Author Archives: Kerri Fitzgerald

April 2017: Abstract Roundup

Acute Kidney Injury Algorithm Assists RRT Initiation Timing Decision Making Clinical Journal of the American Society of Nephrology. 2017;12(2):228-236 Severe acute kidney injury (AKI) that requires renal replacement therapy is associated with a >40% in-hospital mortality rate. There are no standardized recommendations related to clinical decision making regarding initiation of renal replacement therapy for patients with AKI in the medical ... Read More »

April 2017: News Briefs

Bipartisan Bill to Protect Living Organ Donors Introduced In early March, Representative Jerrold Nadler (D-NY) and Representative Jaime Herrera Beutler (R-WA) introduced the Living Donor Protection Act of 2017. The bill is intended to protect the rights of living organ donors, according to a press release from Mr. Nadler’s office. The act includes three mechanisms to protect donors: (1) prohibition ... Read More »

Pretransplant Duration of Dialysis Risk Factor for Post-Transplant Mortality

Chicago—There are few data available on the effects of pre-transplant dialysis modality or duration of pre-transplant dialysis on clinical outcomes following kidney transplantation. Researchers in Korea, led by Hyunjeong Cho, MD, recently conducted an analysis of data from the Korean Health Insurance Review & Assessment Service. The data were compiled from records of 35,422 adults who initiated hemodialysis and peritoneal ... Read More »

From the Field: AKI Billing and Reimbursement Update

Sarah Tolson While it is exciting that dialysis clinics can now receive reimbursement for treatments provided to acute kidney injury (AKI) patients, there are still a number of unknowns where reimbursement is concerned. The final rule and related change requests indicate that Medicare will pay the base rate adjusted by the wage index. End-stage renal disease (ESRD) dialysis treatments paid ... Read More »

Dietary Counseling Improves Compliance with CKD Dietary Restrictions

Chicago—In patients with chronic kidney disease (CKD), a key element of multidisciplinary care is dietary restriction. However, according to researchers, there are few data on barriers to adherence to dietary regimens important in CKD care. Maya K. Rao, MD, and colleagues recently conducted a cross-sectional study among English and Spanish speaking patients with stage 4 and 5 CKD. The researchers ... Read More »

From the Chair: Proton Pump Inhibitors and the Risk of CKD

Ajay K. Singh, MBBS, FRCP, MBA Proton pump inhibitors (PPIs) are one of the commonest classes of prescribed drugs worldwide. Indications include the treatment of acid reflux and peptic ulcer disease. Concerns about over-utilization of PPIs have been raised. However, extensive use continues; in the United States, even excluding over-the-counter sales, there are estimated to be more than 170 million ... Read More »

Risk of Chronic Kidney Disease with Use of PPIs without Intervening AKI

According to the National Health and Nutrition Examination Survey, 7.8% of adults in the United States had a prescription proton pump inhibitor (PPI) in the previous 30 days. Studies have shown an association between use of PPIs and an increase in risk for adverse health outcomes, including acute kidney injury (AKI), incident chronic kidney disease (CKD), progression of CKD, and ... Read More »

Better HRQoL with Frequent Hemodialysis versus Conventional Hemodialysis

In the effort to make healthcare and health policies more patient-centered, awareness of the ways a treatment affects patient-reported outcomes has gained importance. Among patients with end-stage renal disease (ESRD), health-related quality of life (HRQoL) is of great importance, and information regarding how choice of dialysis modality will affect their HRQoL is a high priority for patients. Worldwide, more than ... Read More »

Frailty in Dialysis Patients and Increased Hospitalization and Mortality

According to the United States Renal Data System, 44.5% of patients with end-stage renal disease (ESRD) who receive maintenance dialysis are ≥65 years of age. In addition, the prevalence of ESRD patients on dialysis is increasing rapidly among older age groups. In a nationwide ESRD patient registry in Korea, the mean age of these patients increased from 55.2 years in ... Read More »