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RenalWEB's Daily News Archive

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Wednesday, Aug. 24

FDA Recall "Complete" Notice: Baxter HomeChoice Automated Peritoneal Dialysis System — 16,990 Units
Recall # Z-2609-2016. In systems with version 10.4 software Initial Drain logic, the device will attempt to drain the patient to empty at the beginning of therapy (initial drain). The operator can stop, but cannot bypass, the active Initial Drain. This is to mitigate against Unintended Increased Intraperitoneal Volume (IIVP). This can cause serious problems in patients with unrelated a co-morbid condition of ascites.

Editor's note update: This recall began in Oct. 2013. Changes to the FDA web site now result in "completed" recall notices appearing in enforcement report search results. It is also no longer possible to link directly to recall notices. Go to this search page and paste in the recall # Z-2609-2016.
FacebookTwitter
  Aug. 24, 2016
What You Need to Know About Managing a Dialysis Unit and More
Posting from the AJKD blog.
Medical Errors Persist, Despite Increased Scrutiny
Article from The Boston Globe.

"Preventable medical errors reported by full-service hospitals in Massachusetts grew 60 percent last year, a rise partly attributed to problems detected in a single hospital's dialysis unit (Baystate Medical Center in Springfield)."
Faster Rate of Blood Volume Change in Pediatric Hemodialysis Patients Impairs Cardiac Index
First Online abstract from Pediatric Nephrology.
Researchers Predict Sudden Cardiac Death Risk
Press release from the University of Pennsylvania School of Medicine.

Fast Action Can Prevent Sepsis Death: CDC
Articles from HealthDay and Kaiser Health News. Resources from the CDC.

Free, Issue-In-Progress, Open Access Articles from Kidney & Blood Pressure Research:
Extracellular Fluid Management and Hypertension in Urban Dwelling Versus Rural Dwelling Hemodialysis Patients
First Online abstract from Journal of Nephrology.
Timing of Pregnancy After Kidney Transplantation and Risk of Allograft Failure
(Registration required, but free.) Article from American Journal of Transplantation via Medscape Nephrology.
Free, Full-Text Articles from Current Opinion in Nephrology and Hypertension:
Use of Causal Diagrams to Inform the Design and Interpretation of Observational Studies: An Example from the Study of Heart and Renal Protection (SHARP)
Free, Online First, Open Access CJASN Express article.
Postings from the KevinMD Blog:
DaVita Kidney Care Welcomes Dr. Jeff Giullian to Physician Leadership Team
Government-Protected ‘Monopolies’ Drive Drug Prices Higher, Study Says
Article from Kaiser Health News. Free, full-text article from the Journal of the American Medical Association. Article from HealthDay.
Free, Full-Text Articles from the Journal of the American Medical Association:
HDU Comments on 2017 CMS ESRD Proposed Rule
Letter from Home Dialyzors United.
RPA Comments on the 2017 ESRD PPS Proposed Rule Including AKI Policy
Letter from the Renal Physicians Association.


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Tuesday, Aug. 23

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  Aug. 23, 2016
Personal Support Worker (PSW)-Supported Home Hemodialysis: A Paradigm Shift
Free, full-text, Early View article from Hemodialysis International.
Preventive Care, Specialists Key To Controlling Kidney Failure Treatment Costs
Article from Kaiser Health News. Online First research letter extract from JAMA Internal Medicine.
Efficacy of Folic Acid Therapy on the Progression of Chronic Kidney Disease – The Renal Substudy of the China Stroke Primary Prevention Trial
Free, full-text, Online First article and commentary from JAMA Internal Medicine.
Free, Full-Text Articles from American Journal Of Kidney Diseases:
Free, Full-Text Articles from Journal of Renal Nutrition:
Prevalence of Barriers and Facilitators to Enhancing Conservative Kidney Management for Older Adults in the Primary Care Setting
CJASN Express abstract.
Sight-Threatening Diabetic Retinopathy Curbed With Omega-3's
(Registration required, but free.) Article from MedPage Today.
Where Are the Power and Knowledge?
Posting from The Huffington Post.
With Aetna Pullback, Many Marketplaces Will Have Only One Insurer In 2017
News summary from Kaiser Health News.
Cost Of Life-Saving EpiPen Injectors Soars To $700 A Set
Hospitals Receive Lower Payments From MA Than From Traditional Medicare: Study
Article from HFMA.


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Monday, Aug. 22

Preventive Care, Specialists Key To Controlling Kidney Failure Treatment Costs
Article from Kaiser Health News. Online First research letter extract from JAMA Internal Medicine.
Efficacy of Folic Acid Therapy on the Progression of Chronic Kidney Disease – The Renal Substudy of the China Stroke Primary Prevention Trial
Free, full-text, Online First article and commentary from JAMA Internal Medicine.
FacebookTwitter
  Aug. 22, 2016
CMS Focuses on Provider Steering of Medicare- and Medicaid-Eligible People to Marketplaces
Posting from Health Affairs Blog.

"The tone of the request (for comments) strongly suggests that CMS disapproves of these practices and may take further action in the near future to discourage them. Indeed, the request for information is so strongly and negatively worded that it, together with the letters sent to dialysis facilities, is likely to have a distinct deterrent effect regardless of any further actions that CMS takes."

Editor's note: This is the best summary to date.

Expect a lot of crocodile tears from the for-profit providers, their surrogates, and the insurance companies in the coming comments. All these business interests will pontificate on their deep concern for these "sick and vulnerable patients."

Some dialysis providers are also trying to push dialysis patients into Medicare Advantage plans in order to increase their profits, despite many "disadvantages" for the patients. See this Aug. 4 posting in the KidneyViews blog.

Such Medicare Advantage legislation, entitled the ESRD Choice Act, is working its way through Congress. It is supported by Dialysis Patient Citizens, which was founded as DaVita Patient Citizens.

U.S. dialysis care is the most junk-bond-driven field of medicine, with most nephrologists entangled in a stagnant system of care that must service hundreds of millions of junk-bond debt. In these for-profit, high-risk, economic arrangements, who are the patients' advocates? The financiers' interests come first, the business executives' needs second, the nephrologists' interests come third, (insert DaVita employees here), and the patients' needs are sacrificed first and always come last.
Patient Rights, Third-Party Payments and the CMS Request for Information
News release from the American Kidney Fund.
Statement of Fresenius Medical Care North America Regarding Centers for Medicare & Medicaid Services Request for Information
Press release.
Fallout from Obamacare Probe as Shares of Dialysis Firms Drop
Article from CNBC. Stock charts of Fresenius Medicare Care, DaVita and American Renal.
DaVita's Kent Thiry Is #18 on the Annual Listing of the 100 Most Influential People in Healthcare
(Registration required, but free.) List from Modern Healthcare.

Editor's note: My fear is that the dialysis portion of the DaVita Healthcare Partners business will end up supporting the rest of the corporation for many years, resulting in minimal dialysis patient care improvements — or even further cutbacks in services and standards of care. See this recent article from Denver Business Journal. Patients' needs have always come last at DaVita (e.g. Thiry: "It's not about the patients.")
False Claims Act Penalties to Double
Article from Medical Economics.
The Success of Home Dialysis in Australia and New Zealand
Posting from the KidneyViews blog.
An Association between Time Varying Serum Albumin Level and the Mortality Rate in Maintenance Hemodialysis Patients: a Five-Year Clinical Cohort Study
Free, full-text, Open Access article from BMC Nephrology.
Intermediate and Long-term Outcomes of Survivors of Acute Kidney Injury Episodes: A Large Population-Based Cohort Study
Free, full-text, Open Access, Article in Press from American Journal of Kidney Diseases.
Articles in Press Abstracts from Kidney International:
Articles in Press Abstracts from American Journal of Kidney Diseases:
New Clinician Research Summary: Contrast-Induced Nephropathy
Free report from the Agency for Healthcare Research and Quality.
Are Insurance Policies Saving Patients Money, or Keeping Them from the Treatment They Need?
Article from STAT.
Health Official Warns Zika Could Spread across U.S. Gulf
Article from Reuters Health.
Death Is Not the Enemy — More Physicians Need to Realize That
Posting from the KevinMD blog.
When a Conflict of Interest Is Not Disclosed
Report and update from HealthNewsReview.
Female Physicians Paid $19,000 Less Per Year Than Male Peers
Aug. 25 CROWNWeb Town Hall Meeting Event — Connecting the Pieces: We’ve Got Your Answers!
Registration now open.
ICD-10 Grace Period Will End on October 1, CMS Says
Article from Healthcare Finance.


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Fri./Sat., Aug. 19-20

Patient Rights, Third-Party Payments and the CMS Request for Information
News release from the American Kidney Fund.
Statement of Fresenius Medical Care North America Regarding Centers for Medicare & Medicaid Services Request for Information
Press release.
Fallout from Obamacare Probe as Shares of Dialysis Firms Drop
Article from CNBC. Stock charts of Fresenius Medicare Care, DaVita and American Renal.
CMS Focuses on Provider Steering of Medicare- and Medicaid-Eligible People to Marketplaces
Posting from Health Affairs Blog.

"The tone of the request (for comments) strongly suggests that CMS disapproves of these practices and may take further action in the near future to discourage them. Indeed, the request for information is so strongly and negatively worded that it, together with the letters sent to dialysis facilities, is likely to have a distinct deterrent effect regardless of any further actions that CMS takes."

Editor's note: This is the best summary to date.
FacebookTwitter
  Aug. 19, 2016
CMS Investigating If Providers Steered Patients Away From Public Insurance Programs
News brief from Morning Consult.

"The agency (CMS) released a request for public comment (15-page pdf) and sent letters (2-page pdf) to all Medicare-enrolled dialysis facilities and centers to inform them of the investigation."

CMS press release. Statement from the American Kidney Fund. Related National Kidney Foundation press release.

Articles from Nephrology News & Issues and Modern Healthcare (registration required). News summary from Kaiser Health News.

Comments are due Sept. 22.

Editor's note: Expect a lot of crocodile tears from the for-profit providers, their surrogates, and the insurance companies in the coming comments. All these business interests will pontificate on their deep concern for these "sick and vulnerable patients."

Some dialysis providers are also trying to push dialysis patients into Medicare Advantage plans in order to increase their profits, despite many "disadvantages" for the patients. See this Aug. 4 posting in the KidneyViews blog.

Such Medicare Advantage legislation, entitled the ESRD Choice Act, is working its way through Congress. It is supported by Dialysis Patient Citizens, which was founded as DaVita Patient Citizens.

U.S. dialysis care is the most junk-bond-driven field of medicine, with most nephrologists entangled in a stagnant system of care that must service hundreds of millions of junk-bond debt. In these for-profit, high-risk, economic arrangements, who are the patients' advocates? The financiers' interests come first, the business executives' needs second, the nephrologists' interests come third, (insert DaVita employees here), and the patients' needs are sacrificed first and always come last.
Are Transplant Chains the Answer to Our Kidney Deficit?
Article from Contemporary Clinic.
Free, Full-Text, Open Access Articles from PLOS ONE:
Echocardiographic Parameters During Long and Short Interdialytic Intervals in Hemodialysis Patients
Article in Press abstract from American Journal of Kidney Diseases.
Advance Access Abstracts from NDT:
Supportive Care: Economic Considerations in Advanced Kidney Disease
CJASN Express abstract.
New Oral Diabetes Drugs May Also Protect Patients' Kidney Health
Press release and free, Open Access, JASN Express article from the American Society of Nephrology.
Fatty Fish May Curb Eye Risks for Diabetics, Study Finds
Association between Payments from Manufacturers of Pharmaceuticals to Physicians and Regional Prescribing: Cross Sectional Ecological Study
Free, full-text article from the BMJ.
Large-Employer Health Benefit Costs Expected to Increase: NBGH Study
Article from HFMA.
Study in Mice Shows Zika Virus Also Attacks Adult Brain Cells
Article from Reuters Health.
‘Medical Tourism’ On The Rise: 1.4M Expected To Travel Outside U.S. For Health Care
News brief from Kaiser Health News.
Will Precision Medicine Improve Population Health?
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association. News brief from AHANewsNow.
CMS MLN Connects — ESRD QIP Call: Audio Recording and Transcript
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.
Full List: Part D Spending by Drug
Article from Healthcare Finance. News brief from AHANewsNow.


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Thursday, Aug. 18

CMS MLN Connects — ESRD QIP Call: Audio Recording and Transcript
An audio recording and transcript are available for the August 2 call on ESRD QIP: Reviewing Your Facility's PY 2017 Performance Data.
FacebookTwitter
  Aug. 18, 2016
Update on Closed Louisiana Dialysis Facilities (Seven)
1-page pdf current as of 8/17/16, 3:30 PM CT.

ESRD Network 13 Emergency Preparedness web page. KCER home page.

Editor's note:
Where is the Emergency Status Situational Report? KCER is publically funded. The most recent KCER contract award was announced on March 7, 2016 for  $1,779,927.

System failures, patient hoarding and profiteering have marred dialysis patient care during previous natural disasters. Transparency is the only way to prevent this from happening again.
A Self-Serve Dialysis Machine May Be Coming Home With You
Article from Bloomberg Businessweek.
Anemia Boosts Stroke Death Risk, Study Finds
Article from HealthDay. Free, full-text, New Online, Open Access article from the Journal of the American Heart Association.
Posttransplant Anxiety Linked to Complex Instructions, Caregiver Empathy
Press release from Ohio State University.
Wasting Good Kidneys: The Weekend Effect
(Registration required, but free) Berns on Nephrology video blog via Medscape Nephrology.
Diabetic Kidney Disease Patients on Hemodialysis: a Retrospective Survival Analysis across Different Socioeconomic Groups
Free, full-text, Advance Access article from Clinical Kidney Journal.
Younger Black Patients Have a Higher Risk of Infection Mortality That Is Mostly Nondialysis Related: a National Study of Cause Specific Mortality among US Maintenance Dialysis Patients
Early View abstract from Hemodialysis International.
Results of a Multicenter Prospective Clinical Study in Japan for Evaluating Efficacy and Safety of Desensitization Protocol Based on Rituximab in ABO Incompatible Kidney Transplantation
First Online abstract from Clinical and Experimental Nephrology.
Life Expectancy in Some CKD Patients Could Be Improved with Nephron Sparing Treatment
Depression Common After Time Spent in ICU
Articles from Kaiser Health News:
Counting Better — The Limits and Future of Quality-Based Compensation
Free, full-text, perspective piece from the New England Journal of Medicine.
PCORI Makes More than $350 Million in Research Support Available through Latest Funding Announcements
Press release from the Patient-Centered Outcomes Research Institute.
 


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Wednesday, Aug. 17

Update on Closed Louisiana Dialysis Facilities (Seven)
1-page pdf current as of 8/17/16, 3:30 PM CT.
A Self-Serve Dialysis Machine May Be Coming Home With You
Article from Bloomberg Businessweek.
FacebookTwitter
  Aug. 17, 2016
Update on Closed Louisiana Dialysis Facilities (Seven)
8-page pdf current as of 8/16/16, 2 PM CT.

ESRD Network 13 Emergency Preparedness web page. KCER home page.

Editor's note:
Where is the Emergency Status Situational Report? KCER is publically funded. The most recent KCER contract award was announced on March 7, 2016 for  $1,779,927.

Patient hoarding and profiteering have marred dialysis patient care during previous natural disasters. Transparency is the only way to prevent this from happening again.
Forum of ESRD Networks: Quality Conference Webinar Series 2016
Three webinars scheduled for Fall 2016.
Still in the Running Thanks to Kidney Transplant
Article from the Mayo Clinic.
Early View Abstracts from Seminars in Dialysis:
Is It a Medical Emergency?
KidneyTalk podcast from Renal Support Network.
Elderly Patients In The Hospital Need To Keep Moving
Article from Kaiser Health News.
Personalized Nutrition Is Better Than a 'One Size Fits All' Approach in Improving Diets
Press release from Newcastle University.
Dietary Guidelines for Americans—Eat Less Salt
Patient Page article from the Journal of the American Medical Association.
Work Productivity Is Key Factor in Assessing Recovery of Depressed Patients
Press release from UT Southwestern Medical Center.
Rockwell Medical Enters into Exclusive License Agreement with ARAM Medical to Commercialize Triferic® in Saudi Arabia, Egypt and Middle East Territories
Headline-Grabbing Study Brings Attention Back to Medical Errors
Free, full-text article from the Journal of the American Medical Association.
New Findings Detail How Beneficial Bacteria in the Nose Suppress Pathogenic Bacteria
Press release from the Forsyth Institute.
It's True: Latinos Age Slower Than Other Ethnicities
 


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Tuesday, Aug. 16

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  Aug. 16, 2016
Nine Louisiana Dialysis Centers Closed Due to Flooding
Link to Excel file from ESRD Network 13 (last update 8/15). Closed facilities listed:
  • FMCNA - BAKER
  • DAVITA EAST BATON ROUGE
  • DAVITA - MID CITY DIALYSIS (Baton Rouge)
  • DSI - DENHAM SPRINGS
  • FMCNA - DENHAM SPRINGS
  • DAVITA - YOUNGSVILLE DX (Lafayette)
  • MORGAN CITY DIALYSIS CTR
  • FMCNA - ASCENSION (Prairieville)
  • DAVITA - WALKER DIALYSIS
Editor's note: At least KCER has a (rotating) link on its home page about the flooding. This is an improvement.

To see the closed facilities, you need to have Microsoft Excel on your computer. What if you only had a phone? KCER, why do you make finding even the most basic information during disasters so difficult?
Tennesseans Support Organ Donation in Theory but Not in Practice
Article from the Chattanooga Times Free Press.
Exercise Not an 'Antidote' to Too Much Sitting, Heart Experts Say
Article from HealthDay. Press release and Published Ahead of Print abstract from the American Heart Association. Article from Reuters Health.
Chronic Kidney Disease May Cause Diabetes
Press release from the University of Montréal Hospital Research Centre.
Blood Pressure-Lowering Diet (DASH) May Help Treat Gout
Article from HealthDay. Press release from Johns Hopkins Medicine.
American Renal Seeks Dismissal of United Healthcare Lawsuit
Article from Nephrology News & Issues.
Is Worldwide Elimination of Acute Kidney Injury Within Our Reach?
(Registration required, but free.) Commentary from Medscape Nephrology.
The Greatest Potassium Lecture Ever — Parts 1, 2 and 3
Lectures from Oakland University William Beaumont School of Medicine by Joel Topf, MD via the Precious Bodily Fluids blog.
Prophylactic Treatment of Chronic Renal Disease in Patients Undergoing Peritoneal Dialysis and Colonized by Staphylococcus aureus: a Systematic Review and Meta-Analysis
Free, full-text, Open Access article from BMC Nephrology.
The Impact of Education and Cooking Methods on Serum Phosphate Levels in Patients on Hemodialysis: 1-Year Study
Early View abstract from Hemodialysis International.
Albumin Turnover in Peritoneal and Hemodialysis
Early View abstract from Seminars in Dialysis.
Abstracts from Renal Failure:
Comparative Effectiveness of Management Strategies for Renal Artery Stenosis: An Updated Systematic Review
Free, full-text, Online First article from Annals of Internal Medicine.
FDA MedWatch: July 2016 Safety Labeling Changes
Includes 52 products with revisions to Prescribing Information including Prismasol and Phoxillum Renal Replacement Solution.
Indians Are Now Buying And Selling Kidneys On Facebook!
Aetna Pulling Back from ObamaCare in Blow to Health Law
Articles from CNBC and The Hill.
News Summaries from Kaiser Health News:
Evolutionary Pressures on the Electronic Health Record — Caring for Complexity
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
Telehealth Parity Laws
Health policy brief from Health Affairs.
Hospital Fires Doctor for Having Cancer
Posting from the KevinMD blog.
Doctors Face Tough Choice With New Options For Reimbursement
News summary from Kaiser Health News.
Study: Cardiac Bundles a Win for Some, a Loser for Others
Article from Healthcare Finance.


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Monday, Aug. 15

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  Aug. 15, 2016
Helena Hospital Does Dialysis 'The Way We Would Want It If We Were Sick'
Article from Montana Public Radio.

Editor's note: We need more reporting like this. The American Society of Nephrology, the Renal Physicians Association, and the large for-profit dialysis providers need to be held publically accountable for their morally bankrupt standards of dialysis care in the U.S.
National Kidney Foundation Statement on Organ Discards
Press release.
Coping with Chronic Kidney Disease: “What Are Your Goals?”
Posting from the KidneyViews blog.
Woman Fights Kidney Disease, Defies All Statistics
AP article. Related blog posting.
Grandmother Forgotten, Locked Inside Fresenius Dialysis Clinic in Massachusetts after Staff Leaves
Article and video from CBS Boston. Article from The Boston Globe.
ESRD Quarterly Update from the United States Renal Data System
Data through Qtr4 of 2015.
In Minnesota, Insurers Wary of Premium Help for Dialysis Patients
Article from the Star-Tribune.
ESCO Management: Looking for a Level Playing Field in Integrated Care
Article from Nephrology News & Issues.
Free, Full-Text, Open Access, Articles in Press from American Journal Of Kidney Diseases:
Treatment Frequency and Mortality among Incident Hemodialysis Patients in the United States Comparing Incremental with Standard and More Frequent Dialysis
Article in Press abstract from Kidney International.
(Registration required, but free) Free, Full-Text Articles from Medscape Nephrology:
Concurrence of Serum Creatinine and Albumin With Lower Risk for Death in Twice-Weekly Hemodialysis Patients
Article in Press abstract from Journal of Renal Nutrition.
A Protective Kidney-Lung Approach to Improve Outcomes in Mechanically Ventilated Patients
Free, full-text, Issue-in-Progress article from Blood Purification.
Effects of Intradialytic Resistance Exercise on Protein Energy Wasting, Physical Performance and Physical Activity in Ambulatory Patients on Dialysis: A Single-Center Preliminary Study in a Japanese Dialysis Facility
Early View abstract from Therapeutic Apheresis and Dialysis.
The Null Effect of Chewing Gum During Hemodialysis on Dry Mouth
Abstract from Clinical Nurse Specialist.
Laparoscopic Peritoneal Dialysis Catheter Insertion Using Rectus Sheath Tunnel and Selective Omentopexy Significantly Reduces Catheter Dysfunction and Increases Peritoneal Dialysis Longevity
Article in Press abstract from Surgery.
Heartwarming Story: Developing a Better Way to Preserve Organs
Article from Newsweek.
Between Selling Your Kidney and Prostitution, What Would You Pick?
More Small, Midsized Firms Choose To Pay Workers' Medical Costs Directly
Article from Kaiser Health News.
The Part of Your Day That Will Be Most Remembered by Patients
Posting from the KevinMD blog.
CROWNWeb: Deadline for May Clinical Data Submission Extended to Aug. 31
Notice from the Northwest Renal Network.
CROWNWeb: Another Deadline Extension of the ESRD QIP Pain Assessment Submission — Now Aug. 31
Notice from the Northwest Renal Network.


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Fri./Sat., Aug. 12-13

Helena Hospital Does Dialysis 'The Way We Would Want It If We Were Sick'
Article from Montana Public Radio.

Editor's note: We need more reporting like this. The American Society of Nephrology, the Renal Physicians Association, and the large for-profit dialysis providers need to be held publically accountable for their morally bankrupt standards of dialysis care in the U.S.
ESCO Management: Looking for a Level Playing Field in Integrated Care
Article from Nephrology News & Issues.
Coping with Chronic Kidney Disease: “What Are Your Goals?”
Posting from the KidneyViews blog.
Grandmother Forgotten, Locked Inside Fresenius Dialysis Clinic in Massachusetts after Staff Leaves
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  Aug. 12, 2016
CMO Looks at Ways To Put Meaning Behind 'Quality Care'
Article/interview from Nephrology News & Issues.

Editor's note:
Having read the full Seminars in Dialysis article, I found that Dr. Maddux paints a disturbing picture of quality care.  He not only embraces a Big Data approach, but also one with strong Big Brother overtones. He envisions constant monitoring and feedback, on and off dialysis, to make patients more compliant with their treatment regimens. I believe most patients want to live as normal lives as possible.

There is virtually no mention of meeting the long ignored psychosocial needs of dialysis patients.  Likewise, as usual for Dr. Maddux, there were no significant statements about patient employment and rehabilitation.

There was also no mention of the role of financial incentives in quality dialysis care.   Considering that he and other prominent, for-profit, CMOs are practicing dialysis-care nephrology with hundreds of millions in junk-bond debt around their necks, these motivating forces cannot be ignored unless one does not want them to significantly change.

His paths to quality dialysis care all center on using existing dialysis technology and infrastructure.  Any innovations that he suggests are mere extensions of existing Fresenius Medical Care infrastructure.   With his company's investment in thousands of dialysis clinics and tens of thousands dialysis machines, he does not even mention new and emerging technologies that would make patients' lives so much better.

In the same issue of Seminars in Dialysis, the CMO of the largest non-profit dialysis provider emphasized his company's role in helping patients receive a kidney transplant.  Again, Dr. Maddux does not even mention transplantation.
ESRD Choice Act Moves out of Committee with Unanimous Support
News release from Dialysis Patient Citizens. Recent blog on this Medicare Advantage-related legislation from KidneyViews.
Representatives Introduce Bill That Would Improve Life for Patients with Kidney Disease
News item from the Chronic Disease Coalition. See text of bill H.R. 5506.

Editor's note:
The only dialysis organizations that I can find that support this legislation are DaVita and Dialysis Patients Citizens (which was previously named DaVita Patient Citizens).

We badly need transparency from these organizations regarding their financial interests in all proposed legislation.
What's New in Nephrology: 2016
Slide presentation from UKidney.
Aug. 31st Webinar: Introduction to the CDC Making Dialysis Safer Coalition
Notice from the Northwest Renal Network.
Limited Health Literacy in Advanced Kidney Disease
Free, full-text article from Kidney International.
An Inside Look at the UAB Home Dialysis Telemedicine Pilot
Article from Nephrology News & Issues.
Possible Inhibitory Effect of Erythropoiesis-Stimulating Agents at the Predialysis Stage on Early-Phase Coronary Events after Hemodialysis Initiation
Free, full-text, Issue-in-Progress, Open Access article from CardioRenal Medicine.
Chronic Kidney Disease and Risk for Gastrointestinal Bleeding in the Community: The Atherosclerosis Risk in Communities (ARIC) Study
CJASN Express abstract.
Strict Blood Pressure Control May Provide Long-Term Benefits for Kidney Disease Patients
Press release and JASN Express abstract from the American Society of Nephrology.
Chronic Kidney Disease Classification in Systolic Blood Pressure Intervention Trial: Comparison Using Modification of Diet in Renal Disease and CKD-Epidemiology Collaboration Definitions
Issue-in-Progress abstract from American Journal of Nephrology.
The Blood Pressure Salt Sensitivity Paradigm: Pathophysiologically Sound Yet of No Practical Value
Free, full-text, Advance Access article from NDT.
Satellite Healthcare Congratulates 2016 Coplon Grant Recipients
Teaching In-Home Caregivers Seems To Pay Off
Article from Kaiser Health News.
ESRD QIP PY 2020 Proposed Rule: New Fact Sheet and Video:
CMS Releases Medicare Advantage Value-based Insurance Design Model
Articles from Healthcare Finance and AHANewsNow. Fact sheet from CMS.
CMS Proposes Cardiac Rehabilitation Plan
Article from MassDevice.
Delivering on the Promise of Better Care for Older Adults
Posting from The CMS Blog.
CMS Updates Nursing Home Five-Star Quality Ratings


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Thursday, Aug. 11

ESRD QIP PY 2020 Proposed Rule: New Fact Sheet and Video:

CMO Looks at Ways To Put Meaning Behind 'Quality Care'
Article/interview from Nephrology News & Issues.

Editor's note:
Having read the Seminars in Dialysis article, I found that Dr. Maddux paints a disturbing picture of quality care.  He not only embraces a Big Data approach, but also one with strong Big Brother overtones. He envisions constant monitoring and feedback, on and off dialysis, to make patients more compliant with their treatment regimens. I believe most patients want to live as normal lives as possible.

There is virtually no mention of meeting the long ignored psychosocial needs of dialysis patients.  Likewise, as usual for Dr. Maddux, there were no significant statements about patient employment and rehabilitation.

There was also no mention of the role of financial incentives in quality dialysis care.   Considering that he and other prominent, for-profit, CMOs are practicing dialysis-care nephrology with hundreds of millions in junk-bond debt around their necks, these motivating forces cannot be ignored unless one does not want them to significantly change.

His paths to quality dialysis care all center on using existing dialysis technology and infrastructure.  Any innovations that he suggests are mere extensions of existing Fresenius Medical Care infrastructure.   With his company's investment in thousands of dialysis clinics and tens of thousands dialysis machines, he does not even mention new and evolving technologies that would make patients' lives so much better.

In the same issue of Seminars in Dialysis, the CMO of the largest non-profit dialysis provider emphasized his company's role in helping patients receive a kidney transplant.  Again, Dr. Maddux does not even mention transplantation.

FacebookTwitter
  Aug. 11, 2016
Hospitals Are Throwing out Organs and Denying Transplants to Meet Federal Standards
Article from STAT. Abstract from Journal of the American College of Surgeons.
A Smartphone App for Increasing Live Organ Donation
Early View abstract from American Journal of Transplantation.
Transplant Conferences
Listing from the Northwest Renal Network.
Diabetic Kidney Disease Changes Course, New Research Needed
(Registration required, but free.) Article from Medscape Nephrology.
CJASN Express Abstracts:
Predialysis and Postdialysis Hydration Status and N-Terminal Pro-Brain Natriuretic Peptide and Survival in Hemodialysis Patents
Advance Online abstract from the International Journal of Artificial Organs.
The Effect of Spironolactone on Acute Kidney Injury After Cardiac Surgery: A Randomized, Placebo-Controlled Trial
Article in Press abstract from American Journal of Kidney Diseases.
New Guidelines Published for Physicians Treating Patients with Kidney Stones
Press release from the University of Alabama at Birmingham.
Event Information: Emerging Trends through April 2016: Latest DOPPS Practice Monitor Findings
Webinar scheduled for Sept. 8th, 3 PM ET.
Serious Infections Tied to Suicide Risk
Salaries Fall for Nurses, Executives While Doctors, Health IT Pros Pay Rises
Article from Healthcare Finance.
VA Extends New Hepatitis C Drugs to All Veterans in Its Health System
Free, full-text, Online First article from the Journal of the American Medical Association.
The Emergence of the Randomized, Controlled Trial
Free, full-text, perspective piece from the New England Journal of Medicine.
Mayo Clinic Launches First-in-U.S. Blood Test that Assesses Risk of Heart Attack Using Plasma Ceramides
News release from the Mayo Clinic.
 


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Wednesday, Aug. 10

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  Aug. 10, 2016
US Diabetic Kidney Disease Rate Unchanged
Press release from the University of Washington Health Sciences. Press release and abstract from the Journal of the American Medical Association.
Mistakes We Make in Dialysis — Free Issue (July-Aug 2016) of Seminars In Dialysis
25 full-text articles.
Free, Full-Text Articles from Kidney International:
Initiation Time of Renal Replacement Therapy on Patients with Acute Kidney Injury: A Systematic Review and Meta-analysis of 8179 Participants
Accepted Article abstract and full-text version (34-page pdf) from Nephrology.
Is Timing Really Everything With RRT?
(Registration required, but free.) Article from Medscape Nephrology.
Diet Designed to Lower Blood Pressure Also Reduces Risk of Kidney Disease
Press releases from Johns Hopkins University Bloomberg School of Public Health and the National Kidney Foundation. Article in Press abstract from American Journal of Kidney Diseases.
The Effects of Resistance Exercise and Oral Nutritional Supplementation during Hemodialysis on Indicators of Nutritional Status and Quality of Life
Advance Access abstract from NDT.
A Comparison of the Extent and Pattern of Cognitive Impairment among Predialysis, Dialysis and Transplant Patients: a Cross Sectional Study from Australia
Accepted Article abstract from Nephrology.
New Lancet Kidney Campaign Update Highlights the Issue of Obesity and Overweight Populations in Latin America
Notice from the International Society of Nephrology.
Woman's Kidney Celebrates Its 100th Birthday Following Transplant from Mother in 1973
Article from the BBC.
The Great Indian Kidney Racket
American Renal Associates Holdings, Inc. Announces Second Quarter 2016 Results
Elderly Hospital Patients Arrive Sick, Often Leave Disabled
Article from Kaiser Health News.

"Bed rest is really, really bad," said the medical director of the ACE unit, Edgar Pierluissi. "It sets off an explosive chain of events that are very detrimental to people's health."
Regular Exercise: Antidote for Deadly Diseases?
Article from HealthDay. Free, full-text article from the BMJ.
Caring and Dedicated Physicians Are Being Driven out of Medicine
Posting from the KevinMD blog.
How Physicians Can Take Charge, Protect Autonomy and Put Patients First
Article from Medical Economics.
CROWNWeb: ESRD QIP 2.0 New User Training
Scheduled for Aug. 16, 2-3 PM ET.
Affordable Care Act Payment Model Continues to Improve Care, Lower Costs
CMS press release. Fact sheet on Independence at Home Demonstration for chronically ill patients.


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Tuesday, Aug. 9*

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  Aug. 9, 2016
DaVita Reports 'Disappointing' Managed-Care Revenue, Good Kidney Care Income
Article from Denver Business Journal. Press release from DaVita Healthcare Partners.
The Dilemmas Faced by the Chronically ill
Posting from the KevinMD blog.
Two Classes of Medications Linked to Similar Results in Peritoneal Dialysis Patients
Press release from the Los Angeles Biomedical Research Institute.
Both Low and High Serum Ferritin Levels Predict Mortality Risk in Hemodialysis Patients without Inflammation
First Online abstract from Clinical and Experimental Nephrology.
Biomarkers of Tolerance in Kidney Transplantation: Are We Predicting Tolerance or Response to Immunosuppressive Treatment?
Free, full-text, Early View article from American Journal of Transplantation.
Early View Abstracts from Therapeutic Apheresis and Dialysis:
Rockwell Medical Reports Second Quarter Results
Volunteering Later in Life Can Enhance Mental Health and Well-Being
Researchers Propose New Treatment to Prevent Kidney Stones
Cyberthieves Wooed By Huge Payoffs From Stolen Medical Records
Article from The Boston Globe. (KHN link.)
Zika Virus 6 Months Later
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
Fix Five Star So It Measures True Quality of Care
Article from Nephrology News & Issues.
CROWNWeb: ESRD QIP Pain Assessment and Follow-Up Reporting Measure Data Submission Extension


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Monday, Aug. 8

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  Aug. 8, 2016
Later HD, Less HD, No HD: a New Paradigm?
Commentary from Renal & Urology News.
Build on Number of African-American Organ Donors
Commentary from The Tennessean.
Australians Turn to Black Market for Human Organs
Article from News.com.au.
Organ Traffickers Reap War's Bloody Harvest
Article from Irish Independent.
FDA Issues Draft Updated Recommendations on Submitting a New 510 (K) for Device Modifications
FDA news release. Draft guidances for devices (76-page pdf) and software (32-page pdf). Related FDA webinar on Aug. 25.
A Dedicated Vascular Access Clinic for Children on Hemodialysis: Two Years' Experience
Free, full-text, Online First article from Pediatric Nephrology.
Defining Myocardial Tissue Abnormalities in End-Stage Renal Failure with Cardiac Magnetic Resonance Imaging Using Native T1 Mapping
Free, Open Access, Article in Press from Kidney International.
First Online Abstracts from International Urology And Nephrology:
Efficacy and Safety of Sucroferric Oxyhydroxide Compared with Sevelamer Hydrochloride in Japanese Hemodialysis Patients with Hyperphosphatemia: a Randomized, Open-Label, Multicenter, 12-Week Phase III Study
Accepted Article abstract from Nephrology.
Effect of Oral Sodium Bicarbonate on Fibroblast Growth Factor-23 in Patients with Chronic Kidney Disease: a Pilot Study
Free, full-text, Open Access article from BMC Nephrology.
Blood Pressure and Complications in Individuals with Type 2 Diabetes and No Previous Cardiovascular Disease: National Population Based Cohort Study
Free, full-text article from the BMJ.
The Snake Bite Effect on Myanmar's Renal Patients
Providers' Salaries Rise As 43% of Healthcare Pros Are Looking for New Opportunities, Survey Finds
News brief from Healthcare DIVE.
Social Determinants Matter Most to a Person's Health — Here's One Story
Posting from the KevinMD blog.
PCORI Awards Nearly $700,000 to 46 Projects Through Pipeline to Proposal Awards
Press release from the Patient-Centered Outcomes Research Institute.
Zika Hits the Mainland US While Congress Plays Politics with Public Health
Opinion piece from STAT.
Some Racial, Ethnic Groups Continue Smoking Cigarettes at Higher Rates
 


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Fri./Sat., Aug. 5-6

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  Aug. 5, 2016
Is Medicare Advantage (MA) a Plus for People on Dialysis?
Posting from the KidneyViews blog.
"Dialysis providers want ESRD patients to be allowed to "choose" to enroll in MA plans. What is their motivation? Dialysis providers with more MA members may make more money if MA plans don't bundle drugs and labs like traditional Medicare does. Also, dialysis patients who are members of MA plans may be locked into a certain dialysis corporation's clinics if that's the only contracted provider. This could require rural patients to travel long distances or patients to not get the treatment of their choice. Is the "choice" in this bill an empty promise?"
Editor's note: U.S. dialysis care is not centered on patients' needs or the pursuit of medical excellence. Instead, it is centered on servicing the enormous junk-bond debt that has made many prominent U.S. nephrologists multimillionaires.
Reward Organ Donors, and Thousands of Lives Will Be Saved
Column from the Boston Globe.
More Intensive Renal Replacement Therapy Possibly Harmful (in AKI)
Article from Renal & Urology News.
Coronary Revascularization in Patients with CKD Stage 5D: Pragmatic Considerations
CJASN Express abstract.
Why Are We Still Dialyzing Overdoses to Tricyclic Antidepressants? A Subanalysis of the NPDS Database
Early View abstract from Seminars in Dialysis.
KDIGO Launches New & Improved Guideline App
Notice from Kidney Disease | Improving Global Outcomes.
New Anti-Retrovirals and the Kidney
Posting from the NephronPower blog.
Reaching 100 on Dialysis: Tips for a Long Joyful Life
KidneyTalk podcast from Renal Support Network.
Home Dialyzors United 2016 Conference in Las Vegas, 2017 Cruise to Alaska
Patient Safety Primer: Learning Through Debriefing
FDA Alerts Providers to Recall of Drug to Treat Serious Bacterial Infections
Campaign For Universal Health Care In Colorado Seeks Bernie Sanders' Help
Article from Kaiser Health News.
Banner Health Huge Cyberattack, Up to 3.7 Million People Affected
Article from Healthcare Finance. News brief from AHANewsNow.
Zika Won't Pose Risks at the Olympics: Health Experts
Pharma Dollars Back Patient Groups That Oppose Medicare Part B Overhaul
Article from STAT.


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Thursday, Aug. 4

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  Aug. 4, 2016
Understanding the CMS End-Stage Renal Disease (ESRD) Measures Manual
(25-page pdf) Document dated June 28, 2016 that explains the CMS ESRD Measures Manual (150-page pdf) that was released May 6, 2016.

Editor's note: Not a single mention of patient employment or rehabilitation in either document. What was the intent of the 1972 legislation?
A Guide to Surviving Chronic Disease
Posting from the KevinMD blog.

Establishing Core Outcome Domains in Hemodialysis: Report of the Standardized Outcomes in Nephrology-Hemodialysis (SONG-HD) Consensus Workshop
Article in Press abstract from American Journal of Kidney Diseases.

Medication Intervention for Chronic Kidney Disease Patients Transitioning from Hospital to Home: Study Design and Baseline Characteristics
Issue-in-Progress abstract from American Journal of Nephrology.
Advance Access Abstracts from NDT:
ACE Inhibitors vs ARBs in CKD: A Toss-up?
(Registration required, but free.) Berns on Nephrology video blog via Medscape Nephrology.
Proton Pump Inhibitors Are Associated with Increased Risk of Development of Chronic Kidney Disease
Free, full-text, Open Access article from BMC Nephrology.
Study: Replacement Nurses May Cause Disease to Spread Faster
Press release from the University of Vermont.
What Employers Should Do to Protect Nurses from the Zika
Article from National Nurses United.
Free, Full-Text Articles from the New England Journal of Medicine:
Average American 15 Pounds Heavier Than 20 Years Ago
Article from HealthDay.
NIH Begins Testing Investigational Zika Vaccine in Humans
News release from the National Institutes of Health.
 


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Wednesday, Aug. 3

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  Aug. 3, 2016
Best Hospitals for Nephrology
U.S. News & World Report annual ranking. Best hospitals for adult nephrology:
  1. Mayo Clinic
  2. Cleveland Clinic
  3. UCSF Medical Center
  4. New York-Presbyterian University Hospital of Columbia and Cornell
  5. Johns Hopkins
Best hospitals for pediatric nephrology:
  1. Boston Children's
  2. Cincinnati Children's
  3. Texas Children's (Houston)
  4. Seattle Children's
  5. Lucille Packard Children's Hospital at Stanford
The top hospital overall in all medical specialties is the Mayo Clinic in Rochester, MN.
STUDY PROTOCOL (UK): Integrating Emotional and Psychological Support into the End-Stage Renal Disease Pathway: a Protocol for Mixed Methods Research to Identify Patients' Lower-Level Support Needs and How These Can Most Effectively Be Addressed
Free, full-text, Open Access article from BMC Nephrology.
Health System's 'Genius Bar' Links Patients' Devices for Better Engagement, Outcomes
Article from Hospitals & Health Networks.

"Ochsner Health System stands at the forefront of hospital systems worldwide in adopting mobile apps and wearable technology to cement patients' engagement in overseeing their own health."
Philips' New Wearable Suite Targets Chronic Disease
News brief from Healthcare DIVE.
Few Seniors Go Online for Health-Care Needs
Article from HealthDay. Extract of research letter from the Journal of the American Medical Association.

Editor's note:
Another reason why focusing on the needs of working-age patients can provide significant technological advances in dialysis care.
HIF Away: Roxadustat Has Arrived!
Posting from the AJKD blog.
In the Loop: Mayo Nurse Donates Kidney, Gains New Friend
Article from the Mayo Clinic.
Fluid Overload in the ICU: Evaluation and Management
Free, full-text, Open Access article from BMC Nephrology.
Timing of Initiation of Renal Replacement Therapy for Acute Kidney Injury: a Systematic Review and Meta-Analysis of Randomized-Controlled Trials
First Online abstract from Clinical and Experimental Nephrology.
Effect of Early Vasopressin vs Norepinephrine on Kidney Failure in Patients With Septic Shock — The VANISH Randomized Clinical Trial
Abstract and press release from the Journal of the American Medical Association.
Effect of Metabolic Acidosis on QT Intervals in Patients with Chronic Kidney Disease
Advance Online abstract from the International Journal of Artificial Organs.
Comparative Effectiveness of Angiotensin Receptor Blockers Versus Angiotensin-Converting Enzyme Inhibitors on Cardiovascular Outcomes in Patients Initiating Peritoneal Dialysis
First Online abstract from Journal of Nephrology.
Predictors of Radiocephalic Arteriovenous Fistulae Patency in an Asian Population
Advance Online abstract from the Journal of Vascular Access.
Copycat Biosimilar Drugs As Effective As Expensive Biologics, Study Finds
News summary from Kaiser Health News.
Diabetes Drug Victoza Might Not Help Advanced Heart Failure Patients
Free, Full-Text Articles from the Journal of the American Medical Association:
Sorting Out the High-Stakes Battle Over Nurse Practicing Authority
Article from Hospitals & Health Networks.
Corrections to Proposed Rule Published on 6/30/16 for the ESRD Prospective Payment System
Notice from The Federal Register.
Aetna Proposes to Divest Certain Parts of Medicare Advantage Plans
News brief from AHANewsNow.
Medicare's Readmission Penalties Hit New High
Article from Kaiser Health News.
Medicare Extends Ban On New Home Health Agencies, Ambulance Companies In Some States


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Tuesday, Aug. 2

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  Aug. 2, 2016
Keryx Biopharmaceuticals Announces Interruption in Supply of Auryxia® (ferric citrate) and Second Quarter 2016 Financial Results
Press release.
Trends in Prevalence of Chronic Kidney Disease in the United States
Online First abstract and editorial extract from Annals of Internal Medicine.
Quality of End-of-Life Care Provided to Patients With Different Serious Illnesses
Abstract from JAMA Internal Medicine.
Fresenius Medical Care Posts Accelerated Earnings Growth in the 2nd Quarter
Press release.
Free, Full-Text Articles from NDT:
Lanthanum Carbonate: Safety Data after 10 Years
Accepted Article abstract and full-text PDF from Nephrology.
Central Venous Occlusion in the Hemodialysis Patient
Article in Press abstract from American Journal of Kidney Diseases.
Advance Online Abstracts from the Journal of Vascular Access:
Prognostic Enrichment Design in Clinical Trials for Autosomal Dominant Polycystic Kidney Disease: the HALT-PKD Clinical Trial
Advance Access abstract from NDT.
Medications Increase Hospitalization for Heat-Related Illnesses
Article from Renal & Urology News.
Leaky Calcium Triggers Brainstem Blackout That Results in Sudden Cardiac Death
Bigfoot Biomedical's Diabetes Management System Going on Trial
Betting on Hepatitis C: How Financial Speculation in Drug Development Influences Access to Medicines
Free, full-text article from the BMJ.
Florida Travel Warning Issued for Pregnant Women after More Zika Cases
Articles from STAT, AHANewsNow, and Reuters.
Fat May Not Hike Heart Attack Risk: Study
Article from HealthDay. Press release and Online First abstract from JAMA Internal Medicine.
Science and Public Health on Trial — Warning Notices on Advertisements for Sugary Drinks
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
State and Regional Prevalence of Diagnosed Multiple Chronic Conditions Among Adults Aged =18 Years — United States, 2014
Report from the CDC's MMWR.
Long-Term Care Is An Immediate Problem — For The Government
Article from Kaiser Health News.
White Doctors Earn More Money Than Black Physicians, Study Finds
MedPAC Comment on CMS's Proposed Rule on the ESRD Prospective Payment System and the DMEPOS Competitive Bidding Program
(8-page pdf) Comment letter from the Medicare Payment Advisory Commission.
CMS Conference Calls on Proposed ESRD QIP on Aug. 4 and Aug. 16
Notice from the Northwest Renal Network.
Pharmaceutical Industry–Sponsored Meals and Physician Prescribing Patterns for Medicare Beneficiaries
Abstract from JAMA Internal Medicine.
Association Between Medicare Accountable Care Organization Implementation and Spending Among Clinically Vulnerable Beneficiaries
Abstract from JAMA Internal Medicine.
Public Reporting of Mortality Rates for Hospitalized Medicare Patients and Trends in Mortality for Reported Conditions
Abstract from Annals of Internal Medicine.
CMS Announces Next Phase in Largest-Ever Initiative to Improve Primary Care in America
Press release.


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Monday, Aug. 1

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  Aug. 1, 2016
Everybody Needs a Cheerleader to Get a Kidney Transplant: a Qualitative Study of the Patient Barriers and Facilitators to Kidney Transplantation in the Southeastern United States
Free, Full-Text, Open Access Articles from BMC Nephrology.
"We identified two novel themes specific to Southeastern dialysis patients that describe the major barriers and facilitators to kidney transplantation (KTx): dialysis center approaches to patient education about KTx, and dialysis center advocacy and encouragement for KTx."
Editor's note: More evidence that U.S. nephrologists and the for-profit providers are failing their most vulnerable dialysis patients.

Compare this to non-profit DCI's policy, where its commitment to provide and increase education about transplantation begins even before patients start dialysis.
Global Experts and Leaders Devise a New Blueprint for Kidney Care
News release from the International Society of Nephrology.
Free, Full-Text, Open Access Articles from BMC Nephrology:
Catheter Reduction Toolkit
Resources from the National Forum of ESRD Networks.
Access-Related Hand Ischemia and the Hemodialysis Fistula Maturation Study
Article in Press abstract from Journal of Vascular Surgery.
Factors Predicting Successful Discontinuation of Continuous Renal Replacement Therapy
Abstract from Anaesthesia and Intensive Care.
Summer 2016 Newsletter of the Asia-Pacific Chapter of the International Society of Peritoneal Dialysis
Legislation That Could Make Deductibles For Chronic Care More Affordable Has Bipartisan Support
Scientists Find Potential New Antibiotic, Right under Their Noses
Article from FOX News.
More Locally Transmitted Zika in US Expected: Official
Article from Reuters. Articles from Hospitals & Health Networks, AHANewsNow, and Kaiser Health News.
Emma the Robot Gives Professional Massages
Medicare Projects Relatively Stable Average Prescription Drug Premiums in 2017
CMS press release.


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