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March 2018 Briefing – Nephrology

March 2018 Briefing – Nephrology

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Here are what the editors at HealthDay consider to be the most important developments in Nephrology for March 2018. 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.

Novel Interstitium Has Been Identified in Human Tissues

THURSDAY, March 29, 2018 — A previously unrecognized interstitium has been identified in human tissues, according to a study published online March 27 in Scientific Reports.

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EHR Usability Contributes to Possible Patient Harm Events

TUESDAY, March 27, 2018 — Electronic health record (EHR) usability may contribute to possible patient harm events, according to a research letter published in the March 27 issue of the Journal of the American Medical Association.

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Complete Genome Sequence Can Be ID’d From Amniotic Fluid

TUESDAY, March 27, 2018 — The complete genome sequence of fetuses can be elucidated from amniotic fluid, according to a study published online March 15 in Clinical Chemistry.

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Trained Navigators Help Patients With Kidney Transplant Process

MONDAY, March 26, 2018 — A trained patient navigator helps to increase access to the transplant waitlist for disadvantaged patients with kidney failure who need a longer time to get through the transplant evaluation process, according to a study published online March 26 in the Clinical Journal of the American Society of Nephrology.

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Ethical Duties ID’d for Short-Term Global Health Experiences

MONDAY, March 26, 2018 — In a position paper published online March 27 in the Annals of Internal Medicine, ethical obligations have been detailed for physicians participating in short-term global health experiences (STEGHs).

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Lean Approach May Help Tackle Burnout in Health Care Providers

FRIDAY, March 23, 2018 — The Lean approach, which emphasizes reducing waste and improving customer value by focusing on the big picture, can be used to address physician burnout, according to a report published in Medical Economics.

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Nivolumab Plus Ipilimumab Tops Sunitinib for Advanced Renal CA

FRIDAY, March 23, 2018 — For patients with previously untreated clear-cell advanced renal-cell carcinoma, nivolumab plus ipilimumab is associated with better overall survival than sunitinib, according to a study published online March 21 in the New England Journal of Medicine.

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Unique Risks Associated With Texting Medical Orders

THURSDAY, March 22, 2018 — Despite the popularity, convenience, and speed of texting medical orders, there are unique and alarming risks associated with the practice, according to a report published in Drug Topics.

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Blueprint Being Developed to Address Physician Burnout

WEDNESDAY, March 21, 2018 — A new, three-pronged approach is being applied to develop a blueprint for addressing physician burnout, according to a report published in Medical Economics.

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Personal Health Info Found in Recycling at Five Hospitals

TUESDAY, March 20, 2018 — A considerable amount of personal health information (PHI) and personally identifiable information (PII) was found in the recycling at five Canadian teaching hospitals, according to a research letter published in the March 20 issue of the Journal of the American Medical Association.

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Prior Authorization Negatively Impacts Clinical Outcomes

MONDAY, March 19, 2018 — The burdens associated with prior authorization (PA) are high and include a negative impact on clinical outcomes, reported by 92 percent of physicians, according to the results of a survey conducted for the American Medical Association (AMA).

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Survey

Patient, Logistical Factors Limit CKD Screening Among Blacks

FRIDAY, March 16, 2018 — Culturally sensitive education and stakeholder engagement are critical to increase participation in community screening for chronic kidney disease (CKD) among African-Americans, according to a study published online March 15 in the Clinical Journal of the American Society of Nephrology.

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Drug Copayments Often Exceed Prescription Drug Costs

WEDNESDAY, March 14, 2018 — Drug copayments frequently exceed prescription drug costs, with overpayments affecting 23 percent of all prescriptions, according to a research letter published in the March 13 issue of the Journal of the American Medical Association.

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U.S. Spends Twice As Much for Similar Health Care Utilization

TUESDAY, March 13, 2018 — Spending on health care is much higher in the United States than other high-income countries, but utilization rates are similar, according to a study published in the March 13 issue of the Journal of the American Medical Association.

Abstract/Full Text
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Three-Pronged Approach Can Improve Physician Engagement

MONDAY, March 12, 2018 — The three-pronged approach implemented by one practice successfully improved physician engagement, according to an article published in Medical Economics.

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Doctors Facing Challenge to Help Needy While Protecting Practices

FRIDAY, March 9, 2018 — Physicians are increasingly being challenged to protect their practice finances while helping patients without insurance, according to an article published in Medical Economics.

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Patients With CKD Face High Symptom Burden at End of Life

FRIDAY, March 9, 2018 — Patients with advanced kidney disease face a substantial symptom burden in the last 12 months of life, according to a small study published online Feb. 28 in the Journal of Renal Care.

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2005 to 2015 Saw Drop in Living Kidney Donation Among Men

THURSDAY, March 8, 2018 — From 2005 to 2015, there was a decrease in living kidney donation in men, while donation was stable for women, according to a study published online March 8 in the Journal of the American Society of Nephrology.

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No Link Found Between Marijuana Use, Kidney Function

THURSDAY, March 8, 2018 — There are no significant associations between current or past self-reported marijuana use and measures of kidney function, according to a study published recently in the American Journal of Medicine.

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Prophylaxis Can Prevent HCV Infection in Kidney Recipients

TUESDAY, March 6, 2018 — Direct-acting antiviral prophylaxis is safe and prevents chronic hepatitis C virus (HCV) infection after kidney transplantation from HCV-infected donors to noninfected recipients, according to a study published online March 6 in the Annals of Internal Medicine.

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Conventional Hemodialysis Induces Drop in Cerebral Blood Flow

THURSDAY, March 1, 2018 — In elderly patients, conventional hemodialysis induces a reduction in cerebral blood flow (CBF), according to a study published online March 1 in the Journal of the American Society of Nephrology.

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