March 2019 Briefing - Nephrology

Here are what the editors at HealthDay consider to be the most important developments in Nephrology for March 2019. 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.

Doctors With Malpractice Claims More Likely to Leave Medicine

THURSDAY, March 28, 2019 (HealthDay News) -- Physicians with one or more paid malpractice claims are more likely to leave practice or shift into smaller practice settings, according to a study published in the March 28 issue of the New England Journal of Medicine.

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Douglas County, Colorado, Ranked as Healthiest Community

TUESDAY, March 26, 2019 (HealthDay News) -- The 2019 healthiest community in America is Douglas County, Colorado, according to a report published online March 26 by U.S. News & World Report, in conjunction with the Aetna Foundation.

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New Approach Performs Well for Measuring CKD Quality of Life

TUESDAY, March 26, 2019 (HealthDay News) -- A new chronic kidney disease (CKD) measure of quality of life (QOL) and a single-score summary for the Kidney Disease Quality of Life-36 (KDQOL-36) are both reliable for assessing patient-reported outcomes and quality of life, according to two studies published online March 21 in the Journal of the American Society of Nephrology.

Abstract/Full Text - Ware (subscription or payment may be required)
Abstract/Full Text - Peipert (subscription or payment may be required)
Editorial

Patient CKD App Ratings Do Not Correlate With Those of Nephrologists

MONDAY, March 25, 2019 (HealthDay News) -- Patient ratings of chronic kidney disease (CKD) apps are not directly linked with nephrologist ratings or consumer ratings, according to a study published online March 21 in the Clinical Journal of the American Society of Nephrology.

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Editorial
Patient Perspective

2019 Residency Match Day Was Largest in History

MONDAY, March 25, 2019 (HealthDay News) -- The 2019 Main Residency Match was the largest in history, with a record high of 38,376 applicants for 35,185 positions, according to 2019 Match Day results released by the National Resident Matching Program.

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HBV, HCV Control Aids Kidney Transplant Outcomes

MONDAY, March 25, 2019 (HealthDay News) -- The outcomes of kidney transplants in patients with viral suppression are as good as those for kidney transplants in patients not infected with hepatitis B virus (HBV) or hepatitis C virus (HCV), according to a study published online March 14 in the Journal of Hepatology.

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Many Patients Still Employ Strategies to Reduce Prescription Drug Costs

FRIDAY, March 22, 2019 (HealthDay News) -- The number of adults reporting the use of strategies, such as requesting a lower-cost medication or not using medication as prescribed, to reduce prescription drug costs remained stable in 2015 to 2017, according to a March data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Overall, Physicians Are Happy and Enjoy Their Lives

WEDNESDAY, March 20, 2019 (HealthDay News) -- Overall, physicians are happy and enjoy their lives, according to the 2019 American Academy of Family Physicians (AAFP)/CompHealth Physician Happiness Survey published online March 19.

2019 AAFP/CompHealth Physician Happiness Survey

Average of 8.8 Inactive Ingredients Found in Oral Medications

MONDAY, March 18, 2019 (HealthDay News) -- Oral forms of medications contain an average of 8.8 inactive ingredients, many of which could cause adverse reactions, according to a perspective piece published in the March 13 issue of Science Translational Medicine.

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Cancer Risk Modestly Elevated With Chronic Kidney Disease

MONDAY, March 18, 2019 (HealthDay News) -- Individuals with chronic kidney disease (CKD) have a modestly elevated cancer risk, according to a study published online March 14 in the Clinical Journal of the American Society of Nephrology.

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Physician Burnout Rate Increased From 2014 to 2017

FRIDAY, March 15, 2019 (HealthDay News) -- From 2014 to 2017, there was an increase in physician burnout, with early-career physicians being the most susceptible, according to a study published online March 15 in JAMA Network Open.

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Extra Weight in Adolescence Tied to Later Risk for Renal Cancer

FRIDAY, March 15, 2019 (HealthDay News) -- Overweight and obesity in adolescence is associated with an increased risk for developing renal cell carcinoma (RCC) later in life, according to a study published online Feb. 20 in the International Journal of Cancer.

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Risk Profiles ID'd for Patients With Transplant Glomerulopathy

FRIDAY, March 15, 2019 (HealthDay News) -- An archetypal approach can identify the diagnostic and prognostic features associated with transplant glomerulopathy, according to a study published online March 14 in the Journal of the American Society of Nephrology.

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Head of National Cancer Institute Named Acting FDA Commissioner

WEDNESDAY, March 13, 2019 (HealthDay News) -- The U.S. Food and Drug Administration will temporarily be overseen by the head of the National Cancer Institute when FDA Commissioner Scott Gottlieb, M.D., leaves the post next month.

AP News Article

CDC: Most Americans Report Excellent, Good Health

WEDNESDAY, March 13, 2019 (HealthDay News) -- Most Americans report having excellent or good health and have a usual place to go for medical care, according to a report published March 13 for the National Health Interview Survey Early Release Program.

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Timing of Medicare Loss Linked to Kidney Transplant Outcomes

MONDAY, March 11, 2019 (HealthDay News) -- Kidney transplant recipients receiving Medicare who lose coverage before or after the current three-year policy time point have an increased risk for allograft loss, according to a study published online March 5 in the American Journal of Transplantation.

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Tenapanor Reduces Elevated Serum Phosphate in CKD

FRIDAY, March 8, 2019 (HealthDay News) -- For hyperphosphatemic patients with chronic kidney disease receiving maintenance hemodialysis, tenapanor significantly reduces elevated serum phosphate, according to a study published online March 7 in the Journal of the American Society of Nephrology.

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Secondhand Smoke Exposure Linked to Chronic Kidney Disease

THURSDAY, March 7, 2019 (HealthDay News) -- Secondhand smoke exposure is associated with an increased prevalence of chronic kidney disease (CKD) and CKD development, according to a study published online March 7 in the Clinical Journal of the American Society of Nephrology.

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Blood Test Offers Early Warning for Kidney Transplant Rejection

WEDNESDAY, March 6, 2019 (HealthDay News) -- A gene expression signature can identify T-cell mediated rejection (TCMR) ahead of time in kidney transplant recipients, according to a study published online March 1 in EBioMedicine.

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FDA Commissioner Dr. Scott Gottlieb Resigns

TUESDAY, March 5, 2019 (HealthDay News) -- In what probably came as a surprise to many, U.S. Food and Drug Administration Commissioner Scott Gottlieb, M.D., announced his resignation on Tuesday. Gottlieb is leaving the FDA because he wants to spend more time with his wife and three young daughters -- twins aged 9 and a 5-year-old -- one official said. He currently commutes each week from the family home in Connecticut to his Washington, D.C., office.

The Washington Post Article

Methanol Toxicity Can Result From Occupational Exposure

TUESDAY, March 5, 2019 (HealthDay News) -- Methanol toxicity can occur as a consequence of occupational exposure, according to a research letter published online March 5 in the Annals of Internal Medicine.

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Readmission for Patients With Sepsis Common and Costly

MONDAY, March 4, 2019 (HealthDay News) -- Readmission after sepsis hospitalization is common and is associated with considerable costs, according to a study published in the March issue of CHEST.

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Intraoperative Methylprednisolone During Bypass Not Renal Protective

MONDAY, March 4, 2019 (HealthDay News) -- For patients undergoing cardiac surgery with a cardiopulmonary bypass pump, administration of intravenous methylprednisolone does not reduce the risk for acute kidney injury, according to a study published online March 4 in CMAJ, the journal of the Canadian Medical Association.

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FDA Warns Americans Not to Buy Drugs From Canadian Company

FRIDAY, March 1, 2019 (HealthDay News) -- A large Canadian drug distributor sells unapproved and mislabeled medicines to Americans, the U.S. Food and Drug Administration warned Thursday. The distributor disputes the claim, however.

The New York Times Article
More Information: FDA

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