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RenalWEB's Daily News Archive

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Fri/Sat, Nov. 17-18

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  Nov. 17, 2017
FDA Seeks to Speed Development of 'Regenerated' Organs for Medical Use
Article from HealthDay. FDA press release and statement by FDA Commissioner Scott Gottlieb, M.D.

“We’re at the beginning of a paradigm change in medicine with the promise of being able to facilitate regeneration of parts of the human body, where cells and tissues can be engineered to grow healthy, functional organs to replace diseased ones; new genes can be introduced into the body to combat disease; and adult stem cells can generate replacements for cells that are lost to injury or disease. This is no longer the stuff of science fiction. This is the practical promise of modern applications of regenerative medicine,” said FDA Commissioner Scott Gottlieb, M.D.
The Kidney Project (Creating a Bioartificial Kidney): Frequently Asked Questions by Patients
Information from UCSF"s Department of Bioengineering and Therapeutic Sciences.
Surviving & Thriving on Dialysis: An Open Forum in Calgary (Canada)
Scheduled for Sunday, Nov. 26.
Acute Renal Failure Hospitalizations
Healthcare Cost and Utilization Project summary and statistical brief from the Agency for Healthcare Research and Quality.
Renal Association Clinical Practice Guideline on Peritoneal Dialysis in Adults and Children
Free, Open Access article from BMC Nephrology. Renal Association (UK) web site.
Fractures in Patients with CKD—Diagnosis, Treatment, and Prevention: a Review by Members of the European Calcified Tissue Society and the European Renal Association of Nephrology Dialysis and Transplantation
Free, Open Access article from Kidney International.
Acid-Base Alterations in ESRD and Effects of Hemodialysis
Free, Open Access, Early View article from Seminars in Dialysis.
Article in Press Abstract from American Journal Of Kidney Diseases:
Free, Open Access Articles from Renal Failure:
Routine Adoption of TIMP2 and IGFBP7 Biomarkers in Cardiac Surgery for Early Identification of Acute Kidney Injury
Free, full-text, Advance Online article from the International Journal of Artificial Organs.
Eosinophilia in a Peritoneal Dialysis Patient: Questions
Free, full-text, Online First case presentation from Pediatric Nephrology.
A Propensity Matched Comparison of Hard Outcomes in Children on Chronic Dialysis
First Online abstract from European Journal of Pediatrics.
CDC Grand Rounds: Improving Medication Adherence for Chronic Disease Management — Innovations and Opportunities
Article from Morbidity and Mortality Weekly Report.
Listening to the Patient's Voice: a More Patient Centered Approach to Medication Safety
Press release from the Regenstief Institute. Free, full-text, Online First article from the Journal of Patient Experience.
Articles from Medscape Nephrology (registration required, but free):
Physician Stress and Burnout: the Causes and Potential Solutions for Nephrologists
Article from Kidney News Online.
New Model Estimates Odds of Events That Trigger Sudden Cardiac Death
Toxic Algae: Once a Nuisance, Now a Severe Nationwide Threat
New Motion Sensors a Major Step Toward Low-Cost, High-Performance Wearable Technology
Why We Should Care That Many Editors of Top Medical Journals Get Healthcare Industry Payments
Article from HealthNewsReview.
Articles from Kaiser Health News:
Posting from the KevinMD Blog:
Top Management & Performance Challenges Facing HHS
CMS Proposes Policies to Lower the Cost of Prescription Drugs and Combat the Opioid Crisis
Press release.
CMS's 2017 Medicare Fee-For-Service Improper Payment Rate Is below 10% for the First Time since 2013
Posting from the CMS Blog.


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Thursday, Nov. 16

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  Nov. 16, 2017
Implantable Artificial Kidney Moves Closer to Reality
Article from Healthline.
Can the Dialysis Recovery Time Be Improved?
Article from Nephrology News & Issues.
Tolvaptan in Later-Stage Autosomal Dominant Polycystic Kidney Disease
Abstract and editorial extract from the New England Journal of Medicine.
New NephSAP Issue - "Transplantation"
Summary from Kidney Disease Online.
Manganese-based MRI Contrast Agent May Be Safer Alternative to Gadolinium-based Agents
Press release from Massachusetts General Hospital.
Linking Heart Attack Damage to the Spleen and Kidney, an Integrated Study of Heart Failure
Press release from the University of Alabama at Birmingham.
Novel Equations for Estimating Lean Body Mass in Patients With Chronic Kidney Disease
Article in Press abstract from Journal of Renal Nutrition.
National Kidney Foundation Sets the Stage for Angelica Hale
Press release.
Video: Early Days of Pediatric Nephrology and Dialysis
15-minute YouTube video from the American Society of Pediatric Nephrology Historical Project.
When Patients Feel as Powerless as Hostages
Broadcast scheduled for Nov. 21 at 2 PM EST from the Institute for Healthcare Improvement.
American Renal Associates Holdings, Inc. Announces Third Quarter 2017 Results
Disparities in Exposure to Toxins May Drive Higher Diabetes Rates in Minorities
Gut Microbes Can Protect against High Blood Pressure
FDA Issues Safety Alert for Gout Medication
ACA Plan Affordability May Eclipse Lack of Marketing
Article from HFMA.
He Rails against the Drug Industry. But Trump Is Turning to Its Ranks to Fill His Administration
Article from STAT. Article from Healthcare DIVE.
U.S. Seniors Struggle More to Pay for Health Care Compared to Other Countries
Article from HealthDay.
New Study Underpins the Future of Person Centered Care
Press release from University of Plymouth. Free, Open Access, Early View article from Health Expectations.
Changing The Conversation: New Model Of Home-Based Palliative Care For Patients With Serious Illnesses
Posting from Health Affairs Blog.
'Fountain of Youth' Gene Discovered in Secluded Amish Community
Trump Administration Plan to Add Medicaid Work Requirement Stirs Fears
Article from Kaiser Health News.
Hospital Employed Physicians Drain Medicare
(Registration required, but free.) Article from Modern Healthcare.


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Wednesday, Nov. 15

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  Nov. 15, 2017
This Woman's Plan to Improve the Quality of Life for Dialysis Patients
Article from Black Enterprise.

Editor's note: This company (Living with a Purpose web site) offers three dialysis coaching packages priced at $97, $997, and $1497. The description of the highest priced package:
"You can choose to work with us in a 2-hour intensive corporate wellness workshop to bridge the gap between what you're experiencing now and the information you've received from your doctor."
Could dialysis care get any more fragmented? Or is this the only way to get beyond the lip-service-only approach of some for-profit dialysis companies?

What if there was a financial incentive for dialysis providers to develop, maintain, and continually improve a well-patient model of care?
Kynikos' Chanos Says He's Betting against Dialysis Companies
Article from Reuters.
Cost of Diabetes Epidemic Reaches $850 Billion a Year
Article from Reuters.
Team Approach Helps Patients Regain Control of Diabetes
Press release from Harris Health System.
Sugary Beverage Consumption in US Declining but Remains High among Certain Groups
Press release from Harvard T.H. Chan School of Public Health. Article from HealthDay.
Kidney Care Partners Lends Support for the Nomination of Alex M. Azar II for U.S. Secretary of Health and Human Services
Press release.
Development of the Autosomal Dominant Polycystic Kidney Disease Impact Scale: A New Health-Related Quality-of-Life Instrument
Free, Open Access, Article in Press from American Journal of Kidney Diseases.
Management of Patients who Receive an Organ Transplant Abroad and Return Home for Follow-up Care: Recommendations From the Declaration of Istanbul Custodian Group
Online First abstract from Transplantation.
The Impact of Donor and Recipient Weight Incompatibility on Renal Transplant Outcomes
First Online abstract from International Urology and Nephrology.
The Adoption of a One-Day Donor Assessment Model in a Living Kidney Donor Transplant Program: A Quality Improvement Project
Article in Press abstract from American Journal of Kidney Diseases.
Palliative and End of Life Care in Solid Organ Transplantation
Early View abstract from American Journal of Transplantation.
Article in Press Abstracts from Journal Of Renal Nutrition:
Supervised Preoperative Forearm Exercise to Increase Blood Vessel Diameter in Patients Requiring an Arteriovenous Access for Hemodialysis: Rationale and Design of the PINCH Trial
Advance Online abstract from the Journal of Vascular Access.
Derivation and External Validation of Prediction Models for Advanced Chronic Kidney Disease Following Acute Kidney Injury
Abstract from the Journal of the American Medical Association.
The Cost of Hyperkalemia in the United States
Article in Press abstract and full-text article (30-page pdf) from Kidney International Reports.
Lowering LDL Cholesterol Reduces Cardiovascular Risk Independently of Presence of Inflammation
Free, Open Access, Article in Press from Kidney International.
Can Treating Gum Disease Keep Blood Pressure in Line?
Senate GOP Tax Bill Will Include Repeal of Obamacare Mandate
Article from The Hill.
Report: Hospitals Enhance Antibiotics Stewardship, Continue to Reduce MRSA
News brief from AHANews.
The Greatest Gift – How a Patient's Death Taught Me to Be a Physician
Free, full-text article from the Journal of the American Medical Association.
Digital Pill Approved By FDA, But Some Worry It's The Medical Equivalent Of A Tattletale
RPA Comments on ESRD Emergency Department Quality Measures
(3-page pdf) Letter from the Renal Physicians Association.
Report Shines Light on ACO Successes, Strategies
Article from Healthcare DIVE. Full report is a 38-page pdf.


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Tuesday, Nov. 14

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  Nov. 14, 2017
New Blood Pressure Guidelines Means Half of Americans Have Hypertension
Articles from the American Heart Association, HealthDay and ReutersNews release from the National Institutes of Health. New guidelines (link to 481-page pdf) via Hypertension.
No Cardiovascular Disease Reduction with Intensive Blood Pressure Lowering Treatment
Press release from Umea University. New Online abstract from JAMA Internal Medicine.
Expanding Geographic Sharing of Donor Kidneys Would Increase Transplants, Study Finds
Press release from the University of Kansas.
AST-Endorsed VA Transplant Coverage Act Passes House of Representatives
News brief from the American Society of Transplantation.
Creating a Path for Organ Donation
Opinion piece from The BMJ.
Webinar — Impact of Coverage Decisions on Dialysis Frequency
Scheduled for November 20 at 3-4 PM EST.
Dialysis from the Sharp End of the Needle
Return of home dialyzor Bill Peckham's patient activist blog.
Kentucky Woman Gives up Dialysis Treatments Due to Rising Transportation Costs
Video and article from WYNT.com.
Free, Full-Text, Issue-in-Progress of Nephron
14 full text articles including:
The Role of the Specialized Team in the Operation of Continuous Renal Replacement Therapy: a Single Center Experience
Free, Open Access article from BMC Nephrology.
Risk Profiles for Acute Health Events after Incident Atrial Fibrillation in Patients with End-Stage Renal Disease on Hemodialysis
Advance Article abstract from NDT.
Accepted Article Abstracts from Nephrology:
Advance Online Abstracts from the Journal of Vascular Access:
3D Bio-Printing: a Medical Revolution?
Article from Berkeley Squares (UK).
Doctors and Patients Make More Decisions Together
Article from Northwestern University.
Educate Don't Amputate: Hospital Profits Versus Diabetes Prevention Study
Sudden Cardiac Death Rates May Be Seven Times Higher among Young People with Diabetes
Heterogeneous Hispanics: Tailor Care for Latino Diabetes
FDA Approves First Two-Dose HBV Vaccine
U.S. President Trump Nominates Former HHS Deputy Secretary Alex Azar As Agency's Next Secretary
News summary from Kaiser Daily Global Healthy Policy Report. News brief from AHANews. His nomination is opposed by Sen. Bernie Sanders and National Nurses United.

High Costs of FDA Approval for Formerly Unapproved Marketed Drugs
Free, full-text, New Online viewpoint article from the Journal of the American Medical Association.

"This Viewpoint describes how the US Food and Drug Administration's 2006 Unapproved Drugs Initiative may have unintentionally made generic drugs more expensive and inaccessible and proposes policy reforms to address the harms of those price increases."

FDA Approves the First Pill That Can Alert Your Doctor When You Swallow It
Article From STAT. FDA news release.
After Navigators' Budget Slashed, Consumers Being Directed To Get Help From Private Brokers
U.S. Fights Fresenius Dismissal Bid in Medicare Billing Case
Article from Reuters.


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Monday, Nov. 13

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  Nov. 13, 2017
Study Ends Debate over Best Way to Prevent Acute Kidney Failure Post Angiogram
Press release from Georgia Institute for Global Health. First Online abstract from The New England Journal of Medicine. Article from Medscape Nephrology (registration required).
At Issue: When an Organ Donor Is a Convicted Criminal
Articles from the Atlanta Journal Constitution and Fox5Atlanta.
Seven Days a Week Dialysis Service Positively Impacts Patient Compliance, Hospitalization and Survival
Press release from Centro Brasiliense de Nefrologia e Diálise. Poster is 1-page pdf.
Program to Reduce Hospital Readmissions Linked with Increased Risk of Death among Heart Failure Patients
Press release and full-text New Online article from JAMA Cardiology. Press release from UCLA.
Shortage of Life-Saving IV Bags Challenges Bay Area Hospitals
Article from SiliconValley.com.
Indigenous Australians Traveling 1000 Km for Kidney Dialysis: Report
Articles from the Sydney Morning Herald and the Australian Broadcasting Corporation.
Proton Pump Inhibitor Usage and the Risk of Mortality in Hemodialysis Patients
Article in Press abstract and full-text article (36-page pdf) from Kidney International Reports.
Free, Full-Text, Advance Articles from Clinical Kidney Journal:
The Impact of Intradialytic Pedaling Exercise on Arterial Stiffness: A Pilot Randomized Controlled Trial in a Hemodialysis Population
Advance Article abstract from American Journal of Hypertension.
Acute Exercise during Hemodialysis Prevents the Decrease in Natural Killer Cells in Patients with Chronic Kidney Disease: a Pilot Study
First Online abstract from International Urology and Nephrology.
Articles in Press Abstracts from American Journal of Kidney Diseases:
Continuous Monitoring of Blood Pressure by Analyzing the Blood Flow Sound of Arteriovenous Fistula in Hemodialysis Patients
First Online abstract from Clinical and Experimental Nephrology.
Early View Abstracts from Hemodialysis International:
Advance Online Abstracts from the Journal of Vascular Access:
Resuscitation for the Specialty of Nephrology: Is Cardionephrology the Answer?
Article in Press abstract from Kidney International.
University of Chicago to Lead Initiative to Improve Diabetes Care in Vulnerable, Underserved Communities in U.S.
Press release.
Free Online Learning Module: Hemodialysis Kinetics 101 The ‘Key’ to KT/V Urea
Posting from the Renal Fellow Network blog.
Reduction in Common Heart Hormone Associated with Improved Outcomes and Lower Mortality in Heart Failure Patients
Press release from Intermountain Medical Center. Free, full-text, New Online article from The Journal of the American Medical Association.
Risk of End-Stage Renal Disease Low With Type 1 Diabetes
Heart's Pumping Function Is Not an Indicator of Heart Failure Survival Rates
Low Sodium-DASH Diet Combination Dramatically Lowers Blood Pressure in Hypertensive Adults
University of Michigan and AstraZeneca Partner To Improve Treatment for CKD Patients
Despite Dire Predictions, Pace Of Health Law Sign-Ups In First Days Of Enrollment Surging
News summary from Kaiser Health News.
How Universal Health Coverage Can Be Done Right
Posting from the Health Affairs Blog.
Announcement: U.S. Antibiotic Awareness Week — November 13–19, 2017
Notice from the CDC's MMWR.
 


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Fri/Sat, Nov. 10-11

At Issue: When an Organ Donor Is a Convicted Criminal
Articles from the Atlanta Journal Constitution and Fox5Atlanta.
Seven Days a Week Dialysis Service Positively Impacts Patient Compliance, Hospitalization and Survival
Press release from Centro Brasiliense de Nefrologia e Diálise. Poster is 1-page pdf.
University of Michigan and AstraZeneca Partner To Improve Treatment for CKD Patients
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  Nov. 10, 2017
The Dialysis PATIENTS Demonstration Act Could Harm the Future of Care for Patients with Kidney Disease
Press release from Dialysis Clinics, Inc. (DCI).
NTDS 2017 Annual Report — Promoting Infection Prevention In Dialysis Facilities
(24-page pdf) Nephrologists Transforming Dialysis Safety (NTDS) is an initiative funded by CDC that engages nephrologists to promote and lead infection prevention efforts in dialysis facilities.
Is a Patient-Centered Dialysis Behavior Contract Possible?
Posting from the KidneyViews blog.
Chronic Kidney Disease Is Rising Among Commercially Insured, Working-Age Adults With Diabetes
News release from the CDC's Chronic Kidney Disease Surveillance System.
Nanotechnology Poised to Transform Fistula Creation
(Registration required, but free.) Article from Medscape Nephrology.
Vascular Therapies Announces Preliminary Results from its Phase 3 AV Fistula Study
Press release.
Going Beyond the Unknown — Chronic Kidney Disease of Unknown Etiology (CKDu)
News item from the International Society of Nephrology.
Revised Societal Guidelines Issued for Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death
Article from Renal & Urology News. Press release from Boston Scientific. Published Ahead-of-Print executive summary from Circulation (169-page pdf !).
Evaluating the Effectiveness of IV Iron Dosing for Anemia Management in Common Clinical Practice: Results from the Dialysis Outcomes and Practice Patterns Study (DOPPS)
Free, Open Access article from BMC Nephrology.
Assessing the Hydration Status of Children with Chronic Kidney Disease and on Dialysis: a Comparison of Techniques
Advance Article abstract from NDT.
Preoperative Ultrasound for Runoff Venous Decompression of Peripheral Nerves for Arteriovenous Access Related Pain in the Upper Limb
Free, full-text, Advance Online article from the Journal of Vascular Access.
Advance Online Abstracts from the Journal of Vascular Access:
Prognosis of Patients with Cirrhosis and AKI Who Initiate RRT
CJASN Express abstract.
Acute Kidney Injury in Critically Ill Surgical Patients: Epidemiology, Risk Factors and Outcomes
Accepted Article abstract from Nephrology.
The Influence of Hemodialysis Membrane Permeability on Serum Procalcitonin Values in Patients on Maintenance Hemodialysis
Advance Online abstract from the International Journal of Artificial Organs.
Significant Financial Stress Associated with 13-Fold Higher Odds of Having a Heart Attack
Press release from the European Society of Cardiology.

Editor's note: Another reason to focus on dialysis patient employment.
Extreme Swings in Blood Pressure Are Just As Deadly As Having Consistently High Blood Pressure
Press release from Intermountain Medical Center.
Study Reveals How a Very Low Calorie Diet Can Reverse Type 2 Diabetes
Press release from Yale University.
Aging Water Systems Nationwide Pose Threats to Health
Press release from the Society for Risk Analysis. Article from the CDC's MMWR.
Fresenius Wins Document Unsealing in US False Claims Case
News brief from Reuters.
New York-Presbyterian Specialists Use Telemedicine to Treat Stranded Puerto Ricans
Article from Healthcare IT News.
Obamacare Shopping Is Trickier Than Ever. Here's A Cheat Sheet.
Article from Kaiser Health News.
ACO Shared Savings Flatline in 2016
Article from HFMA.


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Thursday, Nov. 9

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  Nov. 9, 2017
Legislation Introduced in Congress: Dialysis PATIENTS Demonstration Act of 2017
HR 4143 was (re)introduced in the House of Representatives on October 25th. S 2065 was introduced in the Senate on November 2nd. In late September, the Chronic Kidney Disease Improvement in Research and Treatment Act of 2017 was introduced in the Senate (S 1890). Related press release from Kidney Care Partners.
Register for the SONG-PD Delphi Survey – Round 1 Now Open
The SONG Initiative (Standardised Outcomes in Nephrology) is an international initiative that aims to establish core outcomes in chronic kidney disease.
40 Years Strong on Dialysis
KidneyTalk podcast from Renal Support Network.
Free, Full-Text Perspective Pieces from The New England Journal Of Medicine:
Advance Online Abstracts from the International Journal of Artificial Organs:
Article in Press Abstracts from American Journal Of Kidney Diseases:
Higher Prevalence of Unrecognized Kidney Disease at High Altitude
First Online abstract from Journal of Nephrology.
Overweight and Obesity Are Predictors of Progression in Early Autosomal Dominant Polycystic Kidney Disease
JASN Express abstract.

Press Releases from the University of Cincinnati:

Novel Nuclear Medicine Test Can Identify Kidney Transplant Infection
Press release from the Society of Nuclear Medicine and Molecular Imaging.
Video — Sepsis: The Body's Deadly Response to Infection
2m28s video from the National Institutes of Health.
Should Exercise Be What the Doctor Orders for Depression?
Press release from Michigan State University.
Ketamine Minus the Trip: New Hope for Treatment-Resistant Depression
Free, full-text, New Online perspective piece from the Journal of the American Medical Association.
FDA Safety Alert: Compounded Glutamine, Arginine, and Carnitine Product for Injection by United Pharmacy: Compounding Risk Alert - FDA Investigates Two Adverse Events
Certain Factors Are Linked to Sleep Disturbance in Patients with Diabetes
Rockwell Medical Reports Third Quarter Results
Election Night Surprise: Health Care Galvanizes Voters
Article from Kaiser Health News.
Health Care Professionals and Law Enforcement
Free, full-text, Online First perspective piece from The New England Journal of Medicine.
Daytime Wounds 'Heal More Quickly'
Article from the BBC.
Four Reasons That Could Explain ACOs' Sluggish Savings
Press release from the Dartmouth Institute for Health Policy & Clinical Practice.
Want To Improve Your ACO Performance? Look Overseas
Article from Healthcare Finance.
Maine Governor Says He Will Not Expand Medicaid despite Vote
Article from Reuters.


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Wednesday, Nov. 8

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  Nov. 8, 2017
DaVita Looks at Divesting Managed-Care Businesses after Another Poor Quarter
Articles from Denver Business Journal and Reuters. DaVita third quarter results. Earnings call transcript from Seeking Alpha.

DaVita's stock price fell 7.3 percent to $54.65 after the bell on Tuesday.

Editor's note: DaVita's approach of basing medical care on the servicing of junk-bond financing has failed dialysis patients. Unfortunately, dialysis patients have not had an effective voice or effective advocates in opposing the resulting exploitative, minimal, stagnant, profit-centered care. I believe these financial results demonstrate that DaVita's approach will not work for patients who are relatively healthy and independent and can also effectively be their own advocates.
CMS Promotes Work Incentives in Medicaid State Demonstration Waivers
Articles from Kaiser Health News and Healthcare FinanceNews brief from AHANews. Press release from CMS.
“CMS believes that meaningful work is essential to beneficiaries’ economic self-sufficiency, self-esteem, well-being, and health of Americans.”
Editor's note: Yes, this is a political ploy. No, I don't believe dialysis patients must work to be eligible for Medicare or Medicaid.

However, employment rates for working-age dialysis patients have been abysmal since the 1980s. American nephrologists only focused on mortality and hospitalization rates. The KidneyWorks program (KidneyTalk podcast), recently developed by "dialysis patient advocacy" groups, does not include dialysis patients.

Why? I suggest following the money. In U.S. dialysis care, all the self-defeating behaviors and policies by the professional community are because of money.

A revolutionary change in dialysis care, that would also destroy the stagnant junk-bond dialysis model, would be to provide a strong financial incentive to improve dialysis-patient employment rates.
#KidneyWk 2017 Late Breaking and High Impact Clinical Trial Session
Posting from the AJKD blog.
Free, Full-Text Perspective Pieces from the Clinical Journal of the American Society Of Nephrology:
A Review of Anesthetic Effects on Renal Function: Potential Organ Protection
Free, full-text, Issue-in-Progress in-depth topic review from American Journal of Nephrology.
Issue-in-Progress Abstracts from American Journal of Nephrology:
Residual Kidney Function and Peritoneal Dialysis–Associated Peritonitis Treatment Outcomes
CJASN Express abstract.
Randomized, Controlled Trial of TRC101 to Increase Serum Bicarbonate in Patients with CKD
Free, full-text CJASN Express article.
HIV Patients at Greater Risk of Both Heart and Kidney Disease
Press release from University of Adelaide.
Exercise May Be Best Intervention to Prevent Falls among Elderly, According to New Study Published during Falls Prevention Month
Press release from St. Michael's Hospital (Toronto). Abstract from the Journal of the American Medical Association.
FDA Expands Auryxia Indication to CKD Patients Not on Dialysis
The SAD Season is Upon Us
New Study Explains Why US Health Care Spending Increased $1 Trillion
Press release from the Institute for Health Metrics and Evaluation. Abstract from the Journal of the American Medical Association.
Government's First Year Performance Results Confirm Success of Coordinated Care Models in Kidney Care for Improved Patient Outcomes, Medicare Savings
Press release from Kidney Care Partners.
Maine Approves Medicaid Expansion
Articles from NPR and The Hill.


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Tuesday, Nov. 7

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  Nov. 7, 2017
Home-Based Dialysis in Canada: From Practice to Evidence
(9-page pdf) Review from Canadian Agency for Drugs and Technologies in Health (CADTH).

You have until end of day Nov. 7 to register for the Nov. 9th CADTH webinar on home-based in dialysis Canada.
#KidneyWk: Serum and Dialysate Electrolytes and the Risk of Sudden Cardiac Death
Posting from the AJKD blog.
Depressed with a Chronic Disease? Consider Alternative Therapies
Press release from the UT Southwestern Medical Center. Free, full-text, New Online article and editorial from the Journal of the American Medical Association.
A Three Talk Model for Shared Decision Making: Multistage Consultation Process
Full-text article from The BMJ.
Virginia Man May Be the Longest Living Person Continuously on Kidney Dialysis in the Country
Article from the Richmond Times-Dispatch.
Long-term Sustainability of Diabetes Prevention Approaches — A Systematic Review and Meta-analysis of Randomized Clinical Trials
Online First abstract from JAMA Internal Medicine.
Higher Brain Glucose Levels May Mean More Severe Alzheimer's
News release from the National Institutes of Health.
Review Highlights Nutritional Management of CKD
Article from Renal & Urology News.
Chronic Kidney Disease: Intensive Blood Pressure Reduction Lowers Mortality in CKD
Advance Online abstract from Nature Reviews Nephrology.
Intensive Blood Pressure Control in Autosomal Dominant Polycystic Kidney Disease—How Safe Is It?
Comment and response from JAMA Internal Medicine.
Promising New Drug for Hep B Tested at Texas Biomedical Research Institute
Insurers Step up Pitch for Obamacare As Government Slashes Its Effort
Article from Reuters.
Obamacare Sign-Ups Surge in Early Days
Article from The Hill.
The Problem with American Health Care Is the Care
Free, full-text opinion piece from STAT.
Mumps Makes a Comeback, Even Among the Vaccinated
Article from The New York Times.
New CMS Emergency Preparedness Rule
Notice from the Northwest Renal Network.
CMS Releases Final Rule for Year 2 of Quality Payment Program Rule
Article from American Journal of Managed Care (AJMC) website.


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Monday, Nov. 6

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  Nov. 6, 2017
HHS Announces Commitment to Launching Kidney Innovation Accelerator
News release from the American Society of Nephrology.
Press Releases from the American Society Of Nephrology:
Nephrology on the Rise, Positive Trials, Positive Job Market!!
Posting from the the NephronPower blog.
Medscape Nephrology (registration required, but free):
New Findings on Tolvaptan As Autosomal Dominant Polycystic Kidney Disease Treatment
Press release from the Mayo Clinic. Free, full-text, Online First article and editorial from The New England Journal of Medicine.
Kidney Week 2017 Conference Coverage from Renal & Urology News — Articles Include:
Effect of Sertraline on Depressive Symptoms in Patients With Chronic Kidney Disease Without Dialysis Dependence — The CAST Randomized Clinical Trial
Free, full-text, New Online article and editorial from the Journal of the American Medical Association.
American Society of Nephrology Meeting Coverage (registration required, but free)
Kidney Week 2017 news from MedPage Today.
AstraZeneca’s ZS-9 Reduces Serum Potassium Levels in Patients with Hyperkalemia
Article from Nephrology News & Issues.
Article in Press Abstracts and Full-Text PDFs from Kidney International Reports:
Barriers for Implementation of Intensified Hemodialysis: Survey Results from the International Pediatric Dialysis Network
First Online abstract from Pediatric Nephrology.
Association of Neutrophil-to-Lymphocyte Ratio with Inflammation and Erythropoietin Resistance in Chronic Dialysis Patients
Free, Open Access article from Canadian Journal of Kidney Health and Disease.
Does Kidney Donor Risk Index Implementation Lead to the Transplantation of More and Higher-Quality Donor Kidneys?
Free, full-text article from NDT.
A 3-Day Diary of Dietary Protein and Calorie Intake by Serum Phosphate Concentration and Binder Use in Hemodialysis Patients
Advance Online abstract from the International Journal of Artificial Organs.
Hemodialysis in Neonates and Infants: a Systematic Review
Early View abstract from Seminars in Dialysis.

Randomized, Controlled Trial of TRC101 to Increase Serum Bicarbonate in Patients with CKD
CJASN Express abstract.

Last Month in Nephrology
November 2017 blog entry.
The Fight against Obesity: to Tax or Not to Tax?
Press release from the Society for Endocrinology.
Republicans' Tax Plan A Mixed Bag For Health Care
News summary from Kaiser Health News.
U.S. House Approves Funding for Children's Healthcare Program
Article from Reuters.
Providing Feedback Following Leadership WalkRounds Is Associated with Better Patient Safety Culture, Higher Employee Engagement and Lower Burnout.
Study summary from the Agency for Healthcare Research and Quality.
Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2018
(20-page pdf) Program Transmittal 237 from CMS.


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Fri/Sat, Nov. 3-4

HHS Announces Commitment to Launching Kidney Innovation Accelerator
News release from the American Society of Nephrology.
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  Nov. 3, 2017
Opening Day Plenary Session - ASN President Eleanor D. Lederer, MD, FASN
Article from ASN's Kidney News Online.
"She displayed a slide highlighting an array of new discoveries in the last 35 years: new signaling pathways, new targets, new transporters, and new therapies."
Editor's note: None of Eleanor's Top Ten Hits in Nephrology (since 1981) included any advancement in renal replacement technology.
"Dr. Lederer encouraged attendees to take back CKD, and tell everyone what they're doing in order to advance nephrology at the dawn of a new age. It's not possible to dialyze patients into health..."
Editor's note: Tassin restored dialysis patients to health thirty years ago.  Instead, U.S. nephrology embraced Kt/V and short-time, profit-maximizing treatments, which make health nearly impossible. Someday, I believe an ASN president will finally admit this.
Kidney Failure Declining Among U.S. Diabetics: CDC
Article from HealthDay. Article from MMWR.
Nipro Medical Corporation Launches the Cellentia®-H Cellulose Triacetate (CTA), Single-Use Dialyzer at the 2017 ASN Kidney Week Conference
Press release.
Kidney Week 2017 Conference Coverage from Renal & Urology News — Articles Include:
Press Releases from the American Society Of Nephrology:

Disaster Efforts Bring Dialysis Relief to Puerto Rico
(Registration required, but free.) Article from Medscape Nephrology.

Emory Agrees Helping Baby A.J. with Kidney Transplant is Paramount
Article from the Atlanta Journal-Constitution.
Home Hemodialysis Training Re-Imagined
Posting from the KidneyViews blog.
The Green Dialysis Survey: Establishing a Baseline for Environmental Sustainability across Dialysis Facilities in Victoria, Australia
Accepted Article abstract from Nephrology.
Efficacy and Long-Term Safety of C.E.R.A. Maintenance in Pediatric Hemodialysis Patients with Anemia of CKD
CJASN Express abstract.
Early View Abstracts from Seminars In Dialysis:
Computer Program Helps Doctors Detect Acute Kidney Injury Earlier to Save Lives
Press release from the University of Pittsburgh Schools of the Health Sciences. JASN Express abstract.
Combination Therapy with Renin-Angiotensin System Blockers and Vitamin D Receptor Activators for Predialysis Patients Is Associated with the Incidence of Cardiovascular Events after Dialysis Initiation: A Multicenter Nonrandomized Prospective Cohort Study
Issue-in-Progress abstract from CardioRenal Medicine.
PDI in Press Abstracts:
Aneurysms in Vascular Access: State of the Art and Future Developments
Advance Online abstract from the Journal of Vascular Access.
Timely Thrombectomy Can Improve Patency of Hemodialysis Arteriovenous Fistulas
Article in Press abstract from Journal of Vascular Surgery.
Helping Dialysis Patients Decide about End of Life
Article from Nephrology News & Issues.
Harmful Algal Bloom–Associated Illnesses in Humans and Dogs Identified Through a Pilot Surveillance System — New York, 2015
House Tax Bill Would Scrap Deduction For Medical Expenses
Article from Kaiser Health News.
Free, Full-Text, New Online Articles from the Journal of the American Medical Association:
'What the 21st Century Demands': Designing Homes to Improve Patients' Health
Article from STAT.
2018 Quality Payment Program and Physician Fee Schedule Finalized
CMS press release.
CMS Reverses Biosimilars-Pay Policy That Would Have Lowered Prices
Article extract from InsideHealthPolicy.com.
November CROWNWeb New User Training Registration Now Open
Training is scheduled for November 14th at 2:00 pm ET.


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Thursday, Nov. 2

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  Nov. 2, 2017
National Kidney Foundation Celebrates 20 Years of Developing the First Comprehensive Clinical Practice Guidelines for Kidney Disease
Press release.

Editor's note: This is the rosiest assessment of the effects of DOQI/KDOQI guidelines I've seen to date. I would argue that their consensuses have often worked to further Amgen's marketing goals, have helped consolidate the control of junk-bond dialysis companies in the U.S., and have done little to accommodate dialysis patients' needs and concerns.
Fresenius Medical Care Reports Third Quarter Results
News release.
Northwest Kidney Centers Reports High Quality Ratings and Solid Financial Results in Just-completed Year
Press release.
Baxter Launches PD-First Program For Employees and Families
Press release.
Free, Full-Text Supplement Issue of Hemodialysis International — Proceedings of the 37th Annual Dialysis Conference, held March 11th-14th 2017
The ten articles include:
The Role of Hemoglobin Variability As a Prognostic Indicator in Peritoneal Dialysis Patients: a Retrospective Descriptive Study
First Online abstract from International Urology and Nephrology.
Nutritional Management of Chronic Kidney Disease
Extract from The New England Journal of Medicine.
New Tissue Engineered Blood Vessel Replacements One Step Closer to Human Trials
Press release from the University of Minnesota.
Paving the Way to a Patient Centered Approach in Health Care
Article from STAT.
November Is National Diabetes Month
News release from the National Institutes of Health.
Survey Findings: 4 in 10 Healthcare Professionals Work While Sick
'Drug Courts,' Treatment Focus of New White House Opioid Strategy
Article from HealthDay.
'Food is Medicine' Effort Stands to Benefit Hospitals as Well as Patients
Article from Hospitals & Health Networks.
Loneliness Might Be a Killer, but What's the Best Way to Protect Against It?
Free, full-text, New Online article from the Journal of the American Medical Association.



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Wednesday, Nov. 1

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  Nov. 1, 2017
ASN Kidney Week 2017: The Future of Personalized Nephrology
(Registration required, but free.) News brief from MedPage Today.
The American Society of Nephrology Honors Leaders in the Fight Against Kidney Diseases
Press release.
American Society of Nephrology (ASN) Kidney Week Press Briefing
Media alert from the ASN.

Editor's note: These are the coming news stories from the Kidney Week conference. The biggest story is coming on November 3rd when HHS will announce its intent to launch a Kidney Innovation Accelerator.
Challenges Associated with Managing End-Stage Renal Disease in Extremely Morbid Obese Patients: Case Series and Literature Review
Free, full-text article from Nephron.
I'll Have A Gin and Tonic; Hold the Tonic
Posting from the AJKD blog.
Dissolved Molecular Hydrogen (H2) in Peritoneal Dialysis (PD) Solutions Preserves Mesothelial Cells and Peritoneal Membrane Integrity
Free, Open Access article from BMC Nephrology.
A Comparison of the Safety and Efficacy of HX575 (Epoetin Alfa Proposed Biosimilar) with Epoetin Alfa in Patients with End-Stage Renal Disease
Issue-in-Progress abstract from American Journal of Nephrology.
Dialysis Therapy and Conservative Management of Advanced Chronic Kidney Disease in the Elderly: A Systematic Review
Abstract from Nephron.
Differences Between Younger and Older US Adults With Multiple Chronic Conditions
Article from Preventing Chronic Disease via Medscape Nephrology (registration required, but free).
Kidney Damage Seen in Most Patients With Long-Lasting Type 1 Diabetes
Spicy Food May Curb Unhealthy Cravings for Salt
The Iatrogenic Potential of the Physician's Words
Free, full-text, New Online viewpoint article from the Journal of the American Medical Association.
Timeline: Roadblocks To Affordable Care Act Enrollment
Article from Kaiser Health News.
Final Rule: Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, and End-Stage Renal Disease Quality Incentive Program
Publication in The Federal Register on Nov. 1, 2017.


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Tuesday, Oct. 31

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  Oct. 31, 2017
The Dialysis Machine
MUST READ!  Article from Washington Monthly.
"The most tragic consequence of a system that incentivizes keeping people, especially poor people and minorities, on dialysis is that it also keep them from getting what is beyond doubt the best treatment for kidney failure: a transplant."

"It doesn't have to be this way. Nor would it be if kidney disease and kidney failure were problems largely confronted by the middle class. It's because the victims of these diseases are politically invisible that we've come to accept substandard care as the norm and to tolerate the exploitation of their suffering for profit."
Editor's note: This is the best explanation to date of the for-profit, junk-bond nephrology practices that are so prevalent in the United States.

@kidneyboy seems to be the Donald Trump of dialysis care. Deny, declare fake news, blame a patient, and tweet like crazy. (He's a DaVita nephrologist getting an award this week from the American Society of Nephrology... largely for his social media work.)

2017 United States Renal Data System (USRDS) Annual Report Released
Data is for 2015. Press release from the University of Michigan.

Editor's note: According to previous USRDS Annual Reports, the largest non-profit dialysis provider in the US (DCI) has had better mortality and hospitalization rates than the two largest for-profit providers (Fresenius and DaVita) for 14 consecutive years.

This year, the USRDS Annual Report does not include a comparison the largest providers' mortality and hospitalization rates.

The USRDS contractor, the University of Michigan, appears to be complicit in helping sweeping this travesty of medicine under the rug.

The American Society of Nephrology (ASN) has been silent on — and complicit in — these iatrogenic practices for far too long. American nephrology's embrace of profiteering is antithetical to the foundations and the traditions of millenniums of medical care. The ASN should demand that the dialysis provider comparisons be restored to the USRDS Annual Report. How else can they know if dialysis care is being corrupted by financial interests? Is the head-in-the-sand approach really the best? Why does the U.S. trail the rest of the first-world countries in dialysis outcomes?

Considering the recent John Oliver video and the Washington Monthly article, the ASN would be wise to examine its all too obvious blind spot of basic decency in medicine at its current annual meeting in New Orleans.

Reprogrammed Patient-Specific Pig Organs for Human Transplants: Interview with Dr. Jeff Ross, CEO of Miromatrix
Article from MedGadget.
The Journey to Full Health Care Responsibility for One ESCO Provider
Free, full-text CJASN Express article.
Cardiac Remodelling in Patients Undergoing in-Centre Nocturnal Haemodialysis: Results from the MIDNIGHT Study, a Non-Randomized Controlled Trial
Free, full-text, Issue-in-Progress article from Blood Purification.
Efficacy and Safety of Sofosbuvir-based Antiviral Therapy to Treat Hepatitis C Virus Infection after Kidney Transplantation
Free, full-text, Advance Article from Clinical Kidney Journal.
Temporal Trends, Center Level Variation, and the Impact of Prevalent State Obesity Rates on Acceptance of Obese Living Kidney Donors
Early View abstract from American Journal of Transplantation.
For Older Adults with Diabetes, Losing Weight with Diet, Exercise Can Improve Circulation
Press release from American Geriatrics Society.
46-Year Trends in Systemic Lupus Erythematosus Mortality in the United States, 1968 to 2013: A Nationwide Population-Based Study
Latest Article abstract from Annals of Internal Medicine.
Project Uses Plastic Dialysis Waste to Produce Durable Concrete
Press release from Deakin University (Australia).
Kids' High Blood Pressure Often Overlooked
Obamacare Benchmark Premiums up 37% in 2018 after Subsidy Cutoff
Article from Reuters.
5 Things To Know About ACA At Year 5
Article from Kaiser Health News.
Not 'Dead' Yet: Obamacare 2018 Sign-up Begins Nov. 1
Article from HealthDay.
CMS Announces Initiative to Reduce Quality Reporting Burden
News brief from AHANews.
GAO: Expect More CMS Fraud Investigations
Article via HealthLeaders Media.
CMS Offers Medicare Enrollment Relief for Americans Affected by Recent Disasters
CMS press release.


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Monday, Oct. 30

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  Oct. 30, 2017
NxStage Shareholders Approve Merger Agreement with Fresenius Medical Care-Closing Expected to Occur in 2018
Press release from Fresenius Medical Care.
Flurry Of Federal And State Probes Target Insulin Drugmakers And Pharma Middlemen
Article from Kaiser Health News.
KDIGO Guidelines on Living Kidney Donors: A Call for A Paradigm Shift
Posting from the AJKD blog.
Blood Flow Rate, Fistula Integrity, and Optimal Clearance
Posting from the KidneyViews blog.
Motivating Nephrologists To Lead Infection Prevention
Article from Nephrology News & Issues.
Risk Factors Associated with Post-Kidney Transplant Malignancies: an Article from the Cancer-Kidney International Network
Free, full-text, Advance Article from Clinical Kidney Journal.
Sex Hormone Status in Women With Chronic Kidney Disease: Survey of Nephrologists' and Renal Allied Health Care Providers' Perceptions
Free, full-text article from Canadian Journal of Kidney Health and Disease.
Thiamine Diphosphate Status and Dialysis-Related Losses in End-Stage Kidney Disease Patients Treated with Hemodialysis
Free, full-text, Issue-in-Progress article from Blood Purification.
Articles in Press Abstracts from Journal Of Renal Nutrition:
CVS Negotiating Deal To Buy Aetna, As Amazon Starts Encroaching On Drugstore Chain's Turf
News summary from Kaiser Health News.
Fentanyl Driving Surge in Fatal U.S. Opioid Overdoses
Article from HealthDay.
Millennials Embrace Nursing Profession — Just In Time To Replace Baby Boomers
Article from Kaiser Health News.
Pharma Gift-Giving Sways Nurse Practitioners and Physician Assistants, Too
Article from STAT.
Final Rule: CMS Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (CMS 1674-F)
Fact sheet. CMS links to downloads.
3 Breaking News Tweets - Oct. 27
Twitter account postings by Robert Blaser from RPA-Nephrology.
Public Health Emergency Response Information, including Hurricanes, Wildfires and Opioids
CMS news release.


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