Here are what the editors at HealthDay consider to be the most important developments in Nephrology for September 2015. 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.
Removal of sFlt-1 From Blood Aids Preeclampsia
MONDAY, Sept. 28, 2015 (HealthDay News) — Selective removal of circulating soluble Fms-like tyrosine kinase-1 (sFlt-1) with an extracorporeal device seems to be safe and effective for treating women with very preterm preeclampsia, according to a pilot study published online Sept. 24 in the Journal of the American Society of Nephrology.
Stone Removal Helps Half of Patients With Recurrent UTI
FRIDAY, Sept. 25, 2015 (HealthDay News) — Half of patients with recurrent urinary tract infections and asymptomatic renal calculi can be rendered infection-free with stone extraction, according to a study published in the October issue of The Journal of Urology.
Surveillance Beats Radical Nephrectomy for Small Masses
THURSDAY, Sept. 24, 2015 (HealthDay News) — Patients with small renal masses who have a radical nephrectomy are significantly more likely to experience up staging to a more advanced chronic kidney disease stage based on glomerular filtration rate ranges, compared to those undergoing partial nephrectomy, active surveillance, or cryoablation, according to a study published in the October issue of The Journal of Urology.
Health Insurance Deductibles Rising Faster Than Wages
WEDNESDAY, Sept. 23, 2015 (HealthDay News) — Health insurance deductibles have risen more than six times faster than American workers’ average wages since 2010, a Kaiser Family Foundation report says.
Shorter Antibiotic Prophylaxis Doesn’t Raise Infection Rates
WEDNESDAY, Sept. 23, 2015 (HealthDay News) — Compliance with American Urological Association (AUA) guidelines for shorter antibiotic prophylaxis does not result in higher rates of infection among patients undergoing percutaneous nephrolithotomy, according to a study published in the October issue of The Journal of Urology.
IOM: Most U.S. Patients Will Experience Diagnostic Error
WEDNESDAY, Sept. 23, 2015 (HealthDay News) — A new report commissioned by the U.S. government contends that most Americans will encounter at least one diagnostic error in their lifetime, sometimes with severe consequences for their physical and mental health.
Medical Schools Teaching Students About Costs of Care
TUESDAY, Sept. 22, 2015 (HealthDay News) — Many medical schools are integrating discussions of cost, value, and effectiveness into their curricula, according to Kaiser Health News.
Docs in Productivity Models Likely to Encounter Compensation Caps
MONDAY, Sept. 21, 2015 (HealthDay News) — Physicians, especially those working in a productivity model, need to understand compensation caps, which are set at a specific percentile of national pay based on surveys, according to a report in Medical Economics.
Mid-Morning May Be Best Time for Workday Break
FRIDAY, Sept. 18, 2015 (HealthDay News) — Choosing preferred activities for a work break and taking a break earlier in the shift are linked to more resource recovery after a break, according to a study published online Aug. 10 in the Journal of Applied Psychology.
2012 Office Visits 57% Higher for Women than Men, Ages 1864
FRIDAY, Sept. 18, 2015 (HealthDay News) — In 2012 there were an estimated 301 physician office visits per 100 persons, with higher rates for females and adults aged 65 years and older, according to a September data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS).
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Volunteer Doctors Need to Check Liability Coverage
FRIDAY, Sept. 18, 2015 (HealthDay News) — Physicians who volunteer their medical expertise should consider their legal risks, according to an article published online Sept. 3 in Medical Economics.
Women Less Likely to Be Full Professors Than Men
WEDNESDAY, Sept. 16, 2015 (HealthDay News) — In academic medicine, women are less likely to be full professors than men and have less startup funding than men, according to two studies published in the Sept. 15 issue of JAMA.
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Hospitalized Patients With CKD Often Unaware of It
WEDNESDAY, Sept. 16, 2015 (HealthDay News) — Hospitalized patients with chronic kidney disease (CKD) frequently are unaware of their condition, according to research published in the September issue of the Journal of Hospital Medicine.
For Pharma Reps, Access to Physicians Continuing to Drop
FRIDAY, Sept. 11, 2015 (HealthDay News) — Physician access for pharmaceutical representatives is continuing to decline, with access restricted to some degree for more than half of physicians, according to an AccessMonitor survey published by ZS.
4% Increase in Population of Actively Licensed Physicians
THURSDAY, Sept. 10, 2015 (HealthDay News) — The total population of actively licensed physicians in the United States and the District of Columbia has increased by 4 percent since 2012, according to a report published in the Journal of Medical Regulation.
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Physician Re-Entry Program Set to Redress Physician Shortage
THURSDAY, Sept. 10, 2015 (HealthDay News) — An online educational program aims to help physicians get back to work and reduce the nation’s physician shortage, according to an article published by the American Academy of Family Physicians (AAFP).
Management, Treatment of Chronic Disease Up With ACA
WEDNESDAY, Sept. 9, 2015 (HealthDay News) — More Americans are getting health insurance as a result of the Affordable Care Act, which may lead to many more people getting diagnosed and treated for chronic conditions, such as diabetes, a new study contends. The findings were published in the September issue of Health Affairs.
Accelerated MD Program Doesn’t Mar Academic Performance
WEDNESDAY, Sept. 9, 2015 (HealthDay News) — An accelerated baccalaureate (BA)/doctor of medicine (MD) program does not impair the academic performance of medical students, according to a study published online July 3 in Academic Medicine.
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ACP Supports Expanded Role of Telemedicine for Health Care
WEDNESDAY, Sept. 9, 2015 (HealthDay News) — Telemedicine can be beneficial, within the framework of an established physician-patient relationship, according to a position paper published online Sept. 8 in the Annals of Internal Medicine.
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EHR Vendors Not Adhering to Usability Certification Standards
WEDNESDAY, Sept. 9, 2015 (HealthDay News) — Among electronic health record (EHR) products, there is a lack of adherence to the U.S. Department of Health and Human Services’ Office of the National Coordinator for Health Information Technology (ONC) standards, according to a research letter published in the Sept. 8 issue of the Journal of the American Medical Association.
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Suggested Response Provided for In-Flight Medical Emergencies
FRIDAY, Sept. 4, 2015 (HealthDay News) — In a review article published online Sept. 3 in the New England Journal of Medicine, guidance is offered for physicians providing emergency in-flight medical care.
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Finerenone Linked to Improved UACR in Diabetic Nephropathy
WEDNESDAY, Sept. 2, 2015 (HealthDay News) — For patients with diabetic nephropathy receiving an angiotensin-converting enzyme inhibitor or angiotensin receptor blocker, the addition of finerenone results in improvement in the urinary albumin-creatinine ratio (UACR), according to a study published in the Sept. 1 issue of the Journal of the American Medical Association.
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