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September 2016 Briefing - Nephrology

Here are what the editors at HealthDay consider to be the most important developments in Nephrology for September 2016. 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.

CDC: Too Many Health Care Workers Not Getting Flu Vaccine

FRIDAY, Sept. 30, 2016 (HealthDay News) -- Roughly one in every five American health care workers do not receive the annual influenza vaccination, and in some facilities that number exceeds half, according to research published in the Sept. 30 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Meditation Recommended for Helping Attendings 'Attend'

FRIDAY, Sept. 30, 2016 (HealthDay News) -- Meditation can allow attending physicians to be "in attendance" in order to heal and maintain personal well-being, according to an article published by the American Medical Association.

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Capping Copays Will Raise Premiums, Up Drug Prices

THURSDAY, Sept. 29, 2016 (HealthDay News) -- The proposed capping of copays will raise premiums and is likely to increase drug prices, according to a report from the National Center for Policy Analysis (NCPA).

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Constitutional Symptoms Often Trigger Antibiotic Rx in Elderly

THURSDAY, Sept. 29, 2016 (HealthDay News) -- Constitutional symptoms, including mentation, often lead to diagnostic testing and potentially inappropriate antibiotic prescribing in older patients suspected of having a urinary tract infection (UTI) or pneumonia, according to a study published online Sept. 22 in the Journal of the American Geriatrics Society.

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Considerable Number of Doctors Attend Patient Funerals

THURSDAY, Sept. 29, 2016 (HealthDay News) -- A considerable proportion of doctors attend patient funerals, including 71 percent of general practitioners (GPs), according to a study published online Sept. 9 in Death Studies.

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Systolic Blood Pressure Variability Linked to Mortality, Morbidity

THURSDAY, Sept. 29, 2016 (HealthDay News) -- Systolic blood pressure variability (SBPV) is associated with mortality, coronary heart disease (CHD), stroke, and end-stage renal disease (ESRD), according to a study published in the Sept. 27 issue of the Journal of the American College of Cardiology.

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Many Doctors Reluctant to Reveal Mental Health Issues

WEDNESDAY, Sept. 28, 2016 (HealthDay News) -- Wary of the stigma of a mental health diagnosis and its toll on their careers, physicians often avoid getting help for depression and other mental illnesses, according to a report published online Sept. 15 in General Hospital Psychiatry.

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AMA: Practicing Empathy May Lead to More Joy in Medicine

MONDAY, Sept. 26, 2016 (HealthDay News) -- Empathetic listening can help physicians navigate difficult situations and forge deeper connections with patients, leading to greater professional satisfaction and joy, according to the American Medical Association.

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Anxiety Disorders Important in ESRD Treated With Hemodialysis

MONDAY, Sept. 26, 2016 (HealthDay News) -- Anxiety disorders are an important clinical problem in patients with end-stage renal disease (ESRD) treated with hemodialysis (HD), according to a review published online Sept. 22 in the Clinical Journal of the American Society of Nephrology.

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Most U.S. CKD Patients Receive Renal Replacement Therapy

FRIDAY, Sept. 23, 2016 (HealthDay News) -- Most U.S. patients with advanced chronic kidney disease receive renal replacement therapy (RRT), according to a study published online Sept. 22 in the Clinical Journal of the American Society of Nephrology.

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Decline in eGFR Mainly Linear in Type 1 Diabetes

THURSDAY, Sept. 22, 2016 (HealthDay News) -- For patients with type 1 diabetes, the decline of estimated glomerular filtration rate (eGFR) is mainly linear, according to a study published online Sept. 19 in Diabetes Care.

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Research Reveals 2 Genetic Loci Linked to Acute Kidney Injury

WEDNESDAY, Sept. 21, 2016 (HealthDay News) -- Four single-nucleotide polymorphisms at two loci that are associated with acute kidney injury have been identified, according to a study published online Aug. 30 in the American Journal of Respiratory and Critical Care Medicine.

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Hospitals Increasingly Employing Doctors, Effects on Care Uncertain

TUESDAY, Sept. 20, 2016 (HealthDay News) -- Hospitals are increasingly switching to an employment relationship with physicians, but switching has had no impact on primary composite quality metrics, according to a study published online Sept. 20 in the Annals of Internal Medicine.

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Average Premiums for Health Care Coverage Stable in 2016

MONDAY, Sept. 19, 2016 (HealthDay News) -- The average annual premiums for single and family coverage remained stable in 2016, according to a study published online Sept. 14 in Health Affairs.

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Early Rx With Losartan Doesn't Slow Kidney Disease Progression

FRIDAY, Sept. 16, 2016 (HealthDay News) -- For American-Indians with type 2 diabetes, early administration of losartan does not slow progression of glomerular filtration rate (GFR) decline, according to a study published online Sept. 9 in Diabetes Care.

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Importance of Drug As Assessed by Doctor Not Tied to Adherence

THURSDAY, Sept. 15, 2016 (HealthDay News) -- Physician-assessed drug importance is not associated with patient-reported drug adherence, according to a study published in the September/October issue of the Annals of Family Medicine.

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Recommendations Developed for Cost-Effectiveness Analyses

THURSDAY, Sept. 15, 2016 (HealthDay News) -- A new set of recommendations has been developed for conduct and reporting of cost-effectiveness analyses, according to a report published in the Sept. 13 issue of the Journal of the American Medical Association.

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Value-Driven Outcomes Tool Can Cut Health Care Costs

WEDNESDAY, Sept. 14, 2016 (HealthDay News) -- A multifaceted value-driven outcomes tool that identifies variability in costs and outcomes can reduce health care costs, according to a study published in the Sept. 13 issue of the Journal of the American Medical Association.

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Many Medicare Patients Non-Adherent to Antihypertensives

WEDNESDAY, Sept. 14, 2016 (HealthDay News) -- Nearly five million Medicare prescription drug enrollees aren't taking their antihypertensive medication as directed, according to research published in the Sept. 13 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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New Anticancer Drugs Up Costs and Life Expectancy Considerably

TUESDAY, Sept. 13, 2016 (HealthDay News) -- New anticancer drugs, which increase costs considerably, are associated with large gains in life expectancy, according to research published in the September issue of Health Affairs.

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Advanced Glycation End Products Tied to Renal Function Loss

TUESDAY, Sept. 13, 2016 (HealthDay News) -- For American-Indians with type 2 diabetes, advanced glycation end products (AGEs) are associated with renal function loss (RFL), according to a study published online Sept. 8 in Diabetes.

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Liraglutide, Sitagliptin Have No Effect on Renal Hemodynamics

FRIDAY, Sept. 9, 2016 (HealthDay News) -- In insulin-naive patients with type 2 diabetes, 12 weeks of treatment with liraglutide or sitagliptin has no effect on renal hemodynamics, according to a study published online Sept. 1 in Diabetes Care.

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Limited Dialyzability for Oxycodone, Noroxycodone

THURSDAY, Sept. 8, 2016 (HealthDay News) -- For patients with chronic pain with end-stage renal disease, oxycodone and noroxycodone have limited dialyzability, according to a study published online Sept. 2 in Pain Practice.

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Obesity May Up Survival in Metastatic Renal Cell Carcinoma

THURSDAY, Sept. 8, 2016 (HealthDay News) -- Obesity may increase survival for patients with metastatic renal cell carcinoma (RCC), according to a study published online Sept. 6 in the Journal of Clinical Oncology.

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Donor, Recipient Characteristics Impact Transplant Costs

THURSDAY, Sept. 1, 2016 (HealthDay News) -- Kidney donor and recipient characteristics impact transplant costs, according to a study published online Aug. 27 in the American Journal of Transplantation.

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Physician's Briefing
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