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

Offers of Viable Deceased Donor Kidneys Frequently Refused

FRIDAY, Aug. 30, 2019 (HealthDay News) — Transplant candidates receive a large number of offers of viable deceased donor kidneys that are refused on their behalf, according to a study published online Aug. 30 in JAMA Network Open.

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Cerebrovascular Risk Factors May Up Risk for Parkinson Disease

FRIDAY, Aug. 30, 2019 (HealthDay News) — Most cerebrovascular risk factors are associated with an increased risk for subsequent diagnosis of Parkinson disease, according to a study published online Aug. 29 in the Annals of Neurology.

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Family Dissatisfaction Greater When Intensive End-of-Life CKD Care Utilized

FRIDAY, Aug. 30, 2019 (HealthDay News) — More intensive patterns of end-of-life care are associated with lower family ratings of quality of care among patients with advanced chronic kidney disease (CKD), according to a study published online Aug. 29 in the Clinical Journal of the American Society of Nephrology.

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Low Nurse and Support Staffing Tied to Higher Inpatient Mortality

WEDNESDAY, Aug. 28, 2019 (HealthDay News) — Low levels of nurse and nursing support staffing are associated with increased inpatient mortality, according to a study published online Aug. 7 in BMJ Quality & Safety.

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Decline in Mortality Rates for Cardiometabolic Disease Slowing

TUESDAY, Aug. 27, 2019 (HealthDay News) — Age-adjusted mortality rates (AAMRs) for cardiometabolic diseases are continuing to decline but at a slower rate, according to a research letter published online Aug. 27 in the Journal of the American Medical Association.

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Psoriasis Independently Linked to Increased Mortality Risk

TUESDAY, Aug. 27, 2019 (HealthDay News) — Psoriasis is significantly associated with an increased mortality risk, according to a study published online Aug. 12 in the Journal of the American Academy of Dermatology.

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Rule Changes for Donor Organs Could Increase U.S. Kidney Transplants

MONDAY, Aug. 26, 2019 (HealthDay News) — Greater acceptance of organs from deceased donors who were older and had comorbidities could provide survival benefits among individuals awaiting kidney transplant in the United States, according to a study published online Aug. 26 in JAMA Internal Medicine.

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Rates of Palliative Care Rising for Inpatients With ESKD on Dialysis

MONDAY, Aug. 26, 2019 (HealthDay News) — There was an increase in provision of palliative care for patients hospitalized between 2006 and 2014 with end-stage kidney disease (ESKD) requiring dialysis, but rates were lower for black and Hispanic patients, according to a study published online Aug. 6 in the Journal of the American Society of Nephrology.

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Hospitalizations With Psych Diagnosis Common in ESKD

FRIDAY, Aug. 23, 2019 (HealthDay News) — Hospitalizations with psychiatric diagnoses are common in pediatric and adult patients with end-stage kidney disease (ESKD) and are associated with increased mortality, according to a study published online Aug. 22 in the Clinical Journal of the American Society of Nephrology.

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Patient Voice

Prurigo Nodularis Associated With Mental Health Disorders

FRIDAY, Aug. 23, 2019 (HealthDay News) — Prurigo nodularis (PN) is associated with mental health disorders, systemic illnesses, and HIV infection, according to a study published online Aug. 15 in the Journal of Investigative Dermatology.

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Factors ID’d in Pregnancy Chances After Kidney Transplant

TUESDAY, Aug. 20, 2019 (HealthDay News) — Rates of pregnancy following kidney transplant have remained steady, but Hispanic women are more likely to become pregnant in the three years following transplant than white women, according to a study published online Aug. 9 in PLOS ONE.

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Advertising Can Promote Interest in Health-Related Research

THURSDAY, Aug. 15, 2019 (HealthDay News) — Advertising current local health-related research using large TV monitors in emergency department waiting rooms can increase the short-term interest in health-related research, according to a study published online Aug. 1 in BMJ Open.

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Burden of Obesity-Associated Cancers Shifted to Younger Age Groups

THURSDAY, Aug. 15, 2019 (HealthDay News) — From 2000 to 2016, there was a shift of the obesity-associated cancer (OAC) burden to younger age groups, according to a study published online Aug. 14 in JAMA Network Open.

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Renal Anomaly on Fetal Scan May Up Risk for Admission for Child

THURSDAY, Aug. 15, 2019 (HealthDay News) — Renal pelvis dilatation (RPD) at the fetal anomaly scan (FAS) and persistent dilatation in later pregnancy or postpartum is associated with an increased risk for hospital admission in early childhood, according to a study published online July 31 in PLOS Medicine.

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Internet Self-Referrals Aid in Diagnosis of Rare Inherited Kidney Disease

WEDNESDAY, Aug. 14, 2019 (HealthDay News) — A considerable proportion of families diagnosed at an autosomal dominant tubulointerstitial kidney disease specialist center are the result of direct family referral from the internet, according to a study published online July 24 in Genetics in Medicine.

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Non-Hospital-Based Provider-to-Patient Telehealth Use Growing

TUESDAY, Aug. 13, 2019 (HealthDay News) — Use of non-hospital-based provider-to-patient telehealth grew almost 1,400-fold from 2014 to 2018, according to a FAIR Health White Paper.

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One-Third of Physicians Will Take 10+ Years to Pay Off Debt

MONDAY, Aug. 12, 2019 (HealthDay News) — Nearly two-thirds of actively practicing physicians are still carrying medical school debt, according to the Medical School Debt Report 2019, published by the staffing firm Weatherby Healthcare.

Medical School Debt Report 2019

High Temps May Up Admissions, Deaths in End-Stage Renal Disease

FRIDAY, Aug. 9, 2019 (HealthDay News) — For patients with end-stage renal disease (ESRD), extreme heat events (EHEs) are associated with increased risk of hospital admission and mortality, according to a study published online Aug. 9 in JAMA Network Open.

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Delayed/Foregone Care More Likely for Cancer Survivors With HDHPs

FRIDAY, Aug. 9, 2019 (HealthDay News) — Cancer survivors with high-deductible health plans (HDHPs) are more likely to experience delayed or foregone care, according to a study published online Aug. 8 in the Journal of Oncology Practice.

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Fluoride Exposure Tied to Kidney, Liver Function Changes in Youth

THURSDAY, Aug. 8, 2019 (HealthDay News) — Among U.S. adolescents, fluoride exposure is associated with changes in kidney and liver-related parameters, according to a study published online Aug. 8 in the Environment International.

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Addition of Sotagliflozin for T1DM Alters Renal Hemodynamics

WEDNESDAY, Aug. 7, 2019 (HealthDay News) — Sotagliflozin (SOTA), a dual sodium-glucose cotransporter 1 inhibitor (SGLT1i) and SGLT2i, is associated with short- and long-term renal hemodynamic changes in patients with type 1 diabetes, according to a study published online Aug. 1 in Diabetes Care.

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Medicare Spending on Essential Medicines Up 116 Percent From 2011 to 2015

WEDNESDAY, Aug. 7, 2019 (HealthDay News) — Spending associated with essential medicines grew substantially from 2011 to 2015 for Medicare Part D beneficiaries, according to a study published online July 17 in The BMJ.

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Brand-Brand Competition Has Not Cut Prices in Pharma Market

FRIDAY, Aug. 2, 2019 (HealthDay News) — Brand-brand competition in the U.S. pharmaceutical market has not lowered drug list prices, according to a review published online July 30 in PLOS Medicine.

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Trump Admin Announces Plan to Allow Drug Imports From Canada

THURSDAY, Aug. 1, 2019 (HealthDay News) — Americans could import less expensive prescription drugs from Canada under a plan being developed by the Trump administration.

HHS Press Release
PhRMA Statement

Many Hospitals Lack Sufficient Surgery Volumes

THURSDAY, Aug. 1, 2019 (HealthDay News) — Patients can achieve better outcomes by choosing a hospital and a surgeon with adequate, ongoing experience performing a specific surgery, according to a new report entitled Safety In Numbers: The Leapfrog Group’s Report on High-Risk Surgeries Performed at American Hospitals.

Inpatient Surgery Report 2019

Brain Aneurysm Risk Examined in Polycystic Kidney Disease

THURSDAY, Aug. 1, 2019 (HealthDay News) — Intracranial aneurysms are detected in 9 percent of patients with autosomal dominant polycystic kidney disease (ADPKD) undergoing magnetic resonance angiography (MRA) screening, according to a study published online July 30 in the Clinical Journal of the American Society of Nephrology.

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