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A reporter's PressPass is required to access this story until the embargo expires on 24-Jul-2014 5:00 PM EDT

Medicine

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A reporter's PressPass is required to access this story until the embargo expires on 24-Jul-2014 5:00 PM EDT

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Cost of Kidney Donation May Be Too Much for Potential Donors with Low Income

• Between 1999 and 2010, lower income regions in the US consistently had lower rates of living donation compared with higher income populations. • The difference in living donation rates between lower and higher income regions was much larger in recent years than it was in the past.

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Cost of Expensive Medication in Dialysis Catheters May Be Offset by Reduced Complications

• The increased cost of an expensive drug that can prevent clots in dialysis catheters may be offset by lower costs for managing complications. • Additional studies are needed to determine the medication’s long-term cost and effectiveness.

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GW Researchers Present Acute Kidney Injury and Chronic Kidney Disease as Interconnected Syndromes

Researchers at the George Washington University were published in the New England Journal of Medicine, calling for greater follow-up care for those with acute kidney injury, as these patients often present later in life with chronic kidney disease, and vice versa.

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Risk Factors for Chronic Kidney Disease Are Present Decades Before Diagnosis

• Obesity, high blood pressure, high triglycerides, and diabetes increase a person’s risk of developing chronic kidney disease decades later. • Early identification of such risk factors may help improve efforts to prevent kidney disease.

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Small Changes to US Kidney Allocation Policy May Help Reduce Geographic Disparities in Transplantation

• In Tennessee and Florida, waiting times and other measures of geographic disparity in kidney transplantation became almost equal after the states adopted a Statewide Sharing variance to the national kidney allocation policy in the early 1990s. • Meanwhile, the geographic disparity in kidney transplantation became worse in other comparable states.

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Survival Differences Among Young Black and White Adults on Dialysis Are Most Striking in Poor Neighborhoods

• Young black adults on dialysis living in poor neighborhoods had a higher risk of dying while still young compared with all other young black and white adults. • Among young adult dialysis patients living in poor neighborhoods, blacks had approximately a 1.5 times greater risk of dying compared with whites.

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Improved Blood Glucose Control Slows Progression to End-Stage Renal Disease in Type 1 Diabetes

Andrzej-Krolewski-MD-PhD-Joslin-Diabetes-Center.jpg

The results of a 20-year study confirm that people with Type 1 diabetes who have developed kidney complications can slow the progress of their complications by improving control of their blood glucose over the long term. This finding may lead to changes in clinical practice for this population.

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Findings Show Benefit of Changing Measure of Kidney Disease Progression

Developing therapies for kidney disease can be made faster by adopting a new, more sensitive definition of kidney disease progression, according to a study published by JAMA.

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