March 2015 Briefing - Nephrology

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Here are what the editors at HealthDay consider to be the most important developments in Nephrology for March 2015. 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.

Mobile Health App Use Continuing to Increase

TUESDAY, March 31, 2015 (HealthDay News) -- The number of mobile health apps is continuing to increase and doctors are embracing this trend, with more than one-third of physicians recommending their use in the past year, according to an article published in Medical Economics.

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Small, Steady Decline in Cancer Rates in U.S. Over Past Decade

TUESDAY, March 31, 2015 (HealthDay News) -- America is making slow but steady progress against cancer, with a continuing decline in cancer deaths, according to a new report published online March 30 in the Journal of the National Cancer Institute. The report was coauthored by experts from the North American Association of Central Cancer Registries, the American Cancer Society, the U.S. Centers for Disease Control and Prevention, and the U.S. National Cancer Institute.

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Staff Attitudes Impact Extended Treatment Time on Hemodialysis

TUESDAY, March 31, 2015 (HealthDay News) -- Although most health care staff feel that extended treatment time on hemodialysis is beneficial, many nurses do not recommend it, according to a study published online March 16 in the Journal of Renal Care.

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2015 Match Sees High Proportion of Unmatched Seniors

MONDAY, March 30, 2015 (HealthDay News) -- About 6.1 percent of U.S. allopathic medical school seniors in the National Resident Matching Program (NRMP) were not placed into first-year residency positions, with a higher percentage of unmatched seniors than in 2014, according to a report published by the American Medical Association.

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Older Patients Can Benefit From Older Donor Kidneys

FRIDAY, March 27, 2015 (HealthDay News) -- Older patients who need a kidney transplant are better off receiving an available organ from an older deceased donor rather than waiting for one from a younger donor, according to a new study published online March 26 in the Journal of the American Society of Nephrology.

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Physicians Should Be Aware of Signs of Burnout

THURSDAY, March 26, 2015 (HealthDay News) -- Burnout can be prevented if physicians are aware of the warning signs, according to an article published by the American Medical Association.

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Models May Predict Two-Year Mortality Risk for CKD Patients

WEDNESDAY, March 25, 2015 (HealthDay News) -- Risk prediction models with 16 characteristics may predict mortality risk in older adults with chronic kidney disease (CKD). The findings were published in the March issue of the Journal of the American Geriatrics Society.

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One in Nine Needs Emergency Revisit for Kidney Stones

TUESDAY, March 23, 2015 (HealthDay News) -- The need for repeat high-acuity care affects one in nine patients discharged from initial emergency department visits for kidney stones, according to a study published online March 16 in Academic Emergency Medicine.

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New Urine Biomarkers Identified for Renal Cell Carcinoma

MONDAY, March 23, 2015 (HealthDay News) -- Urine aquaporin-1 (AQP1) and perilipin-2 (PLIN2) seem to have utility as biomarkers for diagnosing malignant clear cell or papillary renal cell carcinoma (RCC) in a screening paradigm, according to a study published online March 19 in JAMA Oncology.

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Electronic Solutions Underway for Rx Prior Authorizations

FRIDAY, March 20, 2015 (HealthDay News) -- Efforts are underway to offer technological solutions to the burdens associated with prior authorizations, according to an article published in Medical Economics.

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Outcomes Favorable for HIV+ Kidney Transplant Recipients

FRIDAY, March 20, 2015 (HealthDay News) -- Kidney transplant patients with HIV have similar survival rates as those without HIV, a new study finds. The findings were published online March 19 in the Journal of the American Society of Nephrology.

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More Than 16 Million Americans Have Gained Coverage Under ACA

TUESDAY, March 17, 2015 (HealthDay News) -- The Obama Administration reported Monday the largest drop in the number of Americans without health insurance since the Johnson administration expanded health coverage through Medicare and Medicaid 50 years ago.

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Gender-Specific Variation in Medical Specialties

MONDAY, March 16, 2015 (HealthDay News) -- Medical specialties vary by gender, with obstetrics/gynecology and pediatrics dominated by female residents and specialties such as surgery, emergency medicine, and anesthesiology dominated by males, according to a report published by the Association of American Medical Colleges (AAMC).

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Premature Death From Kidney Failure a Global Issue

MONDAY, March 16, 2015 (HealthDay News) -- More than two million kidney failure patients worldwide die prematurely every year because they can't get treatment, according to a new study published online March 13 in The Lancet.

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Any Kidney Disease to Be Seen As Relevant in Pregnancy

FRIDAY, March 13, 2015 (HealthDay News) -- Chronic kidney disease (CKD) during pregnancy puts women and their babies at risk for certain types of problems, even if the disease is at an early stage and the mother-to-be has normal kidney function, according to a study published online March 12 in the Journal of the American Society of Nephrology.

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HHS Wants to Help Restore Joy of Medicine

FRIDAY, March 13, 2015 (HealthDay News) -- The U.S. Department of Health and Human Services (HHS) is listening to physicians and wants to address the regulatory burdens they face, according to a report published by the American Medical Association (AMA).

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Getting Heard May Be Key to Getting New Job

FRIDAY, March 13, 2015 (HealthDay News) -- Your voice may be the key to landing a new job, researchers report in an upcoming issue of Psychological Science.

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Damaged Kidneys May Still Be Viable in Transplant

THURSDAY, March 12, 2015 (HealthDay News) -- Kidneys from deceased donors that have acute injuries are frequently discarded, but some injured kidneys might still be suitable for transplant, according to research findings published online March 11 in the American Journal of Transplantation.

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Clinical Trial Data Often Not Reported in Timely Manner

THURSDAY, March 12, 2015 (HealthDay News) -- Researchers are not promptly reporting the results of clinical trials to ClinicalTrials.gov, according to an article published in the March 12 issue of the New England Journal of Medicine.

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Physicians Should Plan Exit Strategy in Advance

WEDNESDAY, March 11, 2015 (HealthDay News) -- Physicians should begin planning their exit strategy three to five years in advance, according to the American Medical Association.

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Persistent EHR Nonadoption Could Mean Lower Payment

WEDNESDAY, March 11, 2015 (HealthDay News) -- Persistent nonadopters of electronic health records (EHRs) tend to be older, and are employed in smaller practices, according to a letter published in the March 3 issue of the Annals of Internal Medicine.

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Frustrated by Regulations, Doctors Increasingly Miserable

WEDNESDAY, March 11, 2015 (HealthDay News) -- The nationwide Physician Misery Index is 3.7 out of 5, with the vast majority of physicians reporting that the business and regulation of health care has worsened the practice of medicine, according to a report published by Geneia.

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AAMC: Significant Shortfall of Physicians Projected for 2025

TUESDAY, March 10, 2015 (HealthDay News) -- The expected shortfall of physicians is projected to reach about 46,000 to 90,000 by 2025, according to a study conducted by IHS Inc. for the Association of American Medical Colleges (AAMC).

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FDA: Device Authorized for Use in Dialysis-Related Amyloidosis

FRIDAY, March 6, 2015 (HealthDay News) -- The U.S. Food and Drug Administration has approved the first device to treat dialysis-related amyloidosis (DRA), a complication of dialysis used to treat kidney failure.

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Changes Being Made to Med School Applicant Assessment

FRIDAY, March 6, 2015 (HealthDay News) -- In accordance with the changes in graduate medical education to better prepare doctors for a changing health care system, changes are being made to medical school applicant evaluation, according to an article published Feb. 19 by the American Medical Association (AMA).

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Confidence Gap Between Male and Female Med Students

FRIDAY, March 6, 2015 (HealthDay News) -- Female medical students perform at the same or higher level as men, but they lack confidence compared with men, according to a letter published in the March 3 issue of the Annals of Internal Medicine.

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National Hospital Rating Systems Rarely in Agreement

FRIDAY, March 6, 2015 (HealthDay News) -- National hospital rating systems are rarely in agreement, according to a study published in the March issue of Health Affairs.

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FDA Launches First App to Identify Drug Shortages

THURSDAY, March 5, 2015 (HealthDay News) -- A mobile phone application (app) has been released to identify current drug shortages, resolved shortages, or discontinuations of drug products, according to a press release published by the U.S. Food and Drug Administration.

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Rush University Adds Patient Scores to Doctor Profiles

WEDNESDAY, March 4, 2015 (HealthDay News) -- Rush University Medical Center's website has started adding the results of patient surveys to individual physician profiles, according to a report published by the medical center.

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Research Measures Perceptions of Physician Compassion

TUESDAY, March 3, 2015 (HealthDay News) -- Patients prefer physicians who convey a more optimistic message, and perceive in them a higher level of compassion, according to a study published online Feb. 26 in JAMA Oncology.

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Acetaminophen Risks May Be Underestimated

TUESDAY, March 3, 2015 (HealthDay News) -- Acetaminophen may not be as safe as previously thought, with larger doses and long-term use linked to increased risk of health problems, a new report contends. The findings were published online March 2 in the Annals of the Rheumatic Diseases.

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Hospital Design Has Little Effect on Patient Satisfaction

MONDAY, March 2, 2015 (HealthDay News) -- Hospital design has little effect on patient satisfaction, according to a study published online Feb. 5 in the Journal of Hospital Medicine.

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