The Centers for Medicare & Medicaid Services are working on a new website for participants in the Quality Incentive Program for dialysis care. The site will offer many of the resources available for dialysis providers on the current site, including updates, proposed and final rules, and access to slide forums from CMS-directed open door meetings.
Johns Hopkins scientists report that a 10-minute test for “frailty” first designed to predict whether the elderly can withstand surgery and other physical stress could be useful in assessing the increased risk of death and frequent hospitalization among kidney dialysis patients of any age.
A simple urine test, developed at the University of Surrey may greatly improve patient quality of life and has the potential to save the NHS in excess of £100 million every year.
Patients with chronic kidney disease (CKD) have high cardiovascular mortality and morbidity associated with increased arterial stiffness. Plasma aldosterone levels are increased in CKD, and aldosterone has been found to increase vascular inflammation and fibrosis.
So says one expert in the condition, who argues that the term “type 2 diabetes” implies a single disease and mechanism with a single treatment, when in fact it is a complex collection of disorders.
Diabetes is the most common cause of chronic kidney disease worldwide, though herbal and environmental toxins are also to blame, especially in developing countries, researchers found.
Doctors who treat patients with kidney failure are reluctant to discuss a difficult prognosis, and their patients are likely to have distorted expectations about their own probable outcomes, according to a study published online May 27 in JAMA Internal Medicine.