Here are what the editors at HealthDay consider to be the most important developments in Nephrology for June 2018. 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.

Practice Management Can Improve Efficiency

FRIDAY, June 29, 2018 (HealthDay News) — Providers can take practical steps to improve practice efficiency and increase insurance reimbursement, according to an article published in Dermatology Times.

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Nitric Oxide Cuts Kidney Injury After Long Cardiac Surgery

FRIDAY, June 29, 2018 (HealthDay News) — Nitric oxide gas may lead to a reduction in the incidence of acute kidney injury and an improvement in long-term kidney function in patients undergoing multiple valve replacement and prolonged cardiopulmonary bypass, according to a study published in the American Journal of Respiratory and Critical Care Medicine.

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AMA Calls for Electronic Health Record Training

FRIDAY, June 29, 2018 (HealthDay News) — The American Medical Association (AMA) is calling on medical schools and residency programs to incorporate electronic health record (EHR) training into their curricula.

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New Technique Allows Rapid Bedside Measurement of GFR

FRIDAY, June 29, 2018 (HealthDay News) — A visible fluorescent injectate (VFI)-based approach for direct measurement of glomerular filtration rate (mGFR) is accurate with high reproducibility, according to a study published in the June issue of the Journal of the American Society of Nephrology.

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Prolonged Leisure-Time Sitting Tied to Increased Mortality Risk

FRIDAY, June 29, 2018 (HealthDay News) — Prolonged leisure-time sitting is associated with increased risk of mortality, according to a study published online in the American Journal of Epidemiology.

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Health Care Technology Impacts Younger Patient Satisfaction

THURSDAY, June 28, 2018 (HealthDay News) — Health care communication technology is a determinant of patient satisfaction in younger patients, according to a report published by Black Book Market Research LLC.

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Few Hemodialysis Patients on Medicare Enroll in Hospice

WEDNESDAY, June 27, 2018 (HealthDay News) — Among Medicare beneficiaries on hemodialysis, few patients are enrolled in hospice at the end of life, regardless of the spending trajectory during the last year of life, according to a study published in the June issue of Health Affairs.

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AMA Adopts Ethical Guidance on Medical Tourism

TUESDAY, June 26, 2018 (HealthDay News) — The American Medical Association (AMA) recently adopted new ethical guidelines on medical tourism to help physicians understand their responsibilities when interacting with patients who seek or have received medical care outside the United States.

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Study Compares Treatment Options for T1a Renal Cancer

TUESDAY, June 26, 2018 (HealthDay News) — Percutaneous ablation (PA) is associated with oncologic outcomes that are similar to those of radical nephrectomy (RN) and may be associated with fewer complications than nephron-sparing partial nephrectomy (PN) for patients with stage T1a renal cell carcinoma (RCC), according to a study published online June 25 in the Annals of Internal Medicine.

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AMA: Docs Declare Drug Shortages Public Health Emergency

MONDAY, June 25, 2018 (HealthDay News) — At the annual meeting of the American Medical Association (AMA), physicians adopted policy declaring drug shortages an urgent public health crisis.

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More Cash-Pay Patients Means Docs Need Billing Strategies

THURSDAY, June 21, 2018 (HealthDay News) — More patients are paying for health care services with cash, and this means physician practices need a comprehensive billing policy, according to an article published in Medical Economics.

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Medicaid Expansion Ups Preemptive Listing for Kidney Transplant

THURSDAY, June 21, 2018 (HealthDay News) — The proportion of new preemptive listings for kidney transplantation with Medicaid coverage increased in states with Medicaid expansion in the post-expansion era, according to a study published online June 21 in the Clinical Journal of the American Society of Nephrology.

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Considerable Costs Associated With Switching EHR

TUESDAY, June 19, 2018 (HealthDay News) — Switching electronic health record (EHR) systems can result in increased efficiency and productivity gains, but there are significant costs associated with the switch, according to an article published in Medical Economics.

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Rates of Cardiac Stress Testing Down but Still Higher in CKD

TUESDAY, June 19, 2018 (HealthDay News) — From 2008 to 2012 there was a decrease in overall rates of cardiac stress testing in Medicare beneficiaries, though rates were consistently higher for patients with chronic kidney disease (CKD) than those without CKD, according to a study published online June 13 in JACC: Cardiovascular Imaging.

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AMA Vows to Improve Access for Docs Seeking Mental Health Care

MONDAY, June 18, 2018 (HealthDay News) — The American Medical Association (AMA) recently adopted a policy aimed at improving physician access to mental health care in response to physician depression, burnout, and suicide.

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Pediatric Kidney Recipients Often Have Subclinical Inflammation

FRIDAY, June 15, 2018 (HealthDay News) — For pediatric kidney recipients, subclinical inflammation is associated with increased risk for acute rejection and allograft failure, according to a study published online May 15 in the American Journal of Transplantation.

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Sun Defenses Up in Transplant Patients After Skin Cancer Study

WEDNESDAY, June 13, 2018 (HealthDay News) — For organ transplant recipients, participation in a skin cancer research study is associated with increased use of multiple sun protection behaviors, according to a research letter published online June 6 in JAMA Dermatology.

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How Do Business Partner Data Breaches Affect Your Practice?

TUESDAY, June 12, 2018 (HealthDay News) — Data breaches affecting health care systems or their partners need to be addressed quickly, according to an article published in Medical Economics.

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Drug Use Tied to Early Death, Kidney Disease Progression

MONDAY, June 11, 2018 (HealthDay News) — Among individuals with chronic kidney disease (CKD), hard illicit drug use is associated with higher risks of kidney disease progression and early death, according to a study published online June 7 in the Clinical Journal of the American Society of Nephrology.

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Web Program Tied to Better Salt Knowledge, Behaviors in Children

FRIDAY, June 8, 2018 (HealthDay News) — A web-based salt reduction program is associated with improvement in salt-related knowledge, self-efficacy, and behaviors among children ages 7 to 10 years, according to a study published online June 7 in the Journal of Nutrition Education and Behavior.

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More Rapid Decline in Kidney Function for Diagnosed Diabetes

THURSDAY, June 7, 2018 (HealthDay News) — Individuals with diagnosed diabetes have more rapid kidney function decline than those without diabetes, according to a study published online June 1 in Diabetes Care.

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Online Consumer Ratings of Physicians Tend to Be Skewed

WEDNESDAY, June 6, 2018 (HealthDay News) — Online physician reviews tend to be skewed positively, according to a study published in the May issue of the Journal of Medical Internet Research.

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Post-Transplant Tx Reduces Wait for Kidney in Hep C+ Patients

WEDNESDAY, June 6, 2018 (HealthDay News) — Post-transplant hepatitis C treatment increases access to transplant and reduces waitlist time among hepatitis C-positive patients awaiting kidney transplantation, according to a study published online May 14 in the American Journal of Transplantation.

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CDC: Prevalence of No Insurance Varies by Occupational Groups

WEDNESDAY, June 6, 2018 (HealthDay News) — The prevalence of being uninsured varies by occupational groups, according to research published in the June 1 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.

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CDC: Office-Based Physician Visit Rates Vary by Patient Age, Sex

TUESDAY, June 5, 2018 (HealthDay News) — There is considerable variation in office-based physician visit rates by patient age and sex, according to a June data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS).

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Remaining Kidney Health Most Important Concern for Donors

FRIDAY, June 1, 2018 (HealthDay News) — Concerns expressed by living kidney donors include kidney failure and function, as well as the surgical, lifestyle, and psychosocial impact of donation, according to a study published online May 31 in the Clinical Journal of the American Society of Nephrology.

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