Dialysis world news


CMS issues final policy for 2013 detailing policies and incentives in ESRD.
CMS: The Centers for Medicare & Medicaid Services (CMS) today issued a final rule for calendar year (CY) 2013 that updates Medicare policies and payment rates for dialysis facilities paid under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS). The final rule also strengthens incentives to improve quality of care and outcomes for patients through the ESRD Quality Incentive Program (QIP). Performance scores on the QIP measures during the 2013 performance period will be used to inform payments to dialysis facilities in payment year (PY) 2015.

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Weight loss by bariatric surgery can lead to reduced bone density.
Science Daily: Unfortunately, some types of bariatric surgery may also cause bone loss, a cause for concern, particularly when carried out on young people who have not yet reached their peak bone mass, say endocrinologists from Sydney's Garvan Institute of Medical Research, who have just published a review of current literature in the journal Obesity Reviews, now online.

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Tolvaptan study shows promising results in polycystic kidney disease.
Science Daily (ASN): The multicenter study found tolvaptan demonstrated a nearly 50 percent reduction in the rate of increase in total kidney volume (a measurement of kidney cyst growth) in ADPKD patients over the study period, compared to placebo.

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Will nanosilver drainwater contamination pose a problem for dialysis?
Science Daily: Silver nanoparticles have an antibacterial effect, and are used in a variety of consumer products such as workout clothing to prevent the smell of sweat. When the clothes are washed, nanoparticles are released and enter waste water treatment plants through waste water. The particles release silver ions that cannot be broken down at waste water treatment plants or in nature. The silver ions are toxic to many organisms.

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DOPPS practice monitor updated in October 2012
DOPPS: Includes data on Kt/V, Hb, Ca, P, PTH, EPO, iron, P binder, vitamin D, and cinacalcet.

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