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 »