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RenalWEB's Daily News Archive

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Fri./Sat., Feb. 27-28

Hearts in the Crossfire: Standard Hemodialysis Stuns Organs—But, There is Hope!
Blog posting from Home Dialysis Central.
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  Feb. 27, 2015
bullet point

Georgia's Dialysis Crisis: Living, and Dying, on a Mechanical Kidney
Article from Al Jazeera America.

"Dialysis facilities function as gatekeepers between kidney patients and new organs. By federal law, clinic staff are required to educate patients about transplants and they are supposed to send them to hospitals to be screened for the national waitlist. But in Georgia, dialysis clinics often fail to adequately assist patients as they navigate the transplant process."

"As one Georgian told researchers for a soon-to-be-published paper: “I’m a new dialysis patient and I know absolutely nothing about the transplant process … they don’t say anything about it.”

Editor's note: What are the nephrologists' financial incentives?

Financial incentives in dialysis care are like the undercurrents and riptides in the ocean. They do not seem evident on the surface and their power is unknown to most.

Due to an exception in the Stark Law, nephrologists are allowed to own interests in dialysis facilities. This creates incentives to provide cheap, fast dialysis and to keep patients in the dark about transplants.

Most dialysis clinic employees, like Ms. Sauls who is quoted in the article, are unaware that their work loads and duties are largely driven by their nephrologists' financial interests. One only need look at this recent article about the transplant success rate at the (non-profit) Northwest Kidney Centers to see how the nephrologists' financial interests can also control their patients' fates.

It's time to connect the dots.

bullet point Kidney Injury Alerts Don't Help Anyone
Article from MedPage Today (registration required, but free). Article from YaleNews. Abstract from The Lancet.
bullet point Urine Test Predicts Heart Failure Patients' Risk of Kidney Injury
Press release and JASN Express abstract from the American Society of Nephrology.
bullet point Free, Full-Text Articles from Journal of Renal Care:
bullet point Structural and Functional Assessment of the Brain in European Americans with Mild to Moderate Kidney Disease: Diabetes Heart Study-MIND
Advance Access abstract from NDT.
bullet point Basilic Vein Transposition Tailored As Rescue Procedure in a Uremic Difficult Access Patient with Thrombophilia
Free full-text article from the Journal of Vascular Access.
bullet point Articles in Press Abstracts from American Journal of Kidney Diseases:
bullet point Shake It Off? Not so Easy for People with Depression, New Brain Research Suggests
Press release from the University of Michigan Health System.
bullet point QuickStats: Percentage of Adults Aged 18–64 Years Who Have Seen or Talked with a Mental Health Professional in the Past 12 Months, by Health Insurance Status and Age Group — National Health Interview Survey, United States, 2012–2013
Report from the CDC's MMWR.
bullet point Rockwell Medical Reports Fourth Quarter 2014 Results
bullet point First-Ever Treatment Approved in Canada for Adults Living with ADPKD
bullet point Hospital-Based Active Shooter Incidents: Sanctuary under Fire
Free, full-text, Online First perspective piece from the Journal of the American Medical Association.
bullet point Free, Full-Text, Online First Articles from Annals of Internal Medicine:
bullet point Flu Vaccine Just 18% Effective This Year
Online Presentations from Project CROWNWeb:
CMS: ICD-10 Test Scores 81% Acceptance
News brief from Healthcare DIVE.


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Thursday, Feb. 26

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  Feb. 26, 2015
bullet point Consideration of Costs Can Reduce Moral Objections to Human Organ Sales and Other ‘Repugnant’ Transactions, Says Johns Hopkins Researcher
Press release from Johns Hopkins Carey Business School.
bullet point Save Money, Save Lives: Why the Silence on the Fiscal and Fatal Consequences of Kidney Disease Matters
Posting from the Huffington Post blog.
bullet point NxStage Kidney Care Brings Flexible Therapy Options To Greater Boston Area
Press release.
bullet point NxStage Reports Fourth Quarter and Full-Year 2014 Revenue
Press release.
bullet point Amgen Announces Positive Results From Head-To-Head Study Comparing The Efficacy And Safety Of AMG 416 With Cinacalcet In Patients With Secondary Hyperparathyroidism Receiving Hemodialysis
Press release.

Editor's note: ... must... get... outside the bundle.
bullet point The Cost Effectiveness of Erythropoietin-Stimulating Agents for Treating Anemia in Patients on Dialysis: A Systematic Review
Issue in Progress abstract from American Journal of Nephrology.
bullet point

DaVita HealthCare Partners to Work With Achievement First to Build Culture Between School and Parents
Press release.

Editor's note: DaVita's Kent Thiry has a strong business interest in charter schools. See these stories from The Nation and The Washington Post.

The business plan is familiar. Insert oneself into a never-ending, taxpayer-funded, revenue stream. Use junk-bond funding to capture large portion of market. Reward industry professionals to advance corporate financial goals using law-bending schemes. Use political connections and industry clout to establish standards only a corporation could love. Blame and discharge clients who object or fail. Have PR team continually churn out information on the successful and admired corporate culture.

Fast, cheap dialysis becomes... fast, cheap education.

bullet point Abstracts from the New England Journal Of Medicine:
bullet point Blood Pressure Target in Diabetes Mellitus
Posting from the Renal Fellow Network blog.
bullet point MERS CoV Infection in Two Renal Transplant Recipients: Case Report
Early View abstract from American Journal of Transplantation.
bullet point Telestroke, Tele-Oncology and Teledialysis: a Systematic Review to Analyze the Outcomes of Active Therapies Delivered with Telemedicine Support
Online First abstract from the Journal of Telemedicine and Telecare.
bullet point Transplant Journal Study: Many Transplant Surgeons Suffer Burnout
bullet point Heart Failure Patients Who Struggle With Daily Tasks at Greatest Risk
bullet point New Online Tool Gives Patients Insight Into The Cost Of Medical Care
Article from Kaiser Health News. Guroo.com web site.
bullet point Free, Full-Text Articles from the New England Journal of Medicine:
bullet point Medical Identity Theft Sees Sharp Uptick
Article from Healthcare IT News.
bullet point Swine Flu: India Health Minister Urges Calm
bullet point Bionic Reconstruction Replaces Dysfunctional Arms with Robotic Prostheses
bullet point Burwell: No Back-Up Plan If High Court Overturns Obamacare Tax Credits
CMS: First End-To-End Testing of ICD-10 Successful Overall
News brief from AHANews.com.
CROWNWeb Downtime on February 26, 2015


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Wed., Feb. 25

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  Feb. 25, 2015
bullet point Fresenius Medical Care Says Profit May Not Grow until 2016
Article from Reuters. 4th quarter and full-year results from Fresenius Medical Care.
bullet point Welcome to NephMadness 2015
Posting from the AJKD blog.
bullet point DaVita Kidney Care Announces its First Chief Medical Officer for International Operations
Press release.

"Prior to joining DaVita Kidney Care in 2009, Krishnan worked in various nephrology leadership positions with Amgen, heading up global health economics and outcomes research for nephrology."

Editor's note: See story below.
bullet point India's Private Healthcare Sector 'Treats Patients As Revenue Generators'
Press release, editorial, and article from British Medical Journal.
bullet point Factors Precipitating Erythropoiesis Stimulating Agent Responsiveness in a European Hemodialysis Cohort: Case Crossover Study
Early View abstract from Pharmacoepidemiology and Drug Safety.
bullet point Glomerular Filtration Rate and Albuminuria for Detection and Staging of Acute and Chronic Kidney Disease in Adults:  A Systematic Review
Abstract from the Journal of the American Medical Association.
bullet point Free, Full-Text Editorials from Advances in Chronic Kidney Disease:
bullet point The Need for Enhanced Training in Nephrology Medical Education Research
Free, full-text Article in Press from American Journal of Kidney Diseases.
bullet point N-Terminal Pro–B-Type Natriuretic Peptide Variability in Stable Dialysis Patients
CJASN Express abstract.
bullet point Kidney Function Alters the Relationship between Postoperative Troponin T Level and Death
JASN Express abstract.
bullet point Endo Apps: How to Get Useful Glucose Meter Data
(Registration required, but free.) Article from MedPage Today.
bullet point Advance Directives
Free, full-text, JAMA Patient Page.
bullet point New Medical Device Postmarket Surveillance System Coming
Article from Medical Device and Diagnostic Industry.  Article from the Brookings Institute.
bullet point ‘Pregnancy Tester’ Device Could Help 1M Undiagnosed Kidney Disease Patients in UK
Press release from the Institution of Mechancial Engineers.
bullet point Over Five Thousand Kidney Transplants in Cuba Since 1970
bullet point Sharing Clinical Trial Data:  Maximizing Benefits, Minimizing Risk
Free, full-text viewpoint article from the Journal of the American Medical Association.
bullet point Pioneering Pediatric ACO Drops Costs but Quality Gains Prove Elusive
Article from Hospitals & Health Networks.
bullet point Survey: With Health Law's Help, Uninsured Rate Drops To Lowest Level In 7 Years
bullet point Hospitals Spending Billions On New Buildings, But They May Not Improve Patient Satisfaction
Medicare Advantage Rates Seen Hurting Providers (especially DaVita) with Sicker Patients
(Registration required, but free.) Article from Modern Healthcare.
March Deadlines for National Healthcare Surveillance Network (NHSN) Annual Survey (3/1) and the Secure Access Management Services (SAMS) Registration Process (3/14)
Bulletin from the Northwest Renal Network.


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Tuesday, Feb. 24

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  Feb. 24, 2015
bullet point Collaboration, Focus Drive Transplant Success Rate at Northwest Kidney Centers
Article from Nephrology News & Issues.
bullet point Patient Bulletin — Kidney Transplant: A New Matching System
1-page pdf from the Northwest Renal Network.
bullet point Longtime Dialysis Nurse in Minnesota Donates Kidney
Video and article from The Bemidji Pioneer.
bullet point Which ESA Is Safer in Chronic Kidney Disease Patients?
Posting from the eAJDK blog.
bullet point Incidence of Erythropoietin Antibody Mediated Pure Red Cell Aplasia: The Prospective Immunogenicity Surveillance Registry (PRIMS)
Free, full-text article from NDT.

"Conclusion This large, prospective registry demonstrates that PRCA is rare with subcutaneous administration of either the new coated-stopper syringe presentation of Eprex®, or NeoRecormon® or Aranesp®."
bullet point Dabigatran, Rivaroxaban Contraindicated in AF Patients Who Are on Dialysis
Article from Healio.com. Published Ahead of Print abstract from Circulation.
bullet point Pharmacotherapy in Chronic Kidney Disease Patients Presenting With Acute Coronary Syndrome: A Scientific Statement From the American Heart Association
(Free 28-page pdf) Published Ahead of Print article from Circulation.
bullet point Recurrent Focal Segmental Glomerulosclerosis after Kidney Transplantation
Free, full-text, Online First educational review from Pediatric Nephrology.
bullet point Addressing Morbid Obesity as a Barrier to Renal Transplantation With Laparoscopic Sleeve Gastrectomy
Early View abstract from American Journal of Transplantation.
bullet point Vitamin D Deficiency Linked More Closely to Diabetes Than Obesity
Press release from the Endocrine Society.
bullet point Free, Full-Text, Online First Articles from the Journal of the American Medical Association:
bullet point IOM to Host March Conference on End-Of-Life Care Recommendations
bullet point Asahi Kasei to Buy Polypore
bullet point The Numbers Are In: As Many As 2 in 3 Smokers Will Die from Their Habit
Press release from the Sax Institute.
bullet point The Art of Handling 'Difficult' Patients
(Registration required, but free.) Article from Medscape Business of Medicine.
bullet point Sauna Use Associated with Reduced Risk of Cardiac, All Cause Mortality
bullet point Canada Must Ensure All Orphan Drugs Are Priced Fairly to Allow Patient Access
“Understanding CMS-2744 Errors” Town Hall Registration Now Open
Notice of Feb. 26th Town Hall event from the Project CROWNWeb site.
CMS Proposes 1% Pay Cut for Medicare Advantage


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Monday, Feb. 23

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  Feb. 23, 2015
bullet point Rethinking the Restriction on Nutrition During Hemodialysis Treatment
Free, full-text article from Journal of Renal Nutrition.

"Available data indicate that while eating during HD treatment does generally cause a transient reduction in BP, it is tolerated by a vast majority of patients without significant clinical consequences. Although further research may demonstrate strategies to reduce the potential risks associated with eating during treatment, the widespread use in multiple countries without reports regarding its complications suggests that intradialytic nutrition is an appropriate strategy to improve clinical outcomes in a large proportion of the MHD patient population who can tolerate it."
bullet point 25 Years on Dialysis ‘A Way of Life’
Article from Journal-News (Dayton, OH).
bullet point The Effects of Cinacalcet in Older and Younger Patients on Hemodialysis: The Evaluation of Cinacalcet HCl Therapy to Lower Cardiovascular Events (EVOLVE) Trial
Free, full-text, CJASN Express article.
bullet point Free, Full-Text Articles from American Journal Of Kidney Diseases:
bullet point CJASN Express Abstracts:
bullet point Free, Full-Text Articles from Journal of Renal Nutrition:
bullet point Self-Management in Chronic Disease: Clear Benefits for Blood Pressure Control in CKD
Free, full-text, Article in Press from American Journal of Kidney Diseases.
bullet point Early View Abstracts from Journal of Renal Care:
bullet point Effect of Cholecalciferol Replacement on Vascular Calcification and Left Ventricular Mass Index in Dialysis Patients
Early Online abstract from Renal Failure.
bullet point Niacin and Progression of CKD
Article in Press Abstract from American Journal Of Kidney Diseases.
bullet point FDA Recall Notice: MedComp Hemodialysis Catheters and PICCs
Notice from the FDA Enforcement Report for Feb. 18, 2015.
bullet point Improving Diabetes Prevention with Benefit Based Tailored Treatment: Risk Based Reanalysis of Diabetes Prevention Program
Free, full-text article from British Medical Journal.
bullet point São Paulo Brazil Running Out of Water; Dialysis Treatments Cut Short
bullet point Diaverum To Take Kidney Care in Kazakhstan to the Next Level
bullet point U.N. Investigates Surge in Saudi MERS Cases
bullet point Diabetes and Depression Predict Dementia Risk in People with Slowing Minds
bullet point 'Socialized' or Not, Britain's Health Care System is Superior
Article from the Center for Public Integrity. Related article from The Guardian.
bullet point U.S. Dietary Guidelines Take Aim at Sugar
Article from HealthDay.
bullet point An Era Of Precision Medicine And Rapid Learning
Posting from the Health Affairs blog.
 


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Fri./Sat., Feb. 20-21

25 Years on Dialysis ‘A Way of Life’
Article from Journal-News (Dayton, OH).
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  Feb. 20, 2015
bullet point IV Iron: Are We Harming Dialysis Patients?
(Registration required, but free.) Berns on Nephrology video blog via Medscape Nephrology.
bullet point Why Are Kidney Patients Starting Dialysis Sooner?
Press release and JASN Express abstract from the American Society of Nephrology. Article from MedPage Today (registration required, but free).
bullet point Most Patients with Chronic Kidney Disease May Experience Long-Term Pain
Press release from the American Society of Nephrology.
bullet point Kidney Care Partners Wants CMS to Make Changes To Dialysis Facilities' Star Ratings
Article from Bloomberg via the Kidney Care Partners website.
bullet point Fresenius Medical Care's Proprietary 'High Risk for Hospitalization Predictive Model' Reduces Hospitalization Days; Pilot To Be Expanded to 17 Clinics
Press release.

Editor's note: Proprietary solutions are another problem created by physician ownership of dialysis facilities.
bullet point Kidney Disease in Urban Poor Linked to Bad Eating Habits
Article from Renal & Urology News.
bullet point CKD in HIV-Infected Patients: From the New Plague to Chronic Care Management
Free, full-text Article in Press from American Journal of Kidney Diseases.
bullet point Can One Pill a Day Keep Rejection Away?
Free, full-text, Early View editorial from American Journal of Transplantation.
bullet point What Is New in the Management of Rapidly Progressive Glomerulonephritis?
Free, full-text Advance Access article from Clinical Kidney Journal.
bullet point Hypomagnesemia and Atherogenic Dyslipidemia in Chronic Kidney Disease: Surrogate Markers for Increased Cardiovascular Risk
Online First abstract from Clinical and Experimental Nephrology.
bullet point

Catheter Related Atrial Thrombus: Tip of the Iceberg?
Early Online abstract from Renal Failure.

bullet point Basic Personality Changes Linked to Unemployment, Study Finds
Press release from the American Psychological Association.
bullet point Vitamin D Research and Clinical Practice: At a Crossroads
Free, full-text, Online First viewpoint article from the Journal of the American Medical Association.
bullet point Hospital To Nurses: Your Injuries Are Not Our Problem
Audio and text from National Public Radio.
bullet point Americans Still Divided over Obamacare
Article from HealthDay.
bullet point Free, Full-Text, Online First Perspective Pieces from the New England Journal Of Medicine:
bullet point Precision Medicine to Prevent Diabetes? Personalized Model Could Steer Prevention Efforts
Press release from the University of Michigan Health System.
bullet point HHS, USDA Release Dietary Guideline Recommendations for Comment
CMS-2744 Instructions Available Online


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Thursday, Feb. 19

Symptoms Continue to Determine When to Start Dialysis
(Registration required, but free) Article from MedPage Today. JASN Express abstract.
Basic Personality Changes Linked to Unemployment, Study Finds
Press release from the American Psychological Association.
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  Feb. 19, 2015
bullet point Updates from the National Institute for Occupational Safety and Health (NIOSH):
bullet point FGF-23 and Sudden Cardiac Death
Posting from the eAJKD blog.
bullet point HLA Sensitization: Can It Be Prevented?
Free, full-text educational review from Pediatric Nephrology.
bullet point New Findings on Changes in Parathyroid Hormone Levels and Treatment Regimens
Video from the Dialysis Outcomes and Practice Patterns Study Program.
bullet point

Advance Access Abstracts from American Journal Of Kidney Diseases:

bullet point Circulating Sclerostin: A New Parameter of Cardiovascular Risk in CKD-Patients
(2-page pdf) News release from the ERA-EDTA.
bullet point Abstracts from Angiology:
bullet point A Valuable Resource: Dialysis Facility Compare
(2-page pdf) Feature (also in Spanish) from Kidney Chronicles from the ESRD Network of New York.
bullet point Obesity Series Exposes 'Unacceptably Slow' Progress in Tackling Soaring Global Obesity Rates over Last Decade
Articles from ScienceDaily® and HealthDay. Press release from George Washington University Milken Institute School of Public Health. The series can be found online at: http://www.thelancet.com/series/obesity-2015.
bullet point Publications from the CDC/National Center for Health Statistics:
bullet point Aflibercept, Bevacizumab, or Ranibizumab for Diabetic Macular Edema
Free, full-text, Online First article from the New England Journal of Medicine. Articles from HealthDay and MedPage Today (registration required, but free).
bullet point Here's a First: January Hospital Prices Lower Than a Year Ago
(Registration required, but free.) Article from Modern Healthcare.
bullet point Even Insured Consumers Get Hit With Unexpectedly Large Medical Bills
Article from Kaiser Health News.
bullet point Seven Infected, Two Dead after 'Superbug' Outbreak at UCLA Hospital
Article from AP.
Annual 2744 Survey Process
Notice from the Heartland Kidney Network. All dialysis and transplant units must complete the CMS Form 2744 Annual Facility Survey by March 31st, 2015.


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Wednesday, Feb. 18

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  Feb. 18, 2015
bullet point Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
bullet point Acute Kidney Injury and Mortality in the Elderly: Add Atypical Antipsychotics to the List
Free, full-text, Article in Press from American Journal of Kidney Diseases.
bullet point End-Stage Renal Disease from Hemolytic Uremic Syndrome in the United States, 1995–2010
Early View abstract from Hemodialysis International.
bullet point Urokinase Can Reduce Heparin Dose in Patients with Hypercoagulable States during Hemodialysis
Early Online abstract from Renal Failure.
bullet point Overcoming Acute Kidney Injury
KidneyTalk podcast from Renal Support Network.
bullet point Chronic Illness, Loneliness May Go Hand-In-Hand for Some Elderly
Article from HealthDay.
bullet point The 50 Most Active Kidney Transplant Centers in 2012
bullet point New Anticoagulant Beats Heparin for Certain Heart Attacks
bullet point ObamaCare Enrollment Beats Administration Goal
Article from The Hill.
bullet point Nurses Create Models of Care for an Aging America
Article from Hospitals & Health Networks.
bullet point Seasonal Flu Vaccine May Protect against Deadly Bird Flu Strain
 


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Tuesday, Feb. 17

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  Feb. 17, 2015
bullet point Nephros Clarifies the Status of Evaluation of its Hemodiafiltration System (with DaVita)
Press release. Report from eMarkets Daily.
bullet point Long-Term Effects of Iron-based Phosphate Binder, Sucroferric Oxyhydroxide, in Dialysis Patients
Free, full-text, Advance Access article from NDT.
bullet point Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
bullet point Relationship between Nonalcoholic Fatty Liver Disease and MIA Syndrome
Early View abstract from Hemodialysis International.
bullet point

Levels of Transforming Growth Factor ß1 during First Six Months of Peritoneal Dialysis
Early Online abstract from Renal Failure.

bullet point Time-Updated Systolic Blood Pressure and the Progression of Chronic Kidney Disease: A Cohort Study
Abstract from Annals of Internal Medicine.
bullet point GPhA To Form Biosimilar Division, Hopes To Attract Brands Making Biosimilars
Headline only from InsideHealthPolicy.com (pay-for-view site).

"The Generic Pharmaceutical Association (GPhA) is creating a new division designed to deal exclusively with biosimilars with a separate board of directors, the association's leaders announced at the group's annual conference in Miami this week, and sources say the trade group is courting brand biologic giant Amgen to join, but Amgen says it is “satisfied with the balanced policies promoted by our existing trade associations.”"
bullet point Last Week Tonight with John Oliver: Tobacco
18-minute video via YouTube.
bullet point How One Health System Is Putting an End to Insider Snooping
Article from Healthcare IT News.
bullet point More Evidence That Even 'Moderate' Exercise Helps Women's Hearts
bullet point 'Mindfulness' May Help Ease Sleep Problems for Seniors
 


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Monday, Feb. 16

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  Feb. 16, 2015
bullet point In Australia, Sensipar® (cinacalcet) To Be Removed from the Pharmaceutical Benefits Scheme (PBS) on August 1
(1-page pdf) Notice from the Renal Society of Australasia web site.

"It follows a cost effectiveness reassessment by the Pharmaceutical Benefits Advisory Committee (PBAC) based on results from the EVOLVE study. The review resulted in a dramatic price reduction which means providing Sensipar®, via the PBS, would be at a financial loss to Amgen and unsustainable in the long-term."

Editor's note: Last month, Dr. Jeffrey Berns posted a video blog entitled, "Is Cinacalcet Useful in Dialysis Patients?"

According to the DOPPS Practice Monitor (DPM), approximately 23% of U.S. dialysis patients are receiving cinacalcet. It is one of the few drugs that dialysis clinic owners/physicians can earn profits from its continued and/or increased use.

In March 2014, Amgen was able to insert a provision into rushed legislation (121-page pdf) that delayed Medicare price restraints on Sensipar/cinacalet until 2024. AP article quote:

"It also contains a provision benefiting, among others, Amgen Inc., which produces an oral drug for kidney dialysis patients. It would extend through 2024 a controversial provision to allow payments for Sensipar, which is made by Amgen, to be made on top of other "bundled" payments made to treat Medicare patients with kidney disease. It also eases cuts to dialysis providers who have battled with drug companies over the issue."
bullet point Must Know Facts about Albumin! Number Seven Will Blow You Away!
Posting from the Precious Bodily Fluids blog.
bullet point Advance Care Planning: A Qualitative Study of Dialysis Patients and Families
CJASN Express abstract.
bullet point Prospective Randomized Study of the Tolerability and Efficacy of Combination Therapy for Hypertensive Chronic Kidney Disease: Results of the PROTECT-CKD Study
Online First abstract from Clinical and Experimental Nephrology.
bullet point Acute Kidney Injury and Mortality in the Elderly: Add Atypical Antipsychotics to the List
Article in Press abstract from American Journal of Kidney Diseases.
bullet point Recalcitrant Tumor of the Fifth Metacarpal Bone in a Hemodialyzed Patient
Early View abstract from Hemodialysis International.
bullet point Peritoneal Dialysis OK for Lupus Patients
(Registration required, but free.) Article from MedPage Today.
bullet point Type 2 Diabetes Linked to Worse Performance on Cognitive Testing
bullet point Hospitals Set Course for Zero Patient Harm
Article from Hospitals & Health Networks.
bullet point Patients Tend to Prefer Formal Physician Attire
 


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Fri./Sat., Feb. 13-14

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  Feb. 13, 2015
bullet point FDA Takes Up Hospira Biosimilar Of Epogen, Must Decide By October
Headline only from InsideHealthPolicy.com (pay-for-view site). Retacrit is currently approved for use in 15 countries.
bullet point DaVita Is Under Federal Investigation Again
Articles from Denver Business Journal, MarketWatch, and Modern Healthcare (registration required).
bullet point Bill to End Organ Transplant Denials for Medical Marijuana Patients Filed in California
Article from The Daily Chronic.
bullet point Coming Age of Xenotransplantation: Would You Accept an Organ from a Pig to Save Your Life?
Article from the Genetic Literacy Project.
bullet point DaVita HealthCare Tops Street 4Q Forecasts
Article from AP.   Press release from DaVita. Earnings call transcript from The Street.
bullet point FDA Recall Notices in Enforcement Report for Week of Feb. 11, 2015:
bullet point Development of a Hemodialysis Safety Checklist Using a Structured Panel Process
Provisional abstract and full-text article (20-page pdf) from Canadian Journal of Kidney Health and Disease.
bullet point Articles in Press Abstracts from American Journal Of Kidney Diseases:
bullet point High Dietary Acid Load Predicts ESRD among Adults with CKD
JASN Express abstract.
bullet point Chronic Kidney Disease and the Risk of Stroke: a Systematic Review and Meta-Analysis
Advance Access abstract from NDT.
bullet point Early View Abstracts from American Journal of Transplantation:
bullet point Articles in Press Abstracts from Annals of Vascular Surgery:
bullet point MERS Claims 2 More Lives in Saudi Arabia
bullet point Study Finds Lower Systolic Blood Pressure Reduces Risk of Stroke
bullet point Dehydration Linked to Greater Stroke Damage
bullet point Slippery Antibacterial Coating Prevents Biofilms from Forming on Device Surfaces
bullet point Nagging Patients Aren't to Blame for Overtesting in Medicine
Article from Bloomberg.
bullet point Last Chance to Enroll in Obamacare for 2015
Article from HealthDay.
bullet point Obamacare Sign-Ups For 2015 Expected To Top 10 Million
News summary from Kaiser Health News.
Meaningful Use Penalties: CMS Releases Physician Reimbursement Reduction Details, Latest Attestation Numbers
Article from Medical Economics.
Feb 24. Webinar: Stage 3 Meaningful Use Requirements


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Thursday, Feb. 12

DaVita Receives Subpoenas from HHS
DaVita HealthCare Tops Street 4Q Forecasts
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  Feb. 12, 2015
bullet point Dialysis Olympics in India
Articles from The Siasat Daily and The Hindu.

Editor's note: Why doesn't the National Kidney Foundation, DaVita, or Fresenius Medical Care sponsor a similar event in the U.S.?

Or is such a concept unimaginable in the "land of fast and cheap dialysis?"
bullet point Hand Washing Focus in Hospitals Has Led to Rise in Worker Dermatitis
Press release from the University of Manchester.
bullet point Even ‘Proper’ Technique Exposes Nurses’ Spines To Dangerous Forces
Article and audio from NPR.

"The bottom line is, there's no safe way to lift a patient manually," Marras says. "There's no safe way to do it with body mechanics."
bullet point HIV-Positive–to–HIV-Positive Kidney Transplantation — Results at 3 to 5 Years
Abstract from the New England Journal of Medicine. Articles from HealthDay and MedPage Today (registration required).
bullet point Economic Analysis of the Treatment of End-stage Renal Disease Treatment: Living-donor Kidney Transplantation Versus Hemodialysis
Abstract from Transplantation Proceedings.
bullet point Article in Press Abstracts from Journal of Renal Nutrition:
bullet point Ambulatory Recording of Wave Reflections and Arterial Stiffness during Intra- and Interdialytic Periods in Patients Treated with Dialysis
CJASN Express abstract.
bullet point Advance Online Abstracts from Kidney International:
bullet point FDA MedWatch January 2015: Safety Labeling Changes
Includes 25 products with revisions to Prescribing Information.
bullet point Satellite Healthcare Names Glenn Davis Chief Innovation & Commercial Officer
bullet point 10 Additional Cases of MERS-CoV in Saudi Arabia are Reported to WHO
bullet point End-of-Life Advance Directive
Free, full-text article from the New England Journal of Medicine. Press release from the Hastings Center.
bullet point 1 in 3 Would Rather Die Early Than Take Pills
bullet point U.S. Smoking Deaths May Be Underestimated, Study Suggests
 


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Wednesday, Feb. 11

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  Feb. 11, 2015
bullet point 1 in 5 Suicides Is Associated with Unemployment
Press release from the University of Zürich. Press release and abstract from The Lancet. Article from HealthDay.

Editor's note: Less than 10% of working-age dialysis patients in the United States are employed. (See Table J.10 from the 2014 USRDS.) Providing dialysis care without emphasizing renal rehabilitation and patient employment is simply iatrogenic.

When nephrologists profit from cheap, fast dialysis treatments and do not consider renal rehabilitation and patient employment, they are ignoring their patients' psychosocial needs and increasing depression rates. It is time to connect the dots. They are practicing perverse and immoral medicine.
bullet point Time To Deliver Patient Centred Care
Free, full-text editorial from the British Medical Journal.

"We must harness the energy, insight and expertise of patients, carers, and the communities that support them to help drive change."
bullet point Free, Full-Text, Advance Access Articles from Clinical Kidney Journal:
bullet point People With Coexisting Diabetes, Chronic Kidney Disease and Hypertension Report the Psychosocial Effects of Being Prescribed Multiple Medications
(Registration required, but free.) Free, full-text article from Evidence-Based Nursing via Medscape Nephrology.
bullet point Transplant Survival High Compared With Home Dialysis
(Registration required, but free.) Article from Medscape Medical News.

Editor's note: This author/reporter is confusing the American Society of Nephrology's Annual Scientific Meeting and the University of Missouri's Annual Dialysis Conference.
bullet point Potassium Wars, The Grand Rounds Presentation
Lecture with slides from the Precious Bodily Fluids blog.
bullet point Blood Pressure Meds Lower Heart, Stroke Risks in Diabetics: Analysis
Article from HealthDay. Abstract from JAMA.
bullet point Unwanted Impact of Antibiotics Broader, More Complex Than Previously Known
Press release from Oregon State University.
bullet point Updates to Tubing and Luer Misconnections: Preventing Dangerous Medical Errors
Safety communications from the FDA.
bullet point NYC Unions Gear Up for Another Round with Big Apple Dialysis
bullet point Apple Watch To Track Glucose Levels For Diabetics
bullet point Press Releases from the National Institutes Of Health:
bullet point New Name, New Criteria for Chronic Fatigue Syndrome?
Article from HealthDay. Free, full-text Online First article from the Journal of the American Medical Association.
bullet point Free, Full-Text Articles from the Journal of the American Medical Association:
bullet point U.S. Advisers Rethink Cholesterol Risk From Foods: Report
 


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Tuesday, Feb. 10

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  Feb. 10, 2015
bullet point ESRD National Coordinating Center Announces New FFCL Vascular Access Tools
These tools were developed by the Fistula First Catheter Last (FFCL) Workgroup Coalition, which is comprised of noted leaders from CMS, ESRD Networks, and the renal community at large, as part of its ongoing efforts to increase the use of AV fistulas and decrease the use of tunneled dialysis catheters.
bullet point Canadian Teenager Anya Pogharian Invents $500 Dialysis Machine with At-Home Potential
Article from Public Radio of Armenia with CBC video.
bullet point New Wearable Artificial Kidney Improves Mobility
(Registration required, but free.) Article from Medscape Medical News.
bullet point Free, Full-Text Articles from World Journal of Nephrology:
bullet point Article in Press Abstract from American Journal of Nephrology:
bullet point The Protective Effect of MCP-1 -2518 A>G Promoter Polymorphism in Turkish Chronic Renal Failure Patients Requiring Long-Term Hemodialysis
Online First abstract from International Urology and Nephrology.
bullet point Bilateral Quadriceps Tendon Rupture in a Hemodialysis Patient
Online First abstract from Clinical and Experimental Nephrology.
bullet point Abstracts from Journal of Nephrology:
bullet point ASN Partners with Harold Amos Medical Faculty Development Program to Create ASN-AMFDP Award
Press release. The ASN-AMFDP Award will support career development for a kidney research scholar from a historically disadvantaged background.
bullet point FDA Finalizes Guidance on Medical Device Data Systems
News brief from AHANews. Guidance (8-page pdf) from the FDA.
bullet point 'Smart' Insulin Hope for Diabetes
bullet point Problems Spotted in Clinical Trials Can Go Unreported, Study Says
Article from HealthDay. Free, full-text, Online First article from JAMA Internal Medicine.
bullet point Last Week Tonight with John Oliver: Marketing Pharmaceuticals to Doctors (HBO)
17-minute video via YouTube.
bullet point Hospital Job Surge Continues into 2015
Senators Confident ICD-10 Is a Go
Article from Healthcare IT News. GAO report.


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Monday, Feb. 9

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  Feb. 9, 2015
bullet point Extending Dialysis Hours Fails to Improve Quality of Life
(Registration required, but free.) Article from Medscape Medical News.

Editor's note: This study was first publicized during a 'Late Breaking Trials' session during the ASN Annual Meeting in November. See this story from MedPage Today.

If nothing else, I hope this study helps nephrologists understand that there is no template of treatment parameters that automatically provides improvement in quality of life (QoL). Time on dialysis is a complex variable affecting many aspects of overall care and wellbeing. Individualization of care that incorporates patient preferences and feedback, for both their medical and psychosocial needs, will likely lead to improved QoL for all.
bullet point Quality of Life in End Stage Renal Disease Patients
Free, full-text article from World Journal of Nephrology.
bullet point FDA Approves 1st Drug for Diabetic Retinopathy
Article from HealthDay.
bullet point Article in Press Abstracts from American Journal Of Kidney Diseases:
bullet point

Predictive Value of Echocardiography and Its Relation to Kt/V and Anthropometric Parameters in Hemodialysis Patients
Early Online abstract from Renal Failure.

bullet point Relationship between Health Literacy and Kidney Function
Accepted Article abstract from Nephrology.
bullet point Extracts of Early View Articles from Seminars In Dialysis:
bullet point Abstracts and Full-Text PDFs from Canadian Journal of Kidney Health and Disease:
bullet point Early View Abstracts from Therapeutic Apheresis and Dialysis:
bullet point Families of Health Worker MERS Victims in Saudi To Receive $135,000
Article from Saudi Gazette.
bullet point The Battle for Iron - Understanding Anemias of the Chronically ill
bullet point

Patients Should Feel Confident, Safe to Achieve Better Health
(Registration required, but free) Article from MedPage Today.

Medicare Preps for Natural Disasters, Power Outages
Article from The Hill.


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Fri./Sat., Feb. 6-7

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  Feb. 6, 2015
bullet point Call for Nominations for Technical Expert Panel (TEP) on ESRD 5-Star Ratings
Nominations are due by March 4.
bullet point Coalition for Supportive Care of Kidney Patients Webinar: Building on the Institute of Medicine's Dying in America Report; Coalition Member Update and Engagement
Webinar is scheduled for Feb. 17, 4-5:30 PM EST.
bullet point Intensive Dialysis Can Improve Pregnancy Outcomes
(Registration required, but free.) Article from Medscape Medical News.
bullet point Changes of Serum Calcium, Magnesium and Parathyroid Hormone Induced by Hemodialysis with Citrate-Enriched Dialysis Solution
Free, full-text, Issue-in-Progress article from Kidney & Blood Pressure Research.
bullet point Newly Diagnosed With High Blood Pressure? 3 Factors Affect Prognosis
Article from HealthDay. Open Access article (9-page pdf) from BMJ.
bullet point Comparison of Fracture Risk Prediction among Individuals with Reduced and Normal Kidney Function
CJASN Express abstract.
bullet point Simple Test Detects Increased Risks in Patients with Acute Kidney Injury
Press release and JASN Express abstract from the American Society of Nephrology.
bullet point

Notice of Kidney Interagency Coordinating Committee Meeting
Federal Register notice from the National Institutes of Health. The Kidney Interagency Coordinating Committee (KICC) will hold a meeting on March 6, 2015, on future directions for kidney disease research in the Federal government.

bullet point DaVita Kidney Care Leads in Immunizations for 2014-2015 Season
Press release.

Editor's note: I believe this shows the power of financial incentives.
bullet point AAKP Announces 2015 Medal of Excellence Winners
bullet point Type 1 Diabetes More Deadly for Women Than Men, Study Finds
bullet point Massive Hack at Anthem May Be 'Largest Healthcare Breach to Date'
Brief from Healthcare DIVE. News summary from Kaiser Health News.
bullet point NPR Reports on Injured Nurses
News brief from the American Nurses Association. Audio and text from National Public Radio.
bullet point What Consumers Don't Like About Health Care
Survey results from Hospitals & Health Networks.
bullet point FDA Commissioner Margaret Hamburg to Step Down in March
 


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Thursday, Feb. 5

Call for Nominations for Technical Expert Panel (TEP) on ESRD 5-Star Ratings
Nominations are due by March 4.
Coalition for Supportive Care of Kidney Patients Webinar: Building on the Institute of Medicine's Dying in America Report; Coalition Member Update and Engagement
Webinar is scheduled for Feb. 17, 4-5:30 PM EST.
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  Feb. 5, 2015
bullet point New DOPPS Data Offer 'State of Dialysis' Message
(Registration required, but free.) Berns on Nephrology video blog from Medscape Nephrology.

Editor's note: Kt/V was embraced by the nephrology community because it offered a scientific basis — it was based on hospitalizations and mortality — for prescribing individualized, minimal, treatment times. The dialysis business community embraced Kt/V because it justified fast, cheap dialysis treatments. Today, Kt/V values are used as evidence that patients receive quality dialysis care. In reality, virtually all U.S. patients receive unphysiological treatments that do not restore health and make renal rehabilitation and patient employment virtually impossible.

Would this be normal if U.S. nephrologists did not have financial stakes in dialysis unit profits?
bullet point FDA Recall Notices - Enforcement Report for Week of Feb. 4, 2015:
bullet point What We Are Learning about Home Hemodialysis in 2015
Article from Nephrology News & Issues.
bullet point Press Releases from Cantel Medical / Mar Cor Purification:
bullet point ESRD Mortality Varies by Race in Lupus
(Registration required, but free.) Article from MedPage Today.
bullet point Readability of Written Materials for CKD Patients: A Systematic Review
Article in Press abstract from American Journal of Kidney Diseases.
bullet point Assessment and Management of Hypertension in Transplant Patients
JASN Express abstract.
bullet point Advance Online Abstracts from Kidney International:
bullet point A Phase 2 Study on the Treatment of Hyperkalemia in Patients with Chronic Kidney Disease Suggests That the Selective Potassium Trap, ZS-9, Is Safe and Efficient
Free, full-text, Advance Online article from Kidney International.
bullet point Kidney Images Reveal the Secrets of How Organ Develops
Press release from the University of Edinburgh.
bullet point Alport Syndrome Foundation Funding Opportunities
Applications are due by March 23, 2015.
bullet point Nine Cases of MERS-CoV in Saudi Arabia are Reported to WHO
bullet point Robotic Surgery May Be Better Than Laparoscopic in Nephrectomy
bullet point PCORI Offers Up to $138 Million in Research Support through Latest Funding Announcements
Press release from the Patient-Centered Outcomes Research Institute.
bullet point Money Tops Americans' List of Stressors
Article from HealthDay.
bullet point Almost 1 in 10 Americans Can't Afford Medications Says CDC
Article from Renal & Urology News.
CROWNWeb -- New User Training Begins February 10


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Wednesday, Feb. 4

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  Feb. 4, 2015
bullet point Final Reminder: Call for ESRD Vascular Access Technical Expert Panel Members
If you wish to nominate yourself or other individuals for consideration, please complete the form and email it with your CV and letter of interest to:dialysisdata@umich.edu. Nominations are due by the close of business (5:00pm ET) on February 5, 2015.
bullet point My Life, My Dialysis Choice
KidneyTalk podcast from Renal Support Network.
bullet point Dietary Restrictions in Dialysis Patients: Is There Anything Left to Eat?
Early View abstract from Seminars in Dialysis.
bullet point Early View Abstracts from Hemodialysis International:
bullet point CJASN Express Abstracts:
bullet point Outcome of Patients on Combined Extracorporeal Membrane Oxygenation and Continuous Renal Replacement Therapy: a Retrospective Study
Advance Online abstract from the International Journal of Artificial Organs.
bullet point Renal Function Decline in Recipients and Donors of Kidney Grafts: Role of Aortic Stiffness
Issue in Progress abstract from American Journal of Nephrology.
bullet point Relationship between Low Blood Pressure and Renal/Cardiovascular Outcomes in Japanese Patients with Chronic Kidney Disease under Nephrologist Care: the Gonryo Study
Online First abstract from Clinical and Experimental Nephrology.
bullet point Update from Cardiology Literature: Antithrombotic Therapy in Atrial Fibrillation and CKD
Posting from the Renal Fellow Network blog.
bullet point Preferred Hemodialysis Vascular Access for Diabetic Chronic Kidney Disease Patients: a Systematic Literature Review
Advance Online abstract from the Journal of Vascular Access.
bullet point Acute and Chronic Antibody Mediated Rejection in Pediatric Kidney Transplantation
Free, full-text, educational review from Pediatric Nephrology.
bullet point Consensus Conference on Best Practices in Live Kidney Donation: Recommendations to Optimize Education, Access, and Care
Early View abstract from American Journal of Transplantation.
bullet point

Three-Layered Artificial Vascular Grafts Maintain Strength, Promote Cellular Growth
Article from MedGadget.

bullet point Texas Ambulance Company Owner Headed to Prison for Dialysis Patient Transport Fraud
bullet point Infection Most Likely Cause of Hospital Readmission After Surgery
Article from HealthDay.
bullet point 'Half of UK People' Will Get Cancer

Medicare Patients Aren't Benefitting From Surgical Report Cards: Study
Article from HealthDay.

State of the CROWNWeb Union
Feb. 5, 2-3 PM ET.


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Tuesday, Feb. 3

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  Feb. 3, 2015
bullet point Medicare's Tab for Dialysis Doubles in 10 Years: Concerns That For-Profit Centers Don't Provide Adequate Patient Care
Article from Dayton Daily News (also find link on their Facebook page - see entry on Feb 2).
bullet point Home Dialysis Gets a Boost at Annual Dialysis Conference
Article from Nephrology News & Issues via Home Dialyzors United. Article from Medscape Medical News (registration required, but free.)
bullet point Timing of Kidney Transplants Doesn't Affect Pregnancy Chances
Article from HealthDay. Abstract from JAMA Pediatrics.
bullet point Ardelyx's Drug To Reduce Phosphate Levels in Dialysis Patients Leads to Increased Diarrhea Rates; Shares Fall
Article from Reuters.
bullet point Early View Abstracts from Hemodialysis International:
bullet point Experiences of Recipients and Living Donors the First Three Days after Kidney Transplantation
Early View abstract from Journal of Renal Care.
bullet point Advance Online Abstracts from the Journal of Vascular Access:
bullet point Survival Benefit of Solid-Organ Transplant in the United States
Online First abstract from JAMA Surgery.
bullet point Gynecologic Follow up of 129 Women on Dialysis and after Kidney Transplantation: a Retrospective Cohort
Article in Press abstract from European Journal of Obstetrics & Gynecology and Reproductive Biology.
bullet point Study Finds Occupational Link in Kidney Disease Epidemic in Central America
Press release from Boston University Medical Center.
bullet point Many Americans Face Pain, Depression in Their Final Year
Article from HealthDay. Abstract from Annals of Internal Medicine.
bullet point Free, Full-Text Articles from Annals of Internal Medicine:
bullet point Online First Abstracts from JAMA Internal Medicine:
bullet point Too Many Heart Failure Patients Are Treated with IV Fluids, Study Finds
bullet point Satellite Healthcare Names Pamela Molano Vice President of Physician Services
bullet point Kidney Docs Salty over JFK Flub Quoted in Superbowl Commercial
bullet point The New Therapeutics: Ten Commandments
(Scroll down page, see section entitled "Ten Commandments") BMJ blog posting by Richard Lehman, MD.
bullet point Should Providers Charge Patients for Portal Access?
Article from Healthcare DIVE.
bullet point Abstracts from Health Affairs:
bullet point U.S. Measles Cases Now Exceed 100: CDC
Obama's New Budget Proposes Historic, Direct Drug Price Negotiations in Medicare
Brief from Healthcare DIVE.
CROWNWeb Training Events


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Monday, Feb. 2

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  Feb. 2, 2015
bullet point NY State Panel Doesn't Recommend For-Profit Dialysis Centers
Article from Capital.
bullet point The Unexpected Cost Of A Life-Saving Organ Donation
Article from Reuters Health.
bullet point ESAs in Patients with CKD and Cancer: Is the Risk Worth the Benefit?
Posting from the Renal Fellow Network blog.
bullet point Free, Full-Text Articles from Kidney International:
bullet point CKD and the Risk of Acute, Community-Acquired Infections Among Older People With Diabetes Mellitus: A Retrospective Cohort Study Using Electronic Health Records
Open Access Article in Press from American Journal of Kidney Diseases.
bullet point Increased Risk of Progression to Dialysis or Death in CKD Patients with Depressive Symptoms: a Prospective 3-Year Follow-Up Cohort Study
In Press article from Journal of Psychosomatic Research.
bullet point Outcomes of Infection-Related Hospitalization in Medicare Beneficiaries Receiving In-Center Hemodialysis
Article in Press abstract from American Journal of Kidney Diseases.
bullet point Interstitial Fibrosis Restricts Osmotic Water Transport in Encapsulating Peritoneal Sclerosis
JASN Express abstract.
bullet point Published Ahead of Print Abstracts from Current Opinion in Nephrology and Hypertension:
bullet point Volume Blood Flow, Static Pressure Ratio and Venous Conductance in Native Arteriovenous Fistulae: Three Surveillance Methods Compared
Advance Online abstract from the Journal of Vascular Access.
bullet point DaVita, Centura Health Announce FullWell System Brand Name
Article from Denver Business Journal.
bullet point Some With Kidney Stones Might Have Calcium Buildup in Blood Vessels: Study
bullet point Obama to Announce Major Personalized Medicine Initiative
Article from HealthDay.
bullet point CDC Urges Vaccination, Vigilance to Prevent Measles Outbreak from Spreading
AHANews brief.
 


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