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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
Characteristics unrelated to allograft quality are associated with later acceptance in the deceased donor kidney match-run

Factors Unrelated to Allograft Quality Tied to Organ Turndown

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Holiday or weekend procurement, shorter donor stature, location of procurement tied to later acceptance
Strategies can help to prevent medical practice billing errors

Guidance Provided for Preventing Practice Billing Errors

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Practices should have a compliance plan and policy and someone responsible for enforcing it

Loss of Smell May Affect Nutrition in Patients With Renal Disease

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Proof-of-concept study shows increase in odor identification score with intranasal theophylline

IgG-Degrading Enzyme Allows HLA-Incompatible Transplant

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IgG-degrading enzyme from Streptococcus pyogenes reduces, eliminates donor-specific antibodies

Revenue Exceeds Expenditures for Many ABMS Member Boards

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Change in net balance of American Board of Medical Specialties member boards grew from 2003 to 2013