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March 2017 Briefing - Nephrology

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

90 Percent of U.S. Physicians Satisfied With Career Choice

FRIDAY, March 31, 2017 (HealthDay News) -- Nine out of 10 American doctors are happy with their choice of profession, even though they have some challenges, according to an American Medical Association (AMA) survey of 1,200 doctors, residents, and medical students, conducted in February.

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Vertical Integration Insurance Products of Higher Quality

FRIDAY, March 31, 2017 (HealthDay News) -- Insurance products offered by hospitals and health systems, known as vertical integration, are generally of higher quality than other contracts, according to a study published in the March issue of Health Affairs.

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Donor-Recipient Weight and Sex Mismatch Ups Kidney Graft Loss

FRIDAY, March 31, 2017 (HealthDay News) -- For kidney transplantation, mismatch in donor-recipient sex, and in donor-recipient weight, where the recipient is much larger than the donor, is associated with increased risk of graft loss, according to a study published online March 30 in the Clinical Journal of the American Society of Nephrology.

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Marathon Runners Show Signs of Short-Term Kidney Injury

WEDNESDAY, March 29, 2017 (HealthDay News) -- Marathon runners can develop acute kidney injury (AKI) and diagnostic indicators of tubular injury, according to a study published online March 28 in the American Journal of Kidney Disease.

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TV Ads for ACA Enrollment Linked to Decline in Uninsured Rates

TUESDAY, March 28, 2017 (HealthDay News) -- The volume of insurance advertisements during the first Affordable Care Act enrollment period correlated with change in uninsurance rates, with a higher volume of television advertisements linked to declines in uninsurance, according to a study published online March 15 in Health Affairs.

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ACP Issues Challenge to Cut Task Burden and Put Patients First

TUESDAY, March 28, 2017 (HealthDay News) -- In a position paper published online March 28 in the Annals of Internal Medicine, recommendations are presented to address the impact of administrative tasks and reduce the administrative burden on clinicians.

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Paid Malpractice Claims Cut in Half From 1992 to 2014 in U.S.

MONDAY, March 27, 2017 (HealthDay News) -- From 1992 to 2014 there was a decrease in the rate of malpractice claims paid on behalf of physicians in the United States, but mean compensation amounts increased, according to a study published online March 27 in JAMA Internal Medicine.

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Increased Use of Newer Meds for Diabetic Nephropathy in the U.S.

MONDAY, March 27, 2017 (HealthDay News) -- From 2010 to 2014 there was an increase in use of diabetes medications, including sulfonylureas and dipeptidyl peptidase-4 inhibitors (DPP-4 inhibitors), among patients with diabetic nephropathy, according to a study published online March 15 in the Journal of Clinical Pharmacy and Therapeutics.

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Mortality Risk Impacts Colon CA Screening in Dialysis Patients

FRIDAY, March 24, 2017 (HealthDay News) -- For patients on dialysis, colon cancer screening is more likely among those with the lowest risk of mortality, according to a study published online March 23 in the Journal of the American Society of Nephrology.

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30-Day Mortality Down During Joint Commission Survey Weeks

THURSDAY, March 23, 2017 (HealthDay News) -- Patients admitted to the hospital during The Joint Commission on-site inspections (surveys) have reduced mortality compared to that seen during non-survey weeks, according to research published online March 20 in JAMA Internal Medicine.

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Black, Asian Medical Students Less Likely to Be AΩA Members

TUESDAY, March 21, 2017 (HealthDay News) -- Black and Asian medical students are less likely to be members of the Alpha Omega Alpha (AΩA) honor society than white students, according to a study published online March 6 in JAMA Internal Medicine.

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Magnesium Wasting Despite Diuretic Choice in Cervical CA Tx

MONDAY, March 20, 2017 (HealthDay News) -- For women with cervical cancer, administration of cisplatin concomitant with whole pelvic radiation is associated with magnesium wasting, according to a study published online March 9 in the Journal of Clinical Pharmacy and Therapeutics.

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Post-RFA Mortality Up for ESRD Patients Who Receive Dialysis

MONDAY, March 20, 2017 (HealthDay News) -- For patients with end-stage renal disease (ESRD), receipt of hemodialysis (HD) is associated with increased mortality after radiofrequency ablation (RFA) for hepatocellular carcinoma, according to a study published online March 7 in the Journal of Gastroenterology and Hepatology.

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Los Angeles eConsult Program Can Reduce Wait Times

FRIDAY, March 17, 2017 (HealthDay News) -- Implementation of an electronic system for provision of specialty care was rapidly adopted in Los Angeles, and it can reduce wait times to see specialists, according to a study published in the March issue of Health Affairs.

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Video Helps Patients Meet Radiotherapy Educational Needs

FRIDAY, March 17, 2017 (HealthDay News) -- Educational videos augmented by three-dimensional (3D) visualization software are useful for addressing radiotherapy patients' educational needs, according to a study published online Feb. 27 in the Journal of Medical Radiation Sciences.

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Initiation of Renal Replacement Therapy Impacts HRQoL

FRIDAY, March 17, 2017 (HealthDay News) -- The initiation of renal replacement therapy (RRT) impacts health-related quality of life (HRQL) among patients with end-stage kidney disease, according to a study published online Feb. 27 in the Journal of Renal Care.

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Appeals Court Upholds Restaurant Salt Warning

THURSDAY, March 16, 2017 (HealthDay News) -- An Empire State appeals court has upheld the New York City health department rule that requires restaurants to warn customers about menu items that exceed the 2,300 mg daily recommended sodium limit, according to a report from the American Medical Association (AMA).

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Thiamine May Reduce Progression to Renal Replacement Therapy

THURSDAY, March 16, 2017 (HealthDay News) -- For patients in septic shock, thiamine is associated with a lower rate of progression to renal replacement therapy (RRT), according to research published online Feb. 16 in the Annals of the American Thoracic Society.

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Women Underrepresented Among Grand Rounds Speakers

WEDNESDAY, March 15, 2017 (HealthDay News) -- Women seem to be underrepresented among academic grand rounds (GR) speakers, according to a research letter published online March 6 in JAMA Internal Medicine.

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Support for Health Law Up to 48 Percent in February

TUESDAY, March 14, 2017 (HealthDay News) -- Support for the health law is increasing, with most Americans feeling that Medicaid should continue as it is today, according to a report published by Kaiser Health News.

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Higher Spending by Physicians Not Tied to Better Outcomes

MONDAY, March 13, 2017 (HealthDay News) -- Medicare patients treated by higher-spending physicians are just as likely to be readmitted or die within 30 days of being admitted to the hospital as patients treated by doctors who order fewer or less-expensive tests and treatments, according to a study published online March 13 in JAMA Internal Medicine.

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ACA's Medicaid Expansion May Pose Challenges to Timely Care

THURSDAY, March 9, 2017 (HealthDay News) -- People living in states that expanded Medicaid under the Affordable Care Act (ACA) are less likely to be uninsured or struggling with the strain of unpaid medical bills, but they also seem to have increased difficulty receiving timely care, according to research published in the March 9 issue of the New England Journal of Medicine.

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Republicans Introduce Affordable Care Act Replacement

TUESDAY, March 7, 2017 (HealthDay News) -- An initial Republican replacement for the Affordable Care Act was formally introduced in the House of Representatives on Monday.

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Most Health Care Providers Can Offer Cost Estimate

MONDAY, March 6, 2017 (HealthDay News) -- Most provider organizations can offer a cost estimate, although few patients request one, according to a report published by Becker's Hospital CFO.

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Judgement Bias in Medical Device Recall Decisions

FRIDAY, March 3, 2017 (HealthDay News) -- The characteristics of the signal in user feedback of adverse events associated with medical devices and the situated context of decision makers correlate with judgement bias in reacting to these adverse events, according to research published online Jan. 29 in Production and Operations Management.

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Overall, 8.8 Percent of U.S. Population Uninsured in 2016

THURSDAY, March 2, 2017 (HealthDay News) -- Overall, 8.8 percent of individuals of all ages were uninsured in the first nine months of 2016, which marked a nonsignificant reduction from 2015, according to a Feb. 14 report from the National Center for Health Statistics.

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Complication Rates Often Higher in Youth With T2DM Versus T1DM

WEDNESDAY, March 1, 2017 (HealthDay News) -- Young people with type 2 diabetes are much more likely to show signs of complications from the disease than those who have type 1 diabetes, according to a study published in the Feb. 28 issue of the Journal of the American Medical Association.

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Physician's Briefing
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