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Contents:
Confronting Kidney Health Disparities during Black History Month
While black history is American history and cannot be adequately covered in a single month, we take Black History Month as an opportunity to confront kidney health disparities. Unfortunately, African American adults are 3.5 times more likely to have kidney failure. The major risk factors for chronic kidney disease (CKD) include high blood pressure, obesity, family history and diabetes. These risk factors also disproportionately affect African American communities. The relative socioeconomic status of these communities, in addition to their relative lack of access to medical care and a genetic predisposition toward kidney disease, makes the risk for kidney disease higher. Compared to non-Hispanic whites, the risk of diagnosed diabetes is 77% higher among African Americans, and [...]
A Brief History of Dialysis
The history of dialysis dates back to the 1940s. The first type of dialyzer, then called the artificial kidney, was built in 1943 by Dutch physician Willem Kolff. Kolff had first gotten the idea of developing a machine to clean the blood after watching a patient suffer from kidney failure. When his invention was completed, he attempted to treat over a dozen patients with acute kidney failure over the next two years. Although only one treatment turned out successful, he continued to experiment in improving his design. Kolff came to the United States in the late 1940s and went to work at Mount Sinai hospital, trying to get kidney treatment to become a health service. [...]
Government Involvement in Dialysis
Although the development of dialysis dates back to the 1940s, the government didn’t become more involved in the payment for treatment until the 1960s. The first significant government response to dialysis first came in 1963, when Veteran’s Affairs outlined plans to build 30 dialysis unit in VA hospitals around the United States. These units were designed for veterans who were eligible for treatment. Throughout 1964 and 1965, Congress established multiple programs to help provide funding for research in dialysis, including the Artificial Kidney-Chronic Uremia Program and Transplant Immunology Program in the National Institute of Allergy and Infectious Diseases. By the mid-1960s, the Kidney Disease Control Program (KDCP) had been created as a way to explore [...]
It’s Time to Open Medicare Advantage Enrollment to Dialysis Patients
In the wake of recent action by CMS to maintain Medicare Advantage funding, the time is ripe to follow up on a recommendation made by the Medicare Payment Advisory Commission 14 years ago: repeal the law prohibiting dialysis patients from enrolling in Medicare Advantage. The exclusion of end-stage renal disease (ESRD) patients from Part C deprives them of the opportunity to access two important benefits: care coordination by a single, accountable entity; and maximum out-of-pocket limitations. ESRD Patients Lack Access to Care Coordination, Resulting in Avoidable Complications As AHIP noted in a 2010 white paper, “health plans provide a life line” to patients with chronic conditions who are “at high risk of complications and medical [...]
Dialysis Patients’ Guide to the Medicare ESRD Bundle
Medicare is changing how it pays for dialysis, and this is expected to impact your care. These changes started in 2011 and will continue through 2016. This is a guide to what you need to know and what you can do to help ensure you continue to receive quality dialysis care during this transition period. HOW WAS DIALYSIS PAID FOR TRADITIONALLY? Dialysis treatments, injectable medications received in the clinic, laboratory tests and other items used to treat end stage renal disease (ESRD, also known as kidney failure) are paid for by Medicare Part B for most patients. However, before January 2011, some of these items were billed by the dialysis facility to Medicare as [...]
Can a Kidney Disease Chef Lose Weight?
By Duane Sunwold I’m a chronic kidney disease (CKD) patient that teaches in a culinary program. That means I’m around food ALL the time, plus the medication I was on caused me to gain an extra 70 pounds. I know managing your weight with kidney disease can be a challenge. Here are a few of the tips I used to help manage my weight. Eating the right types of food was key to losing the weight. That meant I had to embrace my doctor’s and dietitian’s advice. I planned out my 3 meals and 3 snacks a day, and followed my dietitian’s recommendations. Before I started eating, I would also portion out my food [...]
Why DPC Supports Opening Medicare Advantage Enrollment to Dialysis Patients
By Jackson Williams, Government Affairs Director for Dialysis Patient Citizens Would dialysis patients benefit from being allowed to enroll in Medicare managed care plans? Many health policy experts in Washington D.C. admire the leading integrated insurer/delivery systems such as Kaiser Permanente and Group Health Cooperative, and view them as models for transforming traditional Medicare. But outside of certain regions of the U.S., most American consumers remain skeptical of private health insurers. Managed care requires trading off retaining your choice of providers that traditional Medicare gives beneficiaries against a chance to receive other benefits. DPC does not advocate that ESRD patients should abandon traditional Medicare to enroll in a managed care plan. But we do [...]
Treatment Options for Kidney Disease
There are many effective treatment options for kidney disease. Talk to your doctor about these options: Peritoneal Dialysis Hemodialysis Kidney Transplantation There is no one treatment option that is best for everyone. There are pros and cons to all three treatments. All of them work—you and your doctor just need to decide which one is best for you. Hundreds of thousands of people today are living well on dialysis or with a transplant. Each of them faced a decision like yours. And everyone who has been there will tell you the same thing: No matter which option you choose, you will feel better with treatment. You will have more energy for activities like work, [...]
Dialysis Diet on a Budget
With so many food choices available and limited time in your schedule, it can be difficult to select the right food options for your kidney health and for your wallet. Use the following suggestions to help you eat more healthfully at home and on the go, while also saving money. Inexpensive Protein Options Canned tuna (use for tuna salad over salad greens or in a sandwich) Canned salmon (try it on grits, or make salmon croquettes) Eggs (make egg salad served over salad greens or as a sandwich, or try them boiled, deviled, scrambled, fried or poached) Inexpensive fish such as whiting Dark meat chicken (such as thighs and leg quarters) Chuck roast Wild [...]
The Gift of Life: A Donor’s Perspective
By Joanne Smith On August 11, 2015, I had the wonderful opportunity to provide a fellow human being with a kidney. Growing-up my grandfather told me “giving is a wonderful thing and it makes you feel real good.” He made me realize that when someone is giving something to you, they have the same opportunity to feel “real good.” I learned to be a generous giver, but more importantly to be a gracious receiver. This actually enables others to enjoy the feeling of being generous givers as well. So, please don’t be afraid to ask your friends and family members to become kidney donors for you. I began my journey to kidney donation several [...]
Diabetes and Kidney Disease
The relationship between diabetes and kidney disease First, to set the record straight, if you have diabetes you will not necessarily develop kidney disease. The fact that you are reading this handout already puts you ahead of the curve, because there are steps that you can take to safeguard against chronic kidney disease (CKD). Diabetes is the leading cause of kidney disease. The other leading causes of CKD are: • Hypertension (high blood pressure) • Glomerulonephritis • Cystic diseases • Urologic disease. In diabetics, the body has a hard time producing or properly using insulin. Without insulin, glucose (sugar) remains in the blood and can damage the glomerulus (blood vessels) and nephrons (filtering units) [...]
Basics of Chronic Kidney Disease
Chronic kidney disease (CKD), also called chronic kidney failure, describes the gradual loss of kidney function. Your kidneys filter wastes and excess fluids from your blood, which are then removed from your body in your urine. When CKD reaches an advanced stage, dangerous levels of fluid, electrolytes and waste products can build up in your body and cause you harm. In the early stages of CKD, you may have few signs or symptoms, and may only be diagnosed with a blood and/or urine test. In fact, you may not feel sick from CKD up until most of your kidney function is lost. Treatment for CKD focuses on preventing more kidney damage and slowing the [...]
