Here are what the editors at HealthDay consider to be the most important developments in Nephrology for January 2018. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
History of Childhood Kidney Disease Linked to Risk of ESRD
WEDNESDAY, Jan. 31, 2018 (HealthDay News) — A history of childhood kidney disease is associated with increased risk for end-stage renal disease (ESRD) in adulthood, according to a study published in the Feb. 1 issue of the New England Journal of Medicine.
Survival Trends for Cancer Generally Increasing Worldwide
WEDNESDAY, Jan. 31, 2018 (HealthDay News) — Worldwide, survival trends for cancer are generally increasing, although there is considerable global variation in survival rates, according to a study published online Jan. 30 in The Lancet.
Mortality, CVD, T2DM Risks Not Up for Living Kidney Donors
MONDAY, Jan. 29, 2018 (HealthDay News) — Living kidney donors have no increased risks for all-cause mortality, cardiovascular disease, hypertension, type 2 diabetes, or adverse psychological health outcomes, according to a review published online Jan. 30 in the Annals of Internal Medicine.
Regulators Trying to Reduce Physician Burden Linked to EHR
MONDAY, Jan. 29, 2018 (HealthDay News) — The Office of the National Coordinator for Health Information Technology (ONC) is trying to address some of the issues relating to physician electronic health record (EHR) burden, partly with the appointment of Don Rucker, M.D., who is skilled in informatics and board-certified in emergency and internal medicine, according to an article published in Medical Economics.
Pre-Op Physical Therapy May Cut Pulmonary Complications
MONDAY, Jan. 29, 2018 (HealthDay News) — A 30-minute preoperative physical therapy session focused on breathing exercises is associated with a reduced incidence of postoperative pulmonary complications (PPCs) among patients undergoing upper abdominal surgery, according to a study published online Jan. 24 in The BMJ.
Health Care Spending Up, Mainly Due to Rising Prices
MONDAY, Jan. 29, 2018 (HealthDay News) — Americans under age 65 years who were insured through their employer spent more than ever before on health care in 2016, with faster spending growth in 2016 than in recent years, according to the Health Care Cost Institute (HCCI)’s annual Health Care Cost and Utilization Report.
Odds of Post-Op Mortality Increase As Weekend Approaches
FRIDAY, Jan. 26, 2018 (HealthDay News) — Following elective surgery, the odds of mortality rise in a graded manner as the day of the week of surgery approaches the weekend, according to research published in the February issue of Medical Care.
New Method Assesses Dialysis Facilities’ Transplant Referrals
FRIDAY, Jan. 26, 2018 (HealthDay News) — A standardized transplantation referral ratio (STReR) can assess clinical performance of transplant referral among dialysis facilities, according to a study published online Jan. 25 in the Clinical Journal of the American Society of Nephrology.
Out-of-Pocket Expenditures Down With ACA Implementation
TUESDAY, Jan. 23, 2018 (HealthDay News) — Implementation of the Affordable Care Act (ACA) was associated with reduced out-of-pocket spending, although increases were noted in mean premium spending, according to a study published online Jan. 22 in JAMA Internal Medicine.
Emotions Faced by Living Kidney Donors Can Impact Daily Life
MONDAY, Jan. 22, 2018 (HealthDay News) — Living kidney donors experience a wide range of emotions throughout the donation process that influences the lives of donors on several levels, according to a study published online Jan. 10 in the Journal of Renal Care.
Increase in Employment Among Patients Starting Dialysis
FRIDAY, Jan. 19, 2018 (HealthDay News) — The probability of employment has increased in recent years among patients initiating dialysis but is still low, according to a study published online Jan. 18 in the Clinical Journal of the American Society of Nephrology.
Professionals Disagree About Asking Patients About Sexuality
THURSDAY, Jan. 18, 2018 (HealthDay News) — National Health Service (NHS) England recently recommended that professionals ask all patients their sexual orientation at every opportunity, although opinions are divided on whether this is appropriate, according to an article published online Jan. 17 in The BMJ.
Acute Kidney Injury Ups Risk for Post-Discharge Hypoglycemia
THURSDAY, Jan. 18, 2018 (HealthDay News) — For hospitalized patients with diabetes, acute kidney injury (AKI) is a risk factor for post-discharge hypoglycemia, according to a study published online Jan. 11 in Diabetes Care.
AMA Online Tools Address Systems-Level Physician Burnout
THURSDAY, Jan. 11, 2018 (HealthDay News) — Tools and resources have been developed to help address physician burnout at the systems level, which may affect more than half of doctors, according to a report published by the American Medical Association (AMA).
Economic Impact of Physicians Quantified for 2015
WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Physicians have a large economic impact across the nation, creating an aggregate of $2.3 trillion of economic activity and supporting employment of nearly 12.6 million Americans, according to a report published by the American Medical Association.
Kidney Injury Common After Non-Kidney Transplants in Children
MONDAY, Jan. 8, 2018 (HealthDay News) — In children who receive a non-kidney solid organ transplant, acute kidney injury (AKI) is common in the first year after surgery and is associated with an increased risk of chronic kidney disease (CKD), according to a study published online Dec. 29 in the American Journal of Transplantation.
Physicians Frequently Continue to Work While Ill
FRIDAY, Jan. 5, 2018 (HealthDay News) — Many physicians continue working and caring for patients while they are sick, according to an article published in Medical Economics.
For Hospitals, No Benefit for Early Adoption of Financial Incentives
FRIDAY, Jan. 5, 2018 (HealthDay News) — Hospitals that volunteered to be under financial incentives for more than a decade as part of the Premier Hospital Quality Incentive Demonstration (early adopters) do not have better process scores or lower mortality than hospitals where these incentives were implemented later under the Hospital Value-Based Purchasing program (late adopters), according to a study published online Jan. 4 in The BMJ.
Cancer Death Rate Continuing to Decline in United States
FRIDAY, Jan. 5, 2018 (HealthDay News) — In both men and women in the United States, the cancer death rate declined by about 1.5 percent annually from 2006 to 2015, according to a study published online Jan. 4 in CA: A Cancer Journal for Clinicians.
Certain Stresses, Burnout Causing Some Women to Leave Medicine
THURSDAY, Jan. 4, 2018 (HealthDay News) — Though equal numbers of men and women are now entering medical schools, the majority of physicians are still male, and female physicians face several unique stressors, according to a report published online in Medical Economics.
Immune-Related Adverse Events Up With Checkpoint Inhibitors
THURSDAY, Jan. 4, 2018 (HealthDay News) — Although patients with pre-existing autoimmune disease who receive checkpoint inhibitors (CPIs) are at risk for exacerbation of their disease, immune-related adverse events (irAEs), or both, events can often be managed without discontinuing CPIs, according to a review published online Jan. 2 in the Annals of Internal Medicine.
Racial/Ethnic Disparities Up for Live Donor Kidney Transplant
THURSDAY, Jan. 4, 2018 (HealthDay News) — Racial/ethnic disparities in the receipt of live donor kidney transplantation (LDKT) among first-time kidney transplantation candidates in the United States increased from 1995-1999 to 2010-2014, according to a study published in the Jan. 2 issue of the Journal of the American Medical Association.
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