Here are what the editors at HealthDay consider to be the most important developments in Nephrology for July 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.
AMA Wants Doctor Input on EHRs, Meaningful Use
FRIDAY, July 31, 2015 (HealthDay News) — The American Medical Association (AMA) is encouraging clinicians to share their perspectives on electronic heath records (EHRs) and the meaningful use program.
U.S. Health Spending Projected to Rise 5.8 Percent By 2024
FRIDAY, July 31, 2015 (HealthDay News) — From 2014 to 2024, U.S. health spending growth is projected to increase by about 6 percent, according to a report published online July 28 in Health Affairs.
Tyrosine Kinase Inhibitors Seem Safe in CML With CKD
FRIDAY, July 31, 2015 (HealthDay News) — Tyrosine kinase inhibitors (TKIs) appear to be safe in patients with chronic-phase (CP) chronic myeloid leukemia (CML) and chronic kidney disease (CKD), according to a study published online July 28 in Cancer.
Mild Hypothermia May Boost Kidney Function After Transplant
THURSDAY, July 30, 2015 (HealthDay News) — Mild hypothermia could improve the functioning of kidneys in transplants from deceased donors, according to findings reported in the July 30 issue of the New England Journal of Medicine.
Tamsulosin Could Help Passage of Larger Kidney Stones
THURSDAY, July 30, 2015 (HealthDay News) — Tamsulosin can boost the passage of large kidney stones, but not small ones, according to a study published online July 17 in the Annals of Emergency Medicine.
Cranberry Juice Capsules Cut UTI Risk After Gynecological Surgery
THURSDAY, July 30, 2015 (HealthDay News) — Cranberry juice capsules reduce the rate of urinary tract infection (UTI) in women undergoing elective benign gynecological surgery involving urinary catheterization, according to a study published in the August issue of the American Journal of Obstetrics & Gynecology.
2015 MOC Program Expected to Cost $5.7 Billion Over 10 Years
WEDNESDAY, July 29, 2015 (HealthDay News) — The 2015 version of the American Board of Internal Medicine (ABIM) maintenance-of-certification (MOC) program is expected to generate considerable costs, mainly due to physician time costs, according to research published online July 28 in the Annals of Internal Medicine.
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Patients Report Improved Care Access, Better Health With ACA
TUESDAY, July 28, 2015 (HealthDay News) — Millions more Americans have affordable health insurance, access to a personal doctor, and feel they are in better health following the first two open-enrollment periods of the Affordable Care Act (ACA), a new analysis shows. The results are published in the July 28 issue of the Journal of the American Medical Association.
Delays Noted in the Reporting of Serious Patient Harms to FDA
MONDAY, July 27, 2015 (HealthDay News) — About 10 percent of cases where a drug does serious harm are not reported to the U.S. Food and Drug Administration within the required 15-day period, according to a new analysis published online July 27 as a research letter in JAMA Internal Medicine.
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Expansion of High-Deductible Plans to Impact Physician Care
FRIDAY, July 24, 2015 (HealthDay News) — As a result of the increasing popularity of high-deductible health care plans, patients now have more financial responsibility for medical services, which is impacting physician practices, according to an article published in Medical Economics.
BMI Doesn’t Affect Kidney Transplant Survival
MONDAY, July 20, 2015 (HealthDay News) — For patients undergoing kidney transplantation, survival is unaffected by body mass index (BMI), according to a study published online July 3 in the American Journal of Transplantation.
Clinicians May Harbor Biases About Sexual Orientation
FRIDAY, July 17, 2015 (HealthDay News) — Clinicians may be biased when it comes to the sexual orientation of patients, new research suggests. The study was published online July 16 in the American Journal of Public Health.
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AMA Suggests Ways to Encourage Use of Patient Portals
THURSDAY, July 16, 2015 (HealthDay News) — Measures can be taken to encourage patients to use patient portals to help ensure practices meet current Stage 2 meaningful use requirements, according to an article published by the American Medical Association (AMA).
Choosing Wisely: How to Implement in Clinical Practice
THURSDAY, July 16, 2015 (HealthDay News) — Strategies should be adopted to help with implementation of the Choosing Wisely program, which was designed to address the problem of medical overuse, according to an article published in the July/August issue of Family Practice Management.
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Extracorporeal Shock Wave Lithotripsy Best at 90 Pulses/Min
THURSDAY, July 16, 2015 (HealthDay News) — For ureteral stones, extracorporeal shock wave lithotripsy delivered at a shock wave delivery rate of 90 pulses per minute is associated with excellent outcomes, according to a study published in the August issue of The Journal of Urology.
Antibodies to Serum Amyloid P Deplete Amyloid Deposits
THURSDAY, July 16, 2015 (HealthDay News) — For patients with systemic amyloidosis, treatment with (R)-1-[6-[(R)-2-carboxy-pyrrolidin-1-yl]-6-oxo-hexanoyl]pyrrolidine-2-carboxylic acid (CPHPC) followed by an anti-serum amyloid P component (SAP) efficiently depletes amyloid load in the liver and kidney, according to a study published online July 15 in the New England Journal of Medicine.
Hospital Volume Impacts Peds Post-Urologic Op Complications
WEDNESDAY, July 15, 2015 (HealthDay News) — For pediatric patients hospitalized for urological procedures, the risk of postoperative complications is increased at non-high volume hospitals, according to research published in the August issue of The Journal of Urology.
Patiromer Treats Hyperkalemia in Diabetic Kidney Disease
WEDNESDAY, July 15, 2015 (HealthDay News) — A new drug, patiromer, decreases serum potassium levels in patients with hyperkalemia and diabetic kidney disease, according to the results of a phase 2 study published in the July 14 issue of the Journal of the American Medical Association.
Progress in Reporting Conflict of Interest Among IRB Members
TUESDAY, July 14, 2015 (HealthDay News) — Among institutional review board (IRB) members, there has been positive progress in the reporting and management of conflicts of interest, according to a study published online July 13 in JAMA Internal Medicine.
Arts Observation Curriculum May Be Beneficial for Medical Students
TUESDAY, July 14, 2015 (HealthDay News) — Use of an arts observation curriculum can help students learn to observe objectively and articulate their observations, which are important traits for clinical practice, according to an article published online July 3 in Academic Medicine.
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Training Can Improve Patients’ Fluid, Salt Intake in Hemodialysis
FRIDAY, July 10, 2015 (HealthDay News) — For patients undergoing hemodialysis, a controlled fluid and salt intake training process can decrease consumption of both salt and fluid, according to a study published online June 28 in the Journal of Renal Care.
ECG Metrics May Predict Cardiac Deaths in CKD Patients
FRIDAY, July 10, 2015 (HealthDay News) — Certain electrocardiographic (ECG) measures may improve prediction of cardiovascular death in patients with chronic kidney disease (CKD), according to research published online July 9 in the Journal of the American Society of Nephrology.
Court Upholds Medical Liability Damages Cap
TUESDAY, July 7, 2015 (HealthDay News) — The non-economic damages cap under the Medical Injury Compensation Reform Act (MICRA) has been upheld again in a California court of appeal, according to a report published by the American Medical Association.
Despite Risk to Patients, Health Providers Often Work While Sick
MONDAY, July 6, 2015 (HealthDay News) — Many health care professionals work when they are sick, putting their patients at risk for serious illness or even death, according to a study published online July 6 in JAMA Pediatrics.
Residents’ Knowledge of High-Value Care Varies
WEDNESDAY, July 1, 2015 (HealthDay News) — U.S. internal medicine (IM) residents report varying knowledge and practice of high-value care (HVC), according to research published online June 16 in Academic Medicine.
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Public Opinion Sought on New Licensure for Assistant Physicians
WEDNESDAY, July 1, 2015 (HealthDay News) — New classification of licensure for assistant physicians has been created, and public opinion is being sought by the Missouri State Board of Registration for the Healing Arts prior to filing these rules with the Secretary of State’s Office and the Joint Committee on Administrative Rules.
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