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Recommendations have been developed for the diagnosis and management of multiple myeloma-related renal impairment; the guidelines were published online March 14 in the Journal of Clinical Oncology.

Recommendations Issued for Myeloma-Tied Renal Impairment

Practical recommendations developed for diagnosis and management of renal impairment
Electronic consultation

E-Consultations Can Improve Access to, Timeliness of Care

Median days to a review for an e-consultation was five days, versus 24 days for traditional visit
Trends indicate a reduction in glyburide and thiazolidinedione prescriptions and increases in gliclazide and dipeptidyl peptidase-4 inhibitor prescriptions among older adults with diabetes and chronic kidney disease

Antihyperglycemic Medication Prescribing Trends Are Changing

Decrease in glyburide and thiazolidinedione Rx; increase in gliclazide, dipeptidyl peptidase-4 inhibitor
Negotiations to increase payment from insurance companies can be extremely difficult

Guidance Offered for Negotiating Higher Rates From Payers

Compiling the information needed to approach insurance companies is time consuming
In what researchers are calling a possible "paradigm shift

Survival Benefit for Kidneys From Incompatible Living Donors

Compared no transplantation and transplants from deceased donors
Adding core-needle biopsy to other clinical care may help improve outcomes for some patients with renal cell carcinoma

Core-Needle Biopsy Effective in Evaluation of Renal Masses

Image-guided testing of tissue from the renal mass may lead to improved treatments, researchers say
Problematic clauses in physicians' contracts can impact patient care and professionalism

Physicians’ Contracts Can Affect Patients, Professionalism

Problematic clauses in contracts include blanket confidentiality clauses, termination without cause
A case of hepatitis E virus infection has been reported in a kidney transplant recipient

Case of Hepatitis E Transmission Via Plasma Exchange

Transmission of HEV through plasma exchange for acute humoral rejection after kidney transplant
Physicians who are married to a highly-educated spouse are less likely to work in rural underserved areas

Spouse Education Level May Impact Choice for Rural Practice

Lower odds of working in rural HPSA for physicians married to a highly-educated spouse
The Supreme Court has ruled against state efforts to collect health care data from insurance plans.

SCOTUS: States Can’t Force Health Care Data Release

Supreme Court rules states can't force health insurers to turn over data