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Wednesday, April 26

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  Apr. 26, 2017
60 Comments: California First to Address Dialysis Staffing Crisis
(Registration required, but free.) Article from Medscape Nephrology. California bill SB-349 information. Related article from Nephrology News & Issues.
Free Supplemental Issue of Nephrology on Chronic Kidney Disease – Mineral & Bone Disorders
16 full-text articles.
Low-Sodium Diet Might Not Lower Blood Pressure
Press release from the Experimental Biology 2017 meeting.

"A new study that followed more than 2,600 men and women for 16 years found that consuming less sodium wasn't associated with lower blood pressure. The new findings call into question the sodium limits recommended by the current Dietary Guidelines for Americans."
UnitedHealthcare Takes Action to Increase Live Kidney Donation
Posting from the Chronic Disease Coalition.
#SCM17: Common Sense Ways to Reduce the Burden of AKI
Posting from the AJKD blog.
Modified Creatinine Index and the Risk of Bone Fracture in Patients Undergoing Hemodialysis: The Q-Cohort Study
Article in Press abstract from American Journal of Kidney Diseases.
The Systemic Nature of CKD
Advance Online abstract from Nature Reviews Nephrology.

Editor's note: Focusing nearly exclusively on cardiorenal medicine is obviously shortsighted.
Primary and Secondary Patencies of Transposed Femoral Vein Fistulas Are Significantly Greater Than with the HeRO Graft
Advance Online abstract from the Journal of Vascular Access.
A Clinical Score to Predict Mortality in Septic Acute Kidney Injury Patients Requiring Continuous Renal Replacement Therapy: the HELENICC Score
Free, Open Access article from BMC Anesthesiology.
Preoperative Sepsis Is an Independent Risk Factor for Major Complications after Lower Extremity Amputation in Patients with Diabetic End-Stage Renal Disease
Accepted Article abstract from Nephrology.
Pregnant Women Need Routine Blood Pressure Checks
Article from Reuters. Free, full-text, New Online editorials from JAMA Internal Medicine:
Childhood Obesity Quadruples Risk of Developing Type 2 Diabetes
Potential New Treatment for Kidney Failure in Cancer Patients
One Step Closer to an “Exercise Pill”
CDC Updates Pre-Pandemic Planning Guidance
Popular Belief That Saturated Fats Clog up Arteries 'Plain Wrong' Say Experts
(Snap Along to) The Cruel Irony of the Hippocratic Oath
Posting from the KevinMD blog.
5 Things To Know About The Health Issue That Could Shut Down The Government
Article from Kaiser Health News.
The Rise of Crowdfunding for Medical Care — Promises and Perils
Free, full-text, viewpoint article from the Journal of the American Medical Association.
 


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Tuesday, April 25

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  Apr. 25, 2017
Medicare Recipients Using Rehabilitation Services Report Major Functional Improvements
Press release from the University of Vermont. Article in Press abstract from Archives of Physical Medicine and Rehabilitation.
Effects of Neuromuscular Electrical Stimulation During Hemodialysis on Peripheral Muscle Strength and Exercise Capacity
Abstract from Archives of Physical Medicine and Rehabilitation.
Organ Donation: A New Frontier for Artificial Intelligence?
Press release from the University of Montréal.
Father of Kidney Exchange Says It's Time for a Refresh
Article from Nephrology News & Issues.
Conclusions of Mexico City – Latin America Unites against Kidney Disease
News release from the International Society of Nephrology.
Road Map to CKD Health Published in Lancet Health Review
Announcement and press release (5-page pdf) from the International Society of Nephrology (ISN). Full-text road map article (30-page pdf) and Global Kidney Health Atlas (187-page pdf) from the ISN.
Free, Open Access Articles from International Urology and Nephrology:
Clinical Practice Guidelines on Iron Therapy: a Critical Evaluation
Early View abstract from Hemodialysis International.
Advanced Age Is Not a Barrier to Creating a Functional Arteriovenous Fistula: a Retrospective Study
Advance Access abstract from the Journal of Vascular Access.
The Incidence and Costs of Bacteremia Due to Lack of Gentamicin Lock Solutions for Dialysis Catheters
Abstract from Nephrology.
Membrane Transport Status Does Not Predict Peritonitis Risk in Patients on Peritoneal Dialysis
Accepted Article abstract from Nephrology.
Sanofi Receives FDA Approval of Thymoglobulin® for the Prevention of Acute Kidney Transplant Rejection
Press release.
Hepatitis B Virus Reactivation Associated With Direct-Acting Antiviral Therapy for Chronic Hepatitis C Virus: A Review of Cases Reported to the U.S. Food and Drug Administration Adverse Event Reporting System
Latest Article abstract from Annals of Internal Medicine.
Forging New Defenses Against Diabetic Kidney Disease
Mayo Research Shows Surgery Adds Years for Kidney Cancer Patients
Fresenius Picks Up Mergers & Acquisitions Pace with Akorn, Merck Deals
Nephros Announces Partnership with WorldWater & Solar Technologies
Becton Dickinson Acquires C.R. Bard in $24 Billion Medical Device Deal
If Your Patient Doesn't Speak the Same Language As You…
Full-text article from The BMJ.
Posting from the KevinMD Blog:
 


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Monday, April 24

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  Apr. 24, 2017
California First to Address Dialysis Staffing Crisis
(Registration required, but free.) Article from Medscape Nephrology.
Creating a Wearable Artificial Kidney: A Difficult But Necessary Goal
Article from Nephrology News & Issues.
“Dialysis is a promise unfulfilled,” said Jonathan Himmelfarb, director of the Kidney Research Institute..."

“If we are going to keep patients alive by artificial means, we then incur the responsibility to see that it is a good life and an enjoyable life,” Kolff said in 1968.

“If the treatment of chronic uremia cannot fully rehabilitate the patient, the treatment is inadequate,” Scribner said in 1963.

"Dialysis keeps people alive, but it doesn’t restore health," Himmelfarb said. "And it doesn’t fully rehabilitate."

CDC Webinar — Infections in Dialysis Centers: Understanding what Matters to Patients
Free CE webinar scheduled for May 2, 2017 at 3:00-4:00 PM EDT. Registration now open.
New Global Report Highlights Burden and Neglect of Kidney Disease Worldwide
Press release from the International Society of Nephrology. Free, full-text, New Online article and editorial from the Journal of the American Medical Association.
Coverage of National Kidney Foundation 2017 Spring Clincal Meetings
Articles from Renal & Urology News. Highlights include:
Postings from the AJKD Blog:
ISN World Congress of Nephrology 2017
April 21-25 in Mexico City.
Obesity and Listing for Renal Transplantation: Weighing the Evidence for a Growing Problem
Free, full-text, Advance Access article from Clinical Kidney Journal.
Intradialytic Hypotension, Blood Pressure Changes and Mortality Risk in Incident Hemodialysis Patients
Advance Access abstract from NDT.
Sex Differences in Hospitalizations with Maintenance Hemodialysis
JASN Express abstract.
Surgeon Volume Impacts Parathyroidectomy Outcomes
Physician' s Briefing from HealthDay. New Online abstract from JAMA Otolaryngology-Head & Neck Surgery.
Early View Abstracts from American Journal of Transplantation:
Nonparallel Progression of Left Ventricular Structure and Function in Long-Term Peritoneal Dialysis Patients
Issue-in-Progress abstract from CardioRenal Medicine.
Pregnancy and Kidney Disease: from Medicine Based on Exceptions to Exceptional Medicine
Free, full-text, First Online editorial from Journal of Nephrology.
First Online Abstracts from Journal of Nephrology:
Associations of Dietary Protein and Energy Intakes with Protein-Energy Wasting Syndrome in Hemodialysis Patients
Article in Press abstract and link to full-text PDF from Kidney International Reports.
Testing Urine for Particular Proteins Could Be Key to Preventing Kidney Transplant Failure
'Connshing Syndrome' Named As a New Cause of High Blood Pressure
Hospira, Baxter Subpoenaed in Antitrust Probe over Intravenous Saline
Displaying Lab Test Costs in Electronic Health Records Doesn't Deter Doctors from Ordering Them
Press release from University of Pennsylvania School of Medicine. Free, full-text, New Online article from JAMA Internal Medicine.
Health Care In America: An Employment Bonanza And A Runaway-Cost Crisis
Article from Kaiser Health News.
CROWNWeb Town Hall: Promoting Data Quality Goals with the Facility Dashboard
Thu, April 27th 2017, 2:00 pm EDT.


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Fri./Sat., April 21-22*

California First to Address Dialysis Staffing Crisis
(Registration required, but free.) Article from Medscape Nephrology.
Creating a Wearable Artificial Kidney: A Difficult But Necessary Goal
Article from Nephrology News & Issues.

“Dialysis is a promise unfulfilled,” said Jonathan Himmelfarb, director of the Kidney Research Institute and Joseph W. Eschbach, MD, Endowed Chair in Kidney Research at the University of Washington School of Medicine.
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  Apr. 21, 2017
Dialysis Patient Advocates, Doctors, Nurses and Clinics Strongly Oppose California Senate Bill 349 – Rigid Dialysis Clinic Staffing Mandates
Press release from BCF's (public affairs/lobbying group) web site DialysisPatients1st.com.

This proposed legislation would:
  • Require a patient-to-registered-nurse ratio of 8:1
  • Require a patient-to-dialysis-technician ratio of 3:1
  • Require a patient-to-social-worker ratio of 75:1
  • Require a minimum of 45 minutes for dialysis technicians to properly clean the equipment after each hemodialysis treatment
  • Require annual inspections of dialysis clinics
The groups opposed to SB 349 include:
  • California Dialysis Council
  • California Hospital Association
  • Association of California Healthcare Districts
  • Renal Support Network
  • Renal Physicians Association
  • National Renal Administration Association
  • American Nurses Association of California
  • California Medical Transportation Association
  • Lupus Foundation of Southern California
  • Providence Health & Services
  • Loma Linda University Medical Center – Kidney Center
On the opposing side, see this video from More Than Numbers - #FixDialysis. Background information from Nephrology News & Issues. Also see these related posts from Arts & Farces: Editor's note: This bill is NOT opposed by the American Nephrology Nurses Association.
Study Evaluates How Well Fellowship Training Prepares Kidney Specialists
Press release and JASN Express abstract from the American Society of Nephrology.
Press Releases from the National Kidney Foundation:
Coverage of National Kidney Foundation 2017 Spring Clincal Meetings
Articles from Renal & Urology News.
Articles from MedPage Today (registration required, but free):
Articles from Nephrology News & Issues:
Free, Full-Text Articles from The Journal of Vascular Access (click on "Full Text" tab):
Free, Full-Text Articles from American Journal of Kidney Diseases:
Free, Full-Text, Issue-In-Progress Articles from Kidney & Blood Pressure Research:
Levocarnitine Injections Decrease the Need for Erythropoiesis-Stimulating Agents in Hemodialysis Patients with Renal Anemia
Issue-in-Progress abstract from CardioRenal Medicine.
6 Late-Breaking Abstracts: National Kidney Foundation 2017 Spring Clinical Meetings April 18-22, 2017
Early View Abstracts from Hemodialysis International:
Gut Microbiome and Kidney Disease: a Bidirectional Relationship
Free, Open Access article from Pediatric Nephrology.
Towards a Bioengineered Kidney: Recellularization Strategies for Decellularized Native Kidney Scaffolds
Advance Online abstract from the International Journal of Artificial Organs.
Omega-3 Fatty Acid Supplementation is Associated With Oxidative Stress and Dyslipidemia, but Does not Contribute to Better Lipid and Oxidative Status on Hemodialysis Patients
Article in Press abstract from Journal of Renal Nutrition.
Cold Ischemia Time up to 16 Hours Has Little Impact on Living Donor Kidney Transplant Outcomes in the Era of Kidney Paired Donation
Article in Press abstract from Kidney International.
Adding Access Blood Flow Surveillance Reduces Thrombosis and Improves Arteriovenous Fistula Patency: a Randomized Controlled Trial
Advance Online abstract from the Journal of Vascular Access.
Neuromuscular Electrostimulation: a New Therapeutic Option to Improve Radiocephalic Arteriovenous Fistula Maturation in End-Stage Chronic Kidney Disease Patients
First Online abstract from International Urology and Nephrology.
More Americans Being Hospitalized for a Hypertensive Emergency, but Fewer Are Dying
A Promising Target for Kidney Fibrosis
Blood Donor Screening for Hepatitis E Reveals Incidence Is Higher Than Previously Reported
When Is It Safe to Drive With Type 1 Diabetes?
Beyond Medication Reconciliation – The Correct Medication List
Free, full-text, New Online viewpoint article from the Journal of the American Medical Association.
Instead of 'Fail First,' Try 'Patients First,' Cancer Doctors Tell Insurers
Article from STAT.
Is Soda Bad for Your Brain? (And Is Diet Soda Worse?)
Press release from Boston University. Article from HealthDay.
 


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Thursday, April 20

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  Apr. 20, 2017
Unlocking the Enigma of the Activated and Engaged Patient
Article from Healthcare Business & Technology.
Cricket Health Unveils Results of Modality Choice Program for Chronic Kidney Disease Patients
Press release.
Sentien Launches Trial for Drug-Device Combo for Treating Acute Kidney Injury
Article from Drug Delivery Business.
Unexpected and Striking Effect of Heparin-Free Dialysis on Cytokine Release
Free, Open Access, First Online article from International Urology and Nephrology.
Abstracts from Cochrane Reviews:
Free, Open Access Articles from PLOS ONE:
Arteriovenous Access Banding Revisited
Advance Online abstract from the Journal of Vascular Access.
National Healthcare Safety Network (NHSN) Annual Training for Dialysis Event Surveillance
Notice from the Northwest Renal Network. Annual retraining must be completed by Sept.30.
RPA Public Policy in a Minute: Chronic Care Act of 2017, S.870
Fewer Exams and Better Eye Health? Aye-Aye, Finds Type I Diabetes Study
Some Answers to Question of Why College Grads Show Less Risk for Type 2 Diabetes
88th Annual Physician Report
Feature from Medical Economics.
Good Riddance to Big Insurance Mergers
Free, full-text, Online First perspective piece from the New England Journal of Medicine.
Widely Disparate Spending on Health Forecast through 2040
Press release from the Institute for Health Metrics and Evaluation.
Trends in Use of the US Medicare Annual Wellness Visit, 2011-2014
Free, full-text, Online First research letter from the Journal of the American Medical Association.


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Wednesday, April 19

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  Apr. 19, 2017
New Test Identifies Patients with Diabetes Who Are at High Risk of Kidney Failure
Press release from Joslin Diabetes Center. Article in Press abstract from Kidney International.
American Nephrology Nurses Association Releases New Edition of Contemporary Nephrology Nursing
Press release.
Depression Is the Leading Cause of Disability Around the World
Abstract and preview from JAMA Forum.
Free, Open Access Articles from Kidney International Reports:
Iron Deficiency Anemia in Chronic Kidney Disease: Uncertainties and Cautions
Free, full-text, Early View article from Hemodialysis International.
Free, Full-Text Articles from Medscape Nephrology (registration required, but free):
Early View Abstracts from Hemodialysis International:
Renal Replacement Therapy and Incremental Hemodialysis for Veterans with Advanced Chronic Kidney Disease
Early View abstract from Seminars in Dialysis.
Changes in the Profile of Endovascular Procedures Performed in Freestanding Dialysis Access Centers over 15 Years
CJASN Express abstract.
Exercise and CKD: Skeletal Muscle Dysfunction and Practical Application of Exercise to Prevent and Treat Physical Impairments in CKD
Article in Press abstract from American Journal of Kidney Diseases.
A Practical Standardized Composite Nutrition Score Based on Lean Tissue Index: Application in Nutrition Screening and Prediction of Outcome in Hemodialysis Population
Article in Press abstract from Journal of Renal Nutrition.
Superforecasting: The Kidney Failure Edition
Posting from the AJKD blog.
Brief, Intensive Lifestyle and Drug Treatment Improves Type 2 Diabetes
Copper Infusion by Sentara Aims to Prevent Infection
Free, Full-Text Articles from the Journal of the American Medical Association:
Illness (and Possible Heart Failure) from 'Kissing Bug' Now Widespread in U.S.
Sen. Grassley Demands Scrutiny Of Medicare Advantage Plans
Article from Kaiser Health News.


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Tuesday, April 18

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  Apr. 18, 2017
ISN Academy
New educational resource from the International Society of Nephrology. Introductory YouTube video.
Dialysis Simulators
New resources (hemodialysis and peritoneal dialysis simulators) from Boston Children's Hospital described on the Renal Fellow Network blog.
Mission Control for the Body's Salt and Water Supplies
Press releases from the Max Delbrück Center for Molecular Medicine in the Helmholtz Association and from Vanderbilt University Medical Center.

"According to the textbooks, the excretion of dietary salt will inevitably lead to water loss into the urine and thereby reduce body water content. That's not what the researchers found. On the contrary, they showed that the biological principle of salt excretion is actually water conservation and water production."

"The project revises scientists' view of the function of urea in our bodies. "It's not solely a waste product, as has been assumed," Prof. Friedrich C. Luft, MD of the Charité and MDC says. "Instead, it turns out to be a very important osmolyte - a compound that binds to water and helps transport it. Its function is to keep water in when our bodies get rid of salt. Nature has apparently found a way to conserve water that would otherwise be carried away into the urine by salt.""
Nutritional Parameters As Mortality Predictors in Hemodialysis: Differences between Genders
Early View abstract from Journal of Renal Care.
Prevalence and Associated Variables of Postdialysis Fatigue: Results of a Prospective Multicenter Study
Accepted Article abstract from Nephrology.

"In patients with severe (postdialysis fatigue), age and dialytic age were higher, ...and the ultrafiltration rate was lower."
Children with Impaired Kidney Function at Risk of Receiving Incorrect Diagnoses and Treatments
Press release and Early Release abstract from The Journal of Applied Laboratory Medicine.
The Financial Impact of Advanced Kidney Disease on Canada Pension Plan and Private Disability Insurance Costs
Free, full-text article from Canadian Journal of Kidney Health and Disease.
Pharmacologic Therapy for Type 2 Diabetes: Synopsis of the 2017 American Diabetes Association Standards of Medical Care in Diabetes
Free, full-text, clinical guidelines from Annals of Internal Medicine.
Baseball Great Rod Carew Owes His Life to NFL Player's Transplanted Organs
Leading Medical Groups Join March for Science on April 22
Article from HealthDay.
Single-Payer Reform: The Only Way to Fulfill the President's Pledge of More Coverage, Better Benefits, and Lower Costs
Free, full-text, opinion piece from Annals of Internal Medicine.
National Healthcare Decisions Day Underway All Week
News brief from AHANews. The national effort aims to help people understand the value of advance health care planning.
CMS Releases New MACRA Resources for Clinicians
News brief from AHANews.


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Monday, April 17

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  Apr. 17, 2017
Ethical Dilemmas in Dialysis Therapy: Making the Right Decisions
(Registration required, but free.) Article from Medscape. Abstract from The Lancet.
"Even though decades of scientific research has confirmed that transplantation offers a better quality and quantity of life, reimbursement policies make it more profitable for providers to maintain dialysis therapy over transplantation."

Nephrologists and Integrated Kidney Disease Care: Roles and Skills Essential for Nephrologists for Future Success
Article in Press from American Journal of Kidney Diseases.

Editor's note: This could be entitled, "Essential Mindsets and Skills for Junk-Bond Nephrology." Who wants to practice this kind of medicine?

I have to believe these medical directors would be advocating for a completely different kind of medical care for working-age patients if their corporations were provided significant financial incentives to deliver employed and rehabilitated patients. They should instead advocate strongly for transplantation and advocate for the kind of medical care that would they would want for themselves and their own families.

Which large dialysis provider has the highest transplant referral rate and also has the lowest dialysis mortality and hospitalization rates?

How Spain Became the World Leader in Organ Transplants
Article from The Manila Times.
Rethinking Dialysis: Giving Patients Choices
Article from The Boston Globe.
  The Cost of Not Taking Your Medicine
Article from The New York Times.

"Studies have shown that a third of kidney transplant patients don't take their anti-rejection medications, 41 percent of heart attack patients don't take their blood pressure medications, and half of children with asthma either don't use their inhalers at all or use them inconsistently."
PD and Home HD: Dialyzor-to-Dialyzor Tips for Newbies
Posting from the KidneyViews blog.
GAO Report: Telehealth and Remote Patient Monitoring Use in Medicare and Selected Federal Programs
Link to 72-page report from the U.S. Government Accountability Office.
Articles from Medscape Nephrology (registration required, but free):
Targeted Deprescribing in an Outpatient Hemodialysis Unit: A Quality Improvement Study to Decrease Polypharmacy
Article in Press from American Journal of Kidney Diseases.
ANNA Joins Initiative to Enhance Infection Control Education for Nurses
Notice from the American Nephrology Nurses Association.
First Online Abstracts from Pediatric Nephrology:
Effect of Hemodialysis Access Blood Flow on Cardiac Events after Coronary Artery Bypass Grafting Using an Internal Thoracic Artery
Advance Online abstract from the Journal of Vascular Access.

CDC Seeking Applicants To Build Out National Diabetes Prevention Program in Underserved Areas

Baxter Reveals DoJ Antitrust Division Subpoena Related to IV Supplies
5 Important Ways Henrietta Lacks Changed Medical Science
Article from STAT.
FDA Warns Company About Slow Action On Recalling Faulty Defibrillators
CMS Proposes 2018 Payment and Policy Updates for Medicare Hospital Admissions, and Releases a Request for Information
Press release.


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Fri./Sat., April 14-15

Ethical Dilemmas in Dialysis Therapy: Making the Right Decisions
(Registration required, but free.) Article from Medscape. Abstract from The Lancet.
"Even though decades of scientific research has confirmed that transplantation offers a better quality and quantity of life, reimbursement policies make it more profitable for providers to maintain dialysis therapy over transplantation."
PD and Home HD: Dialyzor-to-Dialyzor Tips for Newbies
Posting from the KidneyViews blog.
GAO Report: Telehealth and Remote Patient Monitoring Use in Medicare and Selected Federal Programs
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  Apr. 14, 2017
Shared-Savings ESRD Organization Reduced Missed Treatments, Hospitalizations
Article from Internal Medicine News.
FDA Ends REMS Requirement for Anemia Drugs
(Registration required, but free.) Article from MedPage Today. FDA notice.
ASN Webinar: Targeting Zero Infections Series
First of a Nephrologists Transforming Dialysis Safety webinar series. Free registration for May 23rd webinar now open.
Kidney Disease Is a Major Cause of Cardiovascular Deaths
Press release and JASN Express abstract from the American Society of Nephrology. Article from HealthDay.
Changing Mindsets to Enhance Treatment Effectiveness
Free, full-text, New Online viewpoint article from the Journal of the American Medical Association.

Editor's note: By placing no emphasis on patient rehabilitation and employment, what mindset has the American Society of Nephrology, the Renal Physicians Association and CMS been establishing in patients for the last three decades?

Another Downside to Unemployment: Stroke Risk?
Article from HealthDay. Press release from the American Heart Association.
Issue-In-Progress Abstracts from American Journal Of Nephrology:
Renal Function in Relation to Sodium Intake: a Quantitative Review of the Literature
Free, full-text, Article in Press from Kidney International.
Free, Open Access Articles from BMC Nephrology:
Free, Full-Text Articles from Journal of Renal Nutrition:
Effectiveness of Beraprost Sodium in Maintaining Vascular Access Patency in Patients on Hemodialysis
First Online abstract from International Urology And Nephrology.
Article in Press Abstracts from Kidney International:
PDI in Press Abstracts:
Can CrossFit Really Cause Kidney Damage?
Exercise Helps to Keep Seniors Safe From Falls
Repeal, Replace … Revise: Your Guide To How A Trump Proposal Might Change ACA Insurance
Article from Kaiser Health News.
Compensation Not a Primary Challenge for Nursing Recruiters
Article from HealthLeaders Media.
Value-based Programs Yield Lower Readmission Rates, Significant Cost Savings, JAMA Study Shows
Article from Healthcare Finance. New Online abstract from JAMA Internal Medicine.
Fewer Repeat Hospital Admissions after 'Vertical Integration' of Healthcare
Trump Administration Issues Final Rule on Stricter Obamacare Enrollment
Article from Reuters. CMS press releaseNews brief from AHANews.
CMS Data Shows Racial, Ethnic, Gender Disparities in Medicare Advantage Care
Article from Healthcare Finance. CMS press release.  News brief from AHANews.


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Thursday, April 13

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  Apr. 13, 2017
DaVita CEO Undecided about Colorado Governor's Race
Article from Colorado Springs The Gazette.
Free, Full-Text Articles from Medscape Nephrology (registration required, but free):
Diabetes Continues Its Relentless Rise
Articles from HealthDay and Internal Medicine News. Abstracts from The New England Journal of Medicine:
The Clinical Epidemiology and 30-Day Outcomes of Emergency Department Patients With Acute Kidney Injury
Free, Open Access article from Canadian Journal of Kidney Health and Disease.
Continuous Veno-Venous Hemofiltration Improves Survival of Patients With Congestive Heart Failure and Cardiorenal Syndrome Compared to Slow Continuous Ultrafiltration
Early View abstract from Therapeutic Apheresis and Dialysis.
Urea and Chronic Kidney Disease: the Comeback of the Century? (in Uremia Research)
Advance Article abstract from NDT.
Early View Abstracts from Hemodialysis International:
Qualitative Interviews Exploring Palliative Care Perspectives of Latinos on Dialysis
CJASN Express abstract.
Adynamic Bone Disease Is a Predominant Bone Pattern in Early Stages of Chronic Kidney Disease
First Online abstract from Journal of Nephrology.
Articles from Nephrology News & Issues:

3D Bioprinting Can Help Organ Transplant
Plans Announced for 900 Renal Dialysis Centers in Sri Lanka
Leapfrog Releases Hospital Safety Grades
Press release from the Leapfrog Group.
Medical Mistakes Still Kill 1000 Patients a Day, Leapfrog Says
Articles from Healthcare IT News. 832 hospitals earned an "A" in patient safety, while 10 hospitals earned an "F.".
Trump Threatens to Stop Key Obamacare Payments: Report
Article from The Hill.
CMS SPECIAL SESSION: Quality Improvement Organization (QIO)  12th Scope of Work (SoW)
The Centers for Medicare & Medicaid Services is hosting a special session to gather information from all stakeholders, including the public, to inform the priorities and aims of the next phase of the QIO Program. The QIO Program is the largest federal program dedicated to improving health and healthcare quality at the local level for Medicare beneficiaries.
DATE: Thursday April 20, 2017

TIME: 1:30 p.m. – 4:00 p.m.

LOCATION
: CMS headquarters in Baltimore, MD and virtually

Register at
https://register.mitre.org/CMS_Special_Session/

Medicaid Expansion Did Not Raise State Spending
Abstract from Health Affairs.


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Wednesday, April 12

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  Apr. 12, 2017
Smithfield Makes Move on Market for Pig-Human Transplants
Article from Reuters.
Free, Full-Text Articles from Kidney International:
Acetate-Free Biofiltration to Remove Fibroblast Growth Factor 23 in Hemodialysis Patients: a Pilot Study
First Online abstract from Journal of Nephrology.
Published Ahead-of-Print Abstracts from Current Opinion in Nephrology and Hypertension:
Enhancing Dialyzer Clearance — from Target to Development
First Online abstract from Pediatric Nephrology.
Increased Arterial Stiffness is an Independent Predictor of Renal Function Decline in Patients With Type 2 Diabetes Mellitus Younger Than 60 Years
Free, full-text article from the Journal of the American Heart Association.
Potential Number of Organ Donors after Euthanasia in Belgium
Press release and abstract from the Journal of the American Medical Association.
Could Organs-on-A-Chip One Day Replace Animals in Medical Testing?
Article from STAT.
 


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Tuesday, April 11


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  Apr. 11, 2017
How Do Patients Cope with Chronic Kidney Disease?
News release from Arbor Research.
Cancer in Solid Organ Transplant Recipients: There Is Still Much to Learn and Do
Free, full-text, Early View editorial from American Journal of Transplantation.
Free, Open Access Articles from BMC Nephrology:
Benefits and Harms of Osteoporosis Medications in Patients With Chronic Kidney Disease: A Systematic Review and Meta-analysis
Latest article abstract from Annals of Internal Medicine.
Free, Full-Text, Advance Articles from Clinical Kidney Journal:
First Online Abstracts from Pediatric Nephrology:
Advance Articles Abstracts from NDT:
Five Articles You Need to Read about Live Kidney Donation
Article from Chronic Disease Coalition.
Expansion of the DOPPS Practice Monitor to the Gulf Cooperation Council Countries
Rockwell Medical Announces Triferic® Poster Presentations at the National Kidney Foundation (NKF) Spring Clinical Meeting in Orlando, FL April 18-22, 2017
Report: Fresenius SE Set To Buy Generic Drugmaker Akorn
Fair Access for Safe and Timely (FAST) Generics Act Reintroduced in Congress
Drugmakers Help Turn Patients With Rare Diseases Into D.C. Lobbyists
Article from Kaiser Health News.
About Half of Physicians Support Single-Payer Healthcare System, LinkedIn Survey Says
Article from Healthcare Finance.
Administration’s Global Health Cuts Could Lead To ‘Catastrophic Loss Of Life’
News summary from Kaiser Health News.
CMS Feedback Webex on April 12
Wednesday, April 12, 2017 at 2pm EDT. The meeting number or access code 634 491 197, password QIO12SoW.  Or you can call in to 877-668-4490.

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Monday, April 10

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  Apr. 10, 2017

Kidney Transplant Vouchers Could Address Timing Issues
Article from Reuters Health. Abstract from Transplantation.

She's Hellbent on Solving the Organ Shortage with 'Designer Pigs.' Just Don't Keep Her Waiting
Article from STAT.
Free, Open Access, Articles in Press from Kidney International:
Patient Perspectives on the Optimal Start of Renal Replacement Therapy
Early View abstract from Journal of Renal Care.
Short, Frequent, 5-Days-Per-Week, in Center Hemodialysis Versus 3-Days-Per-Week Treatment: a Randomized Crossover Pilot Trial through the Midwest Pediatric Nephrology Consortium
First Online abstract from Pediatric Nephrology.
Augmented Nurse Care Management in CKD Stages 4 to 5: A Randomized Trial
Article in Press abstract from American Journal of Kidney Diseases.
Sonography of Arteriovenous Fistulas and Grafts
Early View abstract from Seminars in Dialysis.
High Mortality Rates after Both Open Surgical and Endovascular Thoracic Aortic Interventions in Patients with End-Stage Renal Disease
Article in Press abstract from Journal of Vascular Surgery.
Sleep and CKD in Chinese Adults: A Cross-Sectional Study
CJASN Express abstract.
U.S. Blood Supply Safe From Zika Virus, Officials Say
FDA Approves Two Hepatitis C Drugs for Pediatric Patients
DaVita Names New President of International Business
Medscape Physician Compensation Report 2017
(Registration required, but free.) Slideshow from Medscape Medical News.
MedPAC Finalizes Recommendations for Part B Drug Payment Policy
News item from AHANews.


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Fri./Sat., April 7-8

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  Apr. 7, 2017
Senate Finance Committee Members Reintroduce Chronic Care Bill
Article extract from InsideHealthPolicy.com. This discussion of the 2016 version (9-page pdf) includes expanding access to home dialysis therapy by allowing patients on home dialysis to receive required monthly clinical assessments via telehealth in lieu of face-to-face visits.  However, the bill proposes that patients be required to have a face-to-face assessment with a nephrologist at least once every three months.
Lower Serum Magnesium Is Associated with Vascular Calcification in Peritoneal Dialysis Patients: A Cross Sectional Study
Free, Open Access article from BMC Nephrology.
Exit Site Care in the Netherlands: the Use of Guidelines in Practice
Early View abstract from Journal of Renal Care.
The Fistula: A Feisty Lifeline to Longevity
Posting from the KidneyViews blog.
Contemporary Outcomes of Surgical Revascularization of the Lower Extremity in Patients on Dialysis
Article in Press abstract from Journal of Vascular Surgery.
Peritoneal Dialysis vs Furosemide for Prevention of Fluid Overload in Infants After Cardiac Surgery — A Randomized Clinical Trial
Abstract from JAMA Pediatrics.
Low Socioeconomic Status Adversely Effects Dialysis Survival in Australia
Accepted Article abstract from Nephrology.
Long-Term Effect of Coffee Consumption on Autosomal Dominant Polycystic Kidneys Disease Progression: Results from the Suisse ADPKD, a Prospective Longitudinal Cohort Study
Free, First Online, Open Access article from Journal of Nephrology.
Mayo Clinic Minute: Living Donor Organ Transplants
Low Ammonium Levels in Urine May Indicate Serious Risks for Kidney Disease Patients
FDA Approves First Home Genetic Health Risk Test
Articles from HealthDay and Internal Medicine News.
CMS' Accountable Health Communities Model Selects 32 Participants to Serve As Local 'Hubs' Linking Clinical and Community Services
Press release.


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Thursday, April 6

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  Apr. 6, 2017
Fresenius Medical Care Completes Acquisition of a 70% Equity Interest in Kunming Wuhua Healthcare Hospital Co. Ltd
Articles from Military News and MassDevice.
#NephMadness 2017 Champion: Genes in ESKD Disparity
Posting from the AJKD blog. 4-minute video summarizing NephMadness 2017 via the RenalFellowNetwork blog.
Articles from Nephrology News & Issues:
  Medical Marijuana Is Legal in Most States, but Physicians Have Little Evidence to Guide Them
Free, full-text, New Online article from the Journal of the American Medical Association.
Free, Full-Text, Early View Articles from Hemodialysis International:
Effect of Sustained Low Efficient Dialysis Versus Continuous Renal Replacement Therapy on Renal Recovery after Acute Kidney Injury in the Intensive Care Unit: a Systematic Review and Meta-Analysis
Free, full-text article from Nephrology.
Improving Care for Patients With or at Risk for Chronic Kidney Disease Using Electronic Medical Record Interventions: A Pragmatic Cluster-Randomized Trial Protocol
Free, full-text article from Canadian Journal of Kidney Health and Disease.
Abstracts from Nephrology:
Resurgence of Parathyroidectomy: Evidence and Outcomes
Published Ahead-of-Print abstract, related abstract on hungry bone syndrome, and full-text editorial from Current Opinion in Nephrology and Hypertension.
Evaluating Risk Factors for Chronic Kidney Disease in Pediatric Patients with Sickle Cell Anemia
First Online abstract from Pediatric Nephrology.
Use of Radiocontrast Agents in CKD and ESRD
Early View abstract from Seminars in Dialysis.
Daughter, Father Celebrate 50-year Milestone of Kidney Transplant at UCLA
American Nurses Association and Hospice & Palliative Nurses Association Call for Palliative Care in Every Setting
For Better Or Worse, Trump And GOP Now Own Health Care
Article from Kaiser Health News.
Coca-Cola's Secret Influence on Medical and Science Journalists
Free, full-text article from The BMJ.
National Prescription Drug Take Back Day is April 29
Information from the U.S. Department of Justice.
Study Shows Health Insurance Plans Too Complicated to Understand
Press release from the University of Connecticut.
Smoking Causes One in 10 Deaths Worldwide, Study Shows
FDA Approves Drugs More Quickly Than Peer Agency in Europe
Study Finds Heavy Turnover Among Physicians In Medicare ACOs
News summary from Kaiser Health News.


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Wednesday, April 5

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  Apr. 5, 2017
Quantifying Quality Doesn't Help Patients
Posting from the KevinMD blog.

"Pay-for-performance takes medical quality metrics to the next level by using them economically. In our health care system, they are not working to improve care — why? Because the metric does not incentivize doctors to be more human. Instead, it rewards treating patients as commodities and lifeless objects. Doctors resent this incentive because commodification is dehumanizing. As incentives push doctors into becoming more mechanistic, we then invent new metrics such as “satisfaction surveys” to desperately attempt to pull them back towards a humanistic ideal. Satisfaction itself is now a commodity and subject to the rules of the market — massive, absurd inflation everywhere!"
The Metric, the Dialectic, and the Chart Electric
Posting from the KevinMD blog.

"The art of medicine, whatever that might mean, is not measurable, and teeters on the verge of extinction.  Increased control over the body ended up bringing about domination over bodies: paternalism, futile end-of-life care, polypharmacy … and pay-for-performance. Pay-for-performance promises the quantification of the entire patient-physician relationship and then its optimization as providers become rational profit-maximizers.  Rather than the comforting hand of the healer, the invisible hand of the market will guide improved patient care.  So goes progress."

Editor's note: Are there any better descriptions of the realities of for-profit U.S. dialysis care than the two above quotations?
CJASN Express Abstracts:
Sleep Apnea Prevalence in Chronic Kidney Disease — Association with Total Body Water and Symptoms
Free, Open Access article from BMC Nephrology.
Effect of Moderate-Intensity Exercise Training on Peak Oxygen Consumption in Patients With Hypertrophic Cardiomyopathy — A Randomized Clinical Trial
Abstract from the Journal of the American Medical Association.
'Going in Style' Brings Kidney Disease Awareness to a Movie Theater near You
Posting from the Chronic Disease Coalition blog.
Weak Grip a Strong Predictor of Metabolic Disease and Disability in Adults
Mayo Clinic Researchers Demonstrate Value of Second Opinions
Press release.
Lawmakers On Both Sides Dig In Heels Over Drastic Cuts To NIH Funding
News summary from Kaiser Health News.
CROWNWeb New User Training on April 11


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Tuesday, April 4

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  Apr. 4, 2017
ISN Will Hold First Policy Forum Advancing the Global Roadmap to Kidney Health
News release from the International Society of Nephrology.
Free April 2017 Issue of Clinical Kidney Journal — Articles Include:
Coronary Artery Calcium Predicts CVD Risk in Chronic Kidney Disease
(Registration required, but free.) Article from Medscape Nephrology. New Online abstract from JAMA Cardiology.
Early View Abstracts from Hemodialysis International:
Patterns of Healthcare Encounters Experienced by Patients with Chronic Kidney Disease
Early View abstract from Journal of Renal Care.
Renal and Cardiac Assessment of Living Kidney Donor Candidates
Advance Online abstract from Nature Reviews Nephrology.
Abstracts from JAMA Internal Medicine:
Frank Gotch, MD, 1926-2017
Substituting Nurse Practitioners, Physician Assistants & Nurses for Physicians Older Care
Patients Who Trust the Medical Profession Are More Likely to Take Their High Blood Pressure Medicine
As Weight Goes Up, So Does Death Risk
Race Plays Role in Heart, Diabetes Risk, Even at a Normal Weight
Replacing the Affordable Care Act — Lessons From Behavioral Economics
Free, full-text, New Online viewpoint article from the Journal of the American Medical Association.
Risk Adjustment, Reinsurance Improved Financial Outcomes For Individual Market Insurers With The Highest Claims
Article from Health Affairs.
CMS Gives Bigger Increase to Medicare Advantage Payment Rates for 2018
Article from Healthcare Finance. Press release from CMS. News brief from AHANews.


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Monday, April 3

Frank Gotch, MD, 1926-2017
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  Apr. 3, 2017
#NephMadness 2017: The Filtered Four
Posting from the AJKD blog.
How Nephrology Nurses Partner with Patients for Better Care
Article from USA Today supplement via Mediaplanet.
Occupational Safety and Health Network Now Tracks Sharps Injuries and Blood and Body Fluid Exposures
Update notice from the CDC's National Institute for Occupational Safety and Health (NIOSH).
Free, Full-Text Articles from Hemodialysis International:
Coping with Depression
(4-page pdf) Resource from the Midwest Kidney Network.
Blood Test Unlocks New Frontier in Treating Depression
News release from UT Southwestern Medical Center.
In the Wake of Systolic Blood Pressure Intervention Trial: New Targets for Improving Hypertension Management in Chronic Kidney Disease?
Free, full-text article from Nephron.
Free, Full-Text Articles via Medscape Nephrology (registration required, but free):
Abstracts from Nephron:
Bovine Carotid Artery Xenografts for Hemodialysis Access
Article in Press abstract from Journal of Vascular Surgery.
Microbiome Perturbation by Oral Vancomycin Reduces Plasma Concentration of Two Gut-Derived Uremic Solutes, Indoxyl Sulfate and p-Cresyl Sulfate, in End-Stage Renal Disease
Advance Article abstract from NDT.
Heart Devices 101: Guide to the Tools That Keep You Ticking
Article from HealthDay.
Organ Donation Policies around the World
KidneyTalk podcast from Renal Support Network.
Organ Donation Alliance Launches New Resource for Hospital Leaders
News brief from AHANews.
Prolonged Sleep Disturbance Can Lead to Lower Bone Formation
FDA Alerts Consumers of Nationwide Voluntary Recall of EpiPen and EpiPen Jr
Trump Will Deal with Dems on Healthcare 'If We Don't Get What We Want'
Article from The Hill.
High-Cost Patients Give Up on Shopping: Survey
Article from HFMA.
Extended QIP Deadline for Q4 2016 NHSN Data


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