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September 2018 Briefing – Nephrology

September 2018 Briefing – Nephrology

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

Physicians Often Don’t Address Their Burnout

FRIDAY, Sept. 28, 2018 — More than half of physicians experience burnout, and many do not seek treatment for burnout, according to a report published in the American Medical Association’s AMA Wire.

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Implementing EMRs Affects Time Spent With Patients in Clinic

FRIDAY, Sept. 28, 2018 — Following a six-month learning period to implement an electronic medical record (EMR) system, outpatient orthopedic clinics return to pre-implementation efficiency, but there may be other lasting effects on productivity, according to a study published in the Sept. 19 issue of The Journal of Bone & Joint Surgery.

Abstract/ Full Text

Proton Pump Inhibitor Use Tied to Hip Fracture in Dialysis Patients

FRIDAY, Sept. 28, 2018 — Proton pump inhibitor (PPI) use is associated with increased risk of hip fracture among dialysis patients, according to a study published online Sept. 27 in the Clinical Journal of the American Society of Nephrology.

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Business Degree Increasingly Useful for Doctors

THURSDAY, Sept. 27, 2018 — Having a Master of Business Administration degree (M.B.A.) can help doctors with important, practice-related decisions, according to a report published recently in Physician Practice.

Abstract/Full Text

Kidney Function Recovery Seen in Some Children on Dialysis

THURSDAY, Sept. 27, 2018 — Roughly 2 percent of pediatric patients on maintenance dialysis recover within two years after dialysis initiation, according to a study published online Sept. 20 in the Clinical Journal of the American Society of Nephrology.

Abstract/Full Text (subscription or payment may be required)

Practices Should Set Rules for Staff Social Media Use

THURSDAY, Sept. 27, 2018 — Medical practices can take steps to avoid problems related to use of social media by staff members, according to an article published in Medical Economics.

Abstract/Full Text

PCI, CABG Both Acceptable for CKD Patients With LMCAD

WEDNESDAY, Sept. 26, 2018 — For patients with left main coronary artery disease (LMCAD), those with and without chronic kidney disease (CKD) undergoing revascularization have similar long-term outcomes with percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG), according to a study published in the Aug. 14 issue of the Journal of the American College of Cardiology.

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Editorial (subscription or payment may be required)

Burnout, Career Choice Regret Prevalent in U.S. Residents

WEDNESDAY, Sept. 26, 2018 — Symptoms of burnout and career choice regret are prevalent among U.S. resident physicians, according to a study published in the Sept. 18 issue of the Journal of the American Medical Association.

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Enlarged Kidneys in Neonates With Congenital Heart Disease

WEDNESDAY, Sept. 26, 2018 — Neonates with congenital heart disease (CHD) have enlarged kidneys on average, according to a study published online Sept. 11 in Pediatric Research.

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Physician-Group ACOs Generate Medicare Savings

TUESDAY, Sept. 25, 2018 — Physician-group accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) generated significantly more savings for Medicare that grew from 2012 to 2015 compared with hospital-integrated ACOs, according to research published in the Sept. 20 issue of the New England Journal of Medicine.

Abstract/Full Text

In 2016, Proportion of Uninsured Americans Down to 10 Percent

TUESDAY, Sept. 25, 2018 — From 2013 to 2016 there was a reduction in uninsurance among Americans from 17 to 10 percent, according to a report published in September by the Robert Wood Johnson Foundation (RWJF) and the Urban Institute.

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Patients Report Poorer Dialysis Service in Certain Settings

MONDAY, Sept. 24, 2018 — Patient-reported experiences at dialysis facilities vary by patient, facility, and geographic characteristics, according to a study published online Sept. 10 in JAMA Internal Medicine.

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Some Clinicians, Patients Record Clinic Visits for Patient Use

FRIDAY, Sept. 21, 2018 — A considerable proportion of clinicians and patients report having recorded a clinic visit for the patient’s personal use, according to a study published in the September issue of the Journal of Medical Internet Research.

Abstract/Full Text

Dozens of Medical Groups Join Forces to Improve Diagnoses

FRIDAY, Sept. 21, 2018 — Every nine minutes, a patient in a U.S. hospital dies because a diagnosis was wrong or delayed — resulting in 80,000 deaths a year. That sobering estimate comes from the Society to Improve Diagnosis in Medicine (SIDM).

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Research Links Doctor Burnout to Patient Safety Incidents

THURSDAY, Sept. 20, 2018 — Physician burnout is associated with increased risk of patient safety incidents, poorer quality of care due to low professionalism, and reduced patient satisfaction, according to a review published online Sept. 4 in JAMA Internal Medicine.

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Editorial (subscription or payment may be required)

Hospitals Charge 479 Percent of Cost of Drugs on Average

THURSDAY, Sept. 20, 2018 — On average, hospitals mark up drugs by 479 percent of their cost, according to a report from The Moran Company, commissioned by the Pharmaceutical Research and Manufacturers of America (PhRMA).

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Residents Should Take Advantage of Paid Time Off

THURSDAY, Sept. 20, 2018 — Although there are many demands on residents, taking advantage of paid vacation time is one of the perks and should be maximized, according to an article published in the American Medical Association’s AMA Wire.

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20% of Children, Adolescents Use Prescription Medications

WEDNESDAY, Sept. 19, 2018 — Almost 20 percent of children and adolescents used prescription medications in 2013 to 2014, and 8.2 percent of concurrent users of prescription medications in 2009 to 2014 were at risk for a potentially major drug-drug interactions (DDIs), according to a study published in the September issue of Pediatrics.

Abstract/Full Text
Editorial

Patient Health Information Often Shared Electronically

WEDNESDAY, Sept. 19, 2018 — The most common electronically sent and received types of patient health information (PHI) include laboratory results and medication lists, according to a report published Aug. 15 by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.

Abstract/Full Text

Global Prevalence of Insufficient Activity 27.5 Percent

WEDNESDAY, Sept. 19, 2018 — In 2016 the age-standardized prevalence of insufficient physical activity was 27.5 percent, according to a study published in the October issue of The Lancet Global Health.

Abstract/Full Text
Editorial

Scribes Improve Physician Workflow, Patient Interaction

TUESDAY, Sept. 18, 2018 — Use of medical scribes is associated with decreased physician documentation burden, improved work efficiency, and improved patient interactions, according to a study published online Sept. 17 in JAMA Internal Medicine.

Abstract/Full Text
Editorial

Drug Prices Increase More Than Expected After Shortages

TUESDAY, Sept. 18, 2018 — Prices for drugs under shortage increase more than twice as quickly as expected in the absence of a shortage, according to a research letter published online Sept. 18 in the Annals of Internal Medicine.

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Compliance With Requirement to Report Results on EUCTR Is Poor

TUESDAY, Sept. 18, 2018 — Half of trials on the European Union Clinical Trials Register (EUCTR) are non-compliant with the European Commission’s requirement that all trials post results to the registry within 12 month of completion, according to a study published online Sept. 13 in The BMJ.

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Association Health Plans Can Help Small Businesses Offer Coverage

MONDAY, Sept. 17, 2018 — Association health plans (AHPs) will provide small businesses with more choices, access, and coverage options, although critics warn that they may undermine the Affordable Care Act (ACA) marketplace, according to an article published in Managed Healthcare Executive.

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Model Estimates Mortality in Patients Waiting for Hearts

MONDAY, Sept. 17, 2018 — For patients with advanced heart failure who are listed for transplantation, mortality risk is related to adverse events and end-organ dysfunction that vary over time, according to a study published in the Aug. 7 issue of the Journal of the American College of Cardiology.

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Editorial (subscription or payment may be required)

Situation Framing, Language Can Influence Decision-Making

FRIDAY, Sept. 14, 2018 — How a situation is framed and the language used to describe risks can influence patients’ decision-making, according to an article published in Physicians Practice.

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AHA: Resistant Hypertension Diagnosis, Tx Guidelines Updated

THURSDAY, Sept. 13, 2018 — A correct diagnosis of resistant hypertension is necessary to avoid overmedicating, according to a scientific statement from the American Heart Association published online Sept. 13 in Hypertension.

Abstract/Full Text (subscription or payment may be required)

Gains in Insurance Coverage Seen for Lesbian, Gay, Bisexual Adults

THURSDAY, Sept. 13, 2018 — Lesbian, gay, and bisexual (LGB) adults report continued problems affording care despite coverage gains offered by the Affordable Care Act, according to a study published in the August issue of Health Affairs.

Abstract/Full Text (subscription or payment may be required)

Six-Step Analysis Can Help Improve Practice Logistics

WEDNESDAY, Sept. 12, 2018 — A six-step analysis can help redesign and improve the outpatient health care process, according to a study recently published in the Journal of Evaluation in Clinical Practice.

Abstract/Full Text

Residents Working Long Hours Can Increase Alertness

WEDNESDAY, Sept. 12, 2018 — Medical residents can take steps to maintain their energy and alertness during long shifts, according to an article published in the American Medical Association’s AMA Wire.

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Medicaid Work Requirements Don’t Impact Many Enrollees

TUESDAY, Sept. 11, 2018 — Medicaid work requirements will only impact a small proportion of persons and may only generate minimal savings, according to two research letters published online Sept. 10 in JAMA Internal Medicine.

Abstract/Full Text – Goldman
Abstract/Full Text – Silvestri
Editorial

Data Age in Clinical Trials Is About Three Years at Publication

TUESDAY, Sept. 11, 2018 — The median data age in clinical trials in journals with a high impact factor is about three years at publication, according to a study published in the Aug. 10 issue of JAMA Network Open.

Abstract/Full Text

Many Opportunities for Doctors Using Twitter

MONDAY, Sept. 10, 2018 — Doctors can use Twitter to build networks and learn more about research in real time, according to a blog post published by Penn Medicine News.

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Docs, Consumers Agree on Benefits of Virtual Care

MONDAY, Sept. 10, 2018 — Physicians and consumers agree on the benefits of virtual care, but physician adoption of virtual care technologies is low, according to a report on the Deloitte 2018 Survey of U.S. Physicians.

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Physician Burnout Rates Vary by Medical Specialty

MONDAY, Sept. 10, 2018 — Nearly half of physicians report being burned out, but rates vary substantially by medical specialty, according to an article published in AMA Wire.

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Personalized Weighting Could Enhance Hospital Rating Tools

FRIDAY, Sept. 7, 2018 — The weighting systems that underlie hospital performance rating tools should incorporate the needs, values, and preferences of patients, according to a perspective article published in the Aug. 30 issue of the New England Journal of Medicine.

Abstract/Full Text

Better Training Needed to Boost LGBTQ Patient Health Care

THURSDAY, Sept. 6, 2018 — High-quality health care needs to be provided to lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients, and improved training is necessary to deliver that care, according to a report published in the American Medical Association’s AMA Wire.

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Hospital Groups Launch Own Generic Drug Company

THURSDAY, Sept. 6, 2018 — Three U.S. health care foundations and seven hospital groups have formed a generic drug company to combat high prices and chronic shortages of medicines.

AP News Article

Public Service Loan Forgiveness Program Has Uncertain Future

WEDNESDAY, Sept. 5, 2018 — Uncertainty surrounds the future of the Public Service Loan Forgiveness (PSLF) program, according to an Ideas and Opinions article published online Aug. 28 in the Annals of Internal Medicine.

Abstract/Full Text (subscription or payment may be required)

Enrollment in High-Deductible Health Plans Up From ’07 to ’17

TUESDAY, Sept. 4, 2018 — Enrollment in high-deductible health plans (HDHPs) has increased among adults with employment-based insurance coverage, according to an August data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.

Abstract/Full Text

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Posted: October 2018

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