AI shows promise predicting kidney failure | CKD patients who eat more protein at increased risk for ESRD, death | Anemia, IDA increase mortality risks in CKD, study says
December 5, 2019
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Renal news roundup from the American Kidney Fund
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Innovation in Renal Care
AI shows promise predicting kidney failure
In an experiment, Alphabet subsidiary DeepMind used artificial intelligence and data gathered from Department of Veterans Affairs sites to correctly predict the condition of 9 out of 10 patients with acute kidney injury who would eventually need dialysis. At a UK hospital, DeepMind's mobile medical assistant, Streams, helped clinicians save up to 2 hours per day in diagnosis and organization.
ASME (11/26) 
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Research News
CKD patients who eat more protein at increased risk for ESRD, death
Research found that patients with chronic kidney disease who eat greater amounts of dietary protein were at a higher risk for end-stage renal disease and all-cause mortality, and researchers also observed a reduction in dietary protein intake tied to progressive kidney function loss. Data from the study were presented at the recent Kidney Week meeting of the American Society of Nephrology.
Healio (free registration)/Nephrology News & Issues (11/19) 
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Anemia, IDA increase mortality risks in CKD, study says
Patients with chronic kidney disease and functional iron deficiency anemia had an 11% increased risk of death and a 21% higher likelihood of one-year cardiovascular-related hospitalization, compared with those who did not have IDA, researchers reported at the American Society of Nephrology's Kidney Week conference. Overall, CKD patients with anemia had a 58% increased risk for death and 72% higher risk of needing dialysis.
Renal and Urology News (12/2) 
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Frailty an issue for kidney transplant candidates, recipients
A study in the American Journal of Transplantation found that 13.3% of kidney transplant candidates were frail at their evaluation, while 8.2% of living donor recipients and 17.8% of deceased donor recipients were frail at the time of transplantation. "Given the high prevalence of frailty, transplant programs should consider assessing frailty during KT evaluation to improve informed consent and identify candidates for pre-KT interventions," researchers said.
Healio (free registration)/Nephrology News & Issues (11/26) 
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Non-critically ill hospitalized children at higher risk for AKI
Children who were admitted to a non-critically ill hospitalist service had a higher incidence of acute kidney injury, according to a study presented at the American Society of Nephrology's Kidney Week conference. Researchers used a cohort of 1,223 patients without a history of chronic kidney disease or ICU admission, ages between 2 weeks and 18, and called for more AKI awareness in the acute care setting because children are at an increased risk for AKI due to their exposure to nephrotoxic drugs.
Healio (free registration) (11/26) 
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Policy Watch
Medicare payment changes trigger rise in use of home dialysis
A new study found there was a 50% increase in use of home-based peritoneal dialysis among US patients with end-stage kidney disease after key changes to Medicare's payment structure for dialysis treatment were implemented in 2011. The findings were reported in the Clinical Journal of the American Society of Nephrology.
Medscape (free registration) (11/28) 
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MIPS changes could adversely affect nephrology practices after 2020
A report from the Renal Physicians Association said the CMS Physician Fee Schedule final rule on Medicare payments for outpatient dialysis likely will not lead to significant changes for nephrology practices next year. Changes in the Merit-based Incentive Payment System, however, could have negative effects on practices after 2020 as they include elimination of nephrology-specific performance measures and implementation of an episode-based quality measure for acute kidney injury requiring new inpatient dialysis -- measures opposed by the RPA.
Healio (free registration)/Nephrology News & Issues (12/3) 
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Opinion, Commentary and Analysis
Spigler: Collaboration among specialties important in kidney care
Inadequate diagnosis and a lack of early detection and intervention are barriers to improving patient outcomes in nephrology, said Michael Spigler, vice president of patient services and kidney disease education for the American Kidney Fund. Spigler said it is important for physicians of different specialties to work together and with general practitioners to identify patients and get them referred for treatment to stop the progression of conditions like renal disease.
MD Magazine online (11/25) 
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Patient Perspective
W.Va. woman gains kidney, friend for life after transplant
Debbie Connard of Beckley, W.Va., was on dialysis for more than nine hours a night and her kidneys functioned at 20% for more than two years as she waited for a transplant. Bruce Turner of Charleston had wanted a way to give back, so he contacted the Center for Organ Recovery & Education and donated a kidney to Connard, and the two have since become friends.
WVNS-TV (Ghent, W.Va.) (12/4) 
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Renal Industry News
FDA OKs Medtronic's drug-coated balloon to prevent vessel restenosis
The FDA has approved Medtronic's IN.PACT AV drug-coated balloon, which is used for the prevention of vessel restenosis to enable proper functioning of arteriovenous access sites in patients undergoing hemodialysis. "The FDA approval of IN.PACT AV DCB marks a significant step forward for paclitaxel-coated devices," noted Mark Pacyna, vice president and general manager of Medtronic's peripheral vascular business in the cardiac and vascular group.
Healio (free registration)/Nephrology News & Issues (11/21),  Medical Device & Diagnostic Industry online (11/21) 
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News from the American Kidney Fund
Need CE credits?
Need CE credits?
Check out AKF's free online continuing education courses for health care professionals caring for patients with, or at risk for, kidney disease. The courses cover a wide range of topics including helping patients adjust to dialysis, managing hyperphosphatemia, understanding depression in patients with kidney disease, and more.
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AKF report: Perspectives on kidney disease and anemia
AKF report: Perspectives on kidney disease and anemia
AKF's survey of renal patients and providers shows gaps in patient awareness and understanding of anemia, a serious health condition that is a common complication of chronic kidney disease and end-stage renal disease. The survey of patients and renal medical professionals also found that most practitioners believe that low health literacy among patients, along with patients feeling overwhelmed by other health conditions, serve as two significant barriers to discussing anemia with their patients. Download the report.
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The American Kidney Fund (AKF) fights kidney disease on all fronts. Through programs of prevention, early detection, financial support, disease management, clinical research, innovation and advocacy, no nonprofit kidney organization impacts more lives than AKF. AKF is one of the nation’s highest-rated nonprofits and spends 97 cents of every donated dollar on programs. Visit KidneyFund.org, or connect with AKF on Facebook, Twitter , Instagram and LinkedIn.
AKF provides this news roundup as a service to the kidney community. The news reported in KidneyPro SmartBrief is not necessarily endorsed by the American Kidney Fund.
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