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Filtered field notes — ESRD.

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Tag · ESRD
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All esrd posts.

Sorted newest first. Each post links primary sources and methodology.

ESRD & Dialysis: The Transportation Adherence Gap

26% of in-center hemodialysis patients miss sessions. Transportation is the most common reason. The KDQOL-36 captures it. Most centers do nothing with the data. Here is what the evidence shows.

May 05, 2026 Matthew Sexton, LCSW

Screening Without Handoffs: Why CMS's SDOH Rollback Creates a Dangerous Gap for High-Risk Patients

CMS has removed SDOH reporting from inpatient quality programs while expanding outpatient screening mandates. For ESRD and transplant patients — who move across both settings — this creates a structural gap that clinical social workers are now expected to bridge alone.

Apr 06, 2026 Matthew Sexton, LCSW

The IOTA Model Is Here — But Dialysis Centers Are Still Missing the Patients Who Need It Most

CMS's new IOTA Model incentivizes transplant centers to improve kidney access. It's a meaningful policy move. But it starts at the wrong end of the pipeline — and the 80% of ESRD patients who never make it to evaluation are still being left behind.

Mar 30, 2026 Matthew Sexton, LCSW

An Implantable Artificial Kidney Just Got FDA Breakthrough Status. Here's What It Actually Means for Patients.

Nephrodite's Holly system could eliminate dialysis — but it's years away. Here's what transplant patients and their care teams need to know right now.

Mar 27, 2026 Matthew Sexton, LCSW

The $5 Billion Gap: Why AI Is Transforming Kidney Care for Providers but Not Patients

Over $5 billion has been invested in AI-powered kidney care tools for providers. For patients? Effectively zero. Here's why that matters — and what needs to change.

Mar 17, 2026 Matthew Sexton, LCSW

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