Nephrology News

• Poor Coordination in Care for Vets With Advanced Kidney Disease Veterans with advanced kidney disease often have a tough time getting coordinated care when they are seeing both VA doctors and outside providers, a new study suggests.
  Reuters Health Information, May 20, 2022
• SGLT-2 inhibitors as First-Line Therapy in Type 2 Diabetes? Real-world study finds heart failure hospitalization reduction compared to metformin but not MI, stroke, or overall mortality, and greater genital infection risk.
  Medscape Medical News, May 23, 2022
• When Should Those With End-Stage Kidney Disease Forego Dialysis? Australia and the UK have long had programs whereby some elderly patients with end-stage kidney disease, or those with many comorbidities, opt to forego dialysis, but the US has lagged behind.
  Medscape Medical News, May 23, 2022
• ESC-HF Moderate to High Alcohol Use May Push 'Pre-HF' Into Clinical HF Also, no protection was evident at any alcohol-intake level among STOP-HF trial participants who were initially at risk for heart failure but without echocardiographic signs of the disease.
  Medscape Medical News, May 23, 2022
• ESC-HF Voice-Analysis App Promising as Acute-HF Early Warning System It could potentially help guide heart failure therapy to avert acute decompensations, researchers say. 'But of course, we have to show that now in larger and randomized clinical studies.'
  Medscape Medical News, May 21, 2022
• How to Manage Drug Interactions With Paxlovid for COVID Some drugs can be held or reduced for the 5-day course. IDSA has published an online guide. Availability in pharmacies has greatly increased in recent weeks.
  Medscape Medical News, May 20, 2022
• Aspirin Links With CVD Cut in Patients With Kidney Disease Recent recommendations advise against aspirin for primary prevention of CVD events in people over 59 years old, but when chronic kidney disease is present it looks like a different story.
  Medscape Medical News, May 20, 2022
• Drinking More Coffee May Reduce Acute Kidney Injury Risk Increased consumption of coffee may reduce the risk of developing acute kidney injury, reports a prospective cohort study.
  Medscape Medical News, May 19, 2022
• Patients' Bad Behavior Provokes Burnout in Physicians: Study Mistreatment and discrimination by patients increase the risk of physician burnout; for 1 in 5 physicians, patients refused care because of the physician's appearance.
  Medscape Medical News, May 19, 2022
• Hypertension + Advanced Age Linked to More Cesarean Deliveries The link, while not new, can be helpful in counseling women at risk about delivery options, experts said.
  Medscape Medical News, May 18, 2022
• Poisoned at Work: A Detective Story for Nephrologists A patient with kidney disease of unknown origin had mostly unremarkable findings. It was only when he mentioned having noticed white powder on his lunch that a diagnosis became clearer.
  Medscape Medical News, May 17, 2022
• Black Veterans Report Stress When Receiving Kidney Care New research suggests that racism in the hospital setting created emotional and physical stress for Black veterans with chronic kidney illness as well as a high level of skepticism toward medicine.
  Medscape Medical News, May 17, 2022
• AACE 2022 Spinal Cord Stimulation Durable for Painful Diabetic Neuropathy Randomized controlled trial shows durable relief of refractory painful diabetic neuropathy symptoms with the spinal cord stimulation device out to 18 months.
  Medscape Medical News, May 17, 2022
• BSR 2022 Risk Factors for COVID Death Studied in U.K. Arthritis Patients Shielding status was the highest ranked of all the risk factors identified for early mortality from COVID-19.
  Medscape Medical News, May 17, 2022
• Which CRC Regimens Are More Likely to Harm Kidneys? After analyzing various treatments for metastatic colorectal cancer (CRC), researchers zeroed in on FOLFIRI + bevacizumab. The study was published as a preprint and has not yet been peer reviewed.
  First Look, May 17, 2022
• Writing Out Common Medical Terms Boosts Patient Knowledge: Study Research published in JAMA Network Open shows that patients are more likely to understand their health conditions when healthcare providers avoid abbreviations and acronyms in written communications.
  Medscape Medical News, May 16, 2022
• Radiologists Feeling the Effects of Contrast-Media Shortage The current global shortage of iodinated contrast media is forcing radiologists to make changes in diagnostic imaging to conserve contrast without affecting patient health.
  Medscape Medical News, May 16, 2022
• Are Physician White Coats Becoming Obsolete? The white coat has been the traditional physician garb. But since the pandemic, more have been wearing scrubs or more casual clothing. What's best for physicians to wear?
  Medscape Medical News, May 13, 2022
• Moderate Exercise Likely Curbs Kidney Decline in Sedentary Older Adults A structured moderate-intensity physical activity and strength/flexibility program slowed kidney function decline compared with health education, an analysis of a randomized clinical trial suggests.
  Reuters Health Information, May 12, 2022
• AACE 2022 First Fatty Liver Guidelines for Endocrinology, Primary Care Endocrinologists and primary care docs 'need to be the ones who are diagnosing and managing [non-alcoholic fatty liver disease] because there just aren't enough liver specialists to do that,' says author.
  Medscape Medical News, May 13, 2022