Here are what the editors at HealthDay consider to be the most important developments in Nephrology for January 2020. 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.

2017 to 2018 Saw Increase in Life Expectancy in the United States

THURSDAY, Jan. 30, 2020 (HealthDay News) — From 2017 to 2018, there was an increase in life expectancy in the United States and a decrease in age-adjusted death rates, according to a January data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

Abstract/Full Text

U.S. Spends More on Health Care, but Has Worse Life Expectancy

THURSDAY, Jan. 30, 2020 (HealthDay News) — The United States spends substantially more than any other wealthy nation on health care, yet it has a lower life expectancy and a higher suicide rate than other wealthy nations, according to a January data brief released by the Commonwealth Fund.

More Information

Promoting Mixed Chimerism Promising in Kidney Transplants

THURSDAY, Jan. 30, 2020 (HealthDay News) — For patients undergoing living kidney transplants, persistent mixed chimerism can be achieved to allow complete or partial withdrawal of immunosuppressive drugs, according to a study published in the Jan. 29 issue of Science Translational Medicine.

Abstract/Full Text (subscription or payment may be required)

Outcomes Positive With National Kidney Paired Donation Program

WEDNESDAY, Jan. 29, 2020 (HealthDay News) — A nationalized kidney paired donation program results in equivalent outcomes compared with control living kidney donor transplant, according to a study published online Jan. 28 in the Clinical Journal of the American Society of Nephrology.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Gender Gap Persists in Starting Salary for Physicians

TUESDAY, Jan. 28, 2020 (HealthDay News) — The gender gap in starting salary for physicians persists, although it is unclear which factors account for this gap, according to a report published online Jan. 22 in Health Affairs.

Abstract/Full Text (subscription or payment may be required)

Proteinuria After Inpatient Acute Kidney Injury Tied to Later Risk

TUESDAY, Jan. 28, 2020 (HealthDay News) — Urine albumin-to-creatinine ratio (ACR) measured after acute kidney injury (AKI) predicts subsequent loss of renal function, according to a study published online Jan. 27 in JAMA Internal Medicine.

Abstract/Full Text (subscription or payment may be required)

Wealthy Pay Most to Finance U.S. Health Care

MONDAY, Jan. 27, 2020 (HealthDay News) — Health care payments in the United States are more regressive than previously thought, according to a study published online Jan. 27 in Health Services Research.

Abstract/Full Text

Structural Traits of Living Donor Kidneys May Predict Graft Failure

FRIDAY, Jan. 24, 2020 (HealthDay News) — Structural features of kidneys from living donors may predict death-censored graft failure in recipients, according to a study published online Jan. 23 in the Journal of the American Society of Nephrology.

Abstract/Full Text (subscription or payment may be required)

First-Biopsy Results for Deceased Donor Kidneys Questioned

THURSDAY, Jan. 23, 2020 (HealthDay News) — Considerable differences in histologic categorization are seen in sequential biopsies in deceased donor kidneys that undergo multiple procurement biopsies prior to transplantation, according to a study published online Jan. 23 in the Clinical Journal of the American Society of Nephrology.

Abstract/Full Text (subscription or payment may be required)

Major Insurers Offer $55 Million to Lower Generic Drug Costs

THURSDAY, Jan. 23, 2020 (HealthDay News) — A nonprofit that develops and sells cheaper drugs will receive a $55 million investment from the Blue Cross Blue Shield Association and associated organizations to create cheaper versions of expensive generic drugs.

The New York Times Article

Fewer Than Half of Clinical Trials Comply With Reporting Laws

THURSDAY, Jan. 23, 2020 (HealthDay News) — Compliance with the U.S. Food and Drug Administration Amendments Act of 2007 is low, with only 40.9 percent of trials reporting results within one year, according to a study published online Jan. 17 in The Lancet.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Fast-Track Review of ACA Lawsuit Rejected by U.S. Supreme Court

WEDNESDAY, Jan. 22, 2020 (HealthDay News) — A fast-track review of a lawsuit that threatens the Affordable Care Act was rejected Tuesday by the U.S. Supreme Court.

AP News Article

Recommendations Issued for CT Contrast Use in Kidney Disease

WEDNESDAY, Jan. 22, 2020 (HealthDay News) — In consensus statements from the American College of Radiology and the National Kidney Foundation, published online Jan. 21 in Radiology, recommendations are presented for the use of intravenous iodinated contrast media with computed tomography (CT) for patients with kidney disease.

Abstract/Full Text

ACP: Medicare for All Needed to Fix ‘Ill’ U.S. Health Care System

TUESDAY, Jan. 21, 2020 (HealthDay News) — The American College of Physicians (ACP) says the U.S. health care system “is ill and needs a bold new prescription” that includes coverage for all Americans and lower costs.

AP News Article
American College of Physicians

New Guidance Issued for Care of Children With Williams Syndrome

TUESDAY, Jan. 21, 2020 (HealthDay News) — In an American Academy of Pediatrics clinical report, published online Jan. 21 in Pediatrics, recommendations are presented for the management of patients with Williams syndrome (WS).

Abstract/Full Text

Quickly Reducing High Potassium Levels Improves Outcomes

FRIDAY, Jan. 17, 2020 (HealthDay News) — Rapid correction of elevated serum potassium levels (K+) is associated with reduced mortality in emergency department patients, according to a study recently published in the American Journal of Emergency Medicine.

Abstract/Full Text (subscription or payment may be required)

Single-Payer System Would Likely Save Money

THURSDAY, Jan. 16, 2020 (HealthDay News) — There is near consensus across 30 years of economic analysis of single-payer plans that a single-payer system would reduce health expenditures in the United States, according to a review published online Jan. 15 in PLOS Medicine.

Abstract/Full Text

ACA Tied to Narrowing of Disparities in Access to Care

THURSDAY, Jan. 16, 2020 (HealthDay News) — The Affordable Care Act has reduced disparities in access to health care among black, Hispanic, and white adults, according to a January data brief released by the Commonwealth Fund.

More Information

Ageism Predicts Significantly Worse Health Outcomes

THURSDAY, Jan. 16, 2020 (HealthDay News) — Ageism predicts significantly worse health outcomes, according to a review published online Jan. 15 in PLOS ONE.

Abstract/Full Text

Evolution of Approval, Regulation Processes for Drugs Explored

WEDNESDAY, Jan. 15, 2020 (HealthDay News) — The U.S. approval and regulation processes for pharmaceutical agents have evolved during the last four decades, according to a study published in the Jan. 14 issue of the Journal of the American Medical Association.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Online Patient Portal Use May Up Likelihood of Kidney Transplant

TUESDAY, Jan. 14, 2020 (HealthDay News) — For hemodialysis patients, use of an online portal is associated with an increased likelihood of receiving a kidney transplant at four or five years, according to a study published online Jan. 8 in the Journal of the American College of Surgeons.

Abstract/Full Text (subscription or payment may be required)

Doctor Replacement Ratios Higher in Largest, Hospital-Owned Practices

TUESDAY, Jan. 14, 2020 (HealthDay News) — From 2009 to 2016, more physicians entering the Medicare program worked at large group or hospital-owned practices than small group or independent practices, according to a research letter published online Jan. 14 in the Annals of Internal Medicine.

Abstract/Full Text (subscription or payment may be required)

Physicians Spend >16 Minutes Per Encounter on EHR Use

MONDAY, Jan. 13, 2020 (HealthDay News) — Physicians spend a considerable amount of time using electronic health records (EHRs) to support care delivery, with wide variation seen in the distribution of time within specialty, according to a study published online Jan. 14 in the Annals of Internal Medicine.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Survival Similar for Kidneys From Dead Donors With, Without AKI

MONDAY, Jan. 13, 2020 (HealthDay News) — Recipient graft survival is similar for deceased donor kidneys with acute kidney injury (AKI) and kidneys without AKI, according to a study published online Jan. 8 in JAMA Network Open.

Abstract/Full Text

Intensive Systolic BP Control May Not Benefit All Older Adults

MONDAY, Jan. 13, 2020 (HealthDay News) — Intensive systolic blood pressure (SBP) control lowers the risk for major cardiovascular events, cognitive impairment, and death in older adults; however, these benefits may not extend to older adults with lower baseline cognitive function, according to a study published online Dec. 16 in the Journal of the American Geriatrics Society.

Abstract/Full Text

Burnout in Med Students Tied to Perceived Stress, Phone Behavior

MONDAY, Jan. 13, 2020 (HealthDay News) — Higher levels of perceived stress, poorer sleep quality, and smartphone addiction contribute to burnout in osteopathic medical students, according to a study published in the January issue of the Journal of the American Osteopathic Association.

Abstract/Full Text

California May Start Producing Its Own Medicines

FRIDAY, Jan. 10, 2020 (HealthDay News) — A proposal for California to contract generic drug companies to make medications would make the state the first in the country to produce its own medications.

AP News Article

Recruitment Satisfactory for Foreign-Educated Health Providers

FRIDAY, Jan. 10, 2020 (HealthDay News) — Foreign-educated health professionals (FEHPs) in the United States are overall satisfied with their recruitment experience, according to a study published in the January issue of the American Journal of Nursing.

Abstract/Full Text

Major Cardiovascular Diseases May Up Long-Term Risk for ESKD

FRIDAY, Jan. 10, 2020 (HealthDay News) — Major incident cardiovascular disease events are associated with an increased risk for end-stage kidney disease (ESKD), with the highest risk for heart failure, according to a study published online Jan. 9 in the Journal of the American Society of Nephrology.

Abstract/Full Text (subscription or payment may be required)

Neighborhood Disadvantage Impacts Hospital Quality Ratings

FRIDAY, Jan. 10, 2020 (HealthDay News) — Hospitals caring for neighborhoods with high levels of disadvantage may have lower hospital ratings due to social risk factors (SRFs) in the community, according to a study published online Dec. 30 in Medical Care.

Abstract/Full Text (subscription or payment may be required)

Large Gap Found in Health Administrative Spending for U.S., Canada

WEDNESDAY, Jan. 8, 2020 (HealthDay News) — There is a large and widening gap in health administrative spending between the United States and Canada, according to a study published online Jan. 7 in the Annals of Internal Medicine.

Abstract/Full Text (subscription or payment may be required)

Cancer Mortality Continuing to Drop, With Lung Cancer a Driver

WEDNESDAY, Jan. 8, 2020 (HealthDay News) — Cancer mortality is continuing to decline, driven by progress in lung cancer, although mortality reductions have slowed or stopped for some cancers, according to findings included in Cancer Statistics, 2020, the American Cancer Society’s latest annual report on cancer incidence, mortality, and survival. The report was published online Jan. 8 in CA: A Cancer Journal for Clinicians.

Cancer Statistics, 2020

In-Hospital Cardiac Arrest Outcomes Similar for Dialysis, Nondialysis Patients

TUESDAY, Jan. 7, 2020 (HealthDay News) — For patients with in-hospital cardiac arrest (IHCA), survival outcomes are similar for those on maintenance dialysis and nondialysis patients, according to a study published online Jan. 7 in the Clinical Journal of the American Society of Nephrology.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Price Hikes for Hundreds of Medications

MONDAY, Jan. 6, 2020 (HealthDay News) — U.S. drug companies have started the new year by raising the prices of hundreds of medications.

CBS News Article

Poll: Older Adults Frequently Use Online Physician Ratings

MONDAY, Jan. 6, 2020 (HealthDay News) — Older adults commonly use online ratings to choose a doctor, according to a report published online Jan. 6 based on the results of the University of Michigan National Poll on Healthy Aging.

National Poll on Healthy Aging

Treating Oral Disease Could Yield T2DM-Related Cost Savings

FRIDAY, Jan. 3, 2020 (HealthDay News) — Providing nonsurgical periodontal treatment to patients with type 2 diabetes (T2D) and periodontitis may significantly reduce tooth loss and diabetes-related microvascular diseases via improved glycemic control, according to a study published online Dec. 27 in Diabetes Care.

Abstract/Full Text (subscription or payment may be required)

Mediterranean Diet May Preserve Function After Kidney Transplant

FRIDAY, Jan. 3, 2020 (HealthDay News) — Adherence to the Mediterranean diet is associated with better kidney function outcomes among kidney transplant recipients, according to a study published online Jan. 2 in the Clinical Journal of the American Society of Nephrology.

Abstract/Full Text (subscription or payment may be required)

Individualized PT Can Reduce Incontinence After Prostatectomy

FRIDAY, Jan. 3, 2020 (HealthDay News) — For men with postprostatectomy stress urinary incontinence (SUI), an individualized pelvic physical therapy (PT) program aimed at normalizing pelvic floor dysfunction (PFD) is associated with a decrease in SUI and pelvic pain, according to a study published online Dec. 5 in International Urology and Nephrology.

Abstract/Full Text (subscription or payment may be required)

Patient Experiences Modestly Worse After Hospital Acquisition

THURSDAY, Jan. 2, 2020 (HealthDay News) — Modestly worse patient experiences are seen following hospital acquisition by another hospital, according to a study published in the Jan. 2 issue of the New England Journal of Medicine.

Abstract/Full Text (subscription or payment may be required)

Leisure-Time Physical Activity Linked to Lower Cancer Risk

THURSDAY, Jan. 2, 2020 (HealthDay News) — Leisure-time physical activity at recommended levels is associated with a significantly lower risk for seven cancer types, according to a study published online Dec. 26 in the Journal of Clinical Oncology.

Abstract/Full Text

Copyright © 2020 ScoutNews, LLC. All rights reserved.
healthday