Thu, Mar 23, 2017 | updated 05:47 AM IST

Coordination of care lessens need of dialysis

Updated: Nov 20, 2016 11:36 IST

Washington D.C [USA], Nov. 20 (ANI): Coordination of care among different clinicians and specialists improves the health of patients with kidney disease and even reduces costs compared with usual care.

According to a study, that will be presented at ASN Kidney Week 2016 at McCormick Place in Chicago, IL, multi-disciplinary care is cost effective as it curbs the need for dialysis, an expensive therapy.

Kidney failure, or end-stage renal disease (ESRD), accounts for 5.6% of total Medicare expenditures, though ESRD patients on dialysis make up only 1.6% of its beneficiaries.

Multi-disciplinary care-or coordination of care among different clinicians and specialists-has been proposed as a way to benefit patients while reducing costs as they progress from chronic kidney disease (CKD) to ESRD.

To evaluate this approach, Eugene Lin, MD (Stanford University) and his colleagues developed a model related to the progression from CKD to ESRD that takes into account different patient characteristics

The team found that multi-disciplinary care in patients with CKD is a relatively inexpensive intervention, costing only $24,613 per quality-adjusted life year (QALY). (One QALY equates to 1 year in perfect health.)

In contrast, a recent analysis found that dialysis costs $129,090 per QALY.

"Even if the multi-disciplinary care program were deployed inefficiently, it would be significantly cheaper than other interventions, largely because it alleviates the much larger cost of dialysis," said Dr. Lin.

Medicare coverage of multi-disciplinary care would be a relatively low-cost way to improve the health of patients with kidney disease.

"Our research suggests that strategies aimed at slowing the progression of kidney disease are likely to be cost effective because they prevent the need for dialysis, a very expensive therapy." (ANI)

Hepatitis drug can help cut Ebola death rate

Updated: Mar 22, 2017 09:30 IST

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Weekend surgery 'not riskier'

Updated: Mar 22, 2017 09:20 IST

Washington D.C. [USA], Mar. 22 (ANI): Day of the week has no impact on the survival chances of people undergoing emergency surgery, a new research has found.

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Washington D.C. [USA], Mar. 22 (ANI): Despite existing prevention methods, transmission of infections with HIV, hepatitis B, syphilis or rubella from mother to child before and during birth as well as in infancy still occur across Europe.

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Changes in blood may spur Alzheimer's disease

Updated: Mar 22, 2017 07:29 IST

Washington D.C. [USA], Mar. 22 (ANI): A recent study has linked changes in the vascular system to Alzheimer's disease.

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Spraying onto broken hearts to heal them

Updated: Mar 22, 2017 06:45 IST

Washington D.C. [USA], Mar. 22 (ANI): A team of scientist has come up with a new method that may make the heart surgeries a history.

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Washington D.C. [USA], Mar. 21 (ANI): Now, detecting a mosquito-borne illness will be as easy as clicking a smartphone app - thanks to a team of scientists.

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Washington D.C. [USA], Mar. 21 (ANI): A team of researchers has shed some light on how infections during pregnancy may interfere with the genes linked to prenatal brain development.

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Soon, a faster way to treat depression

Updated: Mar 21, 2017 16:02 IST

Washington D.C. [USA], Mar. 21 (ANI): A new and faster way to treat depression has come closer to reality - thanks to a team of scientists.

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Updated: Mar 21, 2017 08:00 IST

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Prevent yourself from chronic kidney disease!

Updated: Mar 21, 2017 07:50 IST

New Delhi [India], Mar. 21 (ANI): Each person normally has two kidneys, which are about the size of a fist and are located on either side of the spine at the level of waist.

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Washington D.C. [USA], Mar. 20 (ANI): In over-weight people, immune cells prevalent in the fatty tissue get reduced in number which may contribute to cause diabetes and hypertension, according to a recent study.

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Washington D.C. [USA], Mar. 20 (ANI): A study finds that by combining two independent, scientifically-proven risk measurements, physicians can better predict a patient's irregular and often very fast heart rate risk of stroke or death.

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Washington D.C. [USA], Mar. 19 (ANI): According to a recent study, pulmonary embolism (PE) treatments have low rates of use across the United States.

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Washington D.C. [USA], Mar. 19 (ANI): An advanced form of image-guided radiation therapy, known as intensity modulated proton therapy (IMPT), has shown early promise for the treatment of recurrent lung cancer.

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Washington D.C. [USA], Mar. 19 (ANI): Tennis elbow sufferers, if the idea of going under the knife is terrifying, then you can opt for non-operative approaches as a recent study has suggested that surgery may not offer additional benefit.

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Washington D.C. [USA], Mar. 19 (ANI): A majority of Anterior Cruciate Ligament (ACL) reconstruction patients develop posttraumatic osteoarthritis (PTOA) and now, a recent study has found how a set of biomarkers on the day of surgery may explain why some individuals have worse PTOA than others after two years.

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Washington D.C. [USA], Mar. 19 (ANI): Ablation procedures may not always fix a patient's abnormal heart rhythm completely and now, a recent study has found as to why it is so.

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The clot-busting drug that outperforms aspirin

Updated: Mar 19, 2017 07:42 IST

Washington D.C. [USA], Mar. 19 (ANI): Turns out, the blood thinner rivaroxaban is as safe as aspirin and more effective clot-buster.

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Washington D.C. [USA], Mar. 18 (ANI): A recent study has found that in patients on statin therapy, the addition of a cholesterol-slashing drug did not impair brain function.

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