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

Functional Decline Seen in Many Older Adults Initiating Dialysis

FRIDAY, June 28, 2019 (HealthDay News) — For older adults initiating dialysis, many experience a decline in functional status after six months, and the prevalence of high caregiver burden increases, according to a study published online June 27 in the Clinical Journal of the American Society of Nephrology.

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CT Use to Evaluate Suspected Urolithiasis Significantly Increased

THURSDAY, June 27, 2019 (HealthDay News) — Among patients with suspected urolithiasis presenting to the emergency department (ED), relative use of computed tomography (CT) of the abdomen and pelvis (CTAP) more than doubled from 2006 to 2014, according to a study published online June 17 in the Journal of the American College of Radiology.

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MSSP ACOs May Not Improve Spending, Quality of Care

WEDNESDAY, June 26, 2019 (HealthDay News) — After adjustment for the nonrandom exit of clinicians, the Medicare Shared Savings Program (MSSP) is not associated with improvements in spending or quality, according to a study published online June 18 in the Annals of Internal Medicine.

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Americans Concerned About Clinician Burnout

WEDNESDAY, June 26, 2019 (HealthDay News) — Nearly three-quarters of Americans are concerned about burnout among their clinicians, according to a survey released June 17 by the American Society of Health-System Pharmacists (ASHP).

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Older Kidney Donors With HTN at Higher Risk for ESKD Later

WEDNESDAY, June 26, 2019 (HealthDay News) — Older kidney donors with hypertension have an increased risk for end-stage kidney disease (ESKD), but not mortality, through 15 years after donation, according to a study published online June 25 in the Clinical Journal of the American Society of Nephrology.

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Cancer Survivors Have High Prevalence of Chronic Pain

TUESDAY, June 25, 2019 (HealthDay News) — Cancer survivors have a high prevalence of chronic pain, according to a research letter published online June 20 in JAMA Oncology.

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Maintaining Work During Dialysis Tied to Higher Survival

FRIDAY, June 21, 2019 (HealthDay News) — Working in the six months before initiating hemodialysis (HD) is associated with better survival, according to a large study published online June 14 in the Clinical Kidney Journal.

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Study Reveals Lower Predictive Ability for Renal Cancer Models

FRIDAY, June 21, 2019 (HealthDay News) — Prospective validation of existing renal cell carcinoma (RCC) prediction models demonstrates a decrease in their predictive ability, according to a study published online June 19 in the Journal of Clinical Oncology.

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New England Journal of Medicine Picks New Editor-in-Chief

THURSDAY, June 20, 2019 (HealthDay News) — The new editor-in-chief of the prestigious New England Journal of Medicine is Eric J. Rubin, M.D., Ph.D., who was selected after a worldwide search and plans to start in September, according to the Massachusetts Medical Society, which publishes the journal.

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Restricting Blood Transfusions OK in Cardiac Surgery

THURSDAY, June 20, 2019 (HealthDay News) — For high-risk patients undergoing cardiac surgery with cardiopulmonary bypass, a restrictive approach to red blood cell transfusions leads to fewer transfusions than a liberal approach, with no increase in the risk for acute kidney injury (AKI), according to a study published online June 20 in the Journal of the American Society of Nephrology.

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Health Care Workers With ARIs Often Work While Symptomatic

THURSDAY, June 20, 2019 (HealthDay News) — Almost all health care workers (HCWs) with acute respiratory illness (ARI) report working at least one day while symptomatic, according to a study published online June 18 in Infection Control & Hospital Epidemiology.

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Risk Factors ID’d for Atrial Fibrillation With Type 1 Diabetes

THURSDAY, June 20, 2019 (HealthDay News) — Older age, cardiovascular comorbidities, and renal complications increase the risk for atrial fibrillation (AF) in patients with type 1 diabetes, according to a study published online June 6 in Diabetes Care.

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Surgeons’ Unprofessional Behavior Tied to Higher Complication Risk

WEDNESDAY, June 19, 2019 (HealthDay News) — Patients whose surgeons have higher numbers of coworker reports about unprofessional behavior may be at increased risk for postsurgical complications, according to a study published online June 19 in JAMA Surgery.

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Many Surgeons Still Performing Inappropriate Vascular Access Sx

WEDNESDAY, June 19, 2019 (HealthDay News) — For patients with first-time permanent hemodialysis access placement, more than one-fifth of surgeons have arteriovenous graft (AVG) use rates exceeding the recommended best practice guideline of 34 percent, according to a study published online June 12 in JAMA Surgery.

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High Temperature Records Will be ‘Smashed’ in Coming Century

TUESDAY, June 18, 2019 (HealthDay News) — Climate change will cause some regions of the world to “smash” high temperature records every year in the coming century, researchers warn. That will push “ecosystems and communities beyond their ability to cope,” according to the authors of the study published online June 17 in Nature Climate Change.

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Drug Makers Challenge New Rule Requiring Drug Prices in TV Ads

MONDAY, June 17, 2019 (HealthDay News) — Three large drug makers have launched a legal challenge against the Trump administration’s rule requiring the prices of drugs to be included in television ads.

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Most Providers Unaware of Online Feedback About Themselves

WEDNESDAY, June 12, 2019 (HealthDay News) — Many health care providers in the United Kingdom have little direct experience with online feedback, rarely encourage it, and often view it as having little value for improving the quality of health services, according to a study published online June 2 in the Journal of Health Services Research & Policy.

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Nitrate Pollution of Tap Water May Cause Thousands of Cancer Cases

WEDNESDAY, June 12, 2019 (HealthDay News) — Nitrate pollution of drinking water has serious health and economic consequences, according to a study published online June 11 in Environmental Research.

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Number of Cancer Survivors Set to Top 22 Million by 2030

TUESDAY, June 11, 2019 (HealthDay News) — The number of cancer survivors is projected to increase to more than 22.1 million by Jan. 1, 2030, based on growth and aging of the population alone, according to a study published online June 11 in CA: A Cancer Journal for Clinicians.

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Access to Health Care Has Little Impact on Longevity

MONDAY, June 10, 2019 (HealthDay News) — Health care has modest effects on extending life expectancy in the United States, while behavioral and social determinants may have larger effects, according to a review published in the May/June issue of the Annals of Family Medicine.

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Rapid Fluid Removal May Up Mortality in Critically Ill With AKI

MONDAY, June 10, 2019 (HealthDay News) — Among critically ill patients with acute kidney injury, use of higher net ultrafiltration (NUF) rates for continuous venovenous hemodiafiltration is associated with lower survival, according to a secondary analysis published online June 7 in JAMA Network Open.

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Rapid Cycling Work Roster Improves Resident Sleep Practices

THURSDAY, June 6, 2019 (HealthDay News) — A rapidly cycling work roster (RCWR) is effective in reducing weekly work hours and the occurrence of >16 consecutive-hour shifts as well as improving sleep duration of resident physicians, according to a study published online May 20 in SLEEP.

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Medical-Alert Accessory Linked to Lower Rate of ESKD in CKD

THURSDAY, June 6, 2019 (HealthDay News) — A medical-alert accessory is associated with a lower rate of end-stage kidney disease (ESKD) among patients with chronic kidney disease (CKD), according to a study published online June 6 in the Clinical Journal of the American Society of Nephrology.

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Survey Indicates Physician Misconduct Is Underreported

THURSDAY, June 6, 2019 (HealthDay News) — Physician misconduct is being underreported and most Americans do not know where to file a complaint, according to a report published by the Federation of State Medical Boards (FSMB).

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Young Male Adults Have Lower Cancer Burden Than Women

TUESDAY, June 4, 2019 (HealthDay News) — For young adults, there have been some notable findings for overall cancer incidence rates and death rates, according to a study published online May 30 in the Journal of the National Cancer Institute.

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ACP Issues Position on Response to Physician Impairment

MONDAY, June 3, 2019 (HealthDay News) — Providing assistance for physician impairment and rehabilitation is addressed in a position statement issued by the American College of Physicians and published online June 4 in the Annals of Internal Medicine.

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Peripherally Inserted Central Catheters Often Used in CKD

MONDAY, June 3, 2019 (HealthDay News) — Peripherally inserted central catheters (PICCs) are frequently used in hospitalized patients with stage 3b or greater chronic kidney disease (estimated glomerular filtration rate [eGFR], <45 mL/min/1.73 m²), according to a study published online June 4 in the Annals of Internal Medicine.

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Decline in Nontraumatic Lower-Extremity Amputation Slowing

MONDAY, June 3, 2019 (HealthDay News) — Decreases in nontraumatic lower-extremity amputation (NLEA) have plateaued in recent years among adults with end-stage renal disease (ESRD) and diabetes, according to a study published online May 29 in Diabetes Care.

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