CKD on Primary Care EHR Problem List

Documentation of chronic kidney disease (CKD) on the electronic problem list section of an electronic health record (EHR) had a positive association with stage-appropriate monitoring of CKD; however, documentation of CKD on the electronic problem list was uncommon in a recent study reported in BMC Nephrology [2014.doi:10.1186/1471-2369-15-70]. Lipika Samal, MD, and colleagues conducted the cross-sectional observational study to determine whether ... Read More »

No BP Improvement with 6 Months of Cholecalciferol

There was no improvement in 24-hour ambulatory blood pressure (24-h BP) with 6 months of cholecalciferol treatment in chronic dialysis patients in a study conducted recently by Frank H. Mose, MD, and colleagues. Study results were reported in BMC Nephrology [doi:10.1186/1471-2369-15-50]. Patients with chronic kidney disease are at increased risk of vitamin D deficiency, with profound reductions in plasma levels ... Read More »

When the Stars Aren’t Aligned: The Dialysis Facility Rating System

Most nephrologists will be surprised to hear that a new dialysis facility rating system will be launched January 1, 20151. Over 6000 dialysis facilities in the US will receive star rankings using a forced Bell curve method. The Centers for Medicare & Medicaid Services (CMS) claim that this rating system will provide a simple way for patients and families to ... Read More »


Almost every dialysis facility and nephrology practice treats self-pay patients. While the care given to these patients is a simple matter of diagnosis and treatment, how they are handled on the financial side of the business varies wildly. Self-pay patients almost always lack coverage because they lack funds to pay for coverage, are undocumented, or both. Some patients fall into ... Read More »