<\/b><\/p>\n
<\/b><\/p>\n
Here are what the editors at HealthDay consider to be the most important developments in Nephrology for August 2018. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.<\/p>\n
Medical Bills in Collections Decrease With Patient Age<\/font><\/p>\n FRIDAY, Aug. 31, 2018 (HealthDay News) — Medical collections decrease substantially with age, possibly because of increased health insurance coverage and incomes, according to a study published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n No Meaningful Increase in Physician Compensation Last Year<\/font><\/p>\n THURSDAY, Aug. 30, 2018 (HealthDay News) — There was no meaningful increase in physician compensation in 2017, and a decline in productivity was noted, according to the results of a survey conducted by AMGA Consulting.<\/p>\n Press Release<\/a><\/p>\n Survey (subscription or payment may be required)<\/a><\/p>\n Marketplace Premiums Increase More With Monopolist Insurers<\/font><\/p>\n WEDNESDAY, Aug. 29, 2018 (HealthDay News) — Affordable Care Act Marketplace premiums increase more in areas with monopolist insurers, according to a study published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Medical Practices Should Address Negative Online Reviews<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — Medical practice staff can effectively handle negative online reviews by staying calm and positive, looking for solutions, apologizing, and thanking the reviewers, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Artificial Intelligence Holds Promise in Medicine<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — Artificial intelligence (AI) in health care offers opportunities for early detection and triage, diagnostics and personalized medicine, and medical decision-making, according to an article published in Managed Healthcare Executive<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Alcohol Is Leading Risk Factor for Global Disease Burden<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — Globally, alcohol use is a leading risk factor for disease burden, according to research published online Aug. 23 in The Lancet<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Experts Address Loss of the National Guideline Clearinghouse<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — The demise of the National Guideline Clearinghouse (NGC) in July 2018 is likely to impact evidence-based health care around the world, according to an Ideas and Opinions piece published online Aug. 28 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Most Research Participants Not Concerned About Data Sharing<\/font><\/p>\n MONDAY, Aug. 27, 2018 (HealthDay News) — Few participants in clinical trials have strong concerns about the risks of data sharing, according to a special article recently published in the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n AMA Adopts Policy Promoting Health Equity As a Goal<\/font><\/p>\n FRIDAY, Aug. 24, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a policy that sets health equity as a goal for the U.S. health care system, according to a report published in the organization’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Frailty in Middle-Aged With Multimorbidity Tied to Mortality<\/font><\/p>\n THURSDAY, Aug. 23, 2018 (HealthDay News) — For middle-aged individuals with multimorbidity, frailty is significantly associated with mortality, according to a study published in the July issue of The Lancet Public Health<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Small Practices Also at Risk for Data Breaches<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Data breaches can happen to small medical practices, but staff can take steps to prevent them, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Strategy Outlined for Shooter Incident in Health Care Facility<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Adhering to a “secure, preserve, fight” strategy is recommended for health care professionals working with a vulnerable patient population, according to a Medicine and Society piece published in the Aug. 9 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n National Provider Identifiers Are Vulnerable to Theft<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — National Provider Identifiers (NPIs) are vulnerable to identity theft, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Advantages for HDHP Enrollees in Large Versus Small Firms<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Workers in small firms are more likely to have higher deductible levels and lack employer contributions to help pay for out-of-pocket expenses compared to workers in larger firms, according to a study published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Similar Outcomes for Rural, Urban Cancer Patients in SWOG Trials<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Rural and urban cancer patients with uniform care access through participation in a SWOG (formerly the Southwest Oncology Group) treatment trial have similar outcomes, according to a study published online Aug. 17 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Doctors Often Not Discussing Risk Factors With Patients<\/font><\/p>\n TUESDAY, Aug. 21, 2018 (HealthDay News) — Patients report that doctors are routinely not discussing known risk factors for common causes of death, according to a survey conducted by ImagineMD.<\/p>\n More Information<\/a><\/p>\n Pennsylvania Case Could Affect Evidence for Malpractice Defense<\/font><\/p>\n TUESDAY, Aug. 21, 2018 (HealthDay News) — The Pennsylvania Supreme Court has agreed to hear a case that could affect what evidence physicians may present in defense during medical malpractice suits, according to an article published in the American Medical Association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n NYU Becomes First Medical School to Cover All Tuition<\/font><\/p>\n MONDAY, Aug. 20, 2018 (HealthDay News) — The NYU School of Medicine has announced that it is offering full-tuition scholarships to all current and future students in its M.D. degree program, regardless of need or merit.<\/p>\n Press Release<\/a><\/p>\n Experts Offer Tips for Provider Appeal of Denied Medical Claims<\/font><\/p>\n MONDAY, Aug.20, 2018 (HealthDay News) — Knowing payer policies and regulatory requirements is critical to appealing denials, according to an article published in Medical Economics<\/i>.<\/p>\n More Information<\/a><\/p>\n AAP Outlines Appropriate Pediatric Nephrology Testing<\/font><\/p>\n MONDAY, Aug. 20, 2018 (HealthDay News) — As part of the Choosing Wisely campaign, a list of specific nephrology tests and procedures that are commonly ordered but not always needed when treating children for kidney-related conditions has been released by the American Academy of Pediatrics (AAP).<\/p>\n More Information<\/a><\/p>\n Declines in Life Expectancy in Many High-Income Countries<\/font><\/p>\n MONDAY, Aug. 20, 2018 (HealthDay News) — Life expectancy has declined in recent years in some high-income countries, and in the United States, midlife mortality has increased due to several causes, according to two studies published online Aug. 15 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text – Ho and Hendi<\/a><\/p>\n Abstract\/Full Text – Woolf<\/a><\/p>\n Editorial <\/a><\/p>\n Comments Open on End of NIH Review for Gene Therapy Studies<\/font><\/p>\n FRIDAY, Aug. 17, 2018 (HealthDay News) — A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments. Instead, the panel will assume an advisory role, while the U.S. Food and Drug Administration will assess gene therapy experiments and products as it does with other treatments and drugs. The proposed change will take effect after a public comment period which runs through Oct. 16.<\/p>\n AP News<\/i> Article<\/a><\/p>\n NIH Statement<\/a><\/p>\n Comment on Regulations<\/a><\/p>\n Cerebral Blood Flow Changes in Pediatric Patients With CKD<\/font><\/p>\n FRIDAY, Aug. 17, 2018 (HealthDay News) — Pediatric patients with chronic kidney disease (CKD) have higher global cerebral blood flow (CBF) and regional differences in CBF, according to a study published recently in Radiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Residents’ Sleep Deteriorates During Training<\/font><\/p>\n FRIDAY, Aug. 17, 2018 (HealthDay News) — First-year residents experience worsening sleep duration and quality as well as daytime sleepiness, according to a study published in the June issue of the Journal of General Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Practice Names, Logos Should Be Carefully Designed<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — Practice names and logos should be carefully designed to emphasize what is unique about a practice, according to a blog post published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n NIH Panel Will No Longer Review Gene Therapy Experiments<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments, according to a perspective piece published online Aug. 15 in the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n NIH Statement<\/a><\/p>\n Steps Provided for Discharging Patient From Practice<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — Certain steps should be taken when discharging a patient for failure or inability to meet financial obligations, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Patient Portals Don’t Appear to Have Much Traction<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — Patient portals have not taken off as expected, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n ACA Coverage Gains Include Workers Without Insurance<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — After the expanded coverage provisions of the Affordable Care Act (ACA) were implemented in 2014, self-employed individuals and wage earners without employer-sponsored health coverage offers had coverage gains equal to or greater than those of people not employed, according to a report published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n 6 Factors Related to Inclusion in Health Care Workplace ID’d<\/font><\/p>\n TUESDAY, Aug. 14, 2018 (HealthDay News) — There are six broad factors that can affect inclusion within health care organizations, according to a study published online Aug. 3 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Four Pros to Integrating EHR, Practice Management Software<\/font><\/p>\n MONDAY, Aug. 13, 2018 (HealthDay News) — Consolidating electronic health records and practice management software allows practices to save time and money, make fewer mistakes, and reduce the risk of privacy breaches, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full text<\/a><\/p>\n Bariatric Surgery Lowers Microvascular Disease Risk<\/font><\/p>\n MONDAY, Aug. 13, 2018 (HealthDay News) — Bariatric surgery is tied to lower overall incidence of microvascular disease in patients with type 2 diabetes mellitus (T2DM), according to a study published online Aug. 7 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n C. difficile<\/i> Tied to Increased Graft Loss in Solid Organ Recipients<\/font><\/p>\n MONDAY, Aug. 13, 2018 (HealthDay News) — For solid organ transplant (SOT) recipients, Clostridium difficile<\/i> infection (CDI) is associated with increased graft loss, according to a study published in the July issue of the American Journal of Transplantation<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n AMA Adopts Policy on Augmented Intelligence<\/font><\/p>\n FRIDAY, Aug. 10, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a policy on augmented intelligence, according to a report published in the association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n AMA Adopts Policy to Advance Gender Equity in Medicine<\/font><\/p>\n THURSDAY, Aug. 9, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a new policy to study, act for, and advocate to advance gender equity in medicine, according to a report published in the association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Cyber Insurance Recommended for All Physician Practices<\/font><\/p>\n WEDNESDAY, Aug. 8, 2018 (HealthDay News) — The growing threat of hacking is increasing the number of physicians buying cyber insurance, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Steps Taken to Increase Use of Electronic Tools in Medicine<\/font><\/p>\n WEDNESDAY, Aug. 8, 2018 (HealthDay News) — Additional codes have been approved by the Current Procedural Terminology (CPT) Editorial Panel for chronic care remote physiologic monitoring and internet consultations, according to a report published by the American Medical Association (AMA).<\/p>\n More Information<\/a><\/p>\n AMA Proposes Policy Opposing Medicaid ‘Lockout’ Provisions<\/font><\/p>\n TUESDAY, Aug. 7, 2018 (HealthDay News) — A new policy opposing lockout provisions that block Medicaid patients from the program for lengthy periods and instead supporting allowing patients to reapply immediately for redetermination was adopted by the American Medical Association (AMA) House of Delegates during the AMA’s annual meeting in Chicago, according to an article published in the association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Good Outcomes for HCV-Negative Recipients of HCV Kidneys<\/font><\/p>\n MONDAY, Aug. 6, 2018 (HealthDay News) — Hepatitis C virus (HCV)-negative recipients of HCV-infected kidneys experience HCV cure and good quality of life, according to research published online Aug. 7 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Plasma Copeptin More Accurate for Diabetes Insipidus Diagnosis<\/font><\/p>\n MONDAY, Aug. 6, 2018 (HealthDay News) — In patients with hypotonic polyuria, the direct measurement of hypertonic saline-stimulated plasma copeptin has better diagnostic accuracy than the water-deprivation test, according to a study published in the Aug. 2 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Some Bacteria Now More Tolerant of Alcohol-Based Sanitizers<\/font><\/p>\n FRIDAY, Aug. 3, 2018 (HealthDay News) — Some types of bacteria are developing tolerance of alcohol-based hand sanitizers used in hospitals, according to a study published in the Aug. 1 issue of Science Translational Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Variation in Specialty Drug Coverage Across Health Plans<\/font><\/p>\n FRIDAY, Aug. 3, 2018 (HealthDay News) — There is considerable variation in specialty drug coverage across commercial health plans, according to a study published in the July issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Groups Urge CMS to Reconsider Suspending Risk Adjustment<\/font><\/p>\n FRIDAY, Aug. 3, 2018 (HealthDay News) — In a letter sent to Administrator Seema Verma of the Centers for Medicare & Medicaid Services (CMS), medical organizations are urging reconsideration of the decision to suspend payments to insurers as required under the Affordable Care Act’s risk-adjustment program.<\/p>\n More Information<\/a><\/p>\n Health Affairs<\/i> Announces Launch of New Three-Year Initiative<\/font><\/p>\n THURSDAY, Aug. 2, 2018 (HealthDay News) — A council on health care spending and value has been established by the journal Health Affairs<\/i>.<\/p>\n More Information<\/a><\/p>\n Three Financial Metrics Can Improve Practice Performance<\/font><\/p>\n THURSDAY, Aug. 2, 2018 (HealthDay News) — By understanding three indices and metrics, physicians can change the financial outcome of their medical practice, according to a report published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n New Short-Term Health Plans Have Large Coverage Gaps<\/font><\/p>\n THURSDAY, Aug. 2, 2018 (HealthDay News) — There are large coverage gaps in short-term health plans that were approved Wednesday by the Trump administration, and are described by critics as “junk insurance.”<\/p>\n More Information<\/a><\/p>\n How Doctors Receive Feedback Is Key for Antimicrobial Programs<\/font><\/p>\n THURSDAY, Aug. 2, 2018 (HealthDay News) — Anticipation of how providers will receive feedback is important for antimicrobial stewardship programs to consider in informing educational messaging, according to a study published online June 7 in Infection Control & Hospital Epidemiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n National Guideline Clearinghouse Offline Due to Funding Cuts<\/font><\/p>\n WEDNESDAY, Aug. 1, 2018 (HealthDay News) — The National Guideline Clearinghouse (NGC) and National Quality Measures Clearinghouse (NQMC) websites were taken down on July 16 when funding for these federal databases ended, according to an announcement by the Agency for Healthcare Research and Quality (AHRQ).<\/p>\n Announcement<\/a><\/p>\n More Information<\/a><\/p>\n Tamsulosin Does Not Appear to Promote Urinary Stone Passage<\/font><\/p>\n WEDNESDAY, Aug. 1, 2018 (HealthDay News) — Tamsulosin does not significantly increase the urinary stone passage rate compared with placebo, according to a study published online June 18 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Steps Can Be Taken by Doctors to Minimize Risk of Lawsuits<\/font><\/p>\n WEDNESDAY, Aug. 1, 2018 (HealthDay News) — Targeted steps can be taken to minimize future risks of lawsuits, according to an article published in Physicians Practice<\/i>.<\/p>\n