June 2016 Briefing - Nephrology

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Here are what the editors at HealthDay consider to be the most important developments in Nephrology for June 2016. 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.

Electronic Record Demands Are Overwhelming Many Physicians

WEDNESDAY, June 29, 2016 (HealthDay News) -- Physicians using electronic practice tools report higher rates of burnout and increased frustration with the amount of computerized paperwork, according to research published online June 27 in the Mayo Clinic Proceedings.

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Too Many Elderly, Terminal Patients Getting Unnecessary Tx

TUESDAY, June 28, 2016 (HealthDay News) -- Patients dying in old age often receive unnecessary end-of-life medical treatments in hospitals, according to research published online June 27 in the International Journal for Quality in Health Care.

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End-of-Life Care Received Varies Based on Type of Disease

TUESDAY, June 28, 2016 (HealthDay News) -- Family-reported quality of end-of-life care is significantly better for patients with cancer or dementia than for patients with other chronic conditions, according to research published online June 26 in JAMA Internal Medicine to coincide with presentation at AcademyHealth's Annual Research Meeting, held from June 26 to 28 in Boston.

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Guidance Updated for Sedation of Pediatric Patients

TUESDAY, June 28, 2016 (HealthDay News) -- Guidelines have been updated for monitoring and management of pediatric patients before, during, and after sedation, according to a clinical report published online June 27 in Pediatrics.

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Patients Face High Hospital Bills Despite Having Insurance

MONDAY, June 27, 2016 (HealthDay News) -- Costs of hospitalization for privately insured adults rose more than 37 percent over five years, with patients paying more than $1,000 on average by 2013, according to research published online June 27 in JAMA Internal Medicine.

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2017 Will Bring Premium Rate Increases Under ACA

FRIDAY, June 24, 2016 (HealthDay News) -- Health insurance premiums under the Affordable Care Act will rise in 2017, analysts and insurance brokers say.

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Diabetes Plus Kidney Disease Raises CVD Risk in Blacks

FRIDAY, June 24, 2016 (HealthDay News) -- For black Americans with diabetes, chronic kidney disease (CKD) appears to increase the risk of cardiovascular mortality, according to a study published online June 23 in the Clinical Journal of the American Society of Nephrology.

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Adverse Outcomes Up With Kidney Retransplant in HIV+

THURSDAY, June 23, 2016 (HealthDay News) -- Primary HIV+ kidney transplant recipients who lose their graft and seek retransplantation (re-KT) have an increased risk of death and graft loss, according to a study published online June 15 in the American Journal of Transplantation.

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Tips Provided for Leveraging Social Media

TUESDAY, June 21, 2016 (HealthDay News) -- During a presentation at the 2016 American Medical Association Annual Meeting, Kevin Pho, M.D., founder and editor of the popular physician blog KevinMD, shared insights into making a difference in health care through use of social media.

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Persistent High Spending Common in Year Before Death

TUESDAY, June 21, 2016 (HealthDay News) -- Almost half of older Medicare beneficiaries have high persistent spending throughout the full year before death, according to a study published in the June issue of Health Affairs.

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Reset Room Can Help Address Physician Burnout

MONDAY, June 20, 2016 (HealthDay News) -- The creation of a reset room is one of several solutions that can help physicians and medical providers address burnout, according to a report published by the American Medical Association.

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Strategy Needed to Address Impending Physician Shortage

FRIDAY, June 17, 2016 (HealthDay News) -- Steps should be taken to combat the impending physician shortage of between 61,700 and 94,700 doctors that the United States is expected to face over the next decade, according to an article published in Medical Economics.

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Race, Procedure Type Impact Morbidity in Pediatric Urologic Sx

FRIDAY, June 17, 2016 (HealthDay News) -- Race and procedure type impact 30-day morbidity in pediatric patients undergoing urologic procedures, according to a study published online June 17 in Pediatrics.

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Laparoscopic Nephrectomy Feasible As Outpatient Surgery

FRIDAY, June 17, 2016 (HealthDay News) -- Laparoscopic nephrectomy can be safely performed as outpatient surgery in select patients, according to a study published in the June issue of The Journal of Urology.

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Pharmacist Involvement Can Improve Cardiovascular Care

THURSDAY, June 16, 2016 (HealthDay News) -- Patients with poorly controlled cardiovascular disease (CVD) risk factors could improve their prognosis by having pharmacists help manage their care, according to a study published in the June 21 issue of the Journal of the American College of Cardiology.

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Potential Impact of Single-Payer Health Care Discussed

THURSDAY, June 16, 2016 (HealthDay News) -- Democratic presidential candidate Bernie Sanders is promoting his version of single-payer health care, although the actual impact of such a system is unclear, according to a report published in Medical Economics.

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Prices for Care Rise Significantly As Multi-Hospital Systems Emerge

THURSDAY, June 16, 2016 (HealthDay News) -- Hospital prices in California increased substantially from 2004 to 2013, with a larger increase in hospitals that are members of multi-hospital systems, according to a study published online June 9 in Inquiry.

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Four-Step Strategy Suggested for Boosting Practice Quality of Care

WEDNESDAY, June 15, 2016 (HealthDay News) -- Four steps can help doctors improve patient care and office efficiency, according to a report published by the American Medical Association (AMA).

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Chronic Kidney Disease Adversely Affects Digestive Function

TUESDAY, June 14, 2016 (HealthDay News) -- Chronic kidney disease (CKD) has an adverse effect on digestive function, according to a study published online May 25 in the Journal of Gastroenterology and Hepatology.

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American Seniors With Diabetes Living Longer Without Disability

MONDAY, June 13, 2016 (HealthDay News) -- American seniors with diabetes are starting to live longer without disabilities, according to a study published online June 10 in The Lancet Diabetes & Endocrinology.

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California's Right-to-Die Law Now in Effect

THURSDAY, June 9, 2016 (HealthDay News) -- California on Thursday becomes the fifth and largest state in the country to allow terminally ill patients to end their own lives.

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Patient Experience Linked to Urologic CA Surgical Outcomes

THURSDAY, June 9, 2016 (HealthDay News) -- Patient experience is associated with urologic cancer surgical outcomes, according to a study published online June 2 in Cancer.

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Renal Function Tests Stratify Risk in Pregnant Women With HTN

THURSDAY, June 9, 2016 (HealthDay News) -- Baseline renal function tests can stratify the risk of severe preeclampsia in pregnant women with chronic hypertension, according to a study published in the July issue of Obstetrics & Gynecology.

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Wearable Artificial Kidney Does Well in Proof-of-Concept Trial

WEDNESDAY, June 8, 2016 (HealthDay News) -- A wearable artificial kidney may be an upcoming option for dialysis patients, according to a proof-of-concept study published online June 2 in JCI Insight.

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AMA Module Promotes Training of Medical Assistants

THURSDAY, June 2, 2016 (HealthDay News) -- A new training module can improve training for medical assistants (MAs), according to a report from the American Medical Association (AMA).

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Patients Like to See Physicians Wearing White Coats

THURSDAY, June 2, 2016 (HealthDay News) -- Most patients prefer that physicians wear white coats, according to research published online June 1 in JAMA Dermatology.

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FDA Urges Food Manufacturers to Reduce Sodium in Their Products

WEDNESDAY, June 1, 2016 (HealthDay News) -- The U.S. Food and Drug Administration wants the food industry to voluntarily reduce the amount of sodium in processed and commercially prepared food.

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