Here are what the editors at HealthDay consider to be the most important developments in Nephrology for October 2017. 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.
Systemic Lupus Erythematosus Mortality Down Since 1968
TUESDAY, Oct. 31, 2017 (HealthDay News) — Rates of systemic lupus erythematosus (SLE) mortality have decreased since 1968 but are still higher than non-SLE mortality, according to a study published online Oct. 30 in the Annals of Internal Medicine.
Depressive Symptoms Increase During Internship Year
TUESDAY, Oct. 31, 2017 (HealthDay News) — Depressive symptoms increase during the internship year for training physicians, with a greater increase among women, according to a study published online Oct. 30 in JAMA Internal Medicine.
Kidney Damage Seen in Most Patients With Long-Lasting T1D
MONDAY, Oct. 30, 2017 (HealthDay News) — Most patients with type 1 diabetes (T1D) of long duration have some degree of kidney disease, according to a study published online Oct. 4 in Diabetes Care.
Gifts From Pharma Companies Influence Prescribing Behavior
THURSDAY, Oct. 26, 2017 (HealthDay News) — Receipt of gifts from pharmaceutical companies is associated with more prescriptions per patient and more costly prescriptions, according to a study published online Oct. 25 in PLOS One.
Most Patients Satisfied With Relationship With Physician
WEDNESDAY, Oct. 25, 2017 (HealthDay News) — Results of the Physicians Foundation 2017 Patient Survey show that most patients are satisfied with their overall relationship with their physician, according to an article published by the American Academy of Family Physicians.
Robotic Radical Nephrectomy Becoming More Common
WEDNESDAY, Oct. 25, 2017 (HealthDay News) — From 2003 to 2015 there was an increase in use of robotic-assisted radical nephrectomy, according to a study published online Oct. 24 in the Journal of the American Medical Association. In a separate study, researchers found that robotic-assisted laparoscopic surgery for resection of rectal adenocarcinoma does not significantly reduce the risk of conversion to open surgery when compared with conventional laparoscopy.
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Vitamin D Supplements Improve Markers of Bone Turnover in CKD
WEDNESDAY, Oct. 25, 2017 (HealthDay News) — For patients with chronic kidney disease (CKD), cholecalciferol supplementation can correct vitamin D deficiency and improve markers of bone turnover, according to a study published online Oct. 17 in the Journal of Bone and Mineral Research.
DEA Taking Back Unwanted Prescription Drugs on Oct. 28
TUESDAY, Oct. 24, 2017 (HealthDay News) — The public is being given its 14th opportunity to safely dispose of pills and patches at collection points operated by the U.S. Drug Enforcement Agency (DEA) and its partners.
Design Thinking Enables Med Students to Solve Challenges
MONDAY, Oct. 23, 2017 (HealthDay News) — A joint effort between students at Warren Alpert Medical School of Brown University and Rhode Island School of Design (RISD) is training future physicians in design thinking to help identify and repair health system issues that contribute to physician burnout, according to an article by the American Medical Association.
Clinician Job Satisfaction Linked to Improved Burnout Scores
FRIDAY, Oct. 20, 2017 (HealthDay News) — Clinicians’ job satisfaction is associated with improved burnout scores and reduced intention to leave their practices, according to a study published in the October issue of Health Affairs.
In Norway, Risk of SCC After Organ Transplant Has Fallen
FRIDAY, Oct. 20, 2017 (HealthDay News) — For organ recipients in Norway, the risk of skin cancer, particularly squamous cell carcinoma (SCC), has decreased since the mid-1980s, according to a study published online Oct. 18 in JAMA Dermatology.
Conditions Tied to Clinician Dissatisfaction Are Modifiable
THURSDAY, Oct. 19, 2017 (HealthDay News) — Modifiable conditions, like chaos, incohesiveness, and lack of communication, contribute to unsatisfying workplaces for clinicians, according to a study published in the October issue of Health Affairs.
More Penalties With Hospital-Wide Readmission Measure
THURSDAY, Oct. 19, 2017 (HealthDay News) — Transition from a condition-specific to a hospital-wide readmission measure would result in a modest increase in the number of hospitals eligible for readmission penalties and would substantially increase penalties for safety-net hospitals, according to a study published online Oct. 18 in the New England Journal of Medicine.
Key Stakeholders Discuss How to Make EHRs More Usable
THURSDAY, Oct. 19, 2017 (HealthDay News) — Key stakeholders and physicians discussed electronic health record (EHR) usability and optimization in the American Medical Association Running Your Practice Community.
Sharing Passwords Is Widespread Among Medical Staff
WEDNESDAY, Oct. 18, 2017 (HealthDay News) — Sharing of passwords to access electronic medical records is common among medical staff members, according to a study published in the July issue of Healthcare Informatics Research.
Men Now Comprise ~10 Percent of RN Workforce
WEDNESDAY, Oct. 18, 2017 (HealthDay News) — The increasing participation of men in registered nursing can be attributed to multiple factors, including increasing educational attainment, rising labor demand in health care, and liberalizing gender role attitudes, according to a working paper published by the Washington Center for Equitable Growth.
Female Physicians May Be Especially at Risk of Burnout
TUESDAY, Oct. 17, 2017 (HealthDay News) — Female physicians are more burned out than their male colleagues, but there are steps they can take to reduce the stress associated with burnout, according to a blog post published in Medical Economics.
Screening Tools Identify Potentially Inappropriate Meds
TUESDAY, Oct. 17, 2017 (HealthDay News) — Internal medicine patients are frequently prescribed potentially inappropriate medications (PIMs), but screening tools can detect clinically relevant PIMs, according to a study published online Oct. 8 in the Journal of Clinical Pharmacy and Therapeutics.
Online Ratings Not Aligned With Objective Quality Measures
MONDAY, Oct. 16, 2017 (HealthDay News) — Online consumer ratings of specialist physicians do not predict objective measures of quality of care or peer assessment of clinical performance, according to a study published online Sept. 8 in the Journal of the American Medical Informatics Association.
Most Female Physicians Have Faced Sexist Patient Comments
MONDAY, Oct. 16, 2017 (HealthDay News) — Most female physicians have been sexually harassed by patients at some point in their careers, according to a blog post published in Medical Economics.
Pre-Retirement Morbidity Higher in Later Birth Cohorts
FRIDAY, Oct. 13, 2017 (HealthDay News) — Americans who must work longer to reach Social Security retirement age have worse measures of health in the years leading up to retirement, according to a study published in the October issue of Health Affairs.
Serious Suffering Affects Almost Half of Those Who Die Yearly
FRIDAY, Oct. 13, 2017 (HealthDay News) — In 2015, more than 25.5 million people who died worldwide experienced serious health-related suffering (SHS), and the vast majority lacked access to palliative care and pain relief, according to a report published online Oct. 12 in The Lancet.
Disparity Seen in Nephrology Follow-Up Care
FRIDAY, Oct. 13, 2017 (HealthDay News) — There is a large disparity between the reported clinical opinions of nephrologists and real-world care for nephrology evaluation of patients after hospitalization with severe acute kidney injury (AKI), according to a study published online Oct. 12 in the Clinical Journal of the American Society of Nephrology.
Quality Issues for Both Paper-, Electronic-Based Health Records
FRIDAY, Oct. 13, 2017 (HealthDay News) — Both paper-based and electronic health records (EHRs) have shortcomings in terms of quality of content, process, and structure, with poor quality of nursing documentation seen for both methods, according to a study published online Oct. 5 in the Journal of Clinical Nursing.
Court Considering Fate of Noneconomic Damages Cap
THURSDAY, Oct. 12, 2017 (HealthDay News) — The Wisconsin Supreme Court is considering whether it will hear a case that will determine the fate of the state’s $750,000 cap on noneconomic damages, according to an article published by the American Medical Association (AMA).
New System Streamlines CME Credit Approval Process
THURSDAY, Oct. 12, 2017 (HealthDay News) — The American Academy of Family Physicians (AAFP) and the American Board of Family Medicine (ABFM) have launched a new performance improvement activity credit reporting process called the AAFP Credit System, according to an article published by the AAFP.
High Sustained Response Rate for Glecaprevir, Pibrentasvir in HCV
THURSDAY, Oct. 12, 2017 (HealthDay News) — For patients with stage 4 or 5 chronic kidney disease and hepatitis C virus (HCV) infection, 12 weeks of treatment with glecaprevir and pibrentasvir results in a high rate of sustained virologic response, according to a study published online Oct. 11 in the New England Journal of Medicine.
Low-Cost Services a Major Player in Unnecessary Health Spending
THURSDAY, Oct. 12, 2017 (HealthDay News) — The costs associated with low-cost, low-value health services are nearly twice as high as those of high-cost, low-value services, according to a study published in the October issue of Health Affairs.
Physician Salaries Appear to Be Flat or Declining
WEDNESDAY, Oct. 11, 2017 (HealthDay News) — Anecdotally, physician career coaches report that physician salaries are flat at best, according to an article published in Medical Economics.
Medical License Questions Sway Doctors’ Mental Health Help
WEDNESDAY, Oct. 11, 2017 (HealthDay News) — Medical licensure application questions (MLAQs) regarding mental health contribute to physicians’ reluctance to seek help for mental health, according to a study published in the October issue of Mayo Clinic Proceedings.
Guide Offers Doctors Tips for Choosing a Health System
TUESDAY, Oct. 10, 2017 (HealthDay News) — A guide has been developed to assist physicians considering joining a physician-led integrated health system, according to a report published by the American Medical Association (AMA).
Specific Phenotype Relevant in Subclinical Primary Aldosteronism
TUESDAY, Oct. 10, 2017 (HealthDay News) — A suppressed renin phenotype is associated with higher incidence of incident hypertension than other plasma renin activity (PRA) phenotypes, according to a study published online Oct. 9 in the Annals of Internal Medicine.
Novel Metrics Suggested for Assessing EHR Use
TUESDAY, Oct. 10, 2017 (HealthDay News) — Novel metrics have been developed to assess electronic health record (EHR) use and are described in an opinion article published online Oct. 9 in the Annals of Internal Medicine.
2016 Physician Quality Reporting System Reports Available
MONDAY, Oct. 9, 2017 (HealthDay News) — The 2016 Physician Quality Reporting System (PQRS) and the 2016 annual Quality and Resource Use reports have been released for individuals and group practices, according to a report published by the American Academy of Family Physicians.
Injured Patients Want More Info on Safety Improvement Efforts
MONDAY, Oct. 9, 2017 (HealthDay News) — Communication-and-resolution program (CRP) experiences are positive overall for a small majority of patients and families, but they report that hospitals rarely share information about preventing recurrences, according to a study published online Oct. 9 in JAMA Internal Medicine.
Short-Lived Benefits for Abusive Supervisory Behavior
FRIDAY, Oct. 6, 2017 (HealthDay News) — Engaging in abusive supervisory behavior may be associated with short-term beneficial effects, but over longer periods of time, abusive supervisory behavior is negatively related to supervisors’ recovery level and engagement, according to a study published online Sept. 11 in the Academy of Management Journal.
Pay for Performance Cuts Mortality in Diabetes Patients
FRIDAY, Oct. 6, 2017 (HealthDay News) — Diabetes disease management through a pay-for-performance (P4P) program cuts diabetes-related, cancer-related, and all-cause mortality, according to a Taiwanese study published online Oct. 5 in the U.S. Centers for Disease Control and Prevention’s Preventing Chronic Disease.
Stronger Nocebo Effect When Inert Rx Labeled As Expensive
FRIDAY, Oct. 6, 2017 (HealthDay News) — Nocebo hyperalgesia is stronger when an inert treatment is labeled as being an expensive medication rather than a cheap one, according to a study published online Oct. 5 in Science.
21 Percent of Americans Report Experiencing a Medical Error
THURSDAY, Oct. 5, 2017 (HealthDay News) — More than one in five patients report having experienced a medical error, according to a survey released Sept. 28 by the Institute for Healthcare Improvement (IHI)/National Patient Safety Foundation Lucian Leape Institute and NORC at the University of Chicago.
Reasons Physicians Are Delaying Retirement Vary
THURSDAY, Oct. 5, 2017 (HealthDay News) — Physicians are delaying retirement, often because they feel they are providing a useful service to patients or because of concerns about social interaction in retirement, according to an article published online Sept. 25 in Medical Economics.
Pay Inequality, Work-Life Balance Top Concerns for Female Docs
WEDNESDAY, Oct. 4, 2017 (HealthDay News) — Many female physicians report feeling disadvantaged when negotiating contracts and feel that they are assessed for promotion using different criteria than those used for men, according to a report published by the American Medical Association (AMA).
Scientists Support Genome Editing to Prevent Disease
WEDNESDAY, Oct. 4, 2017 (HealthDay News) — Many basic scientists and clinical researchers support somatic genome editing in adults for prevention of serious disease but not for human enhancement; they also believe the public should be consulted before any clinical application of germline gene editing proceeds, according to survey results published online Oct. 3 in Circulation: Cardiovascular Genetics.
Commercialization of Generics Impacts Adverse Event Rates
WEDNESDAY, Oct. 4, 2017 (HealthDay News) — Immediate or delayed differences in adverse event rates were seen after generic commercialization of three antihypertensive drugs, according to a study published online Oct. 3 in Circulation: Cardiovascular Quality and Outcomes.
Communication Program Doesn’t Raise Hospital Liability Costs
TUESDAY, Oct. 3, 2017 (HealthDay News) — A communication-and-resolution program, in which hospitals and liability insurers communicate with patients when adverse events occur, does not lead to higher liability costs, according to a study published online Oct. 2 in Health Affairs.
Vancomycin + Piperacillin/ Tazobactam Ups Kidney Risk
MONDAY, Oct. 2, 2017 (HealthDay News) — For hospitalized children, coadministration of intravenous (IV) vancomycin and piperacillin/tazobactam is associated with increased risk of acute kidney injury (AKI), according to a study published online Oct. 2 in JAMA Pediatrics.
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