Education Program Helps Patients Make Modality Decisions

Orlando—In the United States, end-stage renal disease (ESRD) represents a burden to public health and increases pressure on healthcare costs. Data from 2014 identified approximately 680,000 prevalent cases of ESRD in the United States; up to 38% of incident patients did not receive care from a nephrologist prior to renal replacement therapy initiation. Percentages of treatment modalities in the United ... Read More »

Facilitating Transition of Care from Hospital Discharge to Outpatient Dialysis Unit

Orlando—The transition from hospital discharge to return to the dialysis unit is a vulnerable time for patients on maintenance hemodialysis. Unsafe transitions put patients at risk for adverse outcomes, visits to the emergency department (ED), and hospital readmission. At the University of Pennsylvania Hospital, 44% of dialysis patients discharged from the hospital had at least one ED visit within 30 ... Read More »

Care Coordination Program Improved Outcomes and Reduced Costs

Orlando—Chronic kidney disease (CKD) exacts a burden on healthcare resources and is a serious public health concern. Beverly Everett, MD, and colleagues at Cigna Health and Life Insurance Company recently designed a study to assess the impact on outcomes of utilization of a pilot program designed to identify and engage CKD patients who are at risk for progression from CKD ... Read More »

Uncontrolled Gout among Patients with Chronic Kidney Disease

Orlando–Gout, caused by primarily by elevated serum uric acid in the blood, is the most common form of inflammatory arthritis. Recommendations in guidelines from the American College of Rheumatology call for lowering serum uric acid levels to <6 mg/dL for all patients with gout. Elevated serum uric acid is also associated with chronic kidney disease and results of previous studies ... Read More »

Specialized Disease Management Program Reduced Costs and Inpatient Admissions

Orlando—Optum’s Disease Management (DM) program utilizes communication via telephone and hard copy between renal specialty nurses and patients and healthcare providers to enhance patients’ knowledge of chronic kidney disease (CKD) and ways to maximize their healthcare. Employers purchase the DM program to enable patient-access. In 2016, a meta-analysis of the efficacy of DM programs focused on CKD demonstrated improved quality ... Read More »

Obinutuzumab Safe and Effective for B-Cell Depletion in Transplant Candidates

Chicago—In allosensitized patients with end-stage renal disease (ESRD), the efficacy of rituximab for desensitizing and enabling kidney transplantation is limited; tissue B-cell depletion is incomplete. Robert R. Redfield III, MD, and colleagues recently conducted an open-label phase 1b study to test the hypothesis that obinutuzumab may be more effective for desensitization than rituximab. Obinutuzumab is a glycoengineered type 2 anti-CD20 ... Read More »

Glycemic Control Levels and Infections in Hemodialysis Patients with Diabetes Mellitus

Chicago—There are few data on the associations between glycemic control and infections requiring hospitalization or fatal infections in hemodialysis patients with diabetes mellitus. Using data from the US Renal Data System and from electronic health records from a large dialysis provider in the United States, Jinnie J. Rhee, MD, and colleagues recently conducted a study to examine such associations. They ... Read More »

App Aids in Patient Training for Self-Care In Center or At Home

Chicago—It is important to provide education for dialysis patients regarding their therapy options, and maintenance of kidney function and health. Previous studies have demonstrated that educated patients make better choices and are more adherent to their therapy. However, training is labor intensive and requires hours of staff time; those constraints have been cited as a barrier to patients in selecting ... 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 »