An analysis of data for 523,526 people with end-stage kidney disease found an increase in patients choosing home dialysis from 2005 to 2013, regardless of race or ethnicity. The study was published in the Clinical Journal of the American Society of Nephrology.
Researchers found that people with HIV who also had hepatitis C were not at a greater risk for non-AIDS-related cancers or cardiovascular disease. The findings, based on data for 16,818 people, were reported in the journal Clinical Infectious Diseases.
The Harvard Business School's Institute for Strategy and Competitiveness teamed up with the American College of Surgeons to develop a value-based measurement program for hospitals and surgical practices. The program, called Transforming Healthcare Resources to Increase Value and Efficiency, will be tested at 10 to 15 hospitals.
CMS Administrator Seema Verma said the number of Medicare beneficiaries covered by accountable care organizations in the redesigned Medicare Shared Savings Program increased to 10.9 million from 10.5 million, but the number of ACOs in the program fell to 518 from 561 last year. CMS is requiring ACOS to take on more risk this year and said 66 ACOs joined the program for the July 1 start date, about half as many as last year.
Researchers looked at 6,797 children with a mood disorder diagnosis and found that those in foster care, those with disabilities, those with medical and/or psychiatric comorbidities, and those with previous psychiatric hospitalizations had a significantly increased likelihood of having psychiatric readmissions. The findings in the Journal of the American Academy of Child & Adolescent Psychiatry showed lower readmission rates among those treated in hospitals with elevated Medicaid discharge rates and a high number of beds.
There were 2,337 additional preterm births to Hispanic mothers during the nine months after the election of President Donald Trump in November 2016, compared with the expected number of premature births during that time, researchers reported in JAMA Network Open. The findings also showed that 9.6% of female births and 11% of male births among Hispanic women between 2009 and 2017 were preterm, compared with 9.3% and 10.2%, respectively, among other women.
Children and teens with end-stage renal disease who began dialysis at a higher estimated glomerular filtration rate had a 36% higher death risk, compared with those who started dialysis at a lower eGFR, according to a study in the Journal of the American Society of Nephrology. The findings suggest that dialysis initiation among youths with ESRD should be delayed until their eGFR declines, researchers said.
Contact with horses can be as soothing for equine veterinarians as anyone else, but a career in equine veterinary medicine is also physically demanding and highly stressful with long, unpredictable work hours, high student debt loads, administrative burdens and emotional stressors. Equine veterinarians may also be subject to isolation, unrealistic client expectations and demands, and harassment, says AVMA Director of Wellbeing and Diversity Initiatives Dr. Jen Brandt, who helped start a veterinary mental health group with counselors and social workers who specialize in veterinary medicine.
Researchers used a cohort of 253 young adults, ages 10 to 20, and found that those with Down syndrome had an increased risk of developing prediabetes and dyslipidemia, compared with those without the condition. Findings in the journal Pediatrics also showed that youths with DS had significantly higher levels of triglycerides, LDL cholesterol and non-HDL cholesterol and lower levels of HDL-C, as well as less lean mass for BMI z score, fat mass and visceral fat, but higher visceral fat at higher fat mass.
Philips' Future Health Index 2019 report showed that the US lags behind in the adoption of digital health technologies, such as artificial intelligence and telehealth, with only 33% and 46% of US health care professionals surveyed using these tools, compared with global averages of 46% and 61%, respectively. Researchers polled over 3,100 health care professionals in 15 countries and found that although 84% of US providers use EHRs in their practice, which was higher than the average of 76% across the other surveyed countries, they also had significantly lower rates of satisfaction with its use.