Use of Analgesics for Chronic Pain in Patients with CKD

Clinical Journal of the American Society of Nephrology. 2015 Feb. doi:10.2215/CJN.06520714 [Epub ahead of print] Screening for chronic pain may be useful in understanding the roe of drug-related problems in delivering safe care for patients with chronic kidney disease (CKD). That was one of the findings of a study conducted recently by Jeffrey Fink, MD, MS, and Juliana Wu, BS, ... Read More »

Peripheral Artery Disease Associated with Low Bone Turnover

Journal of the American Society of Nephrology. 2015;26(2):476-483. In prevalent nondiabetic patients with end-stage renal disease, peripheral artery disease is associated with low bone turnover and pronounced osteoblast resistance to parathyroid hormone. That was the primary finding of a study conducted by Gérard M. London, MD, and colleagues. The study was designed to examine the possible interaction of systemic bone ... Read More »

Ferric Citrate and Phosphorus in Dialysis Patients

Journal of the American Society of Nephrology. 2015; 26(2):493-503. Ferric citrate is an efficacious and safe phosphate binder that increases stores of iron and reduces the use of intravenous iron and erythropoietin-stimulating agents while maintaining hemoglobin. That was the primary finding of a sequential, randomized trial conducted recently by Julia B. Lewis, MD, and colleagues. The trial compared mean change ... Read More »

Trends in Timing of Maintenance Dialysis Initiation

Journal of the American Society of Nephrology. February 2015. doi:10.1681/ASN.2013050531 [Epub ahead of print] Trends in eGFR at initiation of dialysis at Veterans Affairs (VA) medical centers did not appear to reflect changes in the clinical context in which the dialysis was initiated. That was the primary finding of a review of medical records conducted recently by Ann M. O’Hare, ... Read More »

Credit and Debit Card Updates

Are providers required to accept payments by credit or debit cards from insurance companies? Can a provider add a surcharge to the amounts owed by patients who pay with a credit card?   INSURANCE COMPANIES THAT PAY BY DEBIT CARD   Effective January 1, 2014, HIPAA regulations required all payers to accept claims electronically and to offer payments by Electronic ... Read More »

High Dietary Acid Load Increases Risk for ESRD

Journal of the American Society of Nephrology. February 2015, doi: 10.1681/ASN.2014040332JASN [Epub ahead of print] In individuals with chronic kidney disease (CKD), there is an independent association with high dietary acid load and end-stage renal disease (ESRD). That was one conclusion study conducted in a nationally representative, population-based cohort of US adults with CKD. The study was conducted by Tanushree ... Read More »

Slowing Progression and Treating Blood Pressure in ADPKD Patients?

  Autosomal dominant polycystic kidney disease (ADPKD) is the most common genetic kidney disease and accounts for approximately 10% of all patients currently on dialysis in the United States. It is characterized by a relentless growth of cysts in the kidney that ultimately leads to kidney failure in almost all patients. The optimal blood pressure target to slow progression of ... Read More »

Recovery Time Related to Quality of Life and Mortality in Hemodialysis Patients

Patients with poor health-related quality of life (HRQoL) and high risk of hospitalization and mortality can be identified using patient-reported recovery time. That was the primary finding of a prospective cohort study conducted by Hugh C. Rayner, MD, FRCP, and colleagues. The researchers reported results in the American Journal of Kidney Diseases [2014.64(1):86-94]. HRQoL is impacted to a great degree ... Read More »

CKD and Potentially Preventable Hospitalizations

    Prevention of ambulatory care-sensitive conditions (ACSCs) specific to chronic kidney disease (CKD) should target patients living remotely from healthcare providers and those with certain comorbid conditions. That was the main finding of a retrospective cohort study conducted by Natasha Wiebe and colleagues. Study results were reported in the American Journal of Kidney Diseases [2014;64(2):230-238]. It is well documented that ... Read More »

Simple Model Is Best Predictor of Renal Scarring in Children with UTI

Children and adolescents with an abnormal renal ultrasonographic finding or with a combination of fever ≥39° C and an etiologic organism (other than Escherichia coli [E coli]) are at high risk for the development of renal scarring. That was among the findings of a meta-analysis conducted recently by Nader Smith, MD, MPH, and colleagues and reported online in JAMA Pediatrics ... Read More »