February 2018 Briefing - Nephrology

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

New Risk Score Assesses Stroke Risk After MI Without A-Fib

WEDNESDAY, Feb. 28, 2018 (HealthDay News) -- A new risk score incorporates readily accessible risk factors associated with the occurrence of stroke in patients after myocardial infarction (MI) in the absence of atrial fibrillation (AF), according to a study published in the Feb. 20 issue of the Journal of the American College of Cardiology.

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Early Studies Often Show Exaggerated Treatment Effect

TUESDAY, Feb. 27, 2018 (HealthDay News) -- Trials to evaluate drugs or devices used to treat chronic medical conditions that are published early in the chain of evidence often show an exaggerated treatment effect compared with subsequent trials, according to research published online Feb. 21 in the Mayo Clinical Proceedings.

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Recommendations for Optimizing Hidden Curriculum in Medicine

MONDAY, Feb. 26, 2018 (HealthDay News) -- In a position paper published online Feb. 27 in the Annals of Internal Medicine, the American College of Physicians (ACP) presents recommendations for optimizing clinical learning environments by fostering a positive hidden curriculum in medicine.

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Understanding Rx Nonadherence Can Improve Adherence

MONDAY, Feb. 26, 2018 (HealthDay News) -- Understanding nonadherence in patients and encouraging a change in attitude toward patients and their medication can improve medication adherence, according to a report published by the American Medical Association (AMA).

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Artificial Intelligence May Help Prevent Physician Burnout

FRIDAY, Feb. 23, 2018 (HealthDay News) -- Artificial intelligence (AI), in which computers can be trained to recognize patterns in large quantities of data, may be able to reduce physicians' burdens, saving them time and energy, according to a report published in Medical Economics.

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Growth Rates of Small Renal Masses Highly Variable Early On

FRIDAY, Feb. 23, 2018 (HealthDay News) -- Among patients who opt for active surveillance of small renal masses, growth rates are highly variable early on and do not reliably predict adverse outcomes, according to a study published in the March issue of The Journal of Urology.

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Cognition Deficits Seen in Children With Chronic Kidney Disease

FRIDAY, Feb. 23, 2018 (HealthDay News) -- Children with chronic kidney disease (CKD) may have deficits in global and domain-specific cognition, according to a review published online Feb. 22 in the Clinical Journal of the American Society of Nephrology.

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CDC: No Change in Percentage of Uninsured in U.S. From '16 to '17

THURSDAY, Feb. 22, 2018 (HealthDay News) -- The percentage of uninsured U.S. persons of all ages did not change significantly from 2016 to the first nine months of 2017, according to a report published online Feb. 22 by the National Center for Health Statistics.

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No Evidence Use of SEP-1 Bundle Ups Survival in Sepsis

WEDNESDAY, Feb. 21, 2018 (HealthDay News) -- For adults with sepsis, use of the Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) or its hemodynamic interventions is not associated with improved survival, according to a review published online Feb. 19 in the Annals of Internal Medicine.

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Anticoagulants in Seniors With A-Fib, CKD Ups Stroke, ICH Risk

TUESDAY, Feb. 20, 2018 (HealthDay News) -- For older patients with concomitant chronic kidney disease and a new diagnosis of atrial fibrillation, anticoagulants are associated with increased risk of ischemic stroke and hemorrhage, but with reduced risk of all-cause mortality, according to a study published online Feb. 14 in The BMJ.

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Burnout Found Prevalent Among Doctors in Single Health System

TUESDAY, Feb. 20, 2018 (HealthDay News) -- Burnout is prevalent among physicians, affecting over one-third of physicians in a single health system, and is associated with health care delivery, according to a research letter published online Feb. 19 in JAMA Internal Medicine.

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Patients Want Physicians to Have Greater Connectivity

THURSDAY, Feb. 15, 2018 (HealthDay News) -- Most patients want greater connectivity, online tools and text messaging, as well as more time with their physicians, according to a report published in Medical Economics.

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Ultra-Processed Food Linked to Increased Overall Cancer Risk

THURSDAY, Feb. 15, 2018 (HealthDay News) -- Consumption of ultra-processed food is associated with increased risk of overall and breast cancer, according to a study published online Feb. 14 in The BMJ.

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Kidney Stone Incidence Increased Between 1984 and 2012

WEDNESDAY, Feb. 14, 2018 (HealthDay News) -- From 1984 to 2012, there was an increase in the incidence of symptomatic and asymptomatic kidney stones, according to a study published online Feb. 13 in the Mayo Clinic Proceedings.

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Four Best Practices Outlined to Prevent Health Care Cyberattacks

TUESDAY, Feb. 13, 2018 (HealthDay News) -- Four best practices outlined that can help prevent health care cyberattacks, which increased from 2016 to 2017, according to a report published in Managed Healthcare Executive.

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Education About Imaging Most Often Given by Ordering Provider

TUESDAY, Feb. 13, 2018 (HealthDay News) -- For patients undergoing imaging examinations, 78 percent reported receiving some form of pre-examination information, while 52 percent sought information themselves, according to a study published online Feb. 13 in Radiology.

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EHRs Not Sufficient to Ensure Success in Value-Based Care

MONDAY, Feb. 12, 2018 (HealthDay News) -- Electronic health records (EHRs) are not sufficient to ensure success in value-based care, according to an article published in Medical Economics.

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Mortality Up in Diabetes With Low eGFR, No Albuminuria

MONDAY, Feb. 12, 2018 (HealthDay News) -- Among U.S. adults with diabetes, albumin-to-creatinine ratio (ACR) values are decreasing, but mortality rates are increasing among those with ACR <30 mg/g and low estimated glomerular filtration rates (eGFRs), according to a study published online Feb. 7 in Diabetes Care.

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Top Consumer Concerns Reported About Physicians

FRIDAY, Feb. 9, 2018 (HealthDay News) -- Health care consumers have four major concerns regarding their physicians, according to a report published by Managed Healthcare Executive.

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Poll: Personal Beliefs Shouldn't Allow Doctors to Refuse to Treat

THURSDAY, Feb. 8, 2018 (HealthDay News) -- Most people do not believe that professionals including health care providers should be allowed to refuse to provide services based on their conscience or beliefs, according to a recent HealthDay/The Harris Poll.

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FDA Says U.S. Will Now Produce Critical MRI Component

THURSDAY, Feb. 8, 2018 (HealthDay News) -- A long-feared shortage of a substance used in millions of medical imaging procedures each year in the United States appears to have been avoided, federal officials report.

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Low Serum Sodium Linked to Cognitive Decline in Older Men

THURSDAY, Feb. 8, 2018 (HealthDay News) -- Low serum sodium is associated with cognitive impairment and cognitive decline among community-dwelling older men, according to a study published online Feb. 8 in the Clinical Journal of the American Society of Nephrology.

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ICD Placement Doesn't Improve Survival in Patients With CKD

THURSDAY, Feb. 8, 2018 (HealthDay News) -- For implantable cardioverter defibrillator (ICD)-eligible patients with chronic kidney disease (CKD), ICD placement does not improve survival, according to a study published online Feb. 5 in JAMA Internal Medicine.

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Stem Cell Transplant May Be Effective for Systemic Sclerosis

WEDNESDAY, Feb. 7, 2018 (HealthDay News) -- Stem cell transplant may be an effective treatment for systemic sclerosis (SSc), according to a small study published online Feb. 2 in the International Journal of Rheumatic Diseases.

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Humanities Exposure Positively Impacts Medical Students

MONDAY, Feb. 5, 2018 (HealthDay News) -- Exposure to the humanities correlates with less burnout and higher levels of positive personal qualities among medical students, according to a study published online Jan. 29 in the Journal of General Internal Medicine.

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Factors Identified That Impact Physicians IT Adoption

FRIDAY, Feb. 2, 2018 (HealthDay News) -- Physicians have considerable concerns about the efficacy and evidence base of health information technology (IT), according to a report published by the American Medical Association (AMA).

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Chronic Disease Major Risk Factor for Cancer, Cancer Mortality

FRIDAY, Feb. 2, 2018 (HealthDay News) -- Chronic disease is associated with a substantial proportion of the risk of incident cancer and cancer mortality, according to a study published online Jan. 31 in The BMJ.

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Medicaid Expansion Cuts Out-of-Pocket Spending

THURSDAY, Feb. 1, 2018 (HealthDay News) -- States that expanded Medicaid cut the probability of non-elderly near-poor adults being uninsured and lowered average out-of-pocket spending, according to a study published online Jan. 24 in Health Affairs.

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