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Thursday, June 30

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  June 30, 2016
Presentations from the NKF Spring Clinical Meeting:
Pregnancy in Women With CKD: A Success Story
Free, full-text, Article in Press from American Journal of Kidney Diseases.
Free, Full-Text Articles from Journal Of Renal Nutrition:
NephCure Kidney Network to Participate in $4 Million Research Study Comparing Stress Management Approaches
Press release.
Psychological Rejection of the Transplanted Organ and Graft Dysfunction in Kidney Transplant Patients
Abstract and link to full-text PDF from Transplant Research and Risk Management.
Belatacept and Long-Term Outcomes in Kidney Transplantation
Letter to the Editor and responses from the New England Journal of Medicine.
Advance Access Abstracts from NDT:

Early View Abstracts from Hemodialysis International:

Vascular Access Scenario in Italy: Evolution and Comparison by Two Surveys (1998-2013)
Advance Online abstract from the Journal of Vascular Access.
Medical Adjuvant Treatment to Improve the Patency of Arteriovenous Fistulae and Grafts: A Systematic Review and Meta-analysis
Article in Press abstract from European Journal of Vascular & Endovascular Surgery.
KIDney Notes for May-June 2016
(10-page pdf) Newsletter from the American Society of Pediatric Nephrology.
Intensive vs Standard Blood Pressure Control and Cardiovascular Disease Outcomes in Adults Aged =75 Years — A Randomized Clinical Trial
Free, full-text article from the Journal of the American Medical Association.
FDA Asks How Safe Is That Hand Sanitizer?
Article from HealthDay. Notice from the FDA.
Infographic: Beat the Heat! Stay Hydrated without Overdoing Fluids
As Walking Movement Grows, Neighborhood Walkability Gains Attention
Free, full-text, Online First perspective piece from the Journal of the American Medical Association.
Nursing Coalition and Veterans Groups Join Forces in Unprecedented Response to VA Proposed Rule to Increase Veterans' Access to Care
Press release from the American Nurses Association.
Patient Satisfaction Must Start with Nursing Satisfaction
Posting from the KevinMD blog.
 


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Wednesday, June 29

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  June 29, 2016
Eight-Year Experience with Nocturnal, Every-Other-Day, Online Haemodiafiltration
Abstract from Nephron.

Results: Nocturnal, every-other-day OL-HDF was well tolerated and 56% of patients were working. The convective volume increased from 26.7 ± 2 litres at baseline to 46.6 ± 6.5 litres at 24 months (p < 0.01). Increasing the dialysis dose significantly decreased bicarbonate, blood-urea-nitrogen and creatinine values. Predialysis phosphate levels fell markedly with complete suspension of phosphate binders from the second year of follow-up. Although haemoglobin was unchanged, there was a 50.4% reduction in darbepoetin dose at 24 months and a significant decrease in the erythropoietin resistance index. Blood pressure significantly decreased in a few months. Antihypertensive medication requirements were decreased by 60% after 3 months and by 73% after 1 year and this difference was maintained thereafter.

Conclusions: Nocturnal, every-other-day OL-HDF could be an excellent therapeutic alternative since it is well tolerated and leads to clinical and social-occupational rehabilitation with satisfactory morbidity and mortality.

Editor's note: Wow! Thank you, Spain!

This is the dialysis modality I would choose for myself. Personally, I would not want dialysis to interfere with my home life. This appears to be even better than Tassin (no 3-day weekend).

U.S. nephrology has next to no experience with hemodiafiltration and instead has built its infrastructure and care system — as well as their personal finances and wealth — around 40-year-old dialysis technology and a high-school education labor force.

Resistance Exercise in the Hemodialysis Population - Who Should Do the Heavy Lifting
Free, full-text, Issue-in-Progress article and related abstract from American Journal of Nephrology.

Editor's note: Must read!
Modelling the Cost-Effectiveness of Delaying End-Stage Renal Disease
Free, full-text article from Nephron.
From Infections to Chronic Kidney Disease: Why Nephrologists Need to Pay Heed
Posting from the AJKD blog.
The NoNo Sleeve: RNs Take up Arms to Avert Errors (with AV Fistulas)
Article from Nurse.com.
A Comparison between Physicians and Computer Algorithms for Form CMS-2728 Data Reporting
Early View abstract from Hemodialysis International.
Issue-in-Progress Abstracts from Blood Purification:
Racial Disparities in End-of-Life Communication and Preferences among Chronic Kidney Disease Patients
Issue-in-Progress abstract from American Journal of Nephrology.
FDA Recall Notice: Baxter PrismaSate BGK2/0 Dialysis Solution — Recall # Z-2049-2016
Notice from the FDA Enforcement Report.

Editor's note: Due to changes in the FDA's web site, there are no longer direct links available to individual recall notices. You must use their "Advanced Search" feature and type/paste in the recall number ( Z-2049-2016 ).
End of Shift: Maintaining Hope
Article from Nurse.com.

"...when I see a patient at the lowest point in health, I think back to how well Mrs. S is doing now, and I am reminded of how important it is for all parties involved to maintain hope — starting with me."
Gilead Wins FDA Approval for Cheaper Hepatitis C Cure
Article from The Hill.
Is Obamacare Actually Making America Healthier?
Article from Medical Economics.
655,000 Patient Records Reportedly for Sale on the Dark Web after Ransom Demand
Article from Healthcare IT News.
HHS Center to Develop Zika Vaccine
HHS Proposes Changes to Medicare Appeals Procedures
News brief from AHANewsNow.


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Tuesday, June 28

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  June 28, 2016
Patient Avoids Dialysis Through Simultaneous Polycystic Kidney Removal and Kidney Transplant During 28-Person Kidney Swap
Press release from the University of Maryland.
Virtual Tissue Technology Reveals New Drug Target in Polycystic Kidney Disease
Press release from Indiana University.
Early View Abstracts from Hemodialysis International:

Recipient Outcomes Following Transplantation of Allografts From Live Kidney Donors Who Subsequently Developed End-Stage Renal Disease
Early View abstract from American Journal of Transplantation.
CJASN Express Abstracts:
Venous Window Needle Guide for Deep Vessels and Difficult Arteriovenous Fistula Cannulation
First Online abstract from Journal of Nephrology.
The Use of Vitamin D Analogs Is Independently Associated with the Favorable Renal Prognosis in Chronic Kidney Disease Stages 4-5: the CKD-ROUTE Study
First Online abstract from Clinical and Experimental Nephrology.
Subtotal Parathyroidectomy Safe, Effective, Study Finds
Article from Renal & Urology News.
How to Measure The Success of End-of-Life Care
Article from Hospitals & Health Networks.
Nestlé Appoints Fresenius Head as Chief Executive
Avoiding the Unintended Consequences of Screening for Social Determinants of Health
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association. Online First extract from JAMA Internal Medicine.
In Worst-Case Scenarios, Nurses Strikes Can Lead To More Deaths
News brief from Kaiser Health News.
Docs, Nurses Press for Changes to MACRA Rule
(Registration required, but free.) Article from MedPage Today.


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Monday, June 27

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  June 27, 2016
Fresenius SE Promotes Sturm to Chief Executive as Schneider Departs
Article from Bloomberg.

How Would You Improve Dialysis Care If You Had Unlimited Resources?
Posting from the Renal Fellow Network blog.

Editor's note: I would try to maximize the power of free-market profit incentives to deliver rapid progress and positive change on many fronts. I would create a strong, long-lasting, financial incentive to increase employment and rehabilitation rates for working-age patients. As a guide, I would use Scribner's statement, "If the treatment of chronic uremia cannot fully rehabilitate the patient, the treatment is inadequate."

These changes would (finally!) establish a well-patient model for dialysis care and would drive continual improvements in patient care, technology and infrastructure, as well as permanently integrate patient feedback into all care processes (all of which were routinely done in the 1960s).

P.S.  We could do this today by extending the MSP-period for employed patients — at no cost to the government!

CMS Proposed Updates to Policies and Payment Rates for ESRD PPS, QIP, Coverage and Payment for Acute Kidney Injury, DMEPOS Competitive Bidding Program and Fee Schedule, and Comprehensive ESRD Care Model (CMS 1651-P)
Fact sheet from CMS. The proposed CY 2017 ESRD PPS base rate is an increase of $0.65 from the CY 2016 base rate of $230.39. Under the proposed rule (260-page pdf), dialysis facilities would receive $50 million more in 2017 than they received in reimbursement from CMS in 2016.

Comments on the rule are due Aug. 23.

Editor's comment: Same old evolutionary changes to the sick-patient model of U.S. dialysis care.
Kidney Care Partners Encouraged by House and Senate Interest in Care Coordination for Patients with Kidney Failure
Press release. (An earlier press release on this legislation was deleted.)

Editor's note: This refers to bill HR 5506. It is another sick-patient model of care. Neither the words "employment" nor "rehabilitation' are mentioned in the legislation (à la Maddux).
Study Examines Quality of End Life Care for Patients with Different Illnesses
Press release, Online First full-text article, and commentary from JAMA Internal Medicine. Press release from Brigham and Women's Hospital.
"Families reported better quality of end-of-life care for patients with cancer or dementia than for patients with end-stage renal disease..."
The Difficult Ethics of Organ Donations From Living Donors
Article from The Wall Street Journal.
HIV-to-HIV Organ Transplants Moving Forward
(Registration required, but free.) Article from MedPage Today.
New Treatment Approaches to Improve Peritoneal Dialysis
Press release from the Medical University of Vienna.
Maintenance of Blood Flow Rate on Dialysis with Self Centering CentrosFLO Catheter: a Multicenter Prospective Study
Free, full-text, Early View article from Hemodialysis International.
Functional and Cognitive Impairment, Frailty, and Adverse Health Outcomes in Older Patients Reaching ESRD—A Systematic Review
CJASN Express abstract.
Old Habits Die Hard: Screening for and Treating Asymptomatic Bacteriuria After Kidney Transplantation
Free, full-text, Early View letter to the editor from American Journal of Transplantation.
Pregnancy in Women With CKD: A Success Story
Article in Press abstract from American Journal of Kidney Diseases.
Long-Term Effects of Angiotensin II Blockade with Irbesartan on Inflammatory Markers in Hemodialysis Patients: a Randomized Double Blind Placebo Controlled Trial (SAFIR Study)
Early View abstract from Hemodialysis International.
Coping Skills of Iranian Family Caregivers' in Caretaking of Patients Undergoing Hemodialysis: a Qualitative Study
Early View abstract from Journal of Renal Care.
AKF Webinar: Staying Employed with Kidney Disease
American Kidney Fund event scheduled for July 19.
Intermountain Surgeons Save Patient's Kidney with 3D Printing during Dicey Operation
Press release from Intermountain Medical Center..
What Comes Next after Brexit Vote, Scientists Ask
Article, editorial, and blog posting from the BMJ.
How One Hospital Reduced Noise and Patient Complaints With A Sound Study
Article from Hospitals & Health Networks.
Contaminated Gloves a No-No in Hospitals
Nurses Strike Averted at Brigham and Women's Hospital in Boston
  Connecting the Pieces: CROWNWeb 5.0 Sneak Peek on June 30


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Fri./Sat., June 24-25

CMS Proposed Updates to Policies and Payment Rates for ESRD PPS, QIP, Coverage and Payment for Acute Kidney Injury, DMEPOS Competitive Bidding Program and Fee Schedule, and Comprehensive ESRD Care Model (CMS 1651-P)
Fact sheet from CMS. The proposed CY 2017 ESRD PPS base rate is an increase of $0.65 from the CY 2016 base rate of $230.39. Under the proposed rule (260-page pdf), dialysis facilities would receive $50 million more in 2017 than they received in reimbursement from CMS in 2016.

Comments on the rule are due Aug. 23.

Editor's comment: Same old evolutionary changes to the sick-patient model of U.S. dialysis care.
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  June 24, 2016
Report: China Still Harvesting Organs from Prisoners at a Massive Scale
Article from CNN. Update from the International Coalition to End Organ Pillaging in China.
"If somebody goes to China to get an organ, at this point, in this day and age, chances are they are receiving it, they are getting their organ from a Falun Gong practitioner, who was murdered on their behalf."

– Ethan Gutmann
Diabetes, Kidney Disease, and Cardiovascular Outcomes in the Jackson Heart Study
CJASN Express abstract and press release from the American Society of Nephrology. Article from HealthDay.

Free, Full-Text Articles from American Journal of Kidney Diseases:

Needs Assessment: Towards a More Responsive Canadian Society of Nephrology Annual Gen. Meeting (CSN AGM) Program
Free, full-text, Open Access article from Canadian Journal of Kidney Health and Disease.
Iron-Related Parameters in Dialysis Patients Treated with Sucroferric Oxyhydroxide
Free, full-text, Advance Access article from NDT.
Home- or Institutional Hemodialysis? - a Matched Pair-Cohort Study Comparing Survival and Some Modifiable Factors Related to Survival
Issue-in-Progress abstract from Kidney & Blood Pressure Research.

CJASN Express Abstracts:

Vitamin E–Coated and Heparin-Coated Dialyzer Membranes for Heparin-Free Hemodialysis: A Multicenter, Randomized, Crossover Trial
Article in Press abstract from American Journal of Kidney Diseases.
The Current State of Peritoneal Dialysis
JASN Express abstract.
Risk of Renal Cell Carcinoma Among Kidney Transplant Recipients in the United States
Early View abstract from American Journal of Transplantation.
New Baxter Study Demonstrates Perceived Value of Telemedicine to Increase Access to Care and Reduce Hospitalizations
Press release. Article from PLOS ONE.
Parathyroidectomy Rates Stable Despite Changes in Medical Therapy
Article from Renal & Urology News.
Wearable Biosensors Studied for Clinical Monitoring and Treatment
Free, full-text, Online First article from the Journal of the American Medical Association.
Hidden Harm: US Healthcare Emits More Greenhouse Gas Than Entire UK
Article from Reuters Health.
CDC Says Flu Nasal Spray Doesn't Work
 


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Thursday, June 23

Report: China Still Harvesting Organs from Prisoners at a Massive Scale
Article from CNN.
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  June 23, 2016
Some Older Adults Live Well, despite Advancing Years and the Burdens of Chronic Diseases
Press release and free, full-text article from the Journal of the American Geriatrics Society.

"The researchers said "adapter" older adults who were more vigorous than expected, based on their disease burden, lived longer lives when compared to those who were more frail than expected based on their disease burden. These "adapters" could have unique characteristics, perhaps some undefined coping mechanism, that should be studied further, suggested the researchers."

Editor's note: I believe most long-term dialysis professionals would agree that if a patient has a "will to live" or a "reason to live," it has a strong positive effect on their prognosis. Failing to support patient life goals, such as employment, is iatrogenic.
Ultrafiltration Rates and the Quality Incentive Program: Proposed Measure Definitions and Their Potential Dialysis Facility Implications
CJASN Express abstract.
Patient Specific Modeling of Multicompartmental Fluid and Mass Exchange during Dialysis
Advance Online abstract from the International Journal of Artificial Organs.
Free, Full-Text Articles from Advances in Chronic Kidney Disease (also see 8 new abstracts in July 2016 issue):

Articles in Press Abstracts from Kidney International:

A Fib More Deadly in Blacks: Study
Article from HealthDay. Press release and free, full-text, Online First article from JAMA Cardiology.
New Heart Failure Therapy Could Prevent Substantial Number of Deaths, Study Finds
Press release from UCLA Health Sciences. Free, full-text, Online First article from JAMA Cardiology.
Diabetes Raises Risk of Heart Attack Death by 50%
Hibernation Study Yields Insights about Organ Protection
Australia 20 Years after Gun Reform: No Mass Shootings, Declining Firearm Deaths
Article from HealthDay. Editorial and Online First  full-text article from the Journal of the American Medical Association. Press release from the University of Sydney.
Rates of Nonmedical Prescription Opioid Use and Opioid Use Disorder Double in 10 Years
Press release from National Institutes of Health.
Medicare Has Funding through 2028, Trustees Say, Two Years Less Than Earlier Thought
Article from Healthcare Finance. News brief from AHANewsNow. Report (267-page pdf) from the Medicare and Social Security Boards of Trustees.
More Than 300 Charged Nationwide in Massive $900 M Medicare Fraud Sweep
Articles from Healthcare Finance and Healthcare DIVE.


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Wednesday, June 22

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  June 22, 2016
Product Recall: Fresenius Medical Care Crit Line in a Clip (CLiC) — Recall # Z-2044-2016
Notice from the FDA Enforcement Reports.

Reason for recall: Use of the Blood Pressure Graph located on the Crit-Line screen of the 2008T Hemodialysis Machine may result in a frozen screen, possibly causing the blood pump to stop.

Editor's note: Due to changes in the FDA's web site, there are no longer direct links available to individual recall notices. You must use their "Advanced Search" feature and type/paste in the recall number ( Z-2044-2016 ).
Alabama Telehealth Project Focuses on Home Dialysis Patients
Article from MHealth Intelligence.
Toxicology and Dialysis
Resource from UKidney. #NephJC tweetchat today at 3 PM ET.
Best Hospitals for Pediatric Nephrology
Annual feature from U.S. News & World Report. The top three are:
  1. Boston Children's Hospital
  2. Cincinnati Children's Hospital Medical Center
  3. Texas Children's Hospitals
Patient Perspectives on the Choice of Dialysis Modality: Results From the Empowering Patients on Choices for Renal Replacement Therapy (EPOCH-RRT) Study
Article in Press abstract from American Journal of Kidney Diseases.
Early View Abstracts from Hemodialysis International:
Renal Outcome in Children Born Preterm with Neonatal Acute Renal Failure: IRENEO - A Prospective Controlled Study
First Online abstract from Pediatric Nephrology.
Patients with Inflammation More Likely to Develop Diabetes after Transplant
Press release from Thomas Jefferson University.
Microbiota Affect the Rate of Transplant Acceptance and Rejection
Press release from the University of Chicago Medicine.
Hepatitis C Core Antigen Testing for Diagnosis of Hepatitis C Virus Infection: A Systematic Review and Meta-analysis
Online First abstract from Annals of Internal Medicine.
Tenofovi Designed to Prevent Renal Problems in HIV Patients
(Registration required, but free.) Article from MedPage Today.
The Healing Powers of Music: Mozart and Strauss for Treating Hypertension
Baxter Nixes Vivia Home Hemodialysis Machine
In Doctors We Trust – Especially When They Admit to Bias
Press release from Cornell University.
Another Potential Use for Statins?
Article from HealthDay.
 


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Tuesday, June 21

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  June 21, 2016
Unwitting Victims or Informed Medical Consumers? How are Dialysis Patients Viewed by Their Nurses and Staff?
Posting from the KidneyViews blog.
ChoosingDialysis Web Site Opens
"Empowering patients on choices for renal replacement therapy"

Editor's note:
Was this designed by Fresenius and DaVita? It steers patients into the two most profitable treatment regimens for their existing infrastructure: in-center dialysis and at-home peritoneal dialysis.
Dialysis in Houston Helps Immigrants amid Cost Challenges
Article from Houston Chronicle.

"Some patients admit to eating entire bunches of bananas or drinking the fluid from canned tomatoes to boost potassium levels and increase their odds of treatment."
Fresenius Medical Care Releases Annual Medical Report
Press release. The report is a 52-page pdf.

Editor's note: A search reveals that the report never mentions these words: rehabilitation, employment, psychosocial, or depression. How can patients "thrive" if the corporation won't even use these words?

What kind of medicine is this? A "sick-patient" model, reimbursement-driven, statistics-focused, corporate herd medicine.

Why has DCI, a non-profit, had better mortality and hospitalization data for over a decade?
Kt/Vurea and Nonurea Small Solute Levels in the Hemodialysis Study
JASN Express abstract.

"These results further suggest that an index only on the basis of urea does not provide a sufficient measure of dialysis adequacy."
CDC Dialysis Safety Web Site Updated
The Making Dialysis Safer for Patients Coalition is a partnership of healthcare-related organizations, patient advocacy organizations, industry partners, and other public health partners that span the dialysis spectrum.
Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
Just Say No: Stemming the Tide of Antibiotic Overprescription
Free, full-text, Early View editorial from American Journal of Transplantation.
The 50 Most Active Kidney Transplant Centers in 2015
Data from the Organ Procurement and Transplant Network (OPTN) via NN&I.
Awareness of Chronic Kidney Disease and Depressive Symptoms: National Health and Nutrition Examination Surveys 2005-2010
Issue-in-Progress abstract from American Journal of Nephrology.
Health Care Providers' Support of Patients' Autonomy, Phosphate Medication Adherence, Race and Gender in End Stage Renal Disease
First Online abstract from Journal of Behavioral Medicine. Related article from Renal & Urology News.
Citrate Versus Acetate Dialysate on Intradialytic Heparin Dose: a Double Blind Randomized Crossover Study
Early View abstract from Hemodialysis International.
Association between Clinical Variables and Mortality after Parathyroidectomy in Maintenance Hemodialysis Patients
Article in Press abstract from The American Journal of Surgery.
Postpartum Acute Kidney Injury: a Review of 99 Cases
Abstract from Renal Failure.
Effect of Treatment Education Based on the Roy Adaptation Model on Adjustment of Hemodialysis Patients
Abstract from Clinical Nurse Specialist.
New Strategies to Tackle Diabetic Kidney Disease
(Registration required, but free.) Article from Current Opinion in Nephrology and Hypertension via Medscape Nephrology.
Study Finds Surgery Can Lengthen Survival of Metastatic Kidney Cancer Patients
FDA Approves New Drug Application for RAYALDEE® to Treat Secondary Hyperparathyroidism Associated with Vitamin D Insufficiency in Stage 3-4 Chronic Kidney Disease
CDC Issues Preparedness Plan for Locally Acquired Zika Cases
News brief from AHANewsNow.
Why is EHR Use Dropping?
Article from Medical Economics.
Pharmaceutical Industry–Sponsored Meals and Physician Prescribing Patterns for Medicare Beneficiaries
Free, full-text, Online First original investigation and Editor's Note from JAMA Internal Medicine.
Association Between Medicare Accountable Care Organization Implementation and Spending Among Clinically Vulnerable Beneficiaries
Online First abstract from JAMA Internal Medicine.


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Monday, June 20

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  June 20, 2016
Reps. Young, Blumenauer Introduce HR. 5506, the Dialysis PATIENT (Patient Access to Integrated-Care, Empowerment, Nephrologists, and Treatment) Demonstration Act
News release from Congressman Todd Young of Indiana (No text of the bill is available at this time.)

Kidney Care Partners Encouraged by Congressional Interest in Care Coordination Models for Patients with Kidney Failure
Press release from Kidney Care Partners.

Editor's note: The for-profit providers will likely capture more dollars from their sick-patient model of care. They have completely failed patients in terms of a well-patient model of care, patient employment, and rehabilitation.

When will they publish their employment and rehabilitation statistics?

Nearly 100 Children Attend DCI's Kidney Camp
Press release.
European Transplant & Dialysis Sports Championships Program
Competition will be held in Finland on July 10-17.

Editor's note: Why is there no athletic competition for U.S. dialysis patients? Could it be that U.S. nephrology only focuses on the sick-patient model?
Can Changes in Quality of Life Predict Mortality in Hemodialysis Patients?
News item from Dialysis Outcomes and Practice Patterns Study Program (DOPPS).
Abstracts from the Fourth World Congress of Vascular Access (WoCoVA 2016), June 22-24, 2016, Lisbon, Portugal
(Click on link to "Download PDF") Free, Advance Online feature (49-page pdf) from the Journal of Vascular Access.
Prevalence of Autosomal Dominant Polycystic Kidney Disease in the European Union
Free, full-text, Advance Access article from NDT.
A Delphi Consensus Panel on Nutritional Therapy in Chronic Kidney Disease
First Online abstract from Journal of Nephrology.
Nutritional Management in the Critically Ill Child with Acute Kidney Injury: a Review
First Online abstract from Pediatric Nephrology.
Seattle Hospital Warns 650 Dialysis Patients of Possible Hepatitis B Exposure
Zika Spreading Rapidly Through Puerto Rico: CDC
Article from HealthDay.
A National Trauma Care System to Achieve Zero Preventable Deaths After Injury — Recommendations From a National Academies of Sciences, Engineering, and Medicine Report
Free, full-text, Online First article from the Journal of the American Medical Association. Article from HealthDay.
Palliative Care Is Not Just for Those Who Are Dying
Article from the BMJ.
CMS Measures Webinar on June 28
Notice from the Northwest Renal Network.
CMS Issues Final Rule Revising Medicare Payment System for Laboratory Tests
News brief from AHANewsNow.


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Fri./Sat., June 17-18

Nearly 100 Children Attend DCI's Kidney Camp
Press release.
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  June 17, 2016
The American Society of Nephrology (ASN) Peer-Reviewed Journals Retain High Impact Factor
Press release.

Editor's note: This is apparently in reaction to the announcement of a new European journal Kidney International Reports.

Having reviewed worldwide journal articles for the last 17 years and having watched the U.S. fall behind the rest of the world in dialysis patient outcomes, I remain disheartened by the enormous blind spot that the ASN has to its financial conflicts of interest due to its ties to large for-profit corporations. (Articles like this would never be published in an ASN journal.) Even though the largest U.S. non-profit dialysis provider has delivered better patient outcomes for more than a decade, articles taking on the American dialysis business model rarely appear in ASN journals.
Effects of Physician Payment Reform on Provision of Home Dialysis
Full-text article from American Journal of Managed Care.

"Our findings indicate that economic incentives have had a substantial effect on physicians' decisions regarding dialysis modality, and that payment reform had the unintended consequence of leading fewer patients to home dialysis. Since the choice of dialysis modality is central to patients' quality of life, independence, and healthcare costs, a reduction in the use of home dialysis can be seen as a failure of the policy."

Editor's note: More evidence that financial incentives influence nephrologists' decisions in U.S. dialysis care more than scientific data. U.S. nephrology is in near complete denial about the pervasive negative effects of its greed.
New AKF Research Will Examine Challenges Kidney Patients Face In Adhering To Treatment Regimens
Press release from the American Kidney Fund.

Editor's note:
Since the AKF receives tens of millions of dollars every year from Fresenius and DaVita, how can any unbiased research come from the AKF?

I believe it is a foregone conclusion that this study will find that patients are largely to blame for not adhering to their treatment regimens (regimens which nephrologists would never choose for themselves and which also serve the financial goals of for-profit corporations). It is likely that this study will simply validate the low-cost/no-cost practices for-profit corporations.
Hemodialysis-Induced Regional Left Ventricular Systolic Dysfunction
Early View abstract from Hemodialysis International.
Intravenous Versus Oral Iron Supplementation for the Treatment of Anemia in CKD: An Updated Systematic Review and Meta-analysis
Article in Press abstract from American Journal of Kidney Diseases.

First Online Abstract from Journal of Nephrology:

Pre-Dialysis Decline of Measured Glomerular Filtration Rate but Not Serum Creatinine-Based Estimated Glomerular Filtration Rate Is a Risk Factor for Mortality on Dialysis
Advance Access abstract from NDT.
Abstracts from Therapeutic Apheresis and Dialysis:
CKD and Muscle Mitochondrial Energetics
Free, full-text, Article in Press from American Journal of Kidney Diseases.
Certain Factors Affect Vitamin D Levels in Children with Chronic Kidney Disease
Press release and CJASN Express abstract from the American Society of Nephrology.
Why Are Insulin Prices Rising?
(Registration required, but free.) Posting from the KevinMD blog.
Hepatitis C Discussion on Facebook on June 23
Septicemia the Most Expensive Condition Treated by Hospitals
Article from HFMA.
Philadelphia to Bring in 'Soda Tax' to Fight Obesity
Article from the BBC.
Supreme Court Issues Decision in False Claims Act Case
News brief from AHANewsNow.
Medicare Payment Advisory Commission (MedPAC) Releases Report on Medicare and the Health Care Delivery System
(2-page pdf) Press release, fact sheet (6-page pdf), and full report (347-page pdf).
MedPAC Offers Proposals To Address ‘Unsustainable’ Drug Costs, But Congressional Action Unlikely
News brief from Kaiser Health News. Reports from MedPAC — Overview: Medicare Drug Spending (10-page pdf) and Overview: The Drug Development and Supply Chain (17-page pdf).
Better Outcomes for Dually Eligible Older Adults through Integrated Care
Remarks by Andy Slavitt, CMS Acting Administrator before the American Medical Association 2016 Annual Meeting Chicago, IL via the CMS Blog.


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Thursday, June 16

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  June 16, 2016
Calcium-based Phosphate Binders Linked to Higher Mortality
Article from Renal & Urology News. Free, full-text, Open Access article from PLOS ONE.
Stop Penalizing Organ Donors
Editorial from The Washington Post.
How a Computer Determines Who Gets an Organ Transplant
Article from Hospitals & Health Networks.
  Free, Full-Text, Open Access Articles from PLOS ONE:
AJKD Blog Postings from the American Transplant Congress:
Four Paths to the End of Life – One Far More Expensive Than Others – Emerge in New Study
Press release from University of Michigan Health System. Free, full-text, WEB FIRST article from Health Affairs.

"High persistent spenders were more likely to have used life-prolonging treatments (that is, use of mechanical ventilation, feeding tube, and hemodialysis) than people in other spending trajectories."
Dialysis Requirement, Long-Term Major Adverse Cardiovascular Events (MACE) and All Cause Mortality in Hospital Acquired Acute Kidney Injury (AKI): a Propensity Matched Cohort Study
First Online abstract from Journal of Nephrology.
Methodological Challenges When Carrying Out Research on CKD and AKI Using Routine Electronic Health Records
Free, full-text, Open Access, Article in Press from Kidney International.
Epidemiology of Acute Kidney Injury in Children Worldwide, Including Developing Countries
First Online abstract from Pediatric Nephrology.
Phosphate Kinetics in Hemodialysis: Application of Delayed Pseudo One-Compartment Model
Issue in Progress abstract from Blood Purification.
Elsevier Announces the Launch of Kidney International Reports
Press release via the International Society of Nephrology website.
Oklahoma County Jail Inmate Dies after Not Getting Dialysis, Family Says
Insiders are Gradually Selling DaVita HealthCare Partners Inc.
AMA Issues Updated Medical Ethics Code, Guidance for Ethical Practice in Telemedicine
News brief from AHANewsNow.
Screen Flashes And Pop-Up Reminders: ‘Alert Fatigue’ Spreads Through Medicine
Article from Kaiser Health News.
How Patients Can Win With Telemedicine
Article from the Mayo Clinic.
CMS Proposed Rule: Infection-Control, Antibiotic-Restriction Proposals Could Cost Hospitals $1 Billion a Year
Article from HFMA.
Advisory Panel Targets Rising Medicare Drug Costs In Its Latest Report To Congress
Article from Kaiser Health News.


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Wednesday, June 15

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  June 15, 2016
ESA-Resistance Linked to Early Death
Report from Renal & Urology News.
AJKD Blog Postings from the American Transplant Congress:
Early View Abstracts from American Journal of Transplantation:
Blood Pressure Medications Reduce Stroke, Heart Attack in Peritoneal Dialysis Patients
Press release from Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center (LA BioMed).
Efficacy of beta-hydroxy-beta-methylbutyrate Supplementation in Maintenance Hemodialysis Patients
Early View abstracts from Hemodialysis International.
Study Protocol — The WISHED Trial: Implementation of an Interactive Health Communication Application for Patients with Chronic Kidney Disease
Free, full-text, Open Access article from Canadian Journal of Kidney Health and Disease.
Development of a Novel Score to Predict the Risk of Acute Kidney Injury in Patient with Acute Myocardial Infarction
First Online abstract from Journal of Nephrology.
Risk Factors of Acute Kidney Injury after Acute Myocardial Infarction
Abstract from Renal Failure.
Empagliflozin Slows Progression of Renal Disease in Diabetes
(Registration required, but free.) Report from Medscape Medical News. Free, full-text, Online First article from the New England Journal of Medicine.
FDA Drug Safety Communication: Canagliflozin (Invokana, Invokamet) and Dapagliflozin (Farxiga, Xigduo XR) - Strengthened Kidney Warnings
Safety Alert from the FDA MedWatch.
Is the United States Prepared for a Major Zika Virus Outbreak?
Free, full-text, viewpoint article and Patient Page from the Journal of the American Medical Association.
Lift Ban on CDC Research Into Gun Violence, Doctors' Group Says
Article from HealthDay.
Telemedicine Boosts Patient Engagement, Should Remain Priority for Physicians
Article from Medical Economics.
Major Strikes Involving 10,000 Registered Nurses in MN, MA, and CA Scheduled for Late June
Press release from National Nurses United.
Small ACOs Raise MACRA Concerns
Article from HFMA.
The Cost of Medicare Advantage
Free, full-text article from the Journal of the American Medical Association.


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Tuesday, June 14

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  June 14, 2016

U.S. to Invest $200 Million to Shorten Organ Transplant Wait Lists
Reuters article via Scientific American. Fact sheet from the WhiteHouse.gov. Article from STAT. Other related stories:

A Comparison of Transplant Outcomes in Peritoneal and Hemodialysis Patients: A Meta-Analysis
Issue-in-Progress abstract from Blood Purification.
'New Era' of Type 2 Diabetes Treatment as LEADER Unveiled?
(Registration required, but free) Article from Medscape Medical News. Press release from University of North Carolina Health Care. Online First article from the New England Journal of Medicine. (Registration required, but free) Cardiobrief and article from MedPage Today.
Articles from Renal & Urology News:
Free July 2016 Issue of Kidney International
Over 30 full-text articles including:
Estimated GFR, Albuminuria, and Cognitive Performance: The Maastricht Study
Article in Press abstract from American Journal of Kidney Diseases.
Forecast of the Incidence, Prevalence and Burden of End-Stage Renal Disease in Nanjing, China to the Year 2025
Free, full-text, Open Access article from BMC Nephrology.
AKI and Long-Term Risk for Cardiovascular Events and Mortality
JASN Express abstract.
Eye Study Underscores the Long-lasting Benefits of Controlling Diabetes
Press release from the U.S. National Eye Institute. Article from HealthDay.
National Healthcare Safety Network (NHSN) Release 8.5.4 Due June 18
Notice from the Northwest Renal Network.
Characteristics and Outcomes of Patients Presenting With Hypertensive Urgency in the Office Setting
Online First abstract from JAMA Internal Medicine.
All Roads Lead to Population Health Management
Article from Hospitals & Health Networks.
The Surprising Shift in Elderly ICU Admissions
(Registration required, but free.) Article from Medscape Medical News.

"The authors concluded that primary diagnoses of elderly ICU patients have changed over the past 15 years, with a shift from cardiovascular care to infectious diseases."
Improving Safety for Hospitalized Patients — Much Progress but Many Challenges Remain
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
Obesity Boom 'Fueling Rise in Malnutrition'
Hospital Prescribing of Opioids to Medicare Beneficiaries
Free, full-text, Online First article from JAMA Internal Medicine.
CMS' Final Rule on ACO Benchmarks Receives Mixed Reactions
Summary from Healthcare DIVE.


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Monday, June 13

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  June 13, 2016
Haemodialysis UF Volume and UF Rate are NOT the Same
Posting from the KidneyViews blog.
Matching Hearts, Kidneys, and Lungs — This Website Makes Organ Transplants in the US Possible
Article from STAT.

UnitedHealthcare To Pay for Kidney Donors' Travel Expenses to Encourage Donation
Article from CNBC.

Early Tooth Loss in End-Stage Renal Disease Patients on Hemodialysis
Early View abstract from Oral Diseases.
Alport Syndrome in Women and Girls
CJASN Express abstract.
Should Belatacept Be the Centerpiece of Renal Transplantation?
Advance Access abstract from NDT.
A Modified Nontransposed Brachiobasilic Arteriovenous Fistula Versus Brachiocephalic Arteriovenous Fistula for Maintenance Hemodialysis Access
Article in Press abstract from Journal of Vascular Surgery.
Accepted Articles Abstracts from Nephrology:
FDA: May 2016 Drug Safety Labeling Changes
Includes 86 products with revisions to Prescribing Information.
Study Suggests Type 2 Diabetes, Heart Disease a More Dangerous Combo Than Previously Believed
Article from HealthDay.
CMS Seeks Comments on CMS-10105 National Implementation of In-Center Hemodialysis CAHPS Survey
Notice from the Federal Register.


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