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RenalWEB's Daily News Archive

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Thursday, Feb. 4

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  Feb. 4, 2016
Medicare Telehealth Bill Introduced in Congress
News item from AHANewsNow. Section 302 of the proposed legislation (on page 17 of the 26-page pdf) covers home dialysis.

"For purposes of subparagraph (A)(ii), an individual determined to have end stage renal disease receiving home dialysis may elect to receive the monthly end stage renal disease-related visits via telehealth if the individual receives an in-person examination at least once every three consecutive months."
The Greatly Misunderstood Erythropoietin Resistance Index (ERI) and the Case for a New Responsiveness Measure
Early View abstract from Hemodialysis International.

"Discussion: ERI is strongly linearly related to weight-adjusted (and nonweight-adjusted) EPO dose by a "universal," not patient-specific formula, and thus is a surrogate of EPO dose. Therefore, associations between ERI and clinical outcomes are associations between a confounded EPO dose and those outcomes."

Editor's note: This seems to be a perfect profit-making scheme driven by "medical evidence." Create a new medical index that can be used to justify higher doses of a profit-making drug. Remarkably, this new medical index increases as you give higher doses of the drug.

Most U.S. nephrologists, the American Society of Nephrology, the large for-profit dialysis providers, and especially Amgen should be ashamed.

U.S. dialysis patients have had the highest EPO doses and the worst mortality rate among first-world countries. Perhaps one day we will know the full extent of the damage that this "science" inflicted on U.S. dialysis patients' lives — as well as the enormity of the billions of wasted taxpayer dollars.
House of Representatives' Energy & Commerce Committee Expected To Grill CMS Deputy Administrator on Biosimilar Reimbursement Plan
Headline only from pay-for-view website InsideHealthPolicy.com. Hearing is scheduled for Feb. 4, 10:30 AM ET.

"Lawmakers are expected to grill CMS Deputy Administrator Sean Cavanaugh on Thursday about a Medicare reimbursement policy, opposed by members of both parties, designed to drive down prices of biosimilars."
Alice Hellebrand Chosen 2016-17 President-Elect of the American Nephrology Nurses Association
Press release.
FDA Recall Notice: Fresenius Liberty Cycler-Peritoneal Dialysis Cycler Model: 180111 and RTLR180111
Notice from FDA Enforcement Report for Feb. 3, 2016.
Kidney-Failure Risk Projection for the Living Kidney-Donor Candidate
Abstract from the New England Journal of Medicine.

"The 15-year observed risks after donation among kidney donors in the United States were 3.5 to 5.3 times as high as the projected risks in the absence of donation."
Living Donor Kidney and Parathyroid Transplant Successful
(Registration required, but free.) Article via Medscape Nephrology.
Mobile Telephone Text Messaging for Medication Adherence in Chronic Disease A Meta-analysis
Online First abstract from JAMA Internal Medicine.
Early View Abstracts from Hemodialysis International:
ESRD in Lupus: A Work in Progress?
(Registration required, but free.) Article from MedPage Today.
Abstracts and Links to PDFs from the Iranian Journal of Kidney Diseases:
Reduced Risk of Contrast-Induced Nephropathy With Iodixanol
Article from Renal & Urology News. Related article via Medscape Nephrology (registration required).
Pressure Sensing Socks Pair with Smartphones to Prevent Diabetic Neuropathy
The Cadillac Tax — A Crucial Tool for Delivery-System Reform
Free, Online First, perspective piece from the New England Journal of Medicine.
Don't Use Body Mass Index to Determine Whether People Are Healthy, UCLA Led Study Says
As the ESRD QIP Gets Larger and More Complex, Questions Come from Dialysis Community
Article from Nephrology News & Issues.
Buying Supplemental Insurance Can Be Hard For Younger Medicare Beneficiaries
Article from Kaiser Health News.
CROWNWeb New User Training
Scheduled for Feb. 9, 2-4 PM ET.


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Wednesday, Feb. 3

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  Feb. 3, 2016
CDC Request: Undetermined Cause of Cardiac Arrest During Hemodialysis, 2015
Notice from the Midwest Kidney Network.
Kidney Dialysis from the Comfort of Your Sitting Room
Article from The Guardian (UK).
The Choice of Renal Replacement Therapy (CORETH) Project: Dialysis Patients' Psychosocial Characteristics and Treatment Satisfaction
Advance Access abstract from NDT.
How Does Dialysis Care Differ for Minority Patients?
Video blog from Berns on Nephrology via Medscape Nephrology.
Rotigotine in Hemodialysis-Associated Restless Legs Syndrome: A Randomized Controlled Trial
Article in Press abstract from American Journal of Kidney Diseases.
Early View Abstracts from Hemodialysis International:
Allocating Deceased Donor Kidneys to Candidates with High Panel–Reactive Antibodies
CJASN Express abstract.
NIH Launches Public Health Campaign on Link between Hypertension and Brain Health
News release from the National Institutes of Health.
Flu Vaccine Shows Promise for Reducing Risk of Influenza Associated Atrial Fibrillation
Press release and abstract from HeartRhythm.
CAC Named Best Heart Risk Screen in T2DM
Sitting for Hours May Raise Your Type 2 Diabetes Risk
Baxter Announces Fourth Quarter Results and Provides 2016 Financial Outlook
Texas Health Officials Report Sexually Transmitted Case of Zika Virus
Article from HealthDay.
U.S. Gun-Related Murder Rate 25 Times Higher Than Other Nations
CMS Clarifies Medicare EHR Hardship Exception Process
News item from AHANewsNow.


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Tuesday, Feb. 2

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  Feb. 2, 2016
Amsterdam Man Leads Push to Develop Portable Artificial Kidney
Article from NL Times. Web site HelpThemEscape.org (from The Netherlands).

"The campaign is built around a rather confronting theme: The “imprisonment” and “ball and chain” experience of dialysis patients that have to conform their lives around their in center treatments.

The theme is based upon a true story: A kidney patient in prison that leaves the prison unsupervised a few times a week for dialysis in a dialysis center. There is no escape; without dialysis, he will die. #helpthemescape with the #portablekidney.

With this story we intend to symbolize the sense of imprisonment that a kidney patient experiences in having to undergo dialysis treatment."

— Message from Dr. F.P. (Fokko) Wieringa
Richard Lehman's Journal Review — 1 February 2016
Weekly blog from The BMJ.

Editor's note: This week his blog has two must-read sections covering recent articles from The New England Journal of Medicine on belatacept and from JAMA Internal Medicine on dialysis initiation.

Also see article (registration required) from Medscape Nephrology on the JAMA dialysis initiation story.
Medtronic Adds Life-Extending Dialysis Portfolio to Recently Formed Renal Care Solutions Business with Acquisition of Bellco
Press release.
Roxadustat (FG-4592) Versus Epoetin Alfa for Anemia in Patients Receiving Maintenance Hemodialysis: A Phase 2, Randomized, 6- to 19-Week, Open-Label, Active-Comparator, Dose-Ranging, Safety and Exploratory Efficacy Study
Free, full-text, Article in Press from American Journal of Kidney Diseases.
CDC Urges Rapid Antiviral Treatment of Very ill and High Risk Suspect Influenza Patients without Waiting for Testing
Official CDC Health Advisory. News item from AHANewsNow.
Study: Doctors' Texts Can Prod Patients To Take Drugs, But Questions Linger
Article from Kaiser Health News. Online First abstract and press release from JAMA Internal Medicine.
New Blood Pressure Guidelines a Danger to Patients: Study
Article from HealthDay. Published Ahead of Print abstract from Hypertension.
Novel Options in Iron Supplementation
Posting from the AJKD blog.
Free, Full-Text, Online First Articles from Annals Of Internal Medicine:
The Effect of Zinc Deficiency on Salt Taste Acuity, Preference, and Dietary Sodium Intake in Hemodialysis Patients
Early View abstract from Hemodialysis International.
“Do the Right Thing. It Will Gratify Some People and Astonish the Rest.“—M. Twain
Letter to the Editor on incorporating an Advanced Donation Program (ADP) into a Kidney Paired Donation (KPD) from the American Journal of Transplantation.
Four Free Book Chapters: Understanding Kidney Diseases
Resource from ISN Education.
Palliative Care for Children
(16-page pdf) Resource from the National Institute of Nursing Research.
Sleep Apnea Linked with an Increased Risk of Chronic Kidney Disease
Study: Monsanto's Glyphosate Now Most Heavily Used Weedkiller in History
Free Speech and Pharmaceutical Regulation—Fishy Business
Free, full-text, Online First viewpoint article from JAMA Internal Medicine.
Hospitals 'Grow Their Own' Specialty Care RNs Amid Nurse Shortage
Article from Hospitals & Health Networks.
Reforming Federal Oversight Of Medical Devices Won't Be Easy
Article from Kaiser Health News.
WHO Declares Zika Virus a Public Health Emergency
UK Approves Embryo 'Gene Editing'
Basic Science Disappearing from Medical Journals, Study Finds
 


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Monday, Feb. 1

Medtronic Adds Life-Extending Dialysis Portfolio to Recently Formed Renal Care Solutions Business with Acquisition of Bellco
Press release.
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  Feb. 1, 2016
Peer Up! Program Toolkit
Resources from the Mid-Atlantic Renal Coalition. Program to facilitate peer mentoring among patients with end-stage renal disease (ESRD) with the purpose of reducing costly and unnecessary hospitalizations through improved self-management.
The Effect of Increased Frequency of Hemodialysis on Volume-Related Outcomes: A Secondary Analysis of the Frequent Hemodialysis Network Trials
Free, full-text, Issue-in-Progress article and Cappuccino with Claudio Ronco (video) from Blood Purification.
From Compliance to Concordance
Posting from the KidneyViews blog.
Senate Chronic Care Report Elicits Strong Reactions
(Registration required, but free.) Article from MedPage Today.
Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
Recommendations for the Use of Tolvaptan in Autosomal Dominant Polycystic Kidney Disease: A Position Statement On Behalf Of the ERA-EDTA Working Groups on Inherited Kidney Disorders and European Renal Best Practice
Free, full-text, Advance Access article from NDT.
Population-Attributable Fractions of Modifiable Lifestyle Factors for CKD and Mortality in Individuals With Type 2 Diabetes: A Cohort Study
Free, full-text, Article in Press from American Journal of Kidney Diseases.
The Atrial Fibrillation Conundrum in Dialysis Patients
Article in Press abstract from American Heart Journal.
Sodium Phosphate Enemas Increase Risk of Long-Term Kidney Injury
Press release from the National Kidney Foundation. Article in Press abstract from American Journal of Kidney Diseases.
Articles in Press Abstracts from American Journal Of Kidney Diseases:
Characterization of Hepatic and Cardiac Iron Deposition during Standard Treatment of Anemia in Hemodialysis
Accepted Article abstract from Nephrology.
Advance Access Abstracts from NDT:
In-Hospital Outcomes in Patients with Critical Limb Ischemia and End-Stage Renal Disease after Revascularization
Article in Press abstract from Journal of Vascular Surgery.
Risk of Basal Cell Carcinoma in Swedish Organ Transplant Recipients: a Population-based Study
Abstract from British Journal of Dermatology.
Articles from Kaiser Health News:
U.S. Weighs Changes to Blood Donations in Response to Zika Virus Outbreak
Completing the 2015 CMS-2744 Annual Facility Survey Training
CROWNWeb training scheduled for Feb. 4th, 1-2 PM ET.
CMS Rule Would Allow Qualified Entities to Share/Sell Analyses of Payer Data
News item from AHANewsNow. CMS press release.


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Fri./Sat., Jan. 29-30

Senate Chronic Care Report Elicits Strong Reactions
(Registration required, but free.) Article from MedPage Today.
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  Jan. 29, 2016
Amgen's 2015 Revenues Increased 8 Percent To $21.7 Billion; 4th Quarter Profit Up 39%
News release. Articles from AP and Reuters.

"EPOGEN sales decreased 37 percent year-over-year for the fourth quarter and 9 percent for the full year driven by the impact of competition and, to a lesser extent, the shift in U.S. dialysis customer purchases to Aranesp."
Test Your Knowledge: Geriatric and Palliative Care Nephrology
Posting from the AJKD blog.
NRAA Submits Comment Letter to Senate Finance Committee Chronic Care Working Group
(7-page pdf) Letter from the National Renal Administrators Association.
Transplant Community Looks for Ways to Incentivize Living Kidney Donation
Article from Nephrology News & Issues.
Clinical Praxis for Assessment of Dry Weight in Sweden and Denmark: a Mixed Methods Study
Free, full-text article from Hemodialysis International.
Anemia and Risk for Cognitive Decline in Chronic Kidney Disease
Free, full-text, Open Access article from BMC Nephrology.
Dietary Changes May Help Postpone Dialysis in Patients with Chronic Kidney Disease
Press release and JASN Express abstract from the American Society of Nephrology.
Free, Full-Text Articles from PLOS ONE:
The Biomechanical Testing for the Assessment of Bone Quality in an Experimental Model of Chronic Kidney Disease
Free, full-text article from Nephron.
JASN Express Abstracts:
Low Levels of High-Density Lipoprotein Cholesterol Increase the Risk of Incident Kidney Disease and Its Progression
Free, full-text, In Press article from Kidney International.
Surgical Complications after Peritoneal Dialysis Catheter Implantation Depend on Children's Weight
Article in Press from Journal of Pediatric Surgery.
Cardiovascular Alterations Do Exist in Children with Stage-2 Chronic Kidney Disease
First Online abstract from Clinical and Experimental Nephrology.
Abstracts from Nephron:
Chasing Motocross; How to Care for Yourself and Your Dreams
KidneyTalk podcast from Renal Support Network.
Novel Hemodialysis Access System Demonstrates High Suitability For Dialysis In Clinical Trial
Class I FDA Recall: SPOTCHEM II Test Strips by Arkray: Inaccurate Blood Sugar Readings
Fresenius Medical Care Announces Change in Management Board
Sodium Phosphate Enemas Increase Risk of Long-Term Kidney Injury
Zika Virus: Up to 4 Million Zika Cases Predicted
Article from the BBC.
Articles from the CDC's Morbidity and Mortality Weekly Report:
Zika Vaccine Efforts Get Boost From Prior Research
Article from HealthDay.
America's Health Rankings Annual Report: Americans Less Sedentary; Rising Drug Deaths, Obesity Pose Challenges
News release from United Health Foundation.
CMS Announces Proposed Improvements to Medicare Shared Savings Program (ACOs)
CMS press release. Articles from AHANewsNow and Modern Healthcare (registration required).

Proposed rule is a 199-page pdf. Comments are due March 28.
CMS: Theranos’ Practices Pose ‘Immediate Jeopardy’ To Patient Health
News summary from Kaiser Health News.
Research Underscores Link between Socioeconomic Status, CMS Payment Penalties
Article from HFMA.
CMS Releases First Ever Home Health Patient Experience of Care Star Ratings


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Thursday, Jan. 28

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  Jan. 28, 2016
CDC Urging Dialysis Providers and Facilities to Assess and Improve Infection Control Practices to Stop Hepatitis C Virus (HCV) Transmission in Patients Undergoing Hemodialysis
(Centers for Disease Control and Prevention) CDC Health Advisory. Article from HealthDay.

"Between 2014 and 2015, CDC has been contacted about 36 cases of acute HCV infection in 19 different hemodialysis clinics in eight states. While investigations are ongoing, so far, HCV transmission between patients has been demonstrated at nine of those clinics, based on epidemiologic and viral sequencing evidence."
Drug (Belatacept) Provides Better Kidney Transplant Survival Rates Than Current Standard of Care
Press releases from UCSF and Emory University. Free, full-text article and editorial from the New England Journal of Medicine. Articles from HealthDay and MedPage Today (registration required).
Proposed Consent Agreements: Rangers Renal Holdings LP
Notice issued by the Federal Trade Commission. Comments are due by Jan. 29, 2016.

"Pursuant to an agreement dated August 21, 2015, Rangers Holdings (US Renal Care) proposes to acquire all of the outstanding membership interest in Dialysis Holdco (DSI Renal) from Dialysis Parent in a transaction valued at approximately $640 million. Dialysis Parent is currently the sole owner of all membership interests in Dialysis Holdco."
HDU Comments on Senate Finance Committee Chronic Care Working Group
Letter from Home Dialyzors United.
RPA Response to Senate Finance Committee Chronic Care Working Group Policy Options Document
Letter from the Renal Physicians Association.
A Novel Hypoxia-Inducible Factor-Prolyl Hydroxylase Inhibitor (GSK1278863) for Anemia in CKD: A 28-Day, Phase 2A Randomized Trial
Free, full-text, Article in Press from American Journal of Kidney Diseases.
Access-Related Infections Involving the Buttonhole Technique
Free, full-text, Issue-in-Progress in-depth review from Blood Purification.
New Strategy for Reducing Readmissions: Get the Family Involved
Press release from the Henry Ford Health System.
Efficacy and Safety of Daclatasvir and Asunaprevir Combination Therapy in Chronic Hemodialysis Patients with Chronic Hepatitis C
First Online abstract from Journal of Gastroenterology.
Outcomes of Subcutaneous Implantable Cardioverter Defibrillator Implantation in Patients on Hemodialysis
First Online abstract from Journal of Interventional Cardiac Electrophysiology.
What Is This Chocolate Milk in My Circuit? A Cause of Acute Clotting of a Continuous Renal Replacement Circuit: Questions
First Online abstract from Pediatric Nephrology.

Articles in Press Abstracts from Journal Of Renal Nutrition:

Eculizumab Is a Safe and Effective Treatment in Pediatric Patients with Atypical Hemolytic Uremic Syndrome
Free, full-text, In Press article from Kidney International.
Patency of the Viabahn Stent Graft for the Treatment of Outflow Stenosis in Hemodialysis Grafts
Article in Press abstract from the American Journal of Surgery.
Treating Major Depression in Older Adults with Diabetes May Lower Risk of Death
Chronic Pain Changes Our Immune Systems
Senators Say Fixes to Disability Insurance Not Enough
Medical Advocates Can Help Guide Patients On Difficult Care Choices
Article from Kaiser Health News.
Nurse Watch: Nurse Titles Well-Represented on 'Best Jobs' List
Article from Hospitals & Health Networks. The 100 Best Jobs from U.S. News & World Report.
Opioid Prescribing for Chronic Pain — Achieving the Right Balance through Education
Free, full-text, perspective piece and review article from the New England Journal of Medicine. Press release from Boston University Medical Center.
The Emerging Zika Pandemic — Enhancing Preparedness
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
Are Healthcare Delivery and Payment Truly Patient Centered?
Graphic from The Hill.


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Wednesday, Jan. 27

CDC Urging Dialysis Providers and Facilities to Assess and Improve Infection Control Practices to Stop Hepatitis C Virus (HCV) Transmission in Patients Undergoing Hemodialysis
(Centers for Disease Control and Prevention) CDC Health Advisory.

"Between 2014 and 2015, CDC has been contacted about 36 cases of acute HCV infection in 19 different hemodialysis clinics in eight states. While investigations are ongoing, so far, HCV transmission between patients has been demonstrated at nine of those clinics, based on epidemiologic and viral sequencing evidence."
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  Jan. 27, 2016
Dialysis Decisions Need More Patient Focus, Study Suggests
(Registration required, but free.) Article from MedPage Today. Free, full-text, Online First article and commentary from JAMA Internal Medicine.

"Patients' treatment goals and values were rarely documented in the medical record. When they were documented, many patients emphasized quality of life and autonomy."

"Documentation in the medical record tended not to focus on patient concerns and priorities. Instead, physicians emphasized achieving biomedical targets (ie, level of kidney function, signs and symptoms of uremia), coordinating procedures, keeping patients safe, and prolonging life."

Editor's note: U.S. nephrologist training seems to be bereft any emphasis on the dignity, purpose, and meaning of patients' lives. This collective 'blind spot' not only drives too many people onto dialysis, but also results in little or no emphasis on rehabilitation and employment in the policies of CMS, the ESRD networks, and dialysis care corporations (as well as the 'patient advocacy' organizations that they financially support).

This lack of emphasis on patients' values is deeply embedded in U.S. dialysis culture. According to this 2012 article, new DaVita employees are goaded into chanting "I GIVE LIFE" at their "Academy" orientation. Patients are not included as part of their "teammate" community approach to dialysis care.
3D-Printed Models Help UK Surgeons Prep for Adult-to-Toddler Kidney Transplant
Article from the BBC.
U.S. Preventive Services Task Force Recommends Screening All Adults for Depression
Press release, full-text recommendations, review on screening for pregnant/postpartum women, JAMA Patient Page, and editorial from the Journal of the American Medical Association.
Pharmacists Key To Detecting Chronic Kidney Disease in At-Risk Patients
Press release from the Canadian Pharmacists Association.
Peritoneal Inflammation Precedes Encapsulating Peritoneal Sclerosis: Results from the GLOBAL Fluid Study
Advance Access abstract from NDT.
Open Access February 2016 Issue of Clinical Kidney Journal
27 free, full-text articles.
Antinuclear Antibody-Negative Lupus Nephritis with Full House Nephropathy: A Case Report and Review of the Literature
Free, full-text, Issue-in-Progress article from American Journal of Nephrology.
Novel Perspectives on the Hepatitis B Virus Vaccine in the Chronic Kidney Disease Population
Advance Online abstract from the International Journal of Artificial Organs.
Novel Stratification of Mortality Risk by Kidney Disease Stage
Issue-in-Progress abstract from American Journal of Nephrology.
Cost Analysis of the Hemodialysis Reliable Outflow (HeRO) Graft Compared to the Tunneled Dialysis Catheter
Article in Press abstract from Journal of Vascular Surgery.
PCORI Board Approves $70 Million for New Patient-Centered Research Studies
Press release from the Patient-Centered Outcomes Research Institute.
Hematuria as a Marker of Occult Urinary Tract Cancer: Advice for High-Value Care From the American College of Physicians
 
The Cleveland Clinic's '10 Commandments' of Innovation
Article from the Wharton School of the University of Pennsylvania.
Clinicians Embrace 3D Printers to Solve Unique Clinical Challenges
Free, full-text article from the Journal of the American Medical Association.
Hospital Uncompensated Care Drops in 2014
CMS Releases Guide to Preventing Readmissions among Racially and Ethnically Diverse Medicare Beneficiaries
Press release.
Data Book: Beneficiaries Duly Eligible for Medicare and Medicaid
(78-page pdf) Jointly produced by the Medicare Payment Advisory Commission (MedPAC) and Medicaid and CHIP Payment and Access Commission (MACPAC).
CMS Issues Report on Overall Hospital Star Ratings Methodology, Summary Results
News brief from AHANewsNow.
Congressional Budget Office Updates Medicare, Medicaid Projections


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Tuesday, Jan. 26

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  Jan. 26, 2016
What Factors Influence Timing of Start of Dialysis?
Press release and free, full-text, Online First article and commentary from JAMA Internal Medicine. Physician's briefing from HealthDay.

(from commentary) "For years, nephrology has focused on the important outcomes of mortality, eGFR, and cost. Now the time is ripe to pay equal attention to what patients want."
Postdialysis Fatigue: A Frequent and Debilitating Symptom
Early View abstract from Seminars in Dialysis.

Editor's note: This short abstract speaks volumes about nephrologists' lack of focus on the quality of dialysis patients' lives for the last 40 years.

So much of this postdialysis fatigue in the U.S. is iatrogenic, caused by the junk-bond dialysis care business model which is embraced and supported by the U.S. nephrology establishment. Poll after poll has shown that U.S. nephrologists would choose for themselves to avoid the short, brutal, organ-stunning treatments that cause postdialysis fatigue — the very same treatments that the vast majority of their patients continually endure.

The American Society of Nephrology (ASN) seems to adhere to its own Hypocritical Oath. Why isn't the ASN the patients' best advocate?

Why Kidney Transplants Are Harder to Get
Article from Crain's Chicago Business.
New Rules Mean More Kidney Transplants for Blacks, Hispanics
Article from The Louisiana Weekly.
Challenges and Opportunities for Stem Cell Therapy in Patients with Chronic Kidney Disease
Free, full-text, In Press article from Kidney International.
Free, Full-Text Articles from NDT:
Free, Full-Text, Accepted Articles from Nephrology:
First Online Abstracts from Pediatric Nephrology:
Phosphate Binders in Chronic Kidney Disease: a Systematic Review of Recent Data
First Online abstract from Journal of Nephrology.
Free Online Patient Education Resource for Kidney Diseases Available in 20 Languages
Kidneyeducation.com.
Mitochondria: A New Therapeutic Target in Chronic Kidney Disease
(Registration required, but free.) Article from Nutrition and Metabolism via Medscape Nephrology.
Towards the Prevention of Cardiac Failure in the Chronic Phase
Will Blocking IL-17A Help Treat Kidney Disease?
Women's Heart Attacks Are Different Than Men's, Experts Stress
Article from HealthDay. Published Ahead of Print abstract and 33-page pdf from Circulation.
Leadership: Key to Quality Care and Retention among Nurses
Press release from McGill University.
Check The Fine Print: Some Work-Based Health Plans Exclude Outpatient Surgeries
Article from Kaiser Health News.
8 Steps for Hospital Execs to Cut Through Red Tape, Bolster Patient Experience
(Registration required, but free.) Article from Hospitals & Health Networks.
 


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Monday, Jan. 25

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  Jan. 25, 2016
Explaining Hemodiafiltration
Posting from the KidneyViews blog.
ABO-Incompatible Kidney Transplants: Twice as Expensive, Half as Good
Free, full-text, Early View editorial from American Journal of Transplantation.
Cognitive Changes Associated with Switching to Frequent Nocturnal Hemodialysis or Renal Transplantation
Free, full-text, Open Access article from BMC Nephrology.
Abstracts: Annual Congress of the Chinese Blood Purification Center Administration Committee. August 20-22, 2015, Tianjin, China
13-page pdf from Blood Purification.
Nephrologist-Facilitated Advance Care Planning for Hemodialysis Patients: A Quality Improvement Project
Article in Press abstract from American Journal of Kidney Diseases.
FDA Recall Notice: Nipro Set / Slimline Blood Tubing Set for Hemodialysis with Transducer Protectors and Priming Set A
Notice from the FDA Enforcement Report for Jan. 20, 2016.
Baxter Initiates Voluntary Nationwide Recall of Select Lots of IV Solutions Due to the Potential for Leaking Containers and Particulate Matter
Press release.
Two Proteins Control the Growth of the Heart and Its Adaptation to High Blood Pressure
3 Ways Telemedicine is Changing Healthcare
Article from HealthLeaders Media.
Democratic Candidates Debate ‘Single-Payer,’ But What Does That Mean?
Article from Kaiser Health News.
 


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Fri./Sat., Jan. 22-23

Explaining Hemodiafiltration
Posting from the KidneyViews blog.
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  Jan. 22, 2016
National Weather Service Storm Information
Editor's note: There is still no national "go to" information center for dialysis patients during national emergencies. The Kidney Community Emergency Response (KCER) web site only provides non-changing links to documents and other web sites. Information and patient hoarding remain the norm.
CKDintercept — A Primary Care Initiative from NKF
Posting from the Renal Fellow Network blog.
Free, Full-Text Articles from American Journal of Kidney Diseases:
Open Access February 2016 Issue of Clinical Kidney Journal
27 free, full-text articles.
The Effect of Increased Frequency of Hemodialysis on Volume-Related Outcomes: A Secondary Analysis of the Frequent Hemodialysis Network Trials
Issue-in-Progress abstract from Blood Purification.
Free, Full-Text Articles from Kidney International:
Free, Full-Text, Articles in Press from Kidney International:
Articles in Press Abstracts from American Journal Of Kidney Diseases:
The Activity of Antioxidant Enzymes in Blood Platelets in Different Types of Renal Replacement Therapy: a Cross-Sectional Study
First Online abstract from International Urology and Nephrology.
Pictures from the Renal Support Network's Renal Teen Prom
The 17th annual prom was held January 17th.
Study Identifies Important Regulator of Chronic, Low-Level Inflammation
Kidney Fibrosis in Older Transplants Links to Failure
Mitochondrial DNA Levels in the Blood May Predict Risk of Developing Kidney Disease
Zika Virus Likely to Spread to Southern United States, Experts Predict
Article from HealthDay. Interim CDC guidelines for pregnant women.
Average Obamacare Premium Rises to $408 per Month
CMS Presentation: End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) for Payment Year (PY) 2019
48-slide (pdf) presentation on Jan. 19, 2016.

Editor's note: This program continues to promote the minimal standards of U.S. junk-bond dialysis care.
CROWNWeb Event – System Progression and Things to Come
Scheduled for Jan. 28, 2 PM ET.
Senate Working Group Considers Telehealth Policy Changes to Medicare, Including for Home Dialysis
Article from The National Law Review. Policy document (30-page pdf) from the U.S. Senate Committee on Finance.
CMS Finalizes ACA Rule to Save Taxpayers Billions by Improving Medicaid Prescription Drug Rebates and Reimbursements
Press release.


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Thursday, Jan. 21

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  Jan. 21, 2016
Does Dialysis Trigger Cardiovascular Events?
(Registration required, but free.) Berns on Nephrology video blog via Medscape Nephrology. Open Access article from Kidney International.
Fewer Than 1 in 5 Nurses Comply with Guidelines for Standard Precautions
Press release and abstract from American Journal of Infection Control.
Novel Study Shows Lower Surgical Mortality in Hospitals with Best Nursing Care
Press release from the University of Pennsylvania School of Nursing.

Implanted Blood Access Devices for Hemodialysis — Guidance for Industry and Food and Drug Administration Staff
(22-page pdf) Document from the FDA's Center for Devices and Radiological Health, Office of Device Evaluation, Division of Reproductive, Gastro-Renal, and Urological Devices.

CJASN Express Abstracts:
Advance Online Abstracts from the Journal of Vascular Access:
Current Features of Infective Endocarditis in Persons on Hemodialysis: a Prevalence Study with Case Control Design from the Prospective Multicenter SEI Cohort
First Online abstract from Infection.
Food for Thought: Diet as a Risk Factor for CKD
Full-text, Issue-in-Progress editorial and related abstract from American Journal of Nephrology.
How to Best Increase Life Saving Organ Donations
Posting from the Huffington Post blog.
Drug Industry Boosts Lobbying amid Growing Scrutiny of Prices
Article from The Hill.
Sharing Clinical Trial Data — A Proposal From the International Committee of Medical Journal Editors
Free, full-text, Online First editorial from the Journal of the American Medical Association.

Want Into A Clinical Trial? Read This First
Article from Kaiser Health News.

National Patient-Identifier Competition Launched
CROWNWeb 4.9 Vaccination Fields


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Wednesday, Jan. 20

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  Jan. 20, 2016
Risks of Death and Stroke in Patients Undergoing Hemodialysis With New-Onset Atrial Fibrillation
Free, full-text article from Circulation.
Does Greater Scrutiny of Transplant Centers Create Disparities for the Sickest Patients?
Press release and Early View abstract from American Journal of Transplantation.
Managing Chronic Kidney Disease in Older People
First Page Preview of comment and responses (#1 and #2) from the Journal of the American Medical Association.

CJASN Express Abstracts:

Empathy and Stress in Nurses Working in Hemodialysis: a Qualitative Study
Early View abstract from Journal of Advanced Nursing.
Free, Full-Text Articles from Nephron:
Evaluation of Administration of Oral N-Acetylcysteine to Reduce Oxidative Stress in Chronic Hemodialysis Patients: a Double-Blind, Randomized, Controlled Clinical Trial
Free, full-text article from Saudi Journal of Kidney Diseases and Transplantation.
The PreKit-QoL Study Protocol: Prospective, Multicenter, Controlled Study of Quality of Life, Psychological Adjustment Process and Medical Outcomes of Patients Receiving a Preemptive Kidney Transplant Compared to a Similar Population of Recipients after a Dialysis Period of Less Than Three Years
Free, full-text, Open Access article from BMC Nephrology.
Optimal Management of Bone Mineral Disorders in Chronic Kidney Disease and End Stage Renal Disease
Published Ahead-of-Print abstract from Current Opinion in Nephrology and Hypertension.
The Blood Pressure Response to Acute and Chronic Exercise in Chronic Kidney Disease
Accepted Article abstract from Nephrology.
Irregular Heart Beat May Pose Bigger Threat to Women
Article from HealthDay. Full-text article from The BMJ.
FDA Issues Draft Cybersecurity Recommendations for Medical Device Makers
Even With 'Skin In The Game,' Health Care Shoppers Are Not More Savvy
Article from Kaiser Health News. Free, full-text, Online First article and press release from JAMA Internal Medicine.
Senate to Break up House Passed 'Cures' Bill
Article from The Hill.
Physicians Receive Less Aggressive End-of Life Care, Less Likely to Die in a Hospital
Press release and abstract from the Journal of the American Medical Association.
Families Say Hospice Better Than Hospital for Dying Cancer Patients
Drug Overdoses Causing Mortality Rates Not Seen Since AIDS Epidemic

Presentation from Jan. 14 Meeting of the Medicare Payment Advisory Commission (MedPAC) – Includes Adequacy of Payments for Outpatient Dialysis
(25-page pdf) See slides 7-9 for the dialysis-related information.

The transcript of the meeting is a 407-page pdf. Outpatient dialysis is discussed on pages 124-127. Here is their recommendation for 2017:

"This brings us to our draft recommendation, and it reads, "The Congress should increase the outpatient dialysis base payment rate by the update specified in current law for calendar year 2017.

"The draft recommendation has no projected effect on spending relative to the statutory update.

"Based on CMS's latest forecast of changes in the ESRD market basket costs for calendar year 2017, the update to the 2017 payment rate would be 0.55 percent. This recommendation is expected to have a minimal effect on reasonably efficient providers' willingness and ability to care for Medicare beneficiaries. We do not anticipate any negative effects on beneficiary access to care."

EHR Incentive Programs: Where We Go Next
Posting from The CMS Blog.


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Tuesday, Jan. 19

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  Jan. 19, 2016
Taylorism vs. Tailoring
Richard Lehman's journal review for Jan. 18 from The BMJ.

Editor's note: See the second paragraph of his weekly column. He is commenting on this perspective piece in The New England Journal of Medicine.

Boston neurologist Martin Samuels recently pointed out:
"They come from many different backgrounds: conservatives, liberals, academics, business people, doctors, politicians, and more often all the time various combinations of these. But they all have one characteristic in common. They all want a different kind of healthcare for themselves and their families than they profess for everyone else."
Is there any better example of Taylorism than U.S. dialysis care?
New Measures To Be Reported on CMS's Dialysis Facility Compare (DFC)
(4-page pdf) Notice from the University of Michigan Kidney Epidemiology and Cost Center.

After review of the public comments, CMS will begin publicly reporting the following measures on DFC for the October 2016 Refresh:

  • Bloodstream Infection in Hemodialysis Outpatients (NQF #1460)
  • CAHPS (Consumer Assessment of Healthcare Providers) In-Center Hemodialysis Survey (NQF #0258)
  • Pediatric Peritoneal Dialysis Adequacy: Achievement of Target Kt/V (NQF #2706)
High ultrafiltration rates (>13 ml/kg/hr) was rejected as a quality measure.

Editor's note: Virtually all of the public input and support for these metrics was from industry-controlled groups. There was no mention, yet again, of rehabilitation or employment. The unemployment rate for working-age dialysis patients is currently >86%. Why has U.S. dialysis care been stagnant for decades?
Chronic Kidney Disease in Elderly People: Disease or Disease Label?
Extract from The BMJ.
1,100 Non-Saudi Dialysis Patients in Need of Urgent Treatment
Article from Saudi Gazette.

Editor's note:
DaVita has a contract for providing dialysis services in Saudi Arabia. Will they dialyze these people?
Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
Free, Full-Text, Early View Articles from American Journal of Transplantation:
Is Low Magnesium a Clue to Arteriovenous Fistula Complications in Hemodialysis?
First Online abstract from International Urology and Nephrology.
Reduced Kidney Function Is a Risk Factor for Atrial Fibrillation
Accepted Article abstract from Nephrology.
Clinical Characteristics and Outcomes of HIV-Associated Immune Complex Kidney Disease
Advance Access abstract from NDT.
Q&A: Donald Berwick Calls for 'Moral' Approach to Healthcare
Article from HealthLeaders Media.
U.S. Ban on Gun Research Continues Despite Deadly Shootings
Article from HealthDay.
 


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Monday, Jan. 18

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  Jan. 18, 2016
United States Renal Data System (USRDS) Report Identifies Positive News on Kidney Disease in the US, yet Challenges Remain
Press release from University of Michigan Health System. Introduction from Volume 2 of the 2015 USRDS report.
World Kidney Day is March 10, 2016
World Kidney Day is a joint initiative from the International Society of Nephrology (ISN) and the International Federation of Kidney Foundations (IFKF).
Become a Smart Patient and Save Your Own Life - Part 2: Empower Yourself
Posting by Mel Hodge from the KidneyViews blog.
Increased Sympathetic Renal Innervation in Hemodialysis Patients Is the Anatomical Substrate of Sympathetic Hyperactivity in End-Stage Renal Disease
Open Access article from the Journal of the American Heart Association.
Impact of Acute Kidney Injury on Distant Organ Function: Recent Findings and Potential Therapeutic Targets
Full-text Article in Press from Kidney International.
Impact of Renal Replacement Therapy in Childhood on Long-Term Socioprofessional Outcomes: A 30-year Follow-Up Study
Article in Press
abstract from the Journal of Pediatrics.
Six-Minute Walk Test Predicts All Cause Mortality and Technique Failure in Ambulatory Peritoneal Dialysis Patients
Accepted Article abstract from Nephrology.
Article in Press Abstracts from American Journal Of Kidney Diseases:
Published Ahead-of-Print Abstracts from ASAIO Journal:
The Vascular Access in the Elderly: a Position Statement of the Vascular Access Working Group of the Italian Society of Nephrology
First Online abstract from Journal of Nephrology.
CDC Warns Pregnant Women to Avoid 14 Countries in the Americas
Article from HealthDay.
Study: Some Marketplace Customers Spend 25 Percent Of Income On Health Expenses
Article from Kaiser Health News.
Consumers Who Opt Against Health Coverage May Be Surprised At Tax Penalty's Size
 


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Fri./Sat., Jan. 15-16

Become a Smart Patient and Save Your Own Life - Part 2: Empower Yourself
Posting by Mel Hodge from the KidneyViews blog.
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  Jan. 15, 2016
Plan of Care Meetings: Just as Important as Treatments!
(1-page pdf) Patient bulletin from the Northwest Renal Network.

Editor's note: How can you have patient-centered care without input and direction from the patient?
Celebrating 17 Years of Creating a Special Prom for Teens who have Kidney Disease
Notice from Renal Support Network.
Picketing Set for Nurses and Healthcare Workers at Fresenius Dialysis Clinics Across Metro NYC
News release from the Registered Nurses of the New York State Nurses Association.
Ushering Hypertension Into a New Era of Precision Medicine
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
Going Upstream: Coordination to Improve CKD Care
Early View abstract from Seminars in Dialysis.
Low Blood Levels of Bicarbonate Linked to Earlier Death in Healthy Older Adults
Press release and CJASN Express abstract the American Society of Nephrology. Article from HealthDay.
First Online Abstracts from International Urology And Nephrology:
High Sensitivity C-Reactive Protein, Apolipoproteins, and Residual Diuresis in Chronic Kidney Disease Patients Undergoing Hemodialysis
First Online abstract from Clinical and Experimental Nephrology.
FDA Recall Notices from the Enforcement Report for January 13, 2016:
Kidney Stones Are on the Rise among Youth, Especially in Females and African-Americans
Press release from Children's Hospital of Philadelphia.
Cantel Medical Subsidiary Mar Cor Purification Releases New 2016 Online Dialysis Water Catalog
HealthInsight Awarded Two CMS ESRD Network Contracts
New KDIGO Volunteer Leaders Named
Zika Virus in the Americas — Yet Another Arbovirus Threat
Free, full-text, Online First perspective piece from the New England Journal of Medicine. Press release from St. Michael's Hospital (Toronto).
Fueled By Health Law, ‘Concierge Medicine’ Reaches New Markets
Article from Kaiser Health News.
CMS to Overhaul Meaningful Use
Article from HFMA.


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Thursday, Jan. 14

Picketing Set for Nurses and Healthcare Workers at Fresenius Dialysis Clinics Across Metro NYC
News release from the Registered Nurses of the New York State Nurses Association.
Cantel Medical Subsidiary Mar Cor Purification Releases New 2016 Online Dialysis Water Catalog
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  Jan. 14, 2016
How Can We Improve the Quality of Life of Dialysis Patients?
Early View abstract from Seminars in Dialysis.

Editor' note: The answer to this question was answered more than forty years ago by Belding Scribner. He said, "If the treatment of chronic uremia cannot fully rehabilitate the patient, the treatment is inadequate." Unfortunately, U.S. junk-bond nephrology has completely destroyed this framework for comprehensive dialysis care. The necessary infrastructure, tools, and professional knowledge no longer exist in most clinics.

The fact that this question is even being asked completely lays bare the failure of CMS, patient groups, and the American Society of Nephrology to be effective dialysis patient advocates. How can they possible not have the answers to this question?

U.S. nephrology has embraced urea kinetic modeling (Kt/V) as a surrogate of dialysis adequacy. Why won't they embrace employment and rehabilitation rates for working-age patients as targets of dialysis care? Over years and decades, these targets drive improvements in medical care, psychosocial support, technology advancement, medical infrastructure, patient education, patient feedback, patient advocacy, as well as improving the patients' financial wellbeing. These targets also produce the best examples for the tax-paying public of the achievement of excellence in dialysis care — employed dialysis patients. Remember, this is the outcome that U.S. taxpayers expected... in 1972.

What do patients really want? To live as normal lives as possible — not better biochemical markers.
Medscape Nephrology Lifestyle Report 2016: Bias and Burnout
(Registration required, but free.) Slideshow of survey results from Medscape Nephrology.
More Than 30,000 Transplants Performed Annually for First Time in United States
News release from the Organ Procurement and Transplantation Network.
15 Free, Full-Text Articles from Seminars in Dialysis
January–February 2016 issue.
Body Mass Index and Causes of Death in Chronic Kidney Disease
Free, full-text, Article in Press article from Kidney International.
Arrhythmia and Sudden Death in Hemodialysis Patients: Protocol and Baseline Characteristics of the Monitoring in Dialysis Study
CJASN Express abstract.
Early View Abstracts from Seminars In Dialysis:
Association of Candidate Removals From the Kidney Transplant Waiting List and Center Performance Oversight
Early View abstract from American Journal of Transplantation.
Zoster Vaccination Is Associated with a Reduction of Zoster in Elderly Patients with Chronic Kidney Disease
Free, full-text, Advance Access article from NDT.
Early View Abstracts from Therapeutic Apheresis and Dialysis:
Pedal Edema and Jugular Venous Pressure for Volume Overload in Peritoneal Dialysis Patients
Free, full-text, Open Access article from Canadian Journal of Kidney Health and Disease.
PDI in Press Abstracts:
The Promise of the New Hyperkalemia Drugs
Interview from Renal and Urology News.
Discontinuation of Dialysis with Eculizumab Therapy in a Pediatric Patient with Dense Deposit Disease
First Online abstract from Pediatric Nephrology.
Nurses' Bereavement Needs and Attitudes Towards Patient Death: a Qualitative Descriptive Study of Nurses in a Dialysis Unit
Free, full-text, Early View article from Journal of Renal Care.
Falling Together — Empathetic Care for the Dying
Free, full-text, Online First article from the New England Journal of Medicine.
Couples' Quality of Life Linked Even When One Partner Dies
Press release from the American Society for Psychological Science.
FDA: December 2015 Drug Safety Labeling Changes
Includes 31 products with revisions to Prescribing Information.
Studies: 2 Ways Obamacare Is Saving Money
Article from HealthDay.
Nurse Shortage Forces South Dakota Hospital to Close Beds
Did Painkiller Crackdown Cause Heroin Epidemic?
 


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Wednesday, Jan. 13

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  Jan. 13, 2016
New Tool Estimates Looming Risk of Kidney Failure in People with Kidney Disease
Press release from the National Kidney Foundation. Abstract and press release from the Journal of the American Medical Association. Press release from Johns Hopkins University Bloomberg School of Public Health. Articles from HealthDay and MedPage Today (registration required).
Long-Term, Self-Reported Health Outcomes in Kidney Donors
Free, full-text, Open Access article from BMC Nephrology.
Increasing the Number of Organs Available to Transplant Is Separate From Ensuring Equitable Distribution of Available Organs: Both Are Important Goals
Letter to the editor and reply from American Journal of Transplantation.
Nutrition, Vitamin D, and Health Outcomes in Hemodialysis
(Registration required, but free.) Free full-text article from Current Opinion in Nephrology and Hypertension via Medscape Nephrology.
Increased Synthesis of Liver Erythropoietin with CKD
JASN Express abstract.
Free, Full-Text Articles from Indian Journal of Nephrology:
Advance Access Abstracts from NDT:
The Impact of Arteriovenous Fistulae for Hemodialysis on the Cardiovascular System
Early View abstract from Seminars in Dialysis.
Therapy Targets Cause of Organ Failure
Press release from the University of Edinburgh. Abstract from Nature Medicine.
Renal Denervation: This Is Why Device Trials Need Sham Controls
(Registration required, but free.) Article from MedPage Today.
Obama Calls for Moonshot Approach to Cure Cancer
Article from Nature.
Potato Rich Diet 'May Increase Pregnancy Diabetes Risk'
Meaningful Use Will Likely End in 2016, CMS Chief Andy Slavitt Says
Article from Healthcare IT News.


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Tuesday, Jan. 12

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  Jan. 12, 2016
Patient-Centered Dialysis Care: Depression, Pain, and Quality of Life
Early View abstract from Seminars in Dialysis.

Editor's note: Much of U.S. dialysis care has gone the way of many educational systems in that they only "teach to the test." Junk-bond nephrology focuses on the metrics of dialysis care that are measured by CMS and ignores the meaning and purpose of patients' lives.

It is a shame that this paper is authored by a single U.S. nephrologist. Perhaps we should look to the VA system and the universities to save U.S. dialysis patients from junk-bond nephrology.
Delivering Better Quality of Care: Relentless Focus and Starting with the End in Mind at DaVita
Early View
abstract from Seminars in Dialysis.

Editor's note: The sole author of this paper is Dr. Allen Nissenson, the Chief Medical Officer of DaVita. He has led the development of the DaVita Patient-Focused Quality Pyramid and claims in this article that this pyramid framework has been validated through DaVita's attainment of most of the top scores in the CMS 5-Star rating program.

Not so fast. If one looks at the most recent annual report from the United States Renal Data System, you will find that DaVita has the worst mortality and hospitalization data among all provider groups, both large and small. See Tables 10.2 and 10.4 in Chapter 10 of the 2015 report.

Unfortunately, the CMS rating system is largely based on an honor system of reporting data.  U.S. dialysis providers have already been criticized for cheating and gaming this system. (Also see this NN&I article on "gaming the system" for fistula reporting.) In 2015, DaVita led the list of all U.S. companies settling fraud allegations with the government.

Obviously, something is very fishy. The fact that this pyramid is also built on a rotten foundation does not help. Dialysis adequacy is still defined by Kt/V, which leads to barely adequate treatments and no emphasis on rehabilitation and employment OUTCOMES. The facts that DaVita have never included patients as part of their team approach, that patient groups are not praising the DaVita pyramid methodology, and that the USRDS data tells a completely different story from the CMS ratings, all suggest that this pyramid scheme has not been proven valid.

I also believe
that virtually all DaVita nephrologists would avoid in-center hemodialysis treatments in DaVita clinics if they themselves were facing renal failure.
DaVita Celebrates 15th Anniversary Milestones
Press release.

Editor's note: DaVita is certainly a different kind of healthcare company.

In a field of medicine where advances in technology would drive tremendous improvements in patients' lives, DaVita has failed to develop, champion, or foster any significant technology change. It is true that DaVita has focused on reducing outliers in the metrics measured by CMS, but they have relied upon unchanging and stagnant technology to advance their junk-credit-rating business model for 15 years.

Kent Thiry grew up being the son of an Arthur Andersen accountant. He was no doubt regaled with business stories of CEOs that gamed and cheated in order to hit their 'numbers.' Considering that DaVita has paid nearly $1 billion in the last few years to settle fraud allegations, perhaps Thiry's leadership style is best explained by the parallels that appear in this 2002 Wall Street Journal article on Arthur Andersen's demise (do a Google search on "Arthur Andersen fall from grace"). Arthur Andersen destroyed the traditional checks and balances of its auditing business by having its accountants become salespeople and focusing on meeting sales numbers.

What is DaVita focused on? As Kent Thiry has admitted, it's not the patients. (See his comments in this YouTube video at 59:40 and at 1:10:00.) When nephrologists align their financial interests with for-profit dialysis corporations, when a healthcare company focuses on its low-level employees and not its patients, and when a healthcare company for a chronic illness focuses on treatment metrics instead of rehabilitating patients, it leads to lousy medicine.
DOPPS Practice Monitor Jan. 2016 Update
Data from the Dialysis Outcomes and Practice Patterns Study Program. Includes data through June 2015 and now includes quality of life (QOL) data.

Editor's note: The quality-of-life data comes with this qualification:

"All DOPPS participants are asked to complete a questionnaire once a year. Participants who complete the questionnaire can be somewhat younger and healthier compared to non-respondents. Therefore results may not be representative of the US hemodialysis population overall."

Telenovelas, Spanish Website Seek To Inform Hispanics About Kidney Donations
Article from Kaiser Health News.
Test Your Knowledge: Optimal Sodium Bath for Hemodialysis
Posting from the AJKD blog.
People With Depression May Not Be Getting All The Information They're Looking For
News release from The Dartmouth Institute. Free, full-text article from BMJ Open.
Obesity-Associated Adipose Tissue Inflammation and Transplantation
Early View abstract from American Journal of Transplantation.
Body Composition Monitoring Derived Urea Distribution Volume in Children on Chronic Hemodialysis
First Online abstract from Pediatric Nephrology.
Any Renal Function Decline in Living Kidney Donors a Cardiac Risk
Articles from Renal & Urology News and HealthDay. Free, Online First, Open Access abstract and PDF article from Hypertension. Press release from the American Heart Association.
Heartburn Meds (Proton Pump Inhibitors) Linked to Chronic Kidney Disease
Article from HealthDay. Online First abstract, editorial extract, and press release from JAMA Internal Medicine.
Exercise Reduces Heart Disease Risk in Depressed People
Inflammation Markers Could Guide Depression Treatments
Understanding Individuals' Right under HIPAA to Access their Health Information
News release from HHS.gov.
Mammograms a Personal Decision for Women in Their 40s, Panel Says
Article from HealthDay.
Adding the Patient Voice to Drug Development
Article from Politico.
Drugmakers Begin 2016 With Price Increases
Next Generation Accountable Care Organization Model (NGACO Model)
Press release from CMS. Article from MedPage Today (registration required).
Centers for Medicare & Medicaid Services (CMS) Announces 121 New Participants in Medicare Accountable Care Organization (ACO) Initiatives
News release from the US Department of Health and Human Services. News brief from AHANewsNow.
Can Helping Patients' Social Needs Also Be Good for Their Health?
Posting from The CMS Blog.


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Monday, Jan. 11

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  Jan. 11, 2016
Switching Partners
Blog posting from Journey of a Lifeline.

Editor's note: A dialysis patient nightmare that demonstrates the corporation mindset described in the Mel Hodge article directly below.
Become a Smart Patient and Save Your Own Life - Part 1: Follow the Money
Posting by Mel Hodge from the KidneyViews blog.

Editor's note: This is the kind of financial analysis that should have been done long ago by the patient advocacy groups. These groups have conveniently failed to question the motives of the large junk-credit-rating dialysis corporations for decades. But then, where does much of the funding for these patient advocacy groups come from?

What constitutes most of the efforts of these patient groups? Education. Teaching how to be expert, in-center, barely adequately-dialyzed, compliant patients.
Outcomes Worse in Dialysis Started Without Nephrologist Care*
(Registration required, but free.) Berns on Nephrology video blog from Medscape Nephrology.
Big Red Kidney Bus: Hundreds on Dialysis Able to Holiday (Vacation) in Victoria with Australian First Mobile Dialysis
Article from the Australian Broadcasting Corporation.
Free, Full-Text, Articles from Kidney International:
Nurses' Bereavement Needs and Attitudes Towards Patient Death: a Qualitative Descriptive Study of Nurses in a Dialysis Unit
Early View abstract from Journal of Renal Care.
Changes of Serum Total and Free Testosterone Concentrations in Male Chronic Hemodialysis Patients with Secondary Hyperparathyroidism in Response to Cinacalcet Treatment
Issue-in-Progress abstract from Kidney & Blood Pressure Research.
Outcomes for Forearm and Upper Arm Arteriovenous Fistula Creation with the Transposition Technique from a Single Institution
Article in Press abstract from Journal of Vascular Surgery.
Lipoprotein(a) Concentrations, Apolipoprotein(a) Isoforms and Clinical Endpoints in Hemodialysis Patients with Type 2 Diabetes Mellitus: Results from the 4D Study
Advance Access abstract from NDT.
Comparison between Paricalcitol and Active Nonselective Vitamin D Receptor Activator for Secondary Hyperparathyroidism in Chronic Kidney Disease: a Systematic Review and Meta-Analysis of Randomized Controlled Trials
First Online abstract from International Urology and Nephrology.
CEO Is Test Kidney Patient As UC Health Partners with Kentucky Hospital
Low Cost 3D Printer Based Organ Model Production Technique Reveals Complicated Interior Organ Structure
Bonding With Others May Be Crucial for Long-Term Health
Article from HealthDay.
Calendar Year (CY) 2016 Eligibility Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) Low-Volume Payment Adjustment (LVPA)
CMS Program Transmittal 218 (22-page pdf). Implementation date is Jan. 22, 2016.
Facility Performance Score Reports (PSR) and Certificates (PSC) Must Be Posted by January 22


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