Author Archives: Shane Whitney

September 2019 Abstract Roundup

Outpatient AKI More Prevalent than Inpatient AKI Nephrology Dialysis Transplantation. 2019;34(3):493-501 There have been numerous studies of acute kidney injury (AKI) in the hospital setting; however, there are limited data on outcomes for patients with outpatient AKI. Maxwell D. Leither, MD, and colleagues conducted a retrospective study to examine whether outpatient AKI is associated with increased mortality and renal events. ... Read More »

September 2019 News Briefs

Tamara Kear Named ANNA Executive Director Tamara Kear, PhD, RN, CNS, CNN, has been named executive director of the American Nephrology Nurses Association (ANNA). Currently ANNA’s president, Dr. Kear will assume her new position at Anthony J. Jannetti, Inc. (AJJ, Inc.), on January 1, 2020. AJJ, Inc. provides full-service management services to ANNA. As executive director, Dr. Kear will oversee ... Read More »

From the Field: Tips for Successful Appeals

Sarah Tolson The word appeal is frequently considered a dirty word within the walls of Sceptre Management. Generally, by the time a payers’ requirements for appeal submission have been met, the claim in question is past due and the chances for obtaining full reimbursement have decreased. The entire appeal process is labor intensive, and success rates are generally not in ... Read More »

From the Chair: Machine Learning Comes to Acute Kidney Injury: Is this the Dawn of a New Age?

Ajay K. Singh, MBBS, FRCP, MBABrigham and Women’s HospitalHarvard Medical School Acute kidney injury (AKI) is a relatively common presentation in hospitalized patients, particularly among critically ill patients where it can be associated a high mortality. Patients who undergo cardiovascular procedures or are treated with chemotherapy, and those with diabetes mellitus and chronic kidney disease who receive intravenous contrast are ... Read More »

Scheduling Algorithm Improves Efficiency of Resources

Boston—At a large dialysis provider, nurses are assigned to have in-person assessment of patients identified as high risk for poor outcomes. The care coordination unit makes the assignments utilizing assessments made during the patient’s regularly scheduled dialysis treatments; the assessments serve as additional check-in on the patient’s health and well-being. Many hours of work each week are required to identify ... Read More »

Adverse Clinical Events in Patients on Maintenance Dialysis

Boston—Clinical adverse events among patients with end-stage renal disease (ESRD) on maintenance dialysis are uncommon. However, according to Dustin Little, MD, and colleagues, an improved understanding of the rates of adverse events in that patient population could be of benefit to patients, providers, and other stakeholders. Utilizing data from the US Renal Data System, the researchers conducted a retrospective cohort ... Read More »

AKI Following Arthroplasty in Transplant Recipients

Boston—Secondary bone complications such as avascular necrosis/osteoporosis are common among transplant recipients. Arthroplasty is the usual treatment of choice. However, acute kidney injury (AKI) often occurs during total arthroplasty, with incidence rates among transplant recipients from 16% to 26%; incidence rates in the general population are as low as 1.1%. There are few data on the underlying reasons why kidney ... Read More »

Vitamin D Supplementation in Transplant Patients at Risk of Hypercalcemia

Previous studies have demonstrated a high prevalence (94%) of vitamin D insufficiency among kidney transplant recipients. There are several reasons for this trend, including recommendations to limit sun exposure and advising use of sunscreens with a high sun protection factor (due to increased risk of skin cancer among transplant recipients), inadequate nutritional supplementation of vitamin D both during dialysis and ... Read More »

Associations between Trans-fatty Acids and Survival in Renal Transplant Recipients

Trans-fatty acids (TFAs), unsaturated fatty acids, occur naturally in ruminant fats and dairy products; TFAs are produced by biohydrogenation in ruminant gut. However, according to Anupam Chandra, MD, and colleagues most TFAs in modern diets are found in industrial processed food, created by hydrogenating vegetable and fish oils. Margarines, crackers, and deep-fried foods contain partially hydrogenated TFAs due to properties ... Read More »