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

Doctors, Hospitals, Pharmacies Warned Not to Stockpile Meds

TUESDAY, March 31, 2020 (HealthDay News) — In a joint statement released by the American Medical Association, American Pharmacists Association, and American Society of Health-System Pharmacists, the professional groups “strongly oppose” physicians, pharmacies, and hospitals prophylactically prescribing medications or purchasing excessive amounts or stockpiles of potential treatments for COVID-19.

Joint Statement

U.S. Army Opens Field Hospital in New York City

MONDAY, March 30, 2020 (HealthDay News) — The first U.S. Army field hospital for civilian patients opened in New York City Monday and could be the first of many across the nation as it struggles with the coronavirus pandemic.

CBS News Article
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Chronic Kidney Disease Linked to Uncontrolled Blood Pressure

MONDAY, March 30, 2020 (HealthDay News) — Chronic kidney disease (CKD) is associated with uncontrolled blood pressure (BP), while ambulatory BP patterns are not associated with cognitive impairment or frailty in non-dialysis-dependent CKD patients, according to two studies published online March 26 in the Clinical Journal of the American Society of Nephrology.

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

PPE Negative for SARS-CoV-2 After Patient Contact

FRIDAY, March 27, 2020 (HealthDay News) — Samples collected from personal protective equipment (PPE) from health care workers (HCWs) caring for patients positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were negative for SARS-CoV-2, according to research published online March 26 in Infection Control & Hospital Epidemiology.

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BP Load No Aid to Prognosis in Pediatric Chronic Kidney Disease

FRIDAY, March 27, 2020 (HealthDay News) — Blood pressure (BP) load does not provide additive value in predicting outcomes in children with chronic kidney disease (CKD), according to a study published online March 11 in the Clinical Journal of the American Society of Nephrology.

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Workers at Risk for COVID-19 Exposure Can Access Online Training

THURSDAY, March 26, 2020 (HealthDay News) — The National Institutes of Health has launched a new website with educational resources for hospital employees, emergency first responders, and other workers at risk for exposure to COVID-19.

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Prospective, Randomized Studies of AI Lacking in Medical Imaging

THURSDAY, March 26, 2020 (HealthDay News) — In the field of medical imaging, there are few prospective studies and randomized trials of deep learning, according to a review published online March 25 in The BMJ.

Abstract/Full Text

Acute Kidney Injury Seems to Promote Renal Cell Carcinoma

THURSDAY, March 26, 2020 (HealthDay News) — Acute kidney injury (AKI) seems to promote the development of papillary renal cell carcinoma (pRCC) from single progenitors, according to a study published in the March 25 issue of Science Translational Medicine.

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National Health Spending Expected to Increase Through 2028

WEDNESDAY, March 25, 2020 (HealthDay News) — National health expenditures are projected to increase at an average annual rate of 5.4 percent for 2019 to 2028, representing almost 20 percent of U.S. gross domestic product by 2028, according to a study published online March 24 in Health Affairs.

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Distance to Kidney Transplant Center Does Not Affect Referral

WEDNESDAY, March 25, 2020 (HealthDay News) — The distance from a patient residence to transplant center seems not to impact transplant referral and evaluation initiation among those with end-stage kidney disease, according to a study published online March 24 in the Clinical Journal of the American Society of Nephrology.

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Editorial

Cumulative Dose of Oral Steroids Associated With HTN Incidence

MONDAY, March 23, 2020 (HealthDay News) — For adults with any of six chronic inflammatory diseases, a cumulative dose of oral glucocorticoids is associated with an increased incidence of hypertension, according to a study published online March 23 in CMAJ, the journal of the Canadian Medical Association.

Abstract/Full Text

Serial Interval of COVID-19 Estimated at 3.96 Days

FRIDAY, March 20, 2020 (HealthDay News) — The serial interval of coronavirus 2019 (COVID-19), defined as the time between a primary case and secondary case developing symptoms, is 3.96 days, according to a study published online March 19 in Emerging Infectious Diseases, a publication of the U.S. Centers for Disease Control and Prevention.

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Per-Capita Medical Radiation Exposure Down in United States

TUESDAY, March 17, 2020 (HealthDay News) — From 2006 to 2016, there was a decrease in per-capita exposure to medical radiation in the United States, according to a study published online March 17 in Radiology.

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Editorial (subscription or payment may be required)

Chemo Ups Disease-Free Survival in Upper Tract Urothelial Cancer

TUESDAY, March 17, 2020 (HealthDay News) — For patients with locally advanced upper tract urothelial carcinoma (UTUC), gemcitabine-platinum combination chemotherapy improves disease-free survival, according to a study published online March 5 in The Lancet.

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

CD8+ T Cell Composition Tied to Risk for Kidney Transplant Failure

FRIDAY, March 13, 2020 (HealthDay News) — The composition of CD8+ T cells one year after kidney transplantation is associated with the risk for subsequent transplant failure, according to a study published online March 12 in the Journal of the American Society of Nephrology.

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Decreases Seen in Cancer Incidence, Death Rates

THURSDAY, March 12, 2020 (HealthDay News) — Cancer incidence and death rates have decreased in recent years, according to two studies published online March 12 in Cancer.

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Editorial

2018 Health Care Spending Up Due to Higher Prices

MONDAY, March 9, 2020 (HealthDay News) — Average employer-sponsored insurance spending rose to $5,892 per person in 2018, according to the Health Care Cost Institute annual Health Care Cost and Utilization Report.

Health Care Cost and Utilization Report

Guidelines Detail Management of Liver Failure in ICU Patients

MONDAY, March 9, 2020 (HealthDay News) — In an executive summary of a new guideline from the Society of Critical Care Medicine, published in the March issue of Critical Care Medicine, a set of evidence-based recommendations are presented for the management of liver failure in critically ill patients.

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Female Clinical Chairs Paid Significantly Less Than Men

THURSDAY, March 5, 2020 (HealthDay News) — There are significant sex differences in salaries of clinical department chairs in public medical schools in the United States, according to a research letter published online March 2 in JAMA Internal Medicine.

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Racial/Ethnic Insurance Coverage Disparity Down Since ACA

WEDNESDAY, March 4, 2020 (HealthDay News) — Since the implementation of coverage expansions associated with the Affordable Care Act (ACA), the disparities in insurance coverage related to race and ethnicity have decreased, according to a study published in the March issue of Health Affairs.

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Late Mortality Down for Young Adult, Adolescent Cancer Survivors

WEDNESDAY, March 4, 2020 (HealthDay News) — All-cause and cause-specific mortality have decreased among five-year adolescent and young adult (AYA) cancer survivors overall, but improvements have not been consistent across all cancer types, according to a study published online March 3 in the Journal of the National Cancer Institute.

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Considerable Increase Seen in List, Net Prices of Branded Drugs

WEDNESDAY, March 4, 2020 (HealthDay News) — From 2007 to 2018, there were substantial increases in list and net prices of branded drugs in the United States, according to a study published in the March 3 issue of the Journal of the American Medical Association.

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1996 to 2016 Saw Increases in U.S. Spending on Health Care

TUESDAY, March 3, 2020 (HealthDay News) — From 1996 to 2016, there were considerable increases in U.S. spending on health care, according to a study published in the March 3 issue of the Journal of the American Medical Association.

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>10,000 Uninsured Texas Patients Seek Dialysis in ED Annually

MONDAY, March 2, 2020 (HealthDay News) — More than 10,000 uninsured patients in Texas sought hemodialysis in emergency departments in 2017, according to a research letter published online Feb. 19 in JAMA Network Open.

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