Treatment with angiotensin-converting enzyme (ACE) inhibitors, statins, or both does not affect albumin excretion in adolescents with type 1 diabetes, concludes a trial in The New England Journal of Medicine.
Features
Most dialysis in the developed world occurs as three sessions per week, typically about 4 hours per session. This provides us with fairly dismal outcomes—yes, we keep people alive for a period of time (hopefully for some, until they are transplanted)—but our outcomes are worse than breast cancer. It is not enough to claim that there have been improvements; we still have a long way to go.
Exercise during dialysis reduces the length of stay for subsequent hospitalizations by three days, according to a recent study.
Over the past 10 years, much has changed in the specialty of nephrology and for nephrologists in all career tracks and professional settings. We have a deeper understanding of underlying mechanisms of disease and how to target therapy. Kidney Week 2017 was full of excitement and examples of discovery and translation to improve clinical care.
It is said that the only constant in life is change. Throughout my career, health care policy changes have often been seen as harbingers of more difficult times for physicians in American medicine.
Late 2017 found a push in the Senate to pass a companion bill to H.R. 3166, which would allow “deemed status” of 
ESRD facilities.
