As a veteran of both in-center and home dialysis, patient Richard Crawford knows that dialysis is a “tough proposition” in terms of time and its impacts on the body. But he was impressed by a new experimental home dialysis device called Tablo that he tried as part of a clinical trial.
“It seemed to sync with my body much better than both in-center devices and systems I used at home,” Crawford said. He explained he found it intuitive to use, that it reduced the likelihood of user error, and gave him better biochemical clearance. In fact, he said he had
Inventor Dean Kamen said he is hoping to one day put himself out of business in both the dialysis and insulin pump industries. He created the first insulin pump and the first home peritoneal dialysis machine. The home hemodialysis machine he helped develop is currently being tested in an in-center clinical trial as part of CVS Health’s foray into home dialysis.
“We shouldn't be making insulin pumps for kids, we should be transplanting beta cells in the pancreas,” Kamen said during a Kidney Week 2019 state-of-the-art plenary talk. “We should not be doing dialysis. We should give people a replacement
The United States was built on bold, audacious plans in which the public and private sectors collaborate to solve complex problems. Our healthcare system is no exception, and the cancer community wrote the book on how to advance the field on behalf of patients.
When President Richard M. Nixon signed the National Cancer Act of 1971, he shared “that a total national commitment means more than government.” Nearly 45 years later, Vice President Joseph R. Biden, Jr., described a Cancer Moonshot to cure cancer through a collaborative, multi-disciplinary coalition of public and private resources. Following the former vice president’s call
Fertility diminishes with declining kidney function, and it is challenging for women with kidney failure who are undergoing dialysis to become pregnant. Because there is limited information on current pregnancy rates in women on dialysis, a recent study examined pregnancy data in the United States by age, race, dialysis modality, time on dialysis, socioeconomic status, rurality, and cause of kidney failure, along with factors associated with pregnancy.
“Pregnancy in a woman with end stage kidney disease is not common, and many questions still remain unanswered. I was curious to know the nationwide incidence of conceptions and pregnancies among women undergoing
You can order just about anything online and track it every step of the way until it reaches your doorstep thanks to modern logistics and technology. Now, those same technologies are being applied to kidney transplants to speed the process and enable more transplants.
It currently takes on average about 18 to 20 hours to get a kidney from the donor to the transplant patient, explained Joseph Scalea, MD, assistant professor of surgery at the University of Maryland Medical Center in Baltimore. During that time the organ is chilled and kept in a solution to protect it from injury, but
An epidemic of CKD among agricultural workers in different parts of the world has scientists searching for the potential cause. Among the chief suspects—although not the only one—is climate change–related heat stress.
As scientists work to verify whether climate change is contributing to the epidemic, concern about the potential health impacts of climate change around the world is growing. A 2017 report from the United Nations outlined the health risks associated with climate change, including increases in vector-borne diseases and extreme weather events, both of which can contribute to new kidney disease and put patients with existing kidney disease at
Diabetic kidney diseases develop in approximately 40% of patients who have type 2 diabetes and are the leading cause of CKD worldwide. The condition also accounts for more than 40% of kidney failure in the United States.
With more than 100 million U.S. adults living with diabetes or prediabetes, according to a recent Centers for Disease Control and Prevention report, new treatments are urgently needed to stem the tide of diabetic kidney diseases.
Fortunately, “the outlook for people diagnosed with type 2 diabetes and CKD today is more hopeful than it has ever been,” says Vlado Perkovic, MBBS, PhD, in
Last month, the Trump administration announced ambitious new plans for a kidney health initiative that seeks to improve care for people with kidney diseases by significantly increasing the number of Americans receiving home dialysis, reducing the incidence of kidney failure, and hastening and increasing access to kidney transplants.
Although the details of how the initiative will achieve these goals have not yet been fully revealed, industry leaders say the broad language set forth in the President’s July 10, 2019, Executive Order aligns with a growing shift toward providing greater consumer choice in kidney care and the need for a greater
In the past 12 months, three more states passed legislation backed by state medical associations limiting the use of maintenance-of-certification (MOC) tests. Washington and Michigan passed laws in 2018, and North Dakota passed a law earlier this year.
But considering legislative sessions and bills that have been introduced, no state other than North Dakota appears likely to act in 2019—and the momentum for reform may have passed to the efforts by the specialty boards themselves, including the changes proposed by the vision initiative of the American Board of Medical Specialties (ABMS).
The Washington legislation ensures that board certification cannot be
Some nephrology fellowship programs are not providing all fellows the required training in several procedures, ASN and the American Board of Internal Medicine (ABIM) charge in a letter to the programs’ accrediting agency.
The two organizations sent a formal letter to the Accreditation Council for Graduate Medical Education (ACGME) expressing concern that some accredited nephrology training programs provide little or no experience in performing kidney biopsies, placing temporary vascular access for hemodialysis, and placing dialysis catheters for continuous renal replacement therapy.
“Despite the debates in recent years about the need to retain requirements for competency in biopsies and temporary hemodialysis