts Health Care Professionals and Patients Not to Use Products from the Prescription Center Pharmacy in Fayetteville, North Carolina
FDA news release.
bullet point Uremic Pruritis - Algorithm for Management
Posting from the Renal Fellow Network blog.
bullet point Benefits and Harms of Citrate Locking Solutions for Hemodialysis Catheters: a Systematic Review and Meta-Analysis
Provisional abstract and full-text article (26-page pdf) from Canadian Journal of Kidney Health and Disease.
bullet point Hormone and Bone Tests May Be Indicative of Dialysis Patients' Heart Health
Press release and JASN Express abstract from the American Society of Nephrology.
bullet point Articles in Press Abstracts from American Journal Of Kidney Diseases:
bullet point Advance Access Abstracts from NDT:
bullet point What Everyone Should Know About Kidney Cancer
Posting from the Huffington Post blog.
bullet point Medtronic Is Back at Renal Denervation
bullet point Drug-Resistant Food Poisoning Lands In The U.S. (Shigellosis)
Article from NPR. Report from the CDC's MMWR.
bullet point Could Household Bleach Raise Kids' Risk for Flu, Other Infections?
Article from HealthDay.
bullet point Margaret Hamburg Ends Six-Year Run As FDA Commissioner
Cleveland Clinic Reports 40% Drop In Charity Care After Medicaid Expansion
Article from Kaiser Health News.


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Thursday, April 2

FacebookTwitter
  Apr. 2, 2015
bullet point California Governor Orders State's First Mandatory Water Restrictions: 'It's a Different World'
Articles from The Los Angeles Times and the Sacramento Bee.
bullet point 11 Former Atlanta Educators Convicted of Test Cheating Racketeering
Articles from the Atlanta Journal-Constitution and AP / The Huffington Post.

Editor's note: Should dialysis nurses, lab managers, and renal administrators who cheat on QIP measurements face racketeering charges? I believe all professionals involved should lose their licenses.
bullet point NephMadness 2015: Introducing the Final Four!
Posting from the AJKD blog.
bullet point Study Finds Each Hour Spent Watching TV Daily Increases the Risk of Developing Diabetes by 3.4%
Press release from Diabetologia.
bullet point Current Tools for Prediction of Arteriovenous Fistula Outcomes
Free, full-text, Advance Access article from Clinical Kidney Journal.
bullet point Statins and Cardiovascular Primary Prevention in CKD: A Meta-Analysis
CJASN Express abstract.
bullet point Effect of Body Mass Index and Albumin on Mortality Rates for Adult African-American Hemodialysis Patients
Early View abstract from Journal of the American Association of Nurse Practitioners.
bullet point A Comparison of Ultrasound and Magnetic Resonance Imaging Shows That Kidney Length Predicts Chronic Kidney Disease in Autosomal Dominant Polycystic Kidney Disease
Advance Online abstract from Kidney International.
bullet point Massive Iced Tea Consumption Linked to Kidney Failure
Articles from Reuters Health and HealthDay. Free, full-text letter from the New England Journal of Medicine. Article from MedPage Today (registration required, but free).
bullet point Baxter Completes CE Mark Approval for HOMECHOICE CLARIA Automated Peritoneal Dialysis System with SHARESOURCE
bullet point Lessons from the East — China's Rapidly Evolving Health Care System
Free, full-text perspective piece from the New England Journal of Medicine.
bullet point Tapping Technology, Patient Involvement For Healing
News summary from Kaiser Health News.
bullet point Early Tests of Experimental Ebola Vaccine Show Promise
 


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Wednesday, April 1

FacebookTwitter
  Apr. 1, 2015
bullet point (Amazing!) DaVita and Fresenius Announce Joint Effort to Boost Dialysis Patient Employment
Press release.

"We find the employment rate for working-age U.S. dialysis patients, currently less than 10%, to be a national disgrace and embarrassment. We will be doing everything in our power to restore the largest number of dialysis patients to healthy, thriving, productive lives," said spokesperson Kent Powell.

"We will work to change the financial incentives of the Medicare system so that nephrologists are financially rewarded for increasing the employment rate, not decreasing it.  We believe that updated financial incentives can also drive rapid changes in technology, as well as numerous improvements in our dialysis care system."

"Sadly for patients, we lost sight of the true role of healthcare companies. We will refocus our efforts on improving our patients' lives... and not just their lab values. We will strive to provide them the care we would want for ourselves and our loved ones. Congress, CMS, nephrologists, and every dialysis care company must work together to stop the real harm being done to these vulnerable patients and their families. With America's know-how and determination, we should be able surpass what was accomplished 30 years ago in Tassin, France."

Editor's note:
Finally, great leadership emerges. Here is a graphic that illustrates their previous approach to dialysis patient well-being.
bullet point Heart Groups Issue Updated Blood Pressure Guidelines
Article from HealthDay. Press release from the American Heart Association. 37-page pdf from Hypertension.
bullet point Physicians Advocate for "More Educated and Deliberative Decision Making" about Dialysis
7-minute video about stopping dialysis from SCOPE (Published by Stanford Medicine).
bullet point Hospitals, Doctors Turn To Care Coordinators To Help Keep Older Patients Healthy
News summary from Kaiser Health News.
bullet point NephMadness 2015: A Review of Statins in ESRD
Posting from the AJKD blog.
bullet point Free, Full-Text Articles from Kidney International:
bullet point High-Volume Online Hemodiafiltration Improves Erythropoiesis Stimulating Agent (ESA) Resistance in Comparison with Low Flux Bicarbonate Dialysis: Results of the REDERT Study
Free, full-text article from NDT.
bullet point AST/ASTS Workshop on Increasing Organ Donation in the United States: Creating an “Arc of Change” From Removing Disincentives to Testing Incentives
Free, full-text Early View article from American Journal of Transplantation.
bullet point HIV Patients Experience Better Kidney Transplant Outcomes Than Hepatitis C Patients
Press release from the University of Pennsylvania School of Medicine.
bullet point Annual Congress of the Chinese Blood Purification Center Administration Committee. September 25-28, 2014, Guangzhou: Abstracts
(8-page pdf) Feature from Blood Purification.
bullet point Possible Discrepancy of HbA1c Values and Its Assessment among Patients with Chronic Renal Failure, Hemodialysis and Other Diseases
Free, full-text, Online First article from Clinical and Experimental Nephrology.
bullet point Advance Access Abstracts from NDT:
bullet point Multiple Biomarkers Including Cardiac Troponins T and I Measured by High-sensitivity Assays, as Predictors of Long-term Mortality in Patients with Chronic Renal Failure Undergoing Dialysis
Article in Press abstract from the American Journal of Cardiology.
bullet point Facial Disfigurement Due to Osteitis Fibrosa Cystica or Brown Tumor from Secondary Hyperparathyroidism in Patients on Dialysis: a Systematic Review and an Illustrative Case Report
Early View abstract from Hemodialysis International.
bullet point Effects of Hemoadsorption with a Novel Adsorbent on Sepsis: In vivo and in vitro Study
Issue in Progress abstract from Blood Purification.
bullet point DaVita Healthcare CFO Resigns after Settlements Sting Dialysis Provider
Article from Healthcare Finance.
bullet point Philadelphia-Area Ambulance Company Owner Sentenced to Six Years in Prison
bullet point A Risk Score for Chronic Kidney Disease Can Inform Choice of HIV Medications
bullet point Researchers Question Use of Paracetamol (Acetaminophen) for Lower Back Pain and Osteoarthritis
Press release from the University of Sydney. Article from the British Medical Journal.
bullet point In Pursuit Of Patient Satisfaction, Hospitals Update The Hated Hospital Gown
Article from Kaiser Health News.
 


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Tuesday, March 31

Physicians Advocate for "More Educated and Deliberative Decision Making" about Dialysis
7-minute video about stopping dialysis from SCOPE (Published by Stanford Medicine).
FacebookTwitter
  Mar. 31, 2015
bullet point NephMadness 2015: Obesity as a Survival Factor in ESRD
Posting from the AJKD blog.
bullet point Heart Attack Carries Worse Prognosis In Dialysis Patients
Interview from MedicalResearch.com. Abstract from the American Journal of Cardiology.
bullet point Exercise Gives Advanced CKD Patients Marked Cardiovascular Improvement
Press release from the National Kidney Foundation.
bullet point FDA Strengthens Warnings and Changes Prescribing Instructions to Decrease the Risk of Serious Allergic Reactions with Anemia Drug Feraheme
FDA drug safety communication.
bullet point Free, Full-Text Articles from Pediatric Nephrology:
bullet point Osmotic Homeostasis
Free, full-text, Online First article from the Clinical Journal of the American Society of Nephrology.
bullet point Regional Citrate Anticoagulation for Renal Replacement Therapies in Patients with Acute Kidney Injury: a Position Statement of the Work Group "Renal Replacement Therapies in Critically ill Patients" of the Italian Society of Nephrology
Free, full-text editorial from Journal of Nephrology.
bullet point CJASN Express Abstracts:
bullet point Article in Press Abstracts from American Journal Of Kidney Diseases:
bullet point Provisional Abstracts and Full-Text PDFs from BMC Nephrology:
bullet point Low Physical Function in Maintenance Hemodialysis Patients Is Independent of Muscle Mass and Comorbidity
Article in Press abstract from Journal of Renal Nutrition.
bullet point Abstracts from Journal of Nephrology:

bullet point Innovative Strategies Needed to Address the US Transplant Organ Shortage
Press release from the American Journal of Transplantation.
bullet point Obesity: The Shocking Numbers and New Treatments
(Registration required, but free.) Slideshow by WebMD via Medscape.
bullet point Synthetic Pot Linked to Kidney Injury
Article from HealthDay.
bullet point Hospira Presents Data on Retacrit, an Epogen Biosimilar, at NKF Meeting
bullet point Oral Drug Normalizes Blood Potassium in 98 percent of Kidney Patients
bullet point Maine Woman Desperate For A Kidney Donor, Put A Sign On Her Car Window – It Worked!
bullet point Colorado Man Uses Truck to Help Find Kidney Donor for His Wife
bullet point Reimbursement Key to Improving End-of-Life Care
(Registration required, but free.) Article from Medscape Medical News.
bullet point PCORI Selects 27 Individuals, Small Groups to Move to Second Tier of "Pipeline to Proposal" Awards
Press release from the Patient-Centered Outcomes Research Institute.
bullet point The 'Next Frontier' for Patient and Family Engagement
Article from Hospitals & Health Networks.
bullet point Boston Children's Hospital Weathers 5-Day EHR Crash
The Doc-Fix Back Story: How Boehner And Pelosi Made A Deal
Article from Kaiser Health News.
"CROWNWeb 4.7 – A Sneak Peek" Town Hall Video Presentation Now Available


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Monday, March 30

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  Mar. 30, 2015
bullet point DaVita HealthCare Partners Inc. CFO Resigns Amid Another Federal Inspection
Articles from Bidness Etc and the Denver Post. Press release from DaVita.
bullet point Learning to Say No to Dialysis
Article from The New York Times.

"Typical hemodialysis sessions take place three times a week, and each lasts three to four hours, not including travel — a regimen Dr. O’Hare compares to holding down a part-time job. Afterward, “patients may have cramping. They can feel dizzy, washed out,” Dr. Moss said.

Many report pain or nausea. “A typical older dialysis patient will say, ‘I just go home afterwards and go to bed,’ ” Dr. Moss said. After the good day that usually follows, the cycle repeats."

Editor's note: Many young dialysis patients also follow this pattern. When will U.S. nephrologists embrace the concept that a physician's role is to make the most of life --- not just to extend it for the sake of statistics?

U.S. nephrologists need to embrace the realities of their patients' lives and answer these questions (after second paragraph).

Why are the two leading dialysis news sites (NN&I and RenalWEB) calling for a change of leadership in U.S. nephrology?

bullet point

Death, Hospitalization Rates Falling for Dialysis Patients
(Registration required, but free.) Article from MedPage Today.

bullet point AJKD Blog Coverage of National Kidney Foundation Spring Clinical Meetings:
bullet point Dialysate and Serum Potassium in Hemodialysis
Article in Press abstract from American Journal of Kidney Diseases.
bullet point Specialist and Primary Care Physicians' Views on Barriers to Adequate Preparation of Patients for Renal Replacement Therapy: a Qualitative Study
Provisional abstract and full-text article (18-page pdf) from BMC Nephrology.
bullet point Postings from the Renal Fellow Network Blog:
bullet point Outcome of Patients with Systemic Lupus Erythematosus on Chronic Dialysis: an Observational Study of Incident Patients of the French National Registry 2002-2012
Online First abstract from Lupus.
bullet point White House Releases Plan to Combat and Prevent Antibiotic-Resistant Bacteria
Posting from the White House Blog.
bullet point The Last Hours of Living: Practical Advice for Clinicians
(Registration required, but free.) Article from Medscape Internal Medicine.
bullet point Processed Foods the Biggest Chunk of Calories in U.S. Groceries: Study
New Hepatitis C Drugs Are Costing Medicare Billions
Article from the Washington Post.
No Senate 'Doc Fix' Vote until after Spring Break
News brief from Healthcare DIVE.


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Fri./Sat., March 27-28

Learning to Say No to Dialysis
Article from The New York Times.

"Typical hemodialysis sessions take place three times a week, and each lasts three to four hours, not including travel — a regimen Dr. O’Hare compares to holding down a part-time job. Afterward, “patients may have cramping. They can feel dizzy, washed out,” Dr. Moss said.

Many report pain or nausea. “A typical older dialysis patient will say, ‘I just go home afterwards and go to bed,’ ” Dr. Moss said. After the good day that usually follows, the cycle repeats."

Editor's note: When will U.S. nephrologists embrace the concept that a physician's role is to make the most of life --- not just to extend it for the sake of statistics?

U.S. nephrologists need to embrace the realities of their patients' lives and answer these questions (after second paragraph).

Why are the two leading dialysis news sites (NN&I and RenalWEB) calling for a change of leadership in U.S. nephrology?

Death, Hospitalization Rates Falling for Dialysis Patients
(Registration required, but free.) Article from MedPage Today.

White House Releases Plan to Combat and Prevent Antibiotic-Resistant Bacteria
Posting from the White House Blog.
DaVita HealthCare Partners Announces CFO Transition
FacebookTwitter
  Mar. 27, 2015
bullet point Press Releases from the National Kidney Foundation Spring Clinical Meetings:
bullet point AJKD Blog Coverage of National Kidney Foundation Spring Clinical Meetings:
bullet point FDA Recall Notices from the Enforcement Report for March 25, 2015:
bullet point Home Dialyzors United Opens Discussions with EPOCH-RRT PI Francesca Tentori With a Call on Home Hemodialysis Day
Press release.
bullet point Kidneys From Dead Older Donors May Help Seniors, Study Finds
Article from HealthDay. JASN Express abstract and press release.
bullet point Refining the Definition of Clinically Important Mineral and Bone Disorder in Hemodialysis Patients
Free, full-text, Advance Access article from NDT.
bullet point Interventional Decentralized Telemonitoring: Bridging the Gap Between Patient's Device and Physician's Needs in Well Selected Indications
Free, full-text, Issue in Progress article from Kidney & Blood Pressure Research.
bullet point Gout After Living Kidney Donation: A Matched Cohort Study
Free, full-text, Article in Press article from American Journal of Kidney Diseases.
bullet point Early View abstracts from Hemodialysis International:
bullet point Early View Abstracts from Journal of Renal Care:
bullet point A Comparison of 8 Nutrition-Related Tests to Predict Mortality in Hemodialysis Patients
Article in Press abstract from Journal of Renal Nutrition.
bullet point Aortic Stiffness, Ambulatory Blood Pressure, and Predictors of Response to Antihypertensive Therapy in Hemodialysis
Article in Press abstract from American Journal of Kidney Diseases.
bullet point Longitudinal Changes in Hematocrit in Hypertensive Chronic Kidney Disease: Results from the African-American Study of Kidney Disease and Hypertension (AASK)
Advance Access abstract from NDT.
bullet point Oral Findings in Chronic Kidney Disease: Implications for Management in Developing Countries
Free full-text article from BMC Oral Health.
bullet point Associations of Pre-Transplant Prescription Narcotic Use with Clinical Complications after Kidney Transplantation
Issue in Progress abstract from American Journal of Nephrology.
bullet point Rockwell Medical Announces Triferic™ Clinical Data Selected for Four Poster Presentations at National Kidney Foundation Spring Clinical Meetings
bullet point Senna May Relieve Itching In Some Dialysis Patients
bullet point U.S. Deaths Due to High Blood Pressure Keep Rising: CDC
bullet point Change From the Inside Out: Health Care Leaders Taking the Helm
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point CDC Launches New Round of Graphic Anti-Smoking Ads
Article from HealthDay. CDC press release.
bullet point Ebola Test Vaccines Appear Safe in Phase 2 Liberian Clinical Trial
House Passes 'Doc Fix' Legislation by 392-27
Brief from Healthcare DIVE. Articles from Kaiser Health News and The Hill.
“CROWNWeb 4.7 – A Sneak Peek” Town Hall Slides Now Available
CMS: April 17 Deadline to Apply for ICD-10 End-To-End Testing in June
Marilyn Tavenner, RN, Talks about Life during and after the CMS

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Thursday, March 26*

FacebookTwitter
  Mar. 26, 2015
bullet point Kidney is Focus of 3rd Solving Organ Shortage Science Summit to Advance Research to Regenerate or Bioengineer Organs for Human Transplant
Press release from Solving Organ Shortage.
bullet point Are You Thinking About Going Back to Work?
(1-page pdf) Patient Bulletin from the Northwest Renal Network.
bullet point Models May Predict Two-Year Mortality Risk for CKD Patients
Brief from HealthDay. Abstract from the Journal of the American Geriatrics Society.
bullet point KDIGO Global Newletter for March 2015
(8-page pdf) The last newsletter from the Kidney Disease Improving Global Outcomes group was published in November 2014.
bullet point Free, Full-Text Articles from Nephron:
bullet point Advance Online Abstracts from Kidney International:
bullet point Fresenius in Talks to Buy Israeli Dialysis Company
Article from Globes (Israel).
bullet point FDA Warns of Cardiac Effect When Heart Drug Mixed With Hepatitis C Meds
bullet point FDA Approves New Treatment for Diabetic Retinopathy in Patients with Diabetic Macular Edema
bullet point New Data on NxStage System One To Be Shared at NKF Meeting
bullet point New Minimally Invasive Vascular Access System Demonstrates Positive Outcomes In Dialysis Patients
bullet point Amgen To Appeal Rejection of Bid to Block Novartis' Neupogen Biosimilar
bullet point Greater Use of Antibiotics Tied to Higher Odds of Diabetes
Brief from HealthDay.
bullet point Outcome Not Affected by Family Presence During Resuscitation
Obama Backs Medicare Deal, Pressuring Senate
Article from The Hill.
Stakes Are High For Votes On Budget, Medicare Fix
News summary from Kaiser Health News.


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Wed., March 25

Kidney is Focus of 3rd Solving Organ Shortage Science Summit to Advance Research to Regenerate or Bioengineer Organs for Human Transplant
Press release from Solving Organ Shortage.
New Data on NxStage System One To Be Shared at NKF Meeting
New Minimally Invasive Vascular Access System Demonstrates Positive Outcomes In Dialysis Patients
FacebookTwitter
  Mar. 25, 2015
bullet point Understanding Tassin – or – Perhaps God Is Smarter Than U.S. Nephrologists
Article from RenalWEB. Those wishing to comment can do so on the FixDialysis blog.

Editor's note: This story is being repeated due to high traffic.
bullet point

World's First Anti-Organ Trafficking Treaty Opens
Article from AFP.

bullet point Renal Replacement Therapy in Europe: a Summary of the 2012 ERA-EDTA Registry Annual Report
Free, full-text, Advance Access article from Clinical Kidney Journal.
bullet point Wearable Artificial Kidney: Freedom for Dialysis Patients
Video and article from Ivanhoe Newswire via KLAS Las Vegas.
bullet point Focus on Diabetic Kidney Care at NKF
(Registration required, but free.) Article from MedPage Today.
bullet point Free, Full-Text Articles from April Issue of Clinical Kidney Journal:
bullet point Etiology and Management of Dyslipidemia in Children with Chronic Kidney Disease and End-Stage Renal Disease
Free, full-text, Online First educational review from Pediatric Nephrology.
bullet point Eco-Dialysis: the Financial and Ecological Costs of Dialysis Waste Products: Is a 'Cradle to Cradle' Model Feasible for Planet Friendly Hemodialysis Waste Management?
Advance Access abstract from NDT.
bullet point Article in Press Abstracts from American Journal of Kidney Diseases:
bullet point Prediction of Development of Critical Limb Ischemia in Hemodialysis Patients
Early View abstract from Therapeutic Apheresis and Dialysis.
bullet point The Kidney–Gut Axis: Implications for Nutrition Care
Article in Press abstract from Journal of Renal Nutrition.
bullet point Functional Outcomes of Patients with Amputation Receiving Chronic Dialysis for End-Stage Renal Disease
Abstract from American Journal of Physical Medicine & Rehabilitation.
bullet point Klotho Protects Against Indoxyl Sulphate-Induced Myocardial Hypertrophy
JASN Express abstract.
bullet point Rapid Testing for Gene Variants in Kidney Donors May Optimize Transplant Outcomes
Press release from Wake Forest Baptist Medical Center. Early View abstract from American Journal of Transplantation.
bullet point Transplanting Kidneys from Deceased Donors With Severe Acute Kidney Injury
Early View abstract from American Journal of Transplantation.
bullet point El Camino Hospital and Satellite Healthcare Complete Joint Venture Partnership
bullet point Despite High Rates Of Nursing Injuries, Government Regulators Take Little Action
Audio and article from NPR.
bullet point In Nursing, Men Still Paid More Than Women: Study
Article from HealthDay.
bullet point Preventing Patient Falls is a Team Effort
Medicare's New Chronic Care Management (CCM) Billing Code
Article from Medical Economics.


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Tuesday, March 24

FacebookTwitter
  Mar. 24, 2015
bullet point Understanding Tassin – or – Perhaps God Is Smarter Than U.S. Nephrologists
Article from RenalWEB. Those wishing to comment can do so on the FixDialysis blog.
bullet point The Interdialytic Weight Gain: a Simple Marker of Left Ventricular Hypertrophy in Children on Chronic Hemodialysis
Free, full-text, Online First editorial commentary from Pediatric Nephrology.
bullet point Phosphorus in Drugs For Dialysis Patients Linked to Side Effects
Article from Rutgers Today. Advance Online abstract from Kidney International.
bullet point Uncorrected and Albumin-Corrected Calcium, Phosphorus, and Mortality in Patients Undergoing Maintenance Dialysis
JASN Express abstract.
bullet point Complications of a High Flow Access and Its Management
Early View abstract from Seminars in Dialysis.
bullet point Reducing Inappropriate Polypharmacy:  The Process of Deprescribing
Online First abstract from JAMA Internal Medicine.
bullet point Primary Care and Diabetes: What's New in 2015
(Registration required, but free.) Article from MedPage Today. Article from HealthDay.
bullet point Exercise, But Not Vitamin D, Cuts Injuries From Falls in Older Women: Study
bullet point HHS Subpoenas DaVita Healthcare Subsidiary
bullet point The Platform Trial:  An Efficient Strategy for Evaluating Multiple Treatments
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point Primary Care and Diabetes: What's New in 2015
(Registration required, but free.) Article from MedPage Today. Article from HealthDay.
bullet point Adopting U.S. Culture Ups Diabetes Risk in Mexican-American Kids
Article from HealthDay.
bullet point Ebola Outbreak 'Over by August', UN Suggests
January 2015 Clinical Data Closes on March 31 – Finding "Saved" vs. "Submitted" Data
Notice from Project CROWNWeb.
“CROWNWeb 4.7 – A Sneak Peek” Town Hall Registration Now Open
Scheduled for March 26th.
FAQ: What's In The House's Proposal To Fix Medicare's Payments To Doctors
Article from Kaiser Health News.


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Monday, March 23

FacebookTwitter
  Mar. 23, 2015
bullet point Study Suggests Little Increase in Number of Potential Organ Donors
News release from the Organ Procurement and Transplantation Network.
bullet point Patients May Not Understand Our Guidance
(Registration required, but free.) Video blog posting from Berns on Nephrology via Medscape Nephrology.
bullet point Provisional Abstracts and Full-Text PDFs from BMC Nephrology:
bullet point Early View Abstracts from Seminars In Dialysis:
bullet point Early View Abstracts from Therapeutic Apheresis and Dialysis:
bullet point Associations of Trimethylamine N-Oxide with Nutritional and Inflammatory Biomarkers and Cardiovascular Outcomes in Patients New to Dialysis
Article in Press abstract from Journal of Renal Nutrition.
bullet point Online First Abstracts from Clinical and Experimental Nephrology:
bullet point Mass Screening for Chronic Kidney Disease in Rural and Remote Canadian First Nations People: Methodology and Demographic Characteristics
Provisional abstract and full-text article (21-page pdf) from Canadian Journal of Kidney Health and Disease.
bullet point The Impact of Small Kidneys
Online First abstract from Pediatric Nephrology.
bullet point Less Futile End-Of-Life Care Observed Where Palliative Care Knowledge Is Greater
Press release from Brown University.
bullet point Health Law Brings No Drop In Insurance Enrollment At Work, Study Finds
Article from Kaiser Health News.
CMS Releases Meaningful Use Stage 3 Proposed Rule
Briefs from Healthcare DIVE and AHANews.com.
Medicare And Advance Care Planning
Article from Health Affairs.


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