September 2013 Briefing - Nephrology
Here are what the editors at HealthDay consider to be the most important developments in Nephrology for September 2013. 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.
Lower National Health Spending Due to Slow Economy
MONDAY, Sept. 30 (HealthDay News) -- National health care expenditures remain sluggish but are expected to grow at a rate of approximately 6.2 percent per year after 2014, with federal, state, and local governments accounting for half, according to research published online Sept. 18 in Health Affairs.
Only One-Third of Voters Think Congress Should Delay ACA
MONDAY, Sept. 30 (HealthDay News) -- With a government shutdown impending, only one-third of voters think that Congress should delay, defund, or repeal the health care laws set to take effect imminently, according to a report from The Morning Consult.
Medicare, Medicaid Will Still Run If Government Shuts Down
MONDAY, Sept. 30 (HealthDay News) -- According to U.S. officials, veterans and Medicare and Medicaid recipients will continue to receive health care benefits even if the federal government shuts down on Tuesday.
DOL Clarifies Employer Health Insurance Notification Duty
MONDAY, Sept. 30 (HealthDay News) -- The U.S. Department of Labor has provided clarification in the form of a frequently-asked-questions (FAQ) document, relating to employer obligations to provide employees with written notice about the Affordable Care Act's health insurance marketplaces by Oct. 1, 2013.
Health Worker Roles Impacted When 'Undervalued' by Patients
FRIDAY, Sept. 27 (HealthDay News) -- Job satisfaction among nurse practitioners and other professionals can suffer when clientele lack a clear understanding of what they do, according to research published in the Aug. 1 issue of the Academy of Management Journal.
Practical Tips Offered for Medical Employee Satisfaction
FRIDAY, Sept. 27 (HealthDay News) -- Managing staff is a learned skill, and one for which physicians are often ill-equipped. An article published Sept. 25 in Medical Economics lays out some practical tips and advice for motivating staff to excel.
HEALTH REFORM: ACA Impact on Medicare Recipients Unclear
FRIDAY, Sept. 27 (HealthDay News) -- The Affordable Care Act (ACA) will help millions of uninsured Americans access affordable health care coverage, but it's unclear what effect the law will have on people covered by Medicare.
HEALTH REFORM: Medicaid Expansion Will Up Coverage
THURSDAY, Sept. 26 (HealthDay News) -- Two aspects of the Affordable Care Act (ACA) have the potential to extend health insurance coverage to those who do not qualify for government-sponsored health care but cannot afford to purchase private plans.
CDC: Flu Shot Coverage of Health Care Personnel Increasing
THURSDAY, Sept. 26 (HealthDay News) -- Influenza vaccination coverage has increased among health care personnel but varies by occupation type and occupational setting, according to a report published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
Antibodies Predict Graft Injury, Loss in Kidney Transplants
WEDNESDAY, Sept. 25 (HealthDay News) -- Patients who have complement-binding donor-specific antibodies to human leukocyte antigens (HLAs) after kidney transplantation have a nearly five-fold higher risk of graft loss, according to a study published in the Sept. 26 issue of the New England Journal of Medicine.
More Options, Lower Premiums With Insurance Exchanges
WEDNESDAY, Sept. 25 (HealthDay News) -- Consumers are likely to find insurance options more plentiful and more affordable than expected in the new Health Insurance Marketplace that goes into effect Oct. 1, according to a report released Sept. 25 by the U.S. Department of Health and Human Services.
HEALTH REFORM: Exchanges Offer Options for the Uninsured
WEDNESDAY, Sept. 25 (HealthDay News) -- Millions of part-time, seasonal, self-employed workers and other individuals currently without health insurance may find a solution to their vulnerable status when the new health care exchanges go into effect on Oct. 1.
Chronic Kidney Disease Up in the Oldest Old in the U.S.
WEDNESDAY, Sept. 25 (HealthDay News) -- The prevalence of chronic kidney disease (CKD) has increased among U.S. adults aged 80 years or older, according to research published in the Sept. 25 issue of the Journal of the American Medical Association.
ACP Provides Overview of Health Insurance Marketplaces
WEDNESDAY, Sept. 25 (HealthDay News) -- The opportunities and challenges presented by health care reform are discussed in an article published online Sept. 24 in the Annals of Internal Medicine.
HEALTH REFORM: Health Care Reform a Mixed Bag for Workers
TUESDAY, Sept. 24 (HealthDay News) -- Much discussion of the Affordable Care Act revolves around the dramatic changes in store for America's uninsured, but the health care reform law will also have an impact on individuals with employer-based coverage.
FDA Gives Final Guidance on Mobile Medical App Oversight
TUESDAY, Sept. 24 (HealthDay News) -- The U.S. Food and Drug Administration issued final guidance for mobile application (app) developers, and is focusing its oversight on medical apps that will be used as accessories to regulated medical devices, or that transform a mobile device into a regulated medical device.
HEALTH REFORM: Young People Likely to Be Key to Success
MONDAY, Sept. 23 (HealthDay News) -- Young, healthy adults are considered key to the success of health insurance reform, but many are not even aware of state insurance exchanges.
FDA Issues Final Rule for Device Identification System
MONDAY, Sept. 23 (HealthDay News) -- The U.S. Food and Drug Administration has released a final rule for the unique device identification system (UDI) that, when implemented, will improve patient safety by providing a consistent way to identify approved medical devices.
HEALTH REFORM: Health Care Exchanges Going Into Effect
MONDAY, Sept. 23 (HealthDay News) -- As of Oct. 1, consumers looking for health insurance will be able to turn to state-based health care exchanges, a centerpiece of the Affordable Care Act intended to help the uninsured and small businesses find affordable coverage.
Majority of U.S. Consumers Want Full Access to EMR
MONDAY, Sept. 23 (HealthDay News) -- Most U.S. consumers want to have full access to their electronic medical records (EMR), and 41 percent would be willing to switch doctors to gain access, according to a survey published by Accenture.
New Medicaid Enrollees Under ACA May Be Healthier
THURSDAY, Sept. 19 (HealthDay News) -- Adults potentially eligible for Medicaid under the Patient Protection and Affordable Care Act (ACA) are expected to have equal or better health status than current beneficiaries, according to research published in the September/October issue of the Annals of Family Medicine.
Millions Are Harmed by Unsafe Medical Care Each Year
THURSDAY, Sept. 19 (HealthDay News) -- Adverse events caused by inferior medical care are a major source of morbidity and mortality globally, according to research published in the October issue of BMJ Quality & Safety.
Pros and Cons of Shortening Medical School Discussed
THURSDAY, Sept. 19 (HealthDay News) -- The pros and cons of shortening medical school to three years are discussed in two perspective pieces published in the Sept. 19 issue of the New England Journal of Medicine.
Enhanced Care Program Set Up at Six Mayo Clinic Hospitals
WEDNESDAY, Sept. 18 (HealthDay News) -- A new program has been developed and implemented at six Mayo Clinic Health System hospitals to improve care and shorten hospital stays using remote monitoring, according to a press release issued by the Mayo Clinic.
Payment for Routine Office Visits Varies Substantially
WEDNESDAY, Sept. 18 (HealthDay News) -- There is substantial variation in private insurance payment to physicians for routine office visits, according to research published in the September issue of Health Affairs.
EHR Systems Meeting Meaningful Use Criteria Beneficial
WEDNESDAY, Sept. 18 (HealthDay News) -- Most electronic health record (EHR) systems meet meaningful use criteria, and these systems are associated with time-saving and other benefits, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.
More Than 1.6 Million Americans Expected to Get Cancer in 2013
TUESDAY, Sept. 17 (HealthDay News) -- Although significant progress has been made in treating cancer, more than 1.6 million Americans are projected to receive a cancer diagnosis in 2013, according to the third American Association for Cancer Research's Cancer Progress Report 2013.
Detection Bias May Explain Raised Bladder CA Risk in T2DM
TUESDAY, Sept. 17 (HealthDay News) -- Early detection bias may explain the pattern of increased bladder cancer risk previously reported in patients with type 2 diabetes, according to a study published online Aug. 29 in Diabetes Care.
Mindfulness Training Beneficial for Clinicians, Patients
THURSDAY, Sept. 12 (HealthDay News) -- Mindfulness training is associated with improvements in physician burnout; and, clinicians who rate themselves as more mindful engage in more patient-centered communication, according to two studies published in the September/October issue of the Annals of Family Medicine.
Poorer Outcomes After Non-Cardiac Surgery in DM
WEDNESDAY, Sept. 11 (HealthDay News) -- For patients undergoing non-cardiac surgery, diabetes is associated with adverse perioperative complications and mortality, according to a study published online Aug. 29 in Diabetes Care.
Individual Physician-Level Incentives Improve BP Control
TUESDAY, Sept. 10 (HealthDay News) -- Individual physician-level financial incentives are associated with greater blood pressure control or appropriate response to uncontrolled blood pressure, but neither physician-level nor practice-level incentives result in greater use of guideline-recommended medications, according to a study published in the Sept. 11 issue of the Journal of the American Medical Association.
Prevalence of Hospitalization Due to Hypertensive Disease Up
TUESDAY, Sept. 10 (HealthDay News) -- From 1980 to 2007, the prevalence of hospitalization attributable to hypertensive disease increased for U.S. adults, according to a study published in the Sept. 1 issue of The American Journal of Cardiology.
About Half of Health Care Providers Are 'Digital Omnivores'
TUESDAY, Sept. 10 (HealthDay News) -- About half of health care providers are "digital omnivores," meaning they use a tablet, smartphone, and laptop/desktop computer routinely in a professional capacity, according to a report published by Epocrates.
Treatment in Critical Care Often Perceived As Futile
TUESDAY, Sept. 10 (HealthDay News) -- Intensive care unit (ICU) treatment is frequently perceived as futile by critical care specialists, and entails considerable costs, according to a study published online Sept. 9 in JAMA Internal Medicine.
Measures of Glucose and its Variability Are Inter-Related
TUESDAY, Sept. 10 (HealthDay News) -- Hemoglobin A1c (HbA1c) and glycated albumin (GA) are inter-related and correlate with retinopathy and nephropathy, while only HbA1c correlates with cardiovascular disease, according to a study published online Aug. 29 in Diabetes.
'Meaningful Use' Achievement Not Uniform Across Hospitals
MONDAY, Sept. 9 (HealthDay News) -- In regard to the adoption of electronic health records (EHRs), achievement of "meaningful use" criteria is not uniform across all hospitals, according to a study published in the August issue of Health Affairs.
Most Physicians Report Being Satisfied With Career Choice
MONDAY, Sept. 9 (HealthDay News) -- Most physicians report being satisfied with their career choice, although 40 percent would rethink their path given the chance to choose again, according to the 2013 Great American Physician Survey published in Physicians Practice.
Docs' Confidence in Diagnosis Unrelated to Diagnostic Accuracy
TUESDAY, Sept. 3 (HealthDay News) -- Physicians' confidence in their diagnostic accuracy is not associated with actual diagnostic accuracy or with case difficulty, according to a study published online Aug. 26 in JAMA Internal Medicine.
Male-Female Physician Earnings Gap Has Persisted for 20 Years
TUESDAY, Sept. 3 (HealthDay News) -- For physicians, the male-female earnings gap has not changed significantly since 1987, according to a research letter published online Sept. 2 in JAMA Internal Medicine.
Workaholics Have Poorer Physical and Mental Health
MONDAY, Sept. 2 (HealthDay News) -- Workaholics, defined as those who work more than 50 hours per week, have reduced physical and mental well-being, according to researchers from Kansas State University.
Employer-Based Health Insurance Premiums Rose Modestly in 2013
MONDAY, Sept. 2 (HealthDay News) -- Employer-sponsored health insurance premiums rose only modestly in 2013, according to research published in the August issue of Health Affairs.