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Sensing Savvy

What to Know About The Rural Physician Shortage

Posted by Tim Callahan on Nov 18, 2019

With an ever-growing demand for physicians, a quickly aging population and a dwindling number of practicing physicians, there’s no denying the physician shortage is looming. In fact, projections from the AAMC (Association of American Medical Colleges) predict a shortfall of 46,900 to 121,900 primary and specialty care physicians by 2032.

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Transplantation in ESRD Patients

Posted by Susan Eymann, MS on Nov 13, 2019

(Gleaned from the 2018 USRDS Annual Data Report: Volume II: Chapter 6)

Kidney transplantation is the renal replacement therapy (RRP) of choice for the majority of patients with end-stage renal disease (ESRD). Successful kidney transplantation is associated with improved survival, improved quality of life, and healthcare cost savings when compared to dialysis. In 2014, the Organ Procurement and Transplantation Network conducted major revisions of the kidney allocation system in order to reduce discards of potentially usable donor kidneys, decrease access disparities, and decrease unrealized life-years from the available organ supply. Changes included the following:

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What to Know About the Advancing American Kidney Health Executive Order

Posted by Deborah Brouwer-Maier RN, CNN on Nov 6, 2019

President Donald Trump signed an executive order in July  designed to “improve the lives of Americans suffering from kidney disease, expand options for American patients, and reduce healthcare costs.”

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Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Nov 4, 2019

Fresenius Invests in BioIntelliSense

Fresenius Medical Care North America has invested in BioIntelliSense, a remote, continuous health monitoring data platform that provides predictive analytics, clinical insights and real-time data through a medical-grade sensor. With its investment, Fresenius hopes “to improve monitoring, treatment and outcomes for patients with kidney disease.”

Source: Nephrology News & Issues

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Prevalence of End-Stage Renal Disease (ESRD) Across the Globe Part 1

Posted by Susan Eymann, MS on Oct 30, 2019

(Gleaned from 2018 USRDA Data Volume 2: ESRD in the United States)

Prevalence is the ratio of the total number of patients diagnosed and getting treatment of a disease to the total population. It tells how widespread a disease is in a population.
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Survey Says Most U.S. Hospitals Don't Meet Minimum Surgical Safety Standards

Posted by Tim Callahan on Oct 28, 2019

 

Hospitals in the United States are failing to meet the minimum surgical safety standards for certain high-risk procedures. 
In fact, the majority of hospitals in the U.S. fail to meet hospital or surgeon volume standards, deeming them unsafe. This is according to a study from nonprofit organization Leapfrog, a watchdog group for healthcare purchasers.

The report analyzed data from a 2018 survey of more than 1,300 hospitals. Under the guidance of the Armstrong Institute for Patient Safety and Quality at Johns Hopkins Medicine, experts at Leapfrog made these discoveries:

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Topics: Hospital Administration

Cardiovascular Disease in Patients with CKD – 2018

Posted by Susan Eymann, MS on Oct 23, 2019

(Gleaned from the 2018 USRDS Annual Data Report: Volume 1, Chapter 4: www.usrds.org)

Cardiovascular disease (CVD) remains the leading cause of death in the United States and most other developed countries. It accounts for approximately 39 percent of deaths among those on dialysis. Among patients with chronic kidney disease (CKD), death from CVD is far more common than progression to end-stage renal disease (ESRD). CKD has been identified as an independent risk factor for CVD, and arguably should be recognized as a coronary disease risk equivalent, similar to diabetes mellitus (DM). The complex relationship between CVD and kidney disease is thought to be due to shared traditional risk factors, such as DM, hypertension (HTN), physical inactivity, left ventricular hypertrophy, smoking, family history and abnormal lipid levels in the blood.

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Topics: Hemodialysis

Can Mindfulness Help Surgical Residents Cope with Stress?

Posted by Anna Mueller, MS on Oct 21, 2019

Surgical training is demanding and stressful. It’s so stressful, in fact, that nearly 70% of surgical residents report feelings of burnout. Researchers at the University of California, San Francisco (UCSF), found that without adequate coping skills, overwhelming stress among surgeons can cause performance deficits, surgical errors and poor professionalism.

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Topics: Clinical Trends

United States Renal Data System (USRDS): What’s New from 2018

Posted by Susan Eymann, MS on Oct 16, 2019

No individual data source exists that captures the disease experiences of all Americans who live with kidney disease. A large proportion of the USRDS information is drawn from Medicare beneficiaries. However, they are not a nationally representative population. Since 2017, two new data sources have been utilized that have expanded the USRDS’s coverage of the U.S. population.

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Topics: Hemodialysis

USRDS Weighs in on the Vascular Access

Posted by Susan Eymann, MS on Oct 14, 2019

(Gleaned from the 2018 USRDS Annual Data Report: Volume II: Chapter 3)

Clinical practice guidelines from the National Kidney Foundation in 2006 recommend an autogenous arteriovenous (AV) fistula as the preferred vascular access for hemodialysis. Central venous catheters are associated with higher risks of death, infection and cardiovascular events than other types of vascular access. Patients with a usable AV fistula exhibit the lowest risks for these events.

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Topics: Hemodialysis

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