Here are what the editors at HealthDay consider to be the most important developments in Nephrology for April 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.
Events for Living Kidney Donors Mainly Occur After Two Years
MONDAY, April 29, 2019 (HealthDay News) — Overall, about 14.7 percent of living kidney donors have postdonation events, most of which occur more than two years after donation, according to a study published online April 12 in JAMA Network Open.
CKD Risk Lower for Those Following Healthy Plant-Based Diet
FRIDAY, April 26, 2019 (HealthDay News) — Greater adherence to healthy plant-based diets and a vegetarian diet is associated with a lower risk for chronic kidney disease (CKD), according to a study published online April 25 in the Clinical Journal of the American Society of Nephrology.
Gender Differences Seen in Adverse Drug Reactions
FRIDAY, April 26, 2019 (HealthDay News) — The risk for adverse drug reactions (ADRs) may be higher for women, even when accounting for gender differences in drug use, according to a study published online April 2 in the British Journal of Clinical Pharmacology.
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Over Half of Seniors Initiating Dialysis Die Within One Year
WEDNESDAY, April 24, 2019 (HealthDay News) — More than half of Medicare beneficiaries initiating dialysis die within one year, according to a research letter published online April 22 in JAMA Internal Medicine.
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USPSTF Urges Asymptomatic Bacteriuria Screen in Pregnancy
TUESDAY, April 23, 2019 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) recommends screening pregnant women for asymptomatic bacteriuria (ASB) but not nonpregnant women or men. These recommendations form the basis of a draft recommendation statement published online April 23 by the USPSTF.
Evidence Review
Draft Recommendation Statement
Comment on Recommendation Statement
FDA Approves Pembrolizumab Plus Axitinib for Advanced RCC
TUESDAY, April 23, 2019 (HealthDay News) — The combination of pembrolizumab and axitinib has been approved as a first-line treatment in advanced renal cell carcinoma (RCC), the U.S. Food and Drug Administration announced Friday.
Atrasentan Tied to Lower Risk for Kidney Events in T2DM With CKD
FRIDAY, April 19, 2019 (HealthDay News) — Atrasentan is associated with a reduced risk for renal events in patients with type 2 diabetes and chronic kidney disease, according to a study published online April 14 in The Lancet to coincide with the International Society of Nephrology World Congress of Nephrology, held from April 12 to 15 in Melbourne, Australia.
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National Hand Hygiene Initiative Successful in Australia
FRIDAY, April 19, 2019 (HealthDay News) — The National Hand Hygiene Initiative (NHHI) has successfully sustained improvement in hand hygiene compliance, according to a study recently published in The Lancet Infectious Diseases and presented at the European Congress of Clinical Microbiology & Infectious Diseases, held from April 13 to 16 in Amsterdam.
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Loan Forgiveness, Educational Debt May Affect Practice Patterns
FRIDAY, April 19, 2019 (HealthDay News) — Increased educational debt appears to directly influence physician practice choice, according to a study published in the April issue of the Journal of the American Osteopathic Association.
Trial Results Unclear for Benefit of Longer Hemodialysis Sessions
THURSDAY, April 18, 2019 (HealthDay News) — Intervention uptake was insufficient to allow evaluation of its impact in a pragmatic trial designed to assess the effect of longer hemodialysis duration on death and other outcomes; the findings from the Time to Reduce Mortality in ESRD (TiME) trial were published online April 18 in the Journal of the American Society of Nephrology.
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Sixty People Charged in Massive Opioid Painkiller Investigation
THURSDAY, April 18, 2019 (HealthDay News) — Fifty-three medical professionals, including 31 doctors, are among the 60 people charged by U.S. authorities for their alleged involvement in the illegal prescribing and distribution of opioid painkillers.
Canagliflozin Seems Effective for Patients With T2DM, Kidney Disease
MONDAY, April 15, 2019 (HealthDay News) — Canagliflozin is associated with a reduced risk for renal and cardiovascular events for patients with type 2 diabetes and kidney disease, according to a study published online April 14 in the New England Journal of Medicine to coincide with the International Society of Nephrology World Congress of Nephrology, held from April 12 to 15 in Melbourne, Australia.
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Standardizing Demographics Ups Accuracy of Patient Matching
MONDAY, April 15, 2019 (HealthDay News) — Standardizing demographic data can improve the accuracy of patient matching, according to a study published in the May issue of the Journal of the American Medical Informatics Association.
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Pruritus Prevalent and Disruptive in Nondialysis Chronic Kidney Disease
FRIDAY, April 12, 2019 (HealthDay News) — Almost one in four patients with nondialysis chronic kidney disease (CKD) has moderate-to-extreme pruritus, which is associated with poorer quality of life, according to a study published online April 11 in the Clinical Journal of the American Society of Nephrology.
Domestic Responsibilities Tied to Physician Mothers’ Satisfaction
THURSDAY, April 11, 2019 (HealthDay News) — For physician mothers in procedural specialties, being responsible for five or more domestic tasks is associated with an increased likelihood of career dissatisfaction, according to a study published online April 10 in JAMA Surgery.
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New, Revised Topics Released in ACR Appropriateness Criteria
TUESDAY, April 9, 2019 (HealthDay News) — The latest edition of the American College of Radiology (ACR) Appropriateness Criteria has been released and includes 188 diagnostic imaging and interventional radiology topics, with 908 clinical variants covering more than 1,670 clinical scenarios.
Racial Disparities Seen in Kidney Transplant for Highly Sensitized
WEDNESDAY, April 3, 2019 (HealthDay News) — After implementation of the Kidney Allocation System, there was less access to kidney transplant in the black population among patients who are highly sensitized, according to a study published online April 3 in JAMA Surgery.
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Americans Borrowed $88 Billion in Past Year to Pay for Health Care
TUESDAY, April 2, 2019 (HealthDay News) — About one in eight Americans borrowed a total of $88 billion in the past year to pay for health care, a new West Health-Gallup survey shows.
CNN Article
West Health-Gallup Survey
Over-the-Counter Meds Save Health Care System Money
TUESDAY, April 2, 2019 (HealthDay News) — On average, each dollar spent on over-the-counter (OTC) medicines saves the U.S. health care system $7.20, totaling nearly $146 billion in annual savings, according to a report released March 18 by the Consumer Healthcare Products Association (CHPA).
Doctors Unclear on Legal Obligations in Caring for Patients With Disability
MONDAY, April 1, 2019 (HealthDay News) — Practicing physicians might not understand their legal responsibilities when caring for people with disability, which may contribute to inequalities in their care, according to a study published online April 1 in Health Affairs.
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