Nephrology

Navigating the Complexities of Nephrology Coding and Billing

Navigating the Complexities of Nephrology Coding and Billing

Over- and under-documentation are equally considered fraudulent, and may increase audit risk, so it is essential to get coding and billing right the first time.

Group Proposes Lower <i>P</i>-Value for Statistical Significance

Group Proposes Lower P-Value for Statistical Significance

In a controversial and divisive article, a group of researchers proposes to improve "statistical standards of evidence" by lowering the P value from P <.05 to P <.005 in the fields of biomedical and social sciences.

Tailored SBP Tx Reduces Risk for Post-Op Organ Dysfunction

Tailored SBP Tx Reduces Risk for Post-Op Organ Dysfunction

Findings among patients undergoing major surgery at increased risk of postoperative complications

New AUA Guidelines Promise Better Care

New AUA Guidelines Promise Better Care

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To avoid CKD, the guidelines now provide detailed review of the risk/benefit profile comparing partial to radical nephrectomy.

Case: Nephrotic Syndrome Induced With Everolimus, Voriconazole

Case: Nephrotic Syndrome Induced With Everolimus, Voriconazole

The patient's nephrotic syndrome rapidly improved with discontinuation of everolimus and voriconazole.

1 in 5 Hospital Patients Have Antibiotic-related Adverse Effects

1 in 5 Hospital Patients Have Antibiotic-related Adverse Effects

The most common side effects were gastrointestinal (42%), renal (24%), and hematologic (15%) abnormalities.

Nephrology Fellowship Teaching Rated Well

Nephrology Fellowship Teaching Rated Well

Interventions to improve pathology instruction and increase time for physiology and clinical review were strongly supported.

Rivaroxaban Reduces Recurrent VTE Better Than Aspirin

Rivaroxaban Reduces Recurrent VTE Better Than Aspirin

Among patients with venous thromboembolism, the risk of a recurrent event was significantly lower with rivaroxaban than with aspirin, without a significant increase in bleeding rates.

Thiamine May Reduce RRT in Septic Shock Patients

Thiamine May Reduce RRT in Septic Shock Patients

Septic shock patients randomized to receive thiamine had lower serum creatinine levels and a lower rate of progression to RRT than patients randomized to placebo.

Improving Nephrology Care With Point-of-Care Ultrasound

Improving Nephrology Care With Point-of-Care Ultrasound

Benefits include rapid assessment of kidney size, cortical thickness, and volume status.

Early Predialysis Nephrology Care May Prevent CV Events

Early Predialysis Nephrology Care May Prevent CV Events

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Patients with early and frequent nephrology visits before dialysis initiation had about a 10% lower risk for major adverse cardiovascular events.

How 'Bundling' Changed Dialysis Care

How 'Bundling' Changed Dialysis Care

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Decreased use of erythropoiesis-stimulating agents and an uptick in peritoneal dialysis use are among the trends.

HCV Eradication May Reduce Diabetes Risk in HIV Patients

HCV Eradication May Reduce Diabetes Risk in HIV Patients

SVR was found to be associated with a significant decrease in the hazard of diabetes mellitus and decline in the hazard of chronic renal failure.

Novel Microfluidic Device Models Human Kidney

Novel Microfluidic Device Models Human Kidney

The model kidney incorporates a porous growth substrate, physiological fluid flow, and the passive filtration of the glomerulus.

Albuminuria Associated With Cognitive Impairment, Dementia

Albuminuria Associated With Cognitive Impairment, Dementia

The researchers found that albuminuria correlated with cognitive impairment, dementia, clinical Alzheimer's disease, and vascular dementia.

Key Differences in Immunochemical, BCG, BCP Measures of Albumin

Key Differences in Immunochemical, BCG, BCP Measures of Albumin

Significant differences among immunochemical, BCG, and BCP methods compromise interpretation of serum albumin results.

Fewer Major Bleeds With Once-Daily Enoxaparin for VTE

Fewer Major Bleeds With Once-Daily Enoxaparin for VTE

On propensity analysis, patients on enoxaparin once daily had fewer major bleeds and deaths at 15 and at 30 days than those on enoxaparin twice daily.

Black Gout Sufferers Have Worse HRQoL

Black Gout Sufferers Have Worse HRQoL

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Blacks had significantly higher median baseline serum urate levels compared to whites.

Nephrology in Crisis: Trainees in Short Supply

Nephrology in Crisis: Trainees in Short Supply

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Efforts should be directed at making nephrology more appealing to recruit more trainees.

Copeptin Predicts IgA Nephropathy Outcomes

Copeptin Predicts IgA Nephropathy Outcomes

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Copeptin, a surrogate marker for arginine vasopressin (AVP), showed prognostic value of established risk markers.

ESRD Risk Factors in IgAN Patients Identified

ESRD Risk Factors in IgAN Patients Identified

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Predictors of renal failure within 10 years include Oxford M1 disease and low eGFR at biopsy.

Valerian Root Herbal Remedy Linked to Life-Threatening Hyponatremia

Valerian Root Herbal Remedy Linked to Life-Threatening Hyponatremia

The patient had a brief period of confusion and altered behavior followed by a collapse and seizure caused by root supplements.

Drones Can Safely Transport Blood Products

Drones Can Safely Transport Blood Products

Tests showed that the blood products maintained proper temperature and cellular integrity during transport on the drone.

Patient Death Risk Higher With End-of-Rotation Transfer

Patient Death Risk Higher With End-of-Rotation Transfer

The risk of dying both while in hospital or soon after discharge was significantly greater among those patients who underwent an end-of-rotation transfer while hospitalized.

Urea May Offer Cheaper Option for Long-Term SIADH Treatment

Urea May Offer Cheaper Option for Long-Term SIADH Treatment

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Researchers present results from the first long-term study of Urea USP in the United States.

Fewer Physicians Starting Nephrology Fellowship Training

Fewer Physicians Starting Nephrology Fellowship Training

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Researchers document an 8% dip in 2015-2016 compared with the previous academic year.

Factors Linked to Worse Post-Surgical Kidney Function ID'd

Factors Linked to Worse Post-Surgical Kidney Function ID'd

Factors including low preoperative mean arterial BP tied to increases in eGFR, kidney injury.

Low Sodium Levels Up  PD Patient Mortality

Low Sodium Levels Up PD Patient Mortality

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Patients in the lowest serum sodium group had a 49% increased risk of dying compared with those who had the highest serum sodium levels.

Reduced Kidney Function Ups Likelihood of AFib

Reduced Kidney Function Ups Likelihood of AFib

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Over a median follow-up of 3.7 years, researchers observed 159 incident cases of atrial fibrillation.

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