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Use of geriatric consultation remains sparse among older patients undergoing surgery for kidney cancer

Geriatric Consults Remain Rare in Kidney Cancer Care

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Although use of medical co-management and rehabilitation services increasing
For women

Hours Worked Impacted by Kids for Female, Not Male Doctors

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Findings from a national sample of dual-physician couples
As kidney function declines

Higher Odds of Infection With Reduced Kidney Function

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Study finds excess community-acquired infections incidence in individuals with mild to severe CKD
From 2007 to 2014 there was a decrease in the proportion of patients needing dialysis after transcatheter aortic valve implantation

’07 to ’14 Saw Drop in Proportion Needing Dialysis After TAVI

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Need for new dialysis after TAVI linked to increased risk of mortality at 30-days and four years
Graft survival is similar for recipients of kidneys from >80-year-old donors and donors aged ≤60 years

Graft Survival Similar for Kidneys From Octogenarians

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Recipients of biopsy-guided kidneys from >80-year-old donors had significantly shorter waiting times
Adoption of specialty access standards has not improved access to specialists

Specialist Access No Better With Adoption of Access Standards

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No notable improvement in timely access to specialty services following implementation of standards
Many studies used to support U.S. Food and Drug Administration approval of high-risk medical device modifications are not controlled; and efficacy of drugs granted accelerated approval is often confirmed three years after approval

Studies Used for FDA Approval of Device Changes Often Low Quality

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And, efficacy of drugs granted accelerated approval often confirmed only years after approval
For individuals with co-existing obstructive sleep apnea and cardiovascular disease

CPAP Doesn’t Alter Renal Function in Coexisting OSA, CVD

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Continuous positive airway pressure does not alter renal function, occurrence of renal adverse events
Reduced estimated glomerular filtration rate and elevated urine albumin-to-creatinine ratio are associated with increased risk of incident atrial fibrillation

Reduced eGFR, Increased UACR Linked to Incident A-Fib

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Step-wise increase in adjusted risk of incident atrial fibrillation across categories of decreasing eGFR
For patients who lack distinguishing clinical characteristics of known hereditary kidney cancer syndromes

Multigene Panel Tests Can ID Hereditary Kidney Cancer

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Most commonly altered genes were folliculin and fumarate hydratase, altered in 1.8 and 1.3 percent