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Thursday, Sept. 29

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  Sept. 29, 2016
FDA Approves Medtronic's 'Artificial Pancreas' for Diabetes
Articles from Reuters and HealthDay. FDA news release and information.
Minnesota Regulators Investigate If 'Steering' Has Boosted Premiums
Article from StarTribune.
Articles in Press Abstracts from American Journal Of Kidney Diseases:
Comparison of Outcomes between the Incremental and Thrice Weekly Initiation of Hemodialysis: a Propensity Matched Study of a Prospective Cohort in Korea
Advance Access abstract from NDT.
Why Is Your Patient Still Short of Breath? Understanding the Complex Pathophysiology of Dyspnea in Chronic Kidney Disease
Early View abstract from Seminars in Dialysis.
Free, Open Access Articles from BMC Nephrology:
Early Predictors of Acute Kidney Injury: A Narrative Review
Free, Open Access, Issue-in-Progress article from Kidney & Blood Pressure Research.
11 New PDI in Press Abstracts Including:
Full-Text Articles from World Journal of Nephrology:
Full-Text Articles from PLOS ONE:
Congress Approves $1.1 Billion in Zika Funding
Articles from STAT and HealthDay #1#2, and #3. Vaccine articles #1 and #2 from The New England Journal of Medicine.
The Odd Silence From Patient Advocacy Groups On Drug Prices
News brief from Kaiser Health News.
Lowering the Bar on the Low-Fat Diet
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
Aetna Bets On Apple Watches Amid Growing Skepticism Of Wearables' Health Benefits
News summary from Kaiser Health News.
MedPAC Pokes Holes in Hospital Star Ratings, Says Data Doesn't Support 'Apples to Apples' Comparisons
Article from Healthcare Finance. Comment letter (2-page pdf) from the Medicare Payment Advisory Commission.


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Wednesday, Sept. 28

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  Sept. 28, 2016
Dialysis Organizations Team Up with CDC To Protect Patients
Press release.
High US Dialysis Use Shows Need for Reform
(Registration required, but free) Article from Medscape Medical News.

Editor's note: Excellent comments on this article. My favorite is by Dr. Michael Fleming:
"As a very wise man once said to me, "The damnedest thing about incentives is.....they work!"

Whether for better or worse, they do work. I suggest that we re-define "quality care" as care that meets the patients goals and needs.....PERIOD."
The financial incentives in U.S. dialysis care are for patients to receive minimal, rapid, organ-stunning treatments with no emphasis on psychosocial needs, patient employment or rehabilitation. The American Society of Nephrology and Renal Physicians Association need to address these perverse financial incentives instead of ignoring them. They must also stop promoting the "science" that justifies taking no action while many of their members enjoy immense profits from these life-destroying financial incentives.
Super-Secret KCER Requires Patients To Sign a Pledge Form To Participate in Their New "What If..." Campaign
(1-page pdf) Information from the Kidney Community Emergency Response coalition.

Editor's note: This appears to be another provider information dump on the patients. One must ask if this pledge will be used to justify little or no KCER support during emergencies (keeping their information secret) and to allow KCER to shift blame to the patients and avoid any legal responsibilities.
The Changing Trends and Outcomes in Renal Replacement Therapy — Data From the ERA-EDTA Registry
(Registration required, but free.) Article from NDT via Medscape Nephrology.
Free, Full-Text Articles from NDT:
Free, Full-Text Articles from Pediatric Nephrology:
Free, Full-Text Articles from American Journal of Transplantation:
Buttonhole Cannulation of the AV Fistula: A Critical Analysis of the Technique
Early View abstract from Seminars in Dialysis.

Quality of Life in Children with Chronic Kidney Disease
First Online abstract from Pediatric Nephrology.

Early View Abstracts from Hemodialysis International:
Nonsteroidal Anti-Inflammatory Drug Use in Patients with Chronic Kidney Disease
Free, Open Access, First Online article from Journal of Nephrology.
Advance Online Abstracts from the Journal of Vascular Access:
Full-Text Articles from Saudi Journal of Kidney Diseases and Transplantation:
When Drug Reviewers Leave The FDA, They Often Work For Pharma
Article from Kaiser Health News.

Editor's note: Is this happening in dialysis, too?
Robot Nurses to Help Relieve Staffing Shortages; The Critical Importance of Nurse Researchers
Article from Hospitals & Health Networks.
1st Baby Born With DNA From 3 Parents
Article from HealthDay.
Patient ID Mixups Still a 'Significant' Problem, New Analysis Finds
Press release from ECRI.
CMS National Provider Call on Emergency Preparedness Requirements in New Final Rule
Scheduled for Oct. 5, 2016, 1:30 PM ET. Registration now open.
Former CMMI Chief Warns CMS Is 'Starving' ACOs
Article from HFMA.


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Tuesday, Sept. 27

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  Sept. 27, 2016
DCI, the Largest Non-Profit Dialysis Provider, Is Joined by Other Groups To Oppose the Dialysis PATIENTS Demonstration Act
Information from Dialysis Clinics Inc. (DCI). Also see DCI letter to Senators Heller and Nelson (3-page pdf), letter from the Non-Profit Kidney Care Alliance (3-page pdf), and letter from the American Society of Transplant Surgeons, American Society of Transplantation, and American Association of Kidney Patients (2-page pdf). The bill is H.R.5942 / S.3090.

Statement from DCI:

While on its face the Dialysis PATIENTS Demonstration Act seems beneficial, based on our review, we believe its passage is not in the best interest of kidney patients, and we strongly oppose its passage. 
 
Under the provisions in the Dialysis PATIENTS Demonstration Act, patient choice is limited and the legislation fails to provide patients, at a time of great personal duress and health concern, adequate time to make a reasonable decision on their care.  We also have concerns that patients do not have the option to depart the model they have been assigned to whenever they choose based on any concerns about the quality of care they are receiving.  In addition, there is a risk of disruption in the patient-physician-clinic relationship with closed networks, as proposed in the legislation.
 
The Dialysis PATIENTS Demonstration Act fails to address three critical aspects of kidney care including chronic kidney disease, transplant, and end of life care.  Without these pieces included in the model, we are not providing patients with the best care options.  Inclusion of these pieces is necessary in order to truly provide integrated care throughout all phases of the disease and achieve savings in the Medicare program.

Editor's note: I found only two organizations supporting this legislation. Press releases supporting the legislation are from DaVita and Dialysis Patient Citizens (formerly DaVita Patient Citizens). Both of these press releases refer to the same Senate bill number (S 3090), but reference a different House bill number, HR 5506. The DCI press release instead references HR 5942.
Morbidity, Mortality And Quality of Life in the Aging Hemodialysis Population: Results from the ELDERLY Study
Free, Open Access, Advance Access article from Clinical Kidney Journal.
New Hurdles in the Sprint for Transplant
Posting from the KidneyViews blog.
Free, Full-Text Article from Hemodialysis International:
Mending a Broken Heart but Breaking the Kidney
Free, full-text review article from Nephrology.
Free October 2016 Issue of Clinical Kidney Journal
16 full-text articles.
Initiation of Erythropoiesis-Stimulating Agents and Outcomes: a Nationwide Observational Cohort Study in Anaemic Chronic Kidney Disease Patients
Advance Access abstract from NDT.

The Challenge of Controlling Phosphorus in Chronic Kidney Disease
(Registration required, but free.) Free, full-text, article from NDT via Medscape Nephrology.

Early Infection Risk with Primary Versus Staged Hemodialysis Reliable Outflow (HeRO) Graft Implantation
Article in Press abstract from Journal of Vascular Surgery.
Exercise Speeds Seniors' Recovery From Disability
Article from HealthDay. Online First abstract and full-text Summary for Patients from Annals of Internal Medicine.
A Trip to a Roller Coaster Park to Clear Kidney Stones?
Five Recent Medical News Stories That Invite Cynicism
(Registration required, but free.) Commentary from Medscape Nephrology.

"I'm honestly more concerned about the folks who aren't cynical right now because either they're desperately misinformed, terrible critical thinkers, or it's a sign that marketing strategies are working or they've given in and become irreparably apathetic." - Commment by Dr. Deborah Proctor
21 Free, Full-Text, Online First Articles from the Journal of the American Medical Association; Sept. 26th Articles Include:
MACRA Flexibility Changes Draw Praise, but Providers Must Move Forward
Article from Medical Economics.


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Monday, Sept. 26

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  Sept. 26, 2016
Anxiety Is an Underrecognized Yet Serious Clinical Problem for Dialysis Patients
Press release and CJASN Express abstract from the American Society of Nephrology.
Liberal Dialysis Use in the U.S. Elderly With Advanced CKD — Conservative Management Option Rarely Offered
(Registration required, but free.) Article from MedPage Today. CJASN Express abstract.
ISPD Peritonitis Recommendations: 2016 Update on Prevention and Treatment
Free, Open Access article from Peritoneal Dialysis International.
Health-Related Quality of Life across All Stages of Autosomal Dominant Polycystic Kidney Disease
Free, full-text, Advance Access article from NDT.
(Registration Required, but Free) Articles from Medscape Nephrology:
Knowledge Translation Interventions to Improve the Timing of Dialysis Initiation — Protocol for a Cluster Randomized Trial
Free, Open Access article from Canadian Journal of Kidney Health and Disease.
Does Pre-and Postangioplasty Doppler Ultrasound Evaluation Help in Predicting Vascular Access Outcome?
Advance Online abstract from the Journal of Vascular Access.
Drug-Resistant Germs Thrive in America's Corroding Water Systems
Article from HealthDay. Press release from Tufts University School of Medicine. Free, full-text, First Online article from Journal of Public Health Policy.
'Medical Tattoos' Help Hide Surgical Scars
20 Million Would Lose Coverage Under Trump's Health Plan, Analysis Finds
News summary from Kaiser Health News.
Infection Prevention Moves Toward Automation
Summary from Hospitals & Health Networks.
Black Gains in Life Expectancy
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
CROWNWeb Town Hall: Connecting the Pieces
Thursday, September 29th, 2016, at 2:00 PM.
Only 20 Percent of Physicians Familiar With MACRA: Survey
Article from HFMA.


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Fri./Sat., Sept. 23-24

Anxiety Is an Underrecognized Yet Serious Clinical Problem for Dialysis Patients
Press release and CJASN Express abstract from the American Society of Nephrology.
Liberal Dialysis Use in the U.S. Elderly With Advanced CKD — Conservative Management Option Rarely Offered
(Registration required, but free.) Article from MedPage Today. CJASN Express abstract.
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  Sept. 23, 2016
National Kidney Foundation Statement on the Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act of 2016
Press release. Press release from Congressmen Burgess (R-TX) and Kind (D-WI).

Editor's note: Here is legislation that saves the government money and keeps patients off dialysis. Why isn't Kidney Care Partners listed as one of the supporting organizations in the congressmen's press release? Why hasn't the American Kidney Fund, which pays insurance premiums for patients on dialysis, filled this need? What corporate entities will be working to defeat this legislation... again?

According to OpenSecrets.org, in terms of lobbying and influence spending among health services companies in 2015, DaVita Healthcare Partners was #2, spending $4,490,000. Fresenius Medical care was #3, spending $3,439,000.

Where do Dr. Franklin Maddux and Dr. Allen Nissenson stand? Whom are they taking care of?
American Kidney Fund Urges CMS to Protect Low-Income Disabled ESRD Patients From Insurers' Discriminatory Efforts to Shift Them to Taxpayer-Funded Health Care
Press release.

Editor's note: Why does the American Kidney Fund stop paying insurance premiums for dialysis patients after they receive a transplant? Is there better evidence of why this organization is best described as a tool of the large dialysis providers?
Self-Care and the Tablo Dialysis Machine
Article from Nephrology News & Issues.
The Agreement between Auscultation and Lung Ultrasound in Hemodialysis Patients: The LUST Study
CJASN Express abstract.
Advance Access Abstracts from NDT:
Course of Chronic Kidney Disease in French Patients
Free, full-text, Advance Access article from Clinical Kidney Journal.
Articles in Press Abstracts from Journal Of Renal Nutrition:
America Is Not the Greatest Country on Earth. The U.S. is No. 28 In Global Health Rankings
Article from Bloomberg. Full-text article from The Lancet.
‘The Greed Is Astounding’: Lawmakers Berate EpiPen-Maker’s CEO Over Price Gouging
News summary from Kaiser Health News.
World Leaders Agree on Action to Combat Antimicrobial Resistance

Comment Request on In-center Hemodialysis Consumer Assessment of Healthcare Providers and Systems (CAHPS)
Notice from The Federal Register. Comments are due by Oct. 24.

Medicare Advantage Premiums Remain Stable in 2017; Beneficiaries Have Saved over $23.5 Billion on Prescription Drugs
CMS press release.
Affordable Care Act Has Strengthened Medicare Advantage and Prescription Drug Program
Posting from The CMS Blog.


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Thursday, Sept. 22

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  Sept. 22, 2016
Kidney Care Community Celebrates Passage of the House of Representatives' ESRD Choice Act by Unanimous Vote
Press release from Kidney Care Partners.

Editor's note: Another dialysis care bill passed in the House of Representatives without debate or discussion so that taxpayers can better service billions in junk-bond debt. Congratulations, Dr. Franklin Maddux... and keep those campaign contributions coming.

The U.S. dialysis industry needs to be held accountable for its lousy science, poor patient outcomes, lack of focus on patient employment and rehabilitation, and junk-bond multimillionaire nephrologists.

These nephrologists should consider the oaths that today's medical students are taking.
"The Hippocratic oath has been out of fashion for a while. It doesn't actually say, "do no harm," but it does pledge allegiance to mythical goddesses, among other things. In its place are modernized oaths, which combine the idea of "do no harm" with vows to remember both the human beings on the other end of the stethoscope and their social and financial well-being when treating them." - from STAT
Early Home-Based Group Education to Support Informed Decision-Making Among Patients With End-Stage Renal Disease
(Registration required, but free.) Article from NDT via Medscape Nephrology.
Free, Full-Text Articles from American Journal Of Kidney Diseases:
Chronic Kidney Disease in Primary Care: Outcomes after Five Years in a Prospective Cohort Study
Free, Open Access article and perspective piece from PLOS Medicine.
Association of Multiple Ischemic Strokes with Mortality in Incident Hemodialysis Patients: an Application of Multistate Model to Determine Transition Probabilities in a Retrospective Observational Cohort
Free, Open Access article from BMC Nephrology.
Organ Transplants Linked to Higher Skin Cancer Risk
Article from HealthDay. Free, full-text, Online First article from JAMA Dermatology.
Medical Neighborhood Model for the Care of Chronic Kidney Disease Patients
Issue-in-Progress abstract from American Journal of Nephrology.
More Older Americans Are Dying From ‘Epidemic’ Of Falling

1 in 2 Physicians Demoralized, Dissatisfied
Article from HealthLeaders Media.

Opioid Epidemic Costs U.S. $78.5 Billion Annually: CDC
Article from HealthDay.
Free, Full-Text Articles from the New England Journal Of Medicine:
 


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Wednesday, Sept. 21

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  Sept. 21, 2016
RPA Letter in Support of Draft Immunosuppressive Drug Coverage Legislation
Letter from the Renal Physicians Association.
RENEW—A Renal Redesign Project in Predialysis Patient Care
Free, Advance Access, Open Access, article from Clinical Kidney Journal.

"The RENEW Project has succeeded in improving the experience of the patient journey for renal patients and their caregivers as well as renal staff, and has been successful in increasing the number of patients dialysing at home independently, while at the same time realizing productivity savings to improve the capacity of the health system to meet the growing demands on the dialysis service. This project has demonstrated the value of leadership, staff engagement, a structural redesign process, planned implementation and change management."

Editor's note: This is from Australia.
The Efficacy and Safety of Sevelamer and Lanthanum Versus Calcium Containing and Iron-based Binders in Treating Hyperphosphatemia in Patients with Chronic Kidney Disease: a Systematic Review and Meta-Analysis
Advance Access abstract from NDT.
Scaling Hemodialysis Target Dose to Reflect Body Surface Area, Metabolic Activity, and Protein Catabolic Rate: A Prospective, Cross-sectional Study
Article in Press abstract from American Journal of Kidney Diseases.
Vasodilation and Exercise Capacity in Patients with End-Stage Renal Disease: A Prospective Proof-of-Concept Study
Issue-in-Progress abstract from CardioRenal Medicine.
Advance Online Abstracts from the Journal of Vascular Access:
African Ancestry–Specific Alleles and Kidney Disease Risk in Hispanics/Latinos
JASN Express abstract.
Controversies in Cardiology — What We Learned from the PARADIGM-HF Trial
(Registration required, but free.) Video from MedPage Today.
Summit Examines Advanced Illness Care
News brief from AHANewsNow. 2016 National Summit on Advanced Illness Care web page.
Hitch Keeps Many High-Deductible Plans From Covering Chronic Care Up Front
Article from Kaiser Health News.
Sri Lanka To Relax Glyphosate Weedicide Ban: Report
More Must Be Done to Fight 'Superbugs': U.S. Gov't Report
Article from HealthDay. Press release from the National Institute of Allergy and Infectious Diseases. Free, full-text article from the Journal of the American Medical Association.
Full-Text Articles from the Journal of the American Medical Association:
Wearable Activity Trackers May Not Boost Weight Loss
 


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Tuesday, Sept. 20*

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  Sept. 20, 2016
"Nothing about Us without Us" — Patient Partnership in Medical Conferences
Article and editorial from the BMJ. Related blog entries #1, #2, and #3.

Editor's note: It is time for the American Society of Nephrology and the Renal Physicians Association to provide a forum for patient voices at their meetings. Corporate interests have been able to successfully cast doubt on the benefits of longer and/or more frequent dialysis treatments for too long at these meetings without patient participation or pushback.

It's time for the U.S. dialysis industry to stop acting like the tobacco and sugar industries. U.S. nephrology needs to face the patients they have been harming and to explain the "science" that justifies placing so many patients in treatment regimens that nephrologists would never accept for themselves.
Article from Nephrology News & Issues:
Transplant Medicine in China: Need for Transparency and International Scrutiny Remains
Free, Early View, Open Access article from the American Journal of Transplantation.

"This paper expresses the viewpoint that, in the current context, it is not possible to verify the veracity of the announced changes, and it thus remains premature to include China as an ethical partner in the international transplant community. Until we have independent and objective evidence of a complete cessation of unethical organ procurement from prisoners, the medical community has a professional responsibility to maintain the academic embargo on Chinese transplant professionals."
Long-Term Non–End-Stage Renal Disease Risks After Living Kidney Donation
Early View abstract from American Journal of Transplantation.
How Much Is That Kidney in the Window? The Ethics of Legalizing Kidney Sales
(Registration required, but free.) Article from Medscape Nephrology.
GRADE Methods for Guideline Development: Time to Evolve?
Free, full-text, Online First articles from Annals of Internal Medicine.
Free, Open Access Articles from BMC Nephrology:
The Effect of Altitude on Erythropoiesis Stimulating Agent Dose, Hemoglobin Level, and Mortality in Hemodialysis Patients
Free, First Online, Open Access article from Journal of Nephrology.
Free, Open Access, Advance Access Articles from Clinical Kidney Journal:
Evaluating Safety of Tunneled Small Bore Central Venous Catheters in Chronic Kidney Disease Population: a Quality Improvement Initiative
Early View abstract from Hemodialysis International.
The Risk of Chronic Kidney Disease and Mortality Are Increased after Community Acquired Acute Kidney Injury
Article in Press abstract from Kidney International.
Effectiveness of a Multicomponent Quality Improvement Strategy to Improve Achievement of Diabetes Care Goals: A Randomized, Controlled Trial
Abstract from Annals of Internal Medicine.
CDC Webinar for Nurses on Sept. 22 on Early Sepsis Recognition
News brief from AHANewsNow.
Quanta to Present Interim Analysis of First 255 Treatments Using SC+ at the 10th International Congress of the ISHD
Fresenius Medical Care Announces Launch of 6008 CAREsystem into the Asia-Pacific Market
CDC Issues Updates on Florida Zika Virus Transmission, Guidance
CDC: Too Many Antibiotics Still Being Prescribed
Article from HealthDay. Free, full-text, Online First article from JAMA Internal Medicine.
The Truth about Why the US Can't Control Healthcare Costs
Article from Medical Economics.

"Until we create a system that rewards investment in wellness and healthcare dollars not spent, there is reason to fear that the negative effects of healthcare excesses will continue to be borne by households, businesses, and governments."


Editor's note:
In dialysis care, the system should reward reductions in unemployment and disability. Focusing on treatment costs alone is a penny-wise, pound-foolish mistake. Today's system completely ignores the additional societal costs driven by unemployment and disability, as well as the lost opportunity costs.
2016 Update on Medical Overuse — A Systematic Review
Free, full-text, Online First review article from JAMA Internal Medicine.
 


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Monday, Sept. 19

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  Sept. 19, 2016
45th EDTNA/ERCA International Conference
The European Dialysis and Transplant Nurses Association / European Renal Care Association meeting is being held in Valencia, Spain, September 17-20, 2016. The program and abstract book can be downloaded.
A Home Dialyzor’s Comments to CMS About the Proposed QIP Measures
Posting from the KidneyViews blog.

"Patient education, empowerment and engagement are a must if a dialyzor wants to experience the best possible outcome for their dialysis treatments. Physicians, nurses, clinics and staff must be taught to value an educated and engaged patient, and not be threatened by, nor to retaliate (which sadly occurs all too often) on someone who wants to be involved in their treatment. Patients must be made aware of and have access to referral services such as Physical Therapy and Vocational Rehabilitation, and not be encouraged to quit work, become inactive, or accept an inferior quality of life. Patients must never be told “That’s life on dialysis, just accept it!”.
Intensive Home Hemodialysis Results in Regression of Left Ventricular Hypertrophy and Better Clinical Outcomes
Issue-in-Progress abstract from American Journal of Nephrology.
Poor Sleep and Reduced Quality of Life Were Associated with Symptom Distress in Patients Receiving Maintenance Hemodialysis
Free, Open Access article from Health and Quality of Life Outcomes.
Article in Press Abstracts from American Journal Of Kidney Diseases:
Suicide and Chronic Kidney Disease: a Case-Control Study
Advance Access abstract from NDT.
Articles in Press Abstracts from Kidney International:
Vadadustat, a Novel Oral HIF Stabilizer, Provides Effective Anemia Treatment in Nondialysis-Dependent Chronic Kidney Disease
Free, full-text, Open Access Article in Press from Kidney International.
Articles from Nephrology News & Issues:
Hepatitis B Reverse Seroconversion and Transmission in a Hemodialysis Center
(Registration required, but free. Free, full-text article from American Journal of Kidney Diseases via Medscape Nephrology.
Comment on the Article "On Patients Who Purchase Organ Transplants Abroad"
Online First letter to the editor from American Journal of Transplantation.
Published Ahead-of-Print Abstracts from Current Opinion in Nephrology and Hypertension:
How Group Visits Can Improve Chronic Condition Management
Article from Medical Economics.
HHS Takes Steps to Provide More Information about Clinical Trials to the Public
News release from the National Institutes of Health. Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
Studies Link Cancer Patient's Survival Time To Insurance Status
Article from Kaiser Health News.
Updates to the 72X Type of Bill for Home and Self-Dialysis Training, Retraining, and Nocturnal Hemodialysis
(5-page PDF) CMS Program Transmittal R1715OTN, one-time notification.
CMS Incentivizes Unnecessary Medicare Wellness Visits
Article from Medical Economics.


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Fri./Sat., Sept. 16-17

A Home Dialyzor’s Comments to CMS About the Proposed QIP Measures
Posting from the KidneyViews blog.

"Patient education, empowerment and engagement are a must if a dialyzor wants to experience the best possible outcome for their dialysis treatments. Physicians, nurses, clinics and staff must be taught to value an educated and engaged patient, and not be threatened by, nor to retaliate (which sadly occurs all too often) on someone who wants to be involved in their treatment. Patients must be made aware of and have access to referral services such as Physical Therapy and Vocational Rehabilitation, and not be encouraged to quit work, become inactive, or accept an inferior quality of life. Patients must never be told “That’s life on dialysis, just accept it!”.
Articles from Nephrology News & Issues:
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  Sept. 16, 2016
Articles from Nephrology News & Issues: Editor's note: To the last story I would add that American dialysis industry of the late 20th and early 21st centuries is now considered the classic textbook example of how poorly designed financial incentives for medical specialists can lead to the corruption of medical ethics codes and the failure of physicians to fulfill patient advocacy responsibilities. In 2046, some former nephrology leaders are still being held in home-based cyberprisons. As one multimillionaire nephrologist admitted publically at a nursing meeting in 2013, "We offer patients a therapy that we would not find acceptable to us or our families. Shame on us."
Occupational Therapy Reduces Hospital Readmissions, Research Finds
Press release. OnlineFirst abstract from Medical Care Research and Review.
Free CDC Webinar: Successful Antibiotic Stewardship Program Actions: Antibiotic Time-Out- Essential Elements and Development
Registration open for webinar on Friday, Sept. 16, 3 PM ET.
Letter from Former Insider at Chinese Hospital Reports Detail About Organ Harvesting
Article from Epoch Times.
Medication Adherence after Renal Transplantation - A Review of the Literature
Early View abstract from Journal of Renal Care.
Early View Abstracts from Therapeutic Apheresis and Dialysis:
Serum Phosphorus Linked With Left Ventricular Remodeling
Summary from Renal & Urology News.
Safety of a Hybrid Closed-Loop Insulin Delivery System in Patients With Type 1 Diabetes
Free, full-text, Online First research letter from the Journal of the American Medical Association.
The Gut-Kidney Axis in Chronic Renal Failure: a New Potential Target for Therapy
Early View abstract from Hemodialysis International.
Development of a Multicenter Ward–Based AKI Prediction Model
CJASN Express abstract.
Effects of Statins on the Kidneys in Patients with Type 2 Diabetes
First Online abstract from Clinical and Experimental Nephrology.
Articles from the CDC's Morbidity and Mortality Weekly Report:
Stem Cells Transplanted in Monkeys Without Anti-Rejection Drugs
Tighter Blood Pressure Control Could Save 100,000 U.S. Lives: Study
Mosquito-Borne Mayaro Virus Detected in Haiti
Press release from University of Florida.
 


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Thursday, Sept. 15

Free CDC Webinar: Successful Antibiotic Stewardship Program Actions: Antibiotic Time-Out- Essential Elements and Development
Registration open for webinar on Friday, Sept. 16, 3 PM ET.
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  Sept. 15, 2016
Making the Case for In-Center, Self-Care Hemodialysis
Article from Nephrology News & Issues.
Yale New Haven Hospital Receives Approval and Certification to Perform HIV-HIV Organ Transplants
Press release.

Con: Randomized Controlled Trials (RCT) Have Failed in the Study of Dialysis Methods
2013 editorial from NDT. The issue includes a "pro" argument and a moderator's view.

"All progress in dialysis methods was made in research presented in case reports, case–control studies and other observational studies."

"‘...observational studies allow clinical research to represent the full breadth of treated patients and offer tremendous power ….’ "

Editor's note: This issue is now free for all. Read this remarkable abstract and editorial from a European journal concerning the scientific validity of studies that have shaped the US dialysis care industry. Is US dialysis care based on solid science or is it based on randomized controlled trials with statistical errors and built-in biases that serve the goals of junk-bond corporations?

This editorial also helps demonstrate why targeting employment as an outcome will drive progress in dialysis care and technology for all patients. Each patient has unique needs and there is no single dialysis method that delivers the best life outcomes for everyone.

Articles from HealthDay: "It is remarkable what fruits and vegetables can do, along with a little exercise," Lona Sandon said.

Editor's note: It's time to redesign dialysis facilities. They should facilitate exercise during treatments and with every dialysis clinic pouring thousands of gallons of waste RO water down the drain every day, every clinic could have a garden growing fruits and vegetables.
Winners of RSN's 14th Annual Essay Contest
Essays from Renal Support Network on the topic of "What Do You Know Now About Chronic Kidney Disease That You Wish You'd Known When You Were Diagnosed?"
Phosphate—A Poison for Humans?
Free, full-text article from Kidney International.
CJASN Express Abstracts:
The Long-Term Follow-up and Support for Living Organ Donors: A Center-Based Initiative Founded on Developing a Community of Living Donors
Early View abstract from American Journal of Transplantation.
Effect of Scavenging Circulating Reactive Carbonyls by Oral Pyridoxamine in Uremic Rats on Peritoneal Dialysis
Early View abstract from Therapeutic Apheresis and Dialysis.
Studies: Employer Costs Slow As Consumers Use Less Care, Deductibles Soar
Article from Kaiser Health News.
Free, Full-Text Articles from the New England Journal Of Medicine:
Free, Full-Text Articles from the New England Journal Of Medicine:
 
 


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Wednesday, Sept. 14

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  Sept. 14, 2016
Influence and Lobbying Spending by Health Services Companies in 2015
Listing from OpenSecrets.org. Also see years 2014, 2013, 2012, 2011.

In 2015, DaVita Healthcare Partners was #2, spending $4,490,000.

Fresenius Medical care was #3, spending $3,439,000.

Editor's note: We have just discovered that the sugar industry manufactured its own science, much like the tobacco industry did for many years. Both tobacco and sugar used campaign contributions to facilitate Congress' acceptance of their "scientific" findings.

I believe we will soon add the dialysis industry to this list of shameful science manufacturers. What makes this worse is that these CEOs and the researchers and nephrologists that collaborate with them are exploiting some of the most vulnerable people in our society.

See this 20016 KidneyViews posting by Eric Weinhandl, PhD about the Frequent Hemodialysis Network (FHN) Trial. Also see this 2014 Dear Senators letter by Dr. John Agar from Nephrology News & Issues. An excerpt:
"When programs that cost ½ the amount but deliver twice the outcomes are working so effectively in countries outside the US, can you explain to me why lawmakers within the US have consistently incentivized the dialysis practice patterns and reimbursement systems that enshrine and achieve the very poorest outcomes possible for its dialysis-dependent citizens? In the US — informed by poor data — lawmakers appear to have bent over backwards to dis-incentivize home care.

"To me, it is breathtakingly incomprehensible."

1 in 4 Medicare Patients Uses Blood Pressure Meds Incorrectly
Article from HealthDay.
Secrets to Engagement: Start with the Patient and Work Backward
Article from Healthcare IT News.

"Patient engagement is whatever the patient thinks it is," said Frederick Muench, director of digital health intervention in the Department of Psychiatry at Northwell Health. "If we start at that point, work backward by figuring out the barriers and the fitting technology in, we're able to overcome those barriers and judge success as outcomes."
Expanding Access: First Clinical Trial Transplants Hepatitis C-Infected Kidneys at Penn Medicine
Article from Philly.com.
Tough Call for Surgeons: Should They Tell Transplant Patients Their Donor Was an Addict?
Article from STAT.
Vouchers and Incentives Can Increase Kidney Donations and Save Lives
Opinion piece from STAT.
Free Access Articles from Nephron:
The Many Gaps of Methanol Poisoning
Posting from the AJKD blog.
Limited Dialysis Clearance for Oxycodone, Noroxycodone
Article from Renal & Urology News.
Sugar Companies Shifted Focus to Fat as Heart Harm: Study
Article from HealthDay.
The Hypoxia Response Pathways — Hats Off!  (Lasker Award)
Free, full-text, Online First article from the New England Journal of Medicine. Online First viewpoint article from the Journal of the American Medical Association.
Hepatitis C Virus—From Discovery to Cure: The 2016 Lasker-DeBakey Clinical Medical Research Award
Online First viewpoint article from the Journal of the American Medical Association.
Number Of Uninsured Falls Again In 2015, to 9.1%
Article from Kaiser Health NewsNews brief from AHANewsNow.
2016-2017 Influenza (Flu) Resources for Health Care Professionals
(5-page PDF) MLN Matters notice from CMS.
GAO: Prices for More Than 300 Part D Generic Drugs Surge over Five Years
News brief from AHANewsNow.
New Data: 49 States Plus DC Reduce Avoidable Hospital Readmissions
Posting from The CMS Blog.


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Tuesday, Sept. 13

Expanding Access: First Clinical Trial Transplants Hepatitis C-Infected Kidneys at Penn Medicine
Press release.
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  Sept. 13, 2016
McDermott: Swift Ways & Means Committee Passage Of Revised Dialysis Bill Shows Broken Process
(Headline only) Extract from InsideHealthPolicy.com.

Editor's note:
Representative McDermott (D-WA) is a physician. He is in his last term.

When dialysis-related legislation is passed in today's do-nothing Congress, it is never debated. Only the largest corporations, through significant campaign contributions, are able to make Congress act in this manner. There is no intelligent U.S. dialysis policy formation process, as Congress has been led to believe that the Kidney Care Partners (KCP) coalition represents patients' best interests. Nearly all patient "advocacy" groups, organizations, and voices depend on corporate and/or KCP-related financial support.

Worst of all, the American Society of Nephrology and Renal Physicians Association are too invested in the junk-bond dialysis business model to effectively act on the patients' behalf. They continue to allow patients to be easily steered into for-profit treatment regimens that their members would never accept for themselves.
Sugar Industry Downplayed Heart Risks of Sugar, Promoted Risks of Fat: Study
Articles from Reuters and STAT.  Full-text, Online First article and commentary from JAMA Internal Medicine.

(from commentary) "The documents leave little doubt that the intent of the industry-funded review was to reach a foregone conclusion. The investigators knew what the funder expected, and produced it. Whether they did this deliberately, unconsciously, or because they genuinely believed saturated fat to be the greater threat is unknown. But science is not supposed to work this way. The documents make this review seem more about public relations than science."

Editor's note: Is this what is happening in U.S. research on longer/more frequent and home hemodialysis? Consider these 2015 KidneyView blog postings by (Australian) Dr. John Agar: Absurd and Sad. Also see this 2016 posting by Nieltje Gedney: Dialysis Choice or Dollars? The direction of U.S. nephrology makes little medical sense.

We should not underestimate the power and influence (especially on prominent nephrologists) of multibillion dollar corporations, especially when they rely on junk-bond financing. Their financial projections for servicing their long-term debt rely on the cheapest treatment regimens.

U.S. nephrology needs to develop a conscience beyond one-paragraph statements by their society/foundation presidents at annual meetings.
We Need to Take the Next Step
Early View letter to the editor from American Journal of Transplantation.
Emerging Role of High-Resolution Imaging in the Detection of Renal Osteodystrophy
Free, full-text review article from Nephrology.
Survival of Elderly Adults Undergoing Incident Home Hemodialysis and Kidney Transplantation
Early View abstract from Journal of the American Geriatrics Society.
Plasma Vitamin C Levels in ESRD Patients and Occurrence of Hypochromic Erythrocytes
Early View abstract from Hemodialysis International.
Defining Myocardial Tissue Abnormalities in End-Stage Renal Failure with Cardiac Magnetic Resonance Imaging Using Native T1 Mapping
Free Open Access article from Kidney International.
First Online Abstract from International Urology and Nephrology:
Despair at Losing One's Job
Press release from University of the Basque Country.
Human Kidney Progenitors Isolated, Offering New Clues to Cell Renewal
Criteria to ID Those Who Won't Survive Cardiac Arrest, Could Be Referred for Organ Donation
Bacteria in Water Supplies Driving up Healthcare Spending, Report Finds
GAO: Most Exchange Enrollees Satisfied with Their Health Plans
News brief from AHANewsNow. Summary and link to the full report from the U.S. Government Accountability Office.
CMS's Center for Medicare and Medicaid Innovation Still on Track for Savings: CBO
Article from HFMA.


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Monday, Sept. 12

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  Sept. 12, 2016
An Obituary for Baxter's Vivia Home HD Machine
Posting from the KidneyViews blog.

Editor's note: I would add that the lack of a strong financial incentive for dialysis providers to deliver employed and rehabilitated dialysis patients also contributed to the demise of this machine. This machine could have greatly helped those patients.

Nephrologist ownership of dialysis facilities, poor oversight of financial incentives by Congress and CMS, and the "get rich" opportunities created by junk-bond financing of dialysis facility acquisitions have resulted in perverse goals in U.S. dialysis care. Success in U.S. dialysis care today means hitting biochemical marker targets (sometimes through fraud) and successfully servicing the enormous junk-bond debt that has made so many U.S. nephrologists multimillionaires.

Unfortunately, there are almost no technological advances that would significantly increase U.S. dialysis provider profits, which are almost totally derived from private insurance during the first 30 months that a non-Medicare patient is on dialysis. If significant technological change is ever going to happen In the U.S., a strong financial incentive is needed to drive technology improvements, or apparently, to motivate a company like Fresenius Medical Care to offer its sorbent and hemodiafiltration technologies to U.S. patients.
Economic Impacts of ABO-incompatible Live Donor Kidney Transplantation
(Registration required, but free.) Article from American Journal of Transplantation via Medscape Nephrology.
Early View Abstracts from Hemodialysis International:

CJASN Express Abstracts:
HDL Cholesterol Efflux Does Not Predict Cardiovascular Risk in Hemodialysis Patients
JASN Express abstract.
Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
Osmotic Pressure in Clinical Medicine with an Emphasis on Dialysis
Early View abstract from Seminars in Dialysis.
My Employment Options: Web Site for Job Seekers With Disabilities and Other Challenges
Next online job fair is Thursday, Oct. 6.
HemaApp Accurately Estimates Hemoglobin in Blood Using Standard Smartphone
Article from MedGadget.
Why Baking Soda Can Be Essential for Rescuing Earthquake Survivors
Connecticut Toddler Latest U.S. Case of 'Superbug'
Article from HealthDay.
Behind The EpiPen Monopoly: Lobbying Muscle, Flailing Competition, Tragic Deaths
Article from Kaiser Health News.
Healthcare Its Own Enemy in Attracting 88% of US Ransomware Attacks
News brief from Healthcare DIVE.
Early Palliative Care Improves Patients' Quality of Life
Changes in Medicare Shared Savings Program Savings From 2013 to 2014
Free, full-text, Online First research letter from the Journal of the American Medical Association.


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Fri./Sat., Sept. 9-10*

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  Sept. 9, 2016
CMS Finalizes Rule to Bolster Emergency Preparedness of Certain Facilities Participating in Medicare and Medicaid
Press release from CMS. Blog posting from the Assistant Secretary for Preparedness and Response. News brief from AHANewsNow.

New rule from The Federal Register (651-page pdf). The words "dialysis" and "end-stage renal disease" are mentioned throughout the document. There are specific sections on dialysis (Sec. S, pages 255-269) and transplant facilities (Sec. I, pages 180-191).
House Ways and Means Committee Approves Dialysis Patient Access To Integrated care, Empowerment, Nephrologists, and Treatment (PATIENTS) Demonstration Act
Update from Committee on Ways and Means. (H.R. 5942)
Latest DOPPS Data Shows Changes in Intradialytic Weight Loss, Vitamin D Prescriptions
Article from Nephrology News & Issues.
Donor, Recipient Factors Influence Kidney Transplant Costs
Article from Renal & Urology News.
Community Needs Assessment After Microcystin Toxin Contamination of a Municipal Water Supply — Lucas County, Ohio, September 2014
Article from the CDC's Morbidity and Mortality Weekly Report.
Intradialytic Hypotension
Published Ahead of Print abstract from Current Opinion in Nephrology and Hypertension.
Clinical Outcomes with a Systolic Blood Pressure Lower Than 120 mmHg in Older Patients with High Disease Burden
Latest Articles abstract from Renal Failure.
New Strategy May Help Prevent Kidney Failure in Patients with Diabetes
Press release and JASN Express abstract from the American Society of Nephrology.
Retrophin Kidney Drug Exceeds Expectations in Trial, Shares Jump
Scientists Find Culprit Responsible for Calcified Blood Vessels in Kidney Disease
Recall: Family Care Eye Wash by United Exchange Corp - Microbial Contamination
Federal Prize Competition Seeks Innovative Ideas to Combat Antimicrobial Resistance
Press release from the National Institutes of Health.
The Lancet: Major Review to Help Doctors, Patients and Public Make Informed Decisions about the Use of Statins
Press release and Online First article from The Lancet. Articles from Reuters and the BBC.
Study: Physicians Spend Nearly Twice As Much Time on EHR/Desk Work As Patients
News brief from AHANewsNow.
Physicians Continue Move to Larger Practices: Study
Article from HFMA.
Employees of Medical Centers Report High Stress and Negative Health Behaviors
MACRA Implementation Update: 4 Options
Posting from The CMS Blog. News brief from AHANewsNow.
CMS Issues Coding/Billing Factsheet on Medicare Advance Care Planning
News brief from AHANewsNow.
Next Steps for the State Innovation Models Initiative Request for Information
CMS press release.


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Thursday, Sept. 8

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  Sept. 8, 2016
Dialysis: No Good Deed Goes Unpunished
Article from American Council of Science and Health.

"United Healthcare is suing the ARA over this behavior trying to recoup millions of dollars. Again we see a struggle between providers and insurers over who keeps the profits - who gets to keep our money."

Editor's note: And don't forget the American Kidney Fund's take. According to their latest tax return (55-page pdf), their chief executive earns more than the President of the United States (page 9) and they still fail to list the names of their most significant contributors (page 23).

How hard do they have to work to get these multimillion dollar donations?
Organ Donation System Should Include Stronger Incentives
Editorial from the Portland Press Herald (Maine).
The Survival Benefit of “Fistula First, Catheter Last” in Hemodialysis Is Primarily Due to Patient Factors
JASN Express abstract.
PDI in Press Abstracts:
Is Peritoneal Dialysis Causing a Measurable Burden of Inflammatory and Endothelial Injury on Top of Metabolic Syndrome?
Online First abstract from Journal of Endocrinology Investigation.
Beyond the Billboard: The Facebook-Based Application, Donor, and Its Guided Approach to Facilitating Living Organ Donation
Early View abstract from American Journal of Transplantation.
With Chronic Illness, You Are Your Own Best Friend
Article from Kaiser Health News.
Intensive Type 2 Diabetes Treatment Can Extend Survival: Study
Article from HealthDay.
Articles from Nephrology News & Issues:
Recall - Eye Wash/Eye Irrigating Solutions Distributed by Major Pharmaceuticals and Rugby Laboratories: Microbial Contamination
Special Report: 'Superbug' Scourge Spreads As US Fails to Track Rising Human Toll
Article from Reuters.
Raising an Alarm, Doctors Fight to Yank Hospital ICUs into the Modern Era
Article from STAT.
NCI Embraces Scientific Road Map to Achieve Cancer Moonshot Goals
Press release from the National Cancer Institute.
Free, Full-Text Articles from the New England Journal Of Medicine:
'Steering' Dialysis Patients Away from Medicare Will Hurt ESRD Program in the Long Run
Article from Nephrology News & Issues.

Editor's note:
I'm not sure the title of the article fits the content.
Lack Of Medicaid Expansion Hurts Rural Hospitals More Than Urban Facilities
Article from Kaiser Health News. Abstract from Health Affairs.
Medicare Beneficiaries Face Growing Out-Of-Pocket Burden For Specialty Drugs While In Catastrophic Coverage Phase
Abstract from Health Affairs.
Obamacare Agency Escapes Congressional Oversight


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Wednesday, Sept. 7

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  Sept. 7, 2016
"Who Matters Most?": Clinician Perspectives of Influence and Recommendation on Home Dialysis Uptake.
Accepted Article abstract from Nephrology.

"Data suggest the nephrologists are the most influential member of the pre-dialysis team. This contrasts with perceptions of survey respondents who view pre-dialysis nurses as most influential. Nephrologists' recommendations are likely to be a successful way of increasing home dialysis. A single point increase in nephrologist decisional power is associated with a 6.1% increase in the prevalence of home dialysis."
The Kidney SONG
Posting from the AJKD blog.

"The participants were asked to identify, rank, and discuss outcomes they believed were important to include in research for people on hemodialysis. The top 10 ranked outcomes were fatigue, survival (defined as resilience), ability to travel, dialysis-free time, impact on family, ability to work, sleep, anxiety and stress, blood pressure control, and anorexia. Interestingly, mortality was ranked 14th, though caregivers ranked this outcome higher than patients. These results highlight a mismatch between patient-prioritized outcomes and those commonly reported in hemodialysis trials."

Editor's note:The two above studies are authored by researchers in New Zealand, Australia, and Canada.

What are U.S. nephrologists doing?
Free, Full-Text, Articles in Press from American Journal Of Kidney Diseases:
Oral Anticoagulation in End-Stage Renal Disease: Is It Time to Absolve Warfarin?
Free, full-text, Issue-in-Progress editorial and related abstract from American Journal of Nephrology.
Articles from Nephrology News & Issues:
Intravenous Iron Administration Strategies and Anemia Management in Hemodialysis Patients
Advance Access abstract from NDT.
Impact of the Use of Antidiabetic Drugs on Survival of Diabetic Dialysis Patients: a Five Year Retrospective Cohort Study in Taiwan
First Online abstract from Clinical and Experimental Nephrology.
Parathyroidectomy Increases Heart Rate Variability and Leptin Levels in Patients with Stage 5 Chronic Kidney Disease
Issue-in-Progress abstract from American Journal of Nephrology.
Kidney Transplant iBook
Free, full-text, Online First book review and link to iBook from American Journal of Transplantation.
Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
Towards Improving the Transfer of Care of Kidney Transplant Recipients
Early View abstract from American Journal of Transplantation.
Surgical Management of Complications with Peritoneal Dialysis
Early View abstract from Seminars in Dialysis.
Thyroid Levels in High-Normal Range May Be Linked to Cardiac Arrest
Should Patients Be Able to Televise Their Own Deaths?
(Registration required, but free.) Video and text commentary from Medscape.
Free, Full-Text Articles from the Journal of the American Medical Association:
Screening for Latent Tuberculosis Infection — A Key Step Toward Achieving Tuberculosis Elimination in the United States
Free, full-text, Online First editorial from JAMA Internal Medicine.
RPA Comments on 2017 Medicare Fee Schedule Proposed Rule
Letter from Renal Physicians Association.

Accountable Care Organizations: Who Are the Winners and Losers?
Posting from the KevinMD blog.

CMS Awards $63M in 'Navigator Awards'



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Mon./Tue., Sept. 5-6*

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  Sept. 5-6, 2016
Fresenius to Acquire Spanish Hospital Network for $6.42 Billion
Article from Bloomberg. Press release from Fresenius.
How Should Undocumented Immigrants Get Dialysis?
Article from the Indianapolis Star.
Comparison of Techniques for Culture of Dialysis Water and Fluid
Free, Early View, Open Access article from Hemodialysis International.
Free, Full-Text Articles from Pediatric Nephrology:
Introduction of Biosimilar Therapeutics Into Nephrology Practice in the United States: Report of a Scientific Workshop Sponsored by the National Kidney Foundation
Article in Press abstract from American Journal of Kidney Diseases.
Delays in Prior Living Kidney Donors Receiving Priority on the Transplant Waiting List
CJASN Express abstract. Article from Kaiser Health News.
Understanding and Communicating Medical Risks for Living Kidney Donors: A Matter of Perspective
JASN Express abstract.
Dose Targeting Metrics in Conventional and Intensive Maintenance Dialysis
Early View abstract from Seminars in Dialysis.
Thyroid Function Test Derangements and Mortality in Dialysis Patients: A Systematic Review and Meta-analysis
Article in Press abstract from American Journal of Kidney Diseases.
Arterial Stiffness and Arteriovenous Fistula Failure of Maturation
Advance Online abstract from the Journal of Vascular Access.
Phenytoin Overdose Treated with Hemodialysis Using a High Cutoff Dialyzer
Early View abstract from Hemodialysis International.
International Network of Chronic Kidney Disease Cohort Studies (iNET-CKD): a Global Network of Chronic Kidney Disease Cohorts
Free, full-text, Open Access article from BMC Nephrology.
Better AKI Patient Survival Linked to Negative Fluid Balance
Article from Renal & Urology News.
A Nurse-Led Intervention Improves Detection and Management of AKI in Malawi
Early View abstract from Journal of Renal Care.
Obesity Linked to Improved Survival in Kidney Cancer
Press release from Dana-Farber Cancer Institute.
New HIF-2 Kidney Cancer Therapy More Effective Than Current Treatment, Study Shows
Press release from UT Southwestern Medical Center.
FDA Cracks Down on Antibacterial Soaps
Article from HealthDay. FDA news release.
Home Dialyzors United Announces 2016 Award Winners
Doctors: Beware of Low Diastolic Blood Pressure When Treating Hypertension
Study: High Readmissions Not Tied to High Mortality
Article from Healthcare Finance. Press release from Johns Hopkins Medicine.
Attending To The ‘Human Element’ Is Key To Keeping Patients Healthy
Article from Kaiser Health News.
 


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Fri./Sat., Sept. 2-3

FDA Cracks Down on Antibacterial Soaps
Article from HealthDay. FDA news release.
How Should Undocumented Immigrants Get Dialysis?
Article from the Indianapolis Star.
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  Sept. 2, 2016
Super-Secret KCER Not Providing Information or Updates on Florida Hurricane Situation
Home page of Kidney Community Emergency Response.

Editor's note: Publically-funded, super-secret KCER continues its tradition of withholding information from patients and the public during disasters affecting dialysis centers.
B. Braun Renal Therapies Division To Launch New Class of Kidney Dialyzer — xevonta™
Press release.
Kentucky Attorney General Sues Fresenius Medical Care for GranuFlo-Related Complications
Articles from Lexington Herald Leader and the AP.
Fresenius Medical Care Acquires Dialysis Service Provider Sandor Nephro Services in India
Press release.
Charitable Assistance: The New 'Pre-Existing Condition'
Article from The Hill.
In Kansas, New Dialysis Centers Struggle with Certification Delays
Article and video from WIBW.
Are Promises Made to Living Donors Being Upheld?
Press release and CJASN Express abstract from the American Society of Nephrology.
Free, Full-Text Articles from American Journal of Transplantation:
Kidney Transplantation Due to Medical Urgency: Time for Reconsideration?
Free, full-text article and related abstract from NDT.
Desensitization Protocol Enabling Pediatric Crossmatch-Positive Renal Transplantation: Successful HLA-Antibody-Incompatible Renal Transplantation of Two Highly Sensitized Children
Free, Open Access, First Online article from Pediatric Nephrology.
Performance of Hemodialysis with Novel Medium Cutoff Dialyzers
Free, full-text, Advance Access article from NDT.
Prognostic Utility of a Self-Reported Depression Questionnaire versus Clinician-Based Assessment on Renal Outcomes
Issue-in-Progress abstract from American Journal of Nephrology.
Advance Access Abstracts from NDT:
Published Ahead-of-Print Abstracts from Current Opinion in Nephrology and Hypertension:
Why Choose High Volume Online Post-Dilution Hemodiafiltration?
First Online abstract from Journal of Nephrology.

NHSN Dialysis Event Surveillance Training Webinars
Two live webinars on September 12 and September 15 will provide training for new or experienced NHSN users.  CDC subject matter experts will be available to answer your questions about NHSN Dialysis Event Surveillance.

Introduction to the NHSN Dialysis Event Surveillance Protocol: National Healthcare Safety Network (NHSN) Dialysis Event Surveillance reporting is required for Centers for Medicare and Medicaid Services (CMS) End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) rule. This session will provide a complete introduction to the NHSN Dialysis Event reporting requirements and the surveillance definitions necessary to complete accurate monthly reporting.

Pre-registration is required:  https://cc.readytalk.com/r/7zzfe5hdy0m5&eom

 Monday, Sept. 12 Webinar, 2:00-3:00pm ET:
1)  Join the meeting online: https://cc.readytalk.com/r/7zzfe5hdy0m5&eom
2)  Listen-only audio will be available through your computer speakers.
a.  If you’re unable to get audio through your computer speakers, you can dial-in by phone to hear the audio: toll number 303.248.0285 / Conference ID: 6393927.

Advanced NHSN Dialysis Event Surveillance Reporting and Introduction to NHSN Reports: Learn how to apply National Healthcare Safety Network (NHSN) Dialysis Event Surveillance definitions through case studies that address common reporting questions. The session also will include an introduction to running and interpreting the most popular NHSN reports so you can review your facility’s data, including Dialysis Event bloodstream infection rates.

Pre-registration is required:  https://cc.readytalk.com/r/s4vjjy7icazz&eom

Thursday, Sept. 15 Webinar, 1:00-2:00pm ET:
1)  Join the meeting online: https://cc.readytalk.com/r/s4vjjy7icazz&eom
2)  Listen-only audio will be available through your computer speakers.
a.  If you’re unable to get audio through your computer speakers, you can dial-in by phone to hear the audio: toll number 303.248.0285 / Conference ID: 6393927.

Carbapenem-Resistant Enterobacteriaceae Transmission in Health Care Facilities — Wisconsin, February–May 2015
Article from the CDC's Morbidity and Mortality Weekly Report.
What's in a Name? A Technician's Perspective
Article from Nephrology News & Issues.
FDA Drug Safety Labeling Changes (SLC) Database
Safety labeling change (SLC) data on the Web is now available in real time to view, search, and download. Visit the database to obtain the most recent label changes.
‘Simple Choice Plans’ To Debut In 2017 Marketplace Enrollment
Article from Kaiser Health News.
ANA Joins 25 National Nursing Organizations Working Together to Offer Education on the Opioid Crisis
Press release from the American Nurses Association.
HHS Awards $53 Million to Help Address Opioid Epidemic
Press release from HHS.gov.
Patient Care Can Improve with Technology in Nursing Homes
ESRD QIP Preview Period for PY 2017 Extended to September 30
CMS extended the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) Preview Period for Payment Year (PY) 2017 through 5 pm ET on Friday, September 30, 2016.

An audio recording (zip file) and transcript are available for the August 2 call on ESRD QIP: Reviewing Your Facility's PY 2017 Performance Data.
Revised HIPAA Basics


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Thursday, Sept. 1

Charitable Assistance: The New 'Pre-Existing Condition'
Article from The Hill.
Kentucky Attorney General Sues Fresenius Medical Care for GranuFlo-Related Complications
Article from Lexington Herald Leader.
ESRD QIP Preview Period for PY 2017 Extended to September 30
CMS extended the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) Preview Period for Payment Year (PY) 2017 through 5 pm ET on Friday, September 30, 2016.

An audio recording (zip file) and transcript are available for the August 2 call on ESRD QIP: Reviewing Your Facility's PY 2017 Performance Data.
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  Sept. 1, 2016
DOPPS Practice Monitor Update
Data through June 2016 from the Dialysis Outcomes and Practice Patterns Study Program.
Every Other Day Nocturnal Home Hemodialysis: An Alternative Approach to Reduce Burden
Article from Nephrology News & Issues.
Earlier Renal Replacement Therapy for AKI? Not So Fast, Says Dr Berns
(Registration required, but free.) Berns on Nephrology video blog via Medscape Nephrology.

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

Effect of Treatment Duration and Frequency on Uremic Solute Kinetics, Clearances and Concentrations
Early View abstract from Seminars in Dialysis.
Incremental Peritoneal Dialysis: a 10 Year Single-Center Experience
Free, Open Access, First Online article from Journal of Nephrology.
Comparison of Standard Forearm Prosthetic Loop Grafts to Composite Semiloop Forearm Grafts (" Semi-Grafts") in Hemodialysis Patients: a Prospective Study
Early View abstract from Hemodialysis International.
Induction Immunosuppression and Clinical Outcomes in Kidney Transplant Recipients Infected With Human Immunodeficiency Virus
(Registration required, but free.) Free, full-text article from American Journal of Transplantation via Medscape Nephrology.
ICU Patients Lose Helpful Gut Bacteria within Days of Hospital Admission
Press release from American Society for Microbiology.
Strong, New, FDA Warning on Nearly 400 Drugs: Opioids Plus Sedatives Pose Fatal OD Risk
Article from HealthDay. FDA news release.
Cry Me a River, Aetna
Article via Moyers & Company.

"Retreating carriers whine that exchanges bruised their bottom lines; meanwhile, their profits are off the charts, thanks to ... Obamacare"
Aetna's Retrenchment Is No Big Deal
Posting from the Health Affairs Blog.
Public Comments on CY2017 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, and Quality Incentive Program CMS-1651-P
335 comments for viewing. Comment period closed on August 23, 2016.


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Wednesday, Aug. 31

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  Aug. 31, 2016
Older Patients Feel They Have Little Say in Choosing Dialysis, Study Says
Press release from Tufts University. Advance Access abstract from NDT.
Recognition for Conservative Care in Kidney Failure
Free, full-text, Article in Press from American Journal of Kidney Diseases.
Inconsistent Guidelines for Screening Transplant Recipients at Higher Cancer Risk: Study
Press release from St. Michael's Hospital (Toronto). Early View abstract from American Journal of Transplantation.
CJASN Express Abstracts:
Early View Abstracts from Hemodialysis International:
Intra-Dialytic Blood Oxygen Saturation (SO2): Association with Dialysis Hypotension (the SOGLIA Study)
First Online abstract from Journal of Nephrology.
Issue-in-Progress Abstracts from Blood Purification:
Effect of Regional Versus Local Anesthesia on Outcome after Arteriovenous Fistula Creation: a Randomized Controlled Trial
Online First abstract from The Lancet.
Accepted Articles Abstracts from Nephrology:
Issue-in-Progress Articles from American Journal of Nephrology:
Anemia and Low-Grade Inflammation in Pediatric Kidney Transplant Recipients
First Online abstract from Pediatric Nephrology.
Free, Full-Text Articles from Indian Journal of Nephrology:
Severity of Gastric Mucosal Atrophy Is the Major Determinant of Plasma Ghrelin Level in Hemodialysis Patients
Issue-in-Progress abstract from American Journal of Nephrology.
Infection in Advanced Chronic Kidney Disease Leads to Increased Risk of Cardiovascular Events, End-Stage Kidney Disease and Mortality
Article in Press abstract from Kidney International.
More Efficient Sodium Removal by Ultrafiltration Compared to Diuretics in Acute Heart Failure; Underexplored and Overstated
Free, full-text, Issue-in-Progress article from Blood Purification.
Vitamins (A, C and E) and Oxidative Status of Hemodialysis Patients Treated with HFR and HFR-Supra
Free, full-text, Open Access article from BMC Nephrology.
Metformin Linked to Increased Risk of Acute Dialysis in T2DM
Article from Renal & Urology News.
Health Care Company Agrees to Pay Dialysis Patient $35,000 in Case of Urine Sample for Employment Screening
Article from The Charlotte Observer.
DaVita Kidney Care Welcomes Dr. Bryan Becker to Physician Leadership Team
Hillary Clinton Reveals Mental Health Plan That Taps Telehealth for Care Coordination
Article from Healthcare IT News.
‘America’s Other Drug Problem’: Copious Prescriptions For Hospitalized Elderly
Article from Kaiser Health News.
CDC Director on Zika: 'Basically, We're out of Money'
Article from The Hill.
Zika Virus: Singapore Confirms 41 Locally Transmitted Cases
CMS Proposes Standards to Strengthen 2018 ACA Market
News brief from Healthcare DIVE. CMS press release. News summary from Kaiser Health News.
CROWNWeb New User Training on Sept. 13


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Tuesday, Aug. 30

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  Aug. 30, 2016
Canadian Gets Kidney in China after Three Days, Sparking Fears Beijing Still Harvests Organs of Executed Prisoners
Article from National Post (Canada).
DaVita HealthCare: How Bad The Medicaid/Medicare RFI Really Is - And Why You Can Still Hold The Stock
Article from Seeking Alpha.
"Thus, assuming CMS is extra motivated to turn this RFI into an official rule, below I attempt to quantify the rule's impact on each provider as it stands now. One major caveat is that DVA (DaVita) and FME (Fresenius) have wagered their clout to the agency on many past occasions. The two combined control over two-thirds of dialysis market share in the U.S. and have weighed in on legislative issues regularly. The most recent involvement was in 2014, when the industry avoided a serious 9.4% reimbursement cut and negotiated for a steady rate for three years instead."
Editor's note: If they negotiated to extend the private insurance payment period for employed dialysis patients, they could restore the well-patient model to U.S. dialysis care.
ESRD Patients Visit Emergency Departments More Frequently
Articles from Renal & Urology News and Kaiser Health News. Online First research letter extract from JAMA Internal Medicine.
Epidemiology, Diagnosis and Management of Hypertension among Patients on Chronic Dialysis
Advance Online abstract from Nature Reviews Nephrology.
Abstracts from Cochrane Reviews:
Many Adults Who Screen Positive for Depression Don't Receive Treatment
Press release and free, full-text, Early View article from JAMA Internal Medicine. Articles from Kaiser Health News and HealthDay.
Sudden Death in Hypertrophic Cardiomyopathy Rarely Associated with Exercise
Mediterranean Diet Shows Its Protective Powers in Heart Patients
Interventions to Reduce Corruption in the Health Sector
Abstract from Cochrane Reviews.
Five-Year Study Reveals Patients Operated On at Night Twice As Likely to Die As Patients Who Have Daytime Operations
Press release from World Federation of Societies of Anaesthesiologists.
More Employers Moving Toward High-Deductible Plans And Prescription Drug Limits
Audits Of Some Medicare Advantage Plans Reveal Pervasive Overcharging
Article from the Center for Public Integrity via NPR.
Hospital Surprise: Medicare's Observation Care
Article and video from Kaiser Health News. Also see frequently asked questions (FAQs).
"But surprises can arise over billing because Medicare considers this outpatient care. So instead of Medicare picking up most of the bill, patients usually also have copayments for doctors' fees and each hospital service, and they have to pay whatever the hospital charges for any routine drugs the hospital provides that they take at home for chronic conditions."


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Monday, Aug. 29

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  Aug. 29, 2016
Articles in Press Abstracts from American Journal Of Kidney Diseases:
Controversial Issues in CKD Clinical Practice: Position Statement of the CKD Treatment Working Group of the Italian Society of Nephrology
Free, full-text, First Online article from Journal of Nephrology.
The Global Burden of CKD: a Call for Serious Action
News item from the International Society of Nephrology.
Mineral Metabolism Factors Predict Accelerated Progression of Common Carotid Intima Media Thickness in Chronic Kidney Disease: the NEFRONA Study
Advance Access abstract from NDT.
Timing Is Everything? Reconciling the Results of Recent Trials in Acute Kidney Injury
Article in Press abstract from Kidney International.
Local Expansion of Donation After Circulatory Death Kidney Transplant Activity Improves Waitlisted Outcomes and Addresses Inequities of Access to Transplantation
Free, full-text, Open Access, Early View article from American Journal of Transplantation.
European Cardiologists Give SPRINT Thumbs Down
(Registration required, but free.) Cardio brief from MedPage Today.
Up to 80 Percent of Heart Failure Patients Denied Therapy to Reduce Hospitalization and Death
Press release from the European Society of Cardiology.
Making Cleanup Activities Less Hazardous for Workers & Volunteers
Resources from the National Institute for Occupational Safety and Health.
Celebrate Nephrology Nurses Week (September 11-17)
Eyesaline Eyewash by Honeywell: Recall - Microbial Contamination
Top 3 Tips for Successful Patient Engagement
Article from Medical Economics.
FDA Advises Testing for Zika Virus in All Donated Blood and Blood Components in the US
FDA news release.
iPads as Effective As Sedatives for Children before Operations
Press release from the World Federation of Societies of Anaesthesiologists.
Cancer on Course to Become Top Killer of Americans

 



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