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 »

SBP Visit-to-Visit Variability Associated with Kidney Disease Outcomes

There is an independent association between variability visit-to-visit in systolic blood pressure (SBP) and hard kidney disease outcomes in diabetic patients with nephropathy. That was the primary finding of an observational analysis conducted recently by Ciaran J. McMullan, MD, MMSc, and colleagues. The researchers reported their findings in the American Journal of Kidney Diseases [2014;64(5):714-722]. It has been demonstrated that ... Read More »

Suprises On The Horizon

SUPRISES ON THE HORIZON At this time last year, nephrologists and the rest of those in healthcare were nervous and anxious about the implementation of the International Classification of Diseases, Tenth Edition (ICD-10). After the 1 year delay was implemented, many in healthcare seem to have become bored with ICD-10 and have few worries about it, even though its implementation ... Read More »

Little Victories

Kenneth A. Liss, DO- In the last edition of this journal, Dr. Singh referenced some troubling statistics that many of us in the nephrologic community are already keenly aware.1 Simply,  the chronic kidney disease population rapidly grows while the number of quality healthcare professionals able to provide care plummets. In order to attract both the “best and the brightest,” Dr. ... Read More »