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

Heart Disease May Up Risk for Allopurinol-Linked Cutaneous AEs

MONDAY, Sept. 30, 2019 (HealthDay News) — Heart disease is associated with an increased risk for hospital admission for allopurinol-associated severe cutaneous adverse reactions, according to a study published online Sept. 25 in CMAJ, the journal of the Canadian Medical Association.

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Preemptive Kidney Transplants Up After KAS Implementation

FRIDAY, Sept. 27, 2019 (HealthDay News) — Disparities persist in preemptive kidney transplantation, where a patient does not receive dialysis before transplant, despite introduction of the new Kidney Allocation System (KAS) in 2014, according to a study published online Sept. 26 in the Clinical Journal of the American Society of Nephrology.

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Average Annual Premium for Workers Increased in 2019

THURSDAY, Sept. 26, 2019 (HealthDay News) — In 2019, the average annual health insurance premium for workers increased slightly for single coverage and family coverage, according to a report published online Sept. 25 in Health Affairs.

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Deep Learning Models Classify Disease From Medical Imaging

THURSDAY, Sept. 26, 2019 (HealthDay News) — Early evidence suggests that diagnostic performance of deep learning models is equivalent to that of health care professionals for interpreting medical imaging, according to a study published online Sept. 25 in The Lancet Digital Health.

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Racial/Ethnic Disparities in Mortality Persist in the U.S.

WEDNESDAY, Sept. 25, 2019 (HealthDay News) — There are still racial and ethnic disparities in mortality, and these disparities are widening for some age groups, according to a study published online Sept. 24 in the American Journal of Preventive Medicine.

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Healthy Dietary Patterns Linked to Lower Incidence of CKD

WEDNESDAY, Sept. 25, 2019 (HealthDay News) — A healthy dietary pattern is associated with a reduced incidence of chronic kidney disease and albuminuria, according to a review published online Sept. 24 in the Clinical Journal of the American Society of Nephrology.

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Hurricanes Up Mortality Risk for Seniors With Diabetes

TUESDAY, Sept. 24, 2019 (HealthDay News) — Living through a hurricane increases both the short- and long-term risk for death among seniors with diabetes, according to a study published online Sept. 23 in Diabetes Care.

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Percentage of Women in Internal Med Residencies Increasing

TUESDAY, Sept. 24, 2019 (HealthDay News) — From 1999 to 2016, the percentage of women in internal medicine residencies increased, but the percentage in subspecialty fellowships decreased, according to a research letter published online Sept. 23 in JAMA Internal Medicine.

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Guideline Updated for Prevention, Management of Hep C in CKD

MONDAY, Sept. 23, 2019 (HealthDay News) — In a synopsis of the 2018 Kidney Disease: Improving Global Outcomes (KDIGO) clinical practice guideline, published online Sept. 24 in the Annals of Internal Medicine, updated recommendations are presented for the prevention, diagnosis, treatment, and management of hepatitis C virus (HCV) infection in adults with chronic kidney disease (CKD).

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Protected Health Info Breaches Compromise Sensitive Data

MONDAY, Sept. 23, 2019 (HealthDay News) — Most protected health information (PHI) breaches compromise sensitive demographic and/or financial information, according to a research letter published online Sept. 23 in the Annals of Internal Medicine.

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Kidney Donation Linked to Increased Hypertension Risk

FRIDAY, Sept. 20, 2019 (HealthDay News) — Kidney donation is associated with an increased risk for hypertension, according to a study published online Sept. 19 in the Clinical Journal of the American Society of Nephrology.

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Skipping Cancer Referral Appointments Linked to Earlier Death

THURSDAY, Sept. 19, 2019 (HealthDay News) — Cancer diagnosis is less likely in patients not attending referral appointments for suspected cancer, but these patients have worse early mortality outcomes than attending patients, according to a study published online Sept. 11 in Cancer Epidemiology.

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Medical Students Not Ready to Provide Nutritional Care

THURSDAY, Sept. 19, 2019 (HealthDay News) — Medical education does not equip students to provide high-quality, effective nutrition care, according to a review published in the September issue of The Lancet Planetary Health.

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Primary Care Faces Challenges in Caring for Kidney Disease

MONDAY, Sept. 16, 2019 (HealthDay News) — Primary care providers (PCPs) report substantial, but modifiable, barriers to caring for patients with chronic kidney disease (CKD), according to a study published online Aug. 22 in PLOS ONE.

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Medicaid Expansion Increases Access to Kidney Transplants

FRIDAY, Sept. 13, 2019 (HealthDay News) — There was an increase in Medicaid-covered preemptive kidney transplants (KT) among patients with end-stage renal disease (ESRD) living in Medicaid expansion states versus nonexpansion states, according to a study published online Aug. 19 in the Journal of General Internal Medicine.

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Hep C-Viremic Kidneys Increasingly Used for Transplant

THURSDAY, Sept. 12, 2019 (HealthDay News) — Hepatitis C virus (HCV)-viremic kidneys are increasingly being used for transplants and seem to have good one-year outcomes, according to a study published online Sept. 12 in the Journal of the American Society of Nephrology.

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Cancer Survival Increasing in High-Income Countries

THURSDAY, Sept. 12, 2019 (HealthDay News) — Cancer survival is continuing to increase across high-income countries, although there are international disparities, according to a study published online Sept. 11 in The Lancet Oncology.

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EPA to Phase Out Chemical Testing on Mammals

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — The eventual elimination of chemical testing on mammals was announced Tuesday by the U.S. Environmental Protection Agency.

The New York Times Article
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Spending Up With Treatment in Hospital-Owned Practices

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — Financial integration between physicians and hospitals raises patient spending but does not impact care quality, according to a study published online Sept. 3 in the Journal of General Internal Medicine.

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Poverty Rate Drops, but Fewer Americans Have Health Insurance

TUESDAY, Sept. 10, 2019 (HealthDay News) — The percentage of Americans living in poverty declined in 2018, but the rate of those without health insurance increased, according to a U.S. Census Bureau report.

The New York Times Article
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Expansion of Peritoneal Dialysis Feasible

TUESDAY, Sept. 10, 2019 (HealthDay News) — Expansion of the use of peritoneal dialysis (PD) is feasible, according to a study published online Sept. 9 in JAMA Internal Medicine.

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Gout May Up Risk for Progression of Chronic Kidney Disease

MONDAY, Sept. 9, 2019 (HealthDay News) — Gout is associated with an elevated risk for chronic kidney disease (CKD) progression, according to a study published online Aug. 28 in BMJ Open.

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Racial, Ethnic Underrepresentation Found in Med School Matriculants

FRIDAY, Sept. 6, 2019 (HealthDay News) — Among medical school matriculants, black, Hispanic, and American Indian or Alaska Native (AIAN) students are underrepresented, according to a study published online Sept. 4 in JAMA Network Open.

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Machine Learning Algorithms Promising in Kidney Diagnostics

FRIDAY, Sept. 6, 2019 (HealthDay News) — Machine learning algorithms could aid with classification of kidney biopsy samples, according to two studies published online Sept. 5 in the Journal of the American Society of Nephrology.

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Majority of U.S. Doctors Believe ACA Has Improved Access to Care

THURSDAY, Sept. 5, 2019 (HealthDay News) — Sixty percent of U.S. physicians believe that the Affordable Care Act (ACA) has improved access to care and insurance after five years of implementation, according to a report published in the September issue of Health Affairs.

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