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July 2020 Briefing - Nephrology

Here are what the editors at HealthDay consider to be the most important developments in Nephrology for July 2020. 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.

Telemedicine Use Explodes During COVID-19 Pandemic

FRIDAY, July 31, 2020 (HealthDay News) -- The emergence of telemedicine has accelerated during the coronavirus pandemic. HD Live! sat down with Rujuta Saksena, M.D., an oncologist at Overlook Medical Center in Summit, New Jersey, and Ateev Mehrotra, M.D., associate professor of health care policy at Harvard Medical School in Boston, to discuss the future of telemedicine and its impact on health care.

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Survivors of Adolescent, Young Adult ALL May Suffer Late Effects

FRIDAY, July 31, 2020 (HealthDay News) -- Survivors of adolescent and young adult (AYA) acute lymphoblastic leukemia (ALL) may experience late effects, with a high incidence of subsequent endocrine disease and cardiac disease, according to a study published in the August issue of JNCI Cancer Spectrum.

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Sex Differences in Income Vary With Proportion of Male Doctors

FRIDAY, July 31, 2020 (HealthDay News) -- For surgical and nonsurgical specialists, sex differences in income vary with the proportion of male physicians in a practice, according to a study published online July 30 in The BMJ.

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HIV+ Donor to HIV+ Recipient Feasible for Kidney Transplant

TUESDAY, July 28, 2020 (HealthDay News) -- HIV-positive donor to HIV-positive recipient (HIV D+/R+) kidney transplantation (KT) is feasible, according to a study published online July 23 in the American Journal of Transplantation.

Abstract/Full Text (subscription or payment may be required)

Higher Prepregnancy Serum Creatinine Linked to Preterm Birth

MONDAY, July 27, 2020 (HealthDay News) -- Increased levels of prepregnancy serum creatinine are associated with an increased risk for preterm birth, according to a study published in the July 27 issue of CMAJ, the journal of the Canadian Medical Association.

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CDC Guidance Issued for Testing, Management of HCP Exposed to Hep C

FRIDAY, July 24, 2020 (HealthDay News) -- In a U.S. Centers for Disease Control and Prevention guidance report, published in the July 24 issue of Morbidity and Mortality Weekly Report, recommendations are presented for testing and clinical management of health care personnel (HCP) exposed to the hepatitis C virus (HCV).

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Long-Term Risk for Severe Kidney Disease High in Those With T2DM

FRIDAY, June 24, 2020 (HealthDay News) -- The long-term risk for end-stage kidney disease (ESKD) in type 2 diabetes is high and disproportionately affects those with younger onset of diabetes, according to a study published online June 15 in Diabetes Care.

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High Prevalence of Americans Have Conditions Linked to Severe COVID-19

THURSDAY, July 23, 2020 (HealthDay News) -- The median prevalence of any underlying medical condition that increases the risk for severe COVID-19-associated illness is 47.2 percent among residents in all 50 states and the District of Columbia, according to research published in the July 24 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Financial Health of Hospitals 'Dire' Due to COVID-19

THURSDAY, July 23, 2020 (HealthDay News) -- COVID-19 continues to cause financial peril for U.S. hospitals, according to a report released by the American Hospital Association (AHA).

Press Release
Report

Early Dialysis Does Not Reduce Mortality in Critically Ill With AKI

WEDNESDAY, July 22, 2020 (HealthDay News) -- Accelerated initiation of renal-replacement therapy is not associated with a reduced risk for death at 90 days among critically ill patients with acute kidney injury, according to a study published in the July 16 issue of the New England Journal of Medicine.

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CDC: Former Smokers Have Higher Levels of Fair, Poor Health

WEDNESDAY, July 22, 2020 (HealthDay News) -- Smoking cessation is beneficial, but even after cessation, former smokers have worse health measures, according to a study published online July 22 in National Health Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Levels of Chronic Kidney Disease Stabilizing in the United States

TUESDAY, July 21, 2020 (HealthDay News) -- The prevalence of chronic kidney disease (CKD) in the United States has stabilized in recent years, according to a study published online July 16 in JAMA Network Open.

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Demographic, Clinical, Hospital Factors Tied to COVID-19 Death

MONDAY, July 20, 2020 (HealthDay News) -- For COVID-19 patients in the intensive care unit (ICU), demographic, clinical, and hospital-level risk factors are associated with death, according to a study published online July 15 in JAMA Internal Medicine.

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Lymphoma Survivors at Risk for Developing Chronic Kidney Disease

MONDAY, July 20, 2020 (HealthDay News) -- Lymphoma survivors are at substantial long-term risk for chronic kidney disease (CKD) development, according to a study published online July 11 in Leukemia & Lymphoma.

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Exposure to Wildfire Smoke Ups Deaths of Hemodialysis Patients

FRIDAY, July 17, 2020 (HealthDay News) -- For patients receiving in-center hemodialysis, exposure to fine particulate matter (PM2.5) from wildfire is associated with all-cause mortality, according to a study published online July 16 in the Journal of the American Society of Nephrology.

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Physical Distancing Interventions Cut Incidence of COVID-19

THURSDAY, July 16, 2020 (HealthDay News) -- Physical distancing interventions are associated with a reduced incidence of COVID-19 globally, according to a study published online July 15 in The BMJ.

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Global Population Anticipated to Peak in 2064

WEDNESDAY, July 15, 2020 (HealthDay News) -- The global population is anticipated to peak in 2064 and then decline to year 2100, according to a study published online July 14 in The Lancet.

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Lymphocytopenia May Predict Greater Severity in COVID-19

WEDNESDAY, July 15, 2020 (HealthDay News) -- Lymphocytopenia may be predictive of disease severity in patients with COVID-19, according to a study published online July 10 in the International Journal of Laboratory Hematology.

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Layoffs Cost 5.4 Million Americans Their Health Insurance

TUESDAY, July 14, 2020 (HealthDay News) -- About 5.4 million Americans lost their health insurance after being laid off between February and May due to the COVID-19 pandemic, a new study shows.

The New York Times Article

Predicted Albumin-Creatinine Ratio Useful for CKD Screening

MONDAY, July 13, 2020 (HealthDay News) -- Predicted albumin-creatinine ratio (ACR) calculated from urine protein-creatinine ratio (PCR) or urine dipstick protein may be useful for chronic kidney disease (CKD) screening, staging, and prognosis, according to research published online July 14 in the Annals of Internal Medicine.

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Editorial (subscription or payment may be required)

COVID-19 Explored in Kidney Recipients, Hemodialysis Patients

FRIDAY, July 10, 2020 (HealthDay News) -- Many outpatient kidney transplant recipients with COVID-19 have symptomatic resolution without requiring hospitalization, and hospitalized COVID-19 patients on hemodialysis have worse outcomes than those without kidney failure, according to two studies recently published in the Clinical Journal of the American Society of Nephrology.

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Electronic Health Records Fail to Detect Many Medication Errors

THURSDAY, July 9, 2020 (HealthDay News) -- There is wide variation in the safety performance of electronic health record (EHR) systems used in U.S. hospitals, according to a study recently published in JAMA Network Open.

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Mortality Higher From AKI Versus Kidney Failure From Other Causes

THURSDAY, July 2, 2020 (HealthDay News) -- Kidney failure resulting from acute kidney injury (AKI) leads to a higher risk of death in the first six months compared to kidney failure from diabetes or other causes, according to a study published online June 17 in the Clinical Journal of the American Society of Nephrology.

Abstract/Full Text (subscription or payment may be required)

Roughly 2 Million Americans Buy Prescriptions From Outside the Country

THURSDAY, July 2, 2020 (HealthDay News) -- An estimated 1.5 percent of American adults purchase prescription medication from outside of the United States to save money, according to a study published online June 24 in JAMA Network Open.

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Some Kidney Disease-Related Terms Cause Patient Distress

WEDNESDAY, July 1, 2020 (HealthDay News) -- The obscurity and imprecision of terms related to chronic kidney disease (CKD) can be distressing for patients, according to a study published online June 25 in the Clinical Journal of the American Society of Nephrology.

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Spectrum of Imaging Findings Described in COVID-19 MIS-C

WEDNESDAY, July 1, 2020 (HealthDay News) -- The spectrum of imaging findings in children with post-COVID-19 inflammatory condition (multisystem inflammatory syndrome in children [MIS-C]) is described in a case series published online June 25 in Radiology.

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Physician's Briefing

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