KlemensBMeyerMD

Nephrology • Boston, MA

Chronic Renal Failure & Dialysis

Prof. Medicine, Tufts U. Schl Med; Dir. Dialysis Services, Tufts Medical Center; Med Dir IT, Dial Clin Inc

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Office
800 Washington St # 391
Tufts Medical Center
Boston, MA 02111
Phone+1 617-636-9421

Summary

I’m interested in rational quality improvement and measurement, implementation of decision support, measurement and understanding of patient experience, decision individualization in chronic kidney disease, and most important, in being a careful, kind and loyal physician to my patients. I direct three non-profit dialysis programs operated by Dialysis Clinic, Inc (DCI). Our Boston unit serves ~ 100 patients, 25% of whom speak only Cantonese. The nurses have a median 30 years’ dialysis experience, the technicians 10. The physical plant is unprepossessing, the staff completely devoted to the patients. Water and dialysate are ultrapure; about 80% of patients dialyze by fistula. A state surveyor commented that our patient care should be a model for surveyors in training. The Ball Square home program is one of the biggest in Boston, and in 2013 won a national award.

I serve DCI nationally as Medical Director for IT, and I’m committed to preserving non-profit and independent dialysis care in the United States. I’m a member of the AAMI Renal Disease & Detoxification Committee, chaired ESRD Network 1 Medical Review Board & Board of Directors, served as President of the Forum of ESRD Networks, & as a member of the USRDS External Advisory Committee.

I’m a fourth generation physician, married to a physician. Max Meyer (www.gmeyerbooks.com/sample_chapters/EOJ_Introduction.pdf) was the first physician in my father’s family; Alexander McPhedran (pubmedcentralcanada.ca/picrender.cgi?artid=354658&blobtype=pdf) was the first in my mother’s. My father taught me that “you are always on your patient’s side.” (www.leagle.com/decision/19711658330FSupp1328_11403 ). One of my paternal grandfather’s strange ideas, as a refugee (home.earthlink.net/~jochenmeyer/aw/Verfolgung_und_Entrechtung.txt), was to insist on putting his stethoscope directly on the patient’s skin. As a 21st century attending physician at an academic medical center, I find myself recapitulating this insistence.

Education & Training

Tufts Medical CenterChief Residency, Internal Medicine, 1982
Tufts Medical CenterFellowship, Clinical Decision Making , 1986 - 1990
Tufts Medical Center1987 - 1989
Tufts Medical CenterInternship, Internal Medicine, 1982 - 1986
Harvard UniversityA.B, History and Literature, Summa cum laude, 1978 - 1982
Harvard Medical SchoolClass of 1982

Certifications & Licensure

MA State Medical License 1984 - 2025
American Board of Internal Medicine Internal Medicine
American Board of Internal Medicine Nephrology

Awards, Honors, & Recognition

Distinguished Faculty Award Tufts University School of Medicine, 2013
Boston Magazine Castle Connolly, 2012-2013
CMS Meaningful Use Stage 1 Certification eClinicalWorks EHR, eClinicalWorks LLC, 2012-2013
Boston Gift of Life Outstanding Physician 2006
Commendation by Third Year Medical Students for Excellence 2001
Oliver Smith Award 1999, 2004-2006, 2008
President's Award for Excellence 1993
Bernhard Blume Award 1978
Edward Chandler Cumming Prize 1978
Phi Beta Kappa 1977
Barrett Wendell Prize 1976
Edwards Whitaker Scholarship awarded 1975
John Harvard Scholarship 1975
"Top Doctor" Boston Magazine
Super Doctor SuperDoctors.com
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Clinical Trials

Measuring Cardiovascular Stress in Patients on Hemodialysis Study II Start of enrollment: 2014 Apr 01
Active, not recruiting

Publications & Presentations

PubMed

Dialysis decision-making process by Chinese American patients at an urban, academic medical center: a retrospective chart review.
Abigail L Lebovitz, Steven A Schwab, Michelle M Richardson, Klemens B Meyer, Benjamin Sweigart
BMC Palliative Care. 2024-01-25
6 citations
Seroresponse to Inactivated and Recombinant Influenza Vaccines Among Maintenance Hemodialysis Patients.
Harold J Manley, Eduardo K Lacson Jr, Gideon Aweh, Nien Chen Li, Daniel E Weiner
American Journal of Kidney Diseases. 2022-09-01
DIY: Ultrapure Home Brew Dialysate for the ICU?
Seth Wright, Klemens B. Meyer
Kidney Medicine. 2021-04-27

Journal Articles

Leading Integrated Kidney Care Entities of the Future
Klemens Meyer, MD, Advances in Chronic Kidney Disease
Characterizing Approaches to Dialysis Decision Making with Older Adults
Daniel E Weiner, John B Wong, Ronald D Perrone, Klemens B Meyer, Journal of the American Society of Nephrology
Choices for Healthy Outcomes in Caring for End-Stage Renal Disease (CHOICE) Study. Sleep quality and its correlates in the first year of dialysis.
Unruh ML, Buysse DJ, Dew MA, Evans IV, Wu AW, Fink NE, Powe NR, Meyer KB, Clin J Am Soc Nephrol
Methods for Psychometric and Clinical Evaluations of CAT-Based Measures of Disease Impact in Chronic Kidney Disease (CKD).
Lin P, Ware JE, Meyer K, Richardson M, Bjorner JB, Value in Health
Hemodialysis Adequacy 2006 Work Group.
Klemens B. Meyer, Am J Kidney Dis
Choices for healthy outcomes in caring for end stage renal disease.
Powe, NR, Klag MJ, Sadler JH, Anderson GF, Bass EB, Briggs WA, Fink NE, Levey AS, Levin NW, Meyer KB, Rubin HR, Wu AW for the CHOICE Study, Seminars in Dialysis
Imperial or empiric measures of dialysis quality?
Meyer KB, Miskulin DC, Am J Kidney Dis
Hemoglobin levels, quality of life, and survival.
Sadler JH, Meyer KB, Nephrol News & Issues
The outcomes of end stage renal disease and its treatment.
Meyer KB, Advances Renal Replacement Ther
The Choices for Healthy Outcomes in Caring for End-Stage Renal Disease (CHOICE) Study. Restless leg syndrome among incident dialysis patients: Association with lower ...
Unruh ML, Levey AS, D’Ambrosio C, Fink NE, Powe NR, Meyer KB, Am J Kidney Dis
Effects of hemodialysis dose and membrane flux on health-related quality of life in the HEMO Study.
Unruh ML, Benz E, Greene T, Yan G, Beddhu S, DeVita M, Dwyer JT, Kimmel PL, Kusek JW, Martin A, Rehm-McGillicuddy J, Teehan BP, Meyer KB, and the HEMO Study Group, Kidney Int
Cormorbidity and other factors associated with modality selection in incident dialysis patients: the CHOICE Study.
Miskulin DC, Meyer KB, Athienites NV, Martin AA, Terrin N, Marsh JV, Fink NE, Coresh J, Powe NR, Klag MJ, Levey AS, Am J Kidney Dis
Can we assess utility using the patient’s own words?
Steward D, Meyer K, Proc AMIA Symp
Patient’s view of dialysis care: development of a taxonomy and rating importance of different aspects of care.
Rubin HR, Jenckes MW, Fink NE, Meyer K, Wu A, Bass EB, Am J Kidney Disease
Screening for HIV: can we afford the false positive rate?
Meyer KB, Pauker SG, N Engl J Med
The diagnosis of hepatic metastases: converting a chance into a choice.
Meyer KB, Kassirer JP, Hepatology
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Books/Book Chapters

Chapter: Quality of care in ESRD: an example of a proximate clinical indicator
Meyer KB, Greenfield SEditors: Rettig RA, Levinsky NG, eds.Washington DC: National Academy Press
Chapter: Health status of patients beginning dialysis: preliminary report
Meyer KB
Chapter: Health status of patients beginning dialysis: progress report
Meyer KB
Chapter: Acquired cystic kidney disease
4. Lafayette RA, Meyer KB, Levey ASEditors: Henrich, WL, ed.MD: Williams and Wilkins, Baltimore
Chapter: Acquired cystic kidney disease
5. Lafayette RA, Meyer KB, Levey ASEditors: Henrich, WL, ed.MD: Williams and Wilkins, BaltimoreEdition 2,
Chapter: Message from the Chair
Meyer KB
Chapter: Message from the Chair
Meyer KB
Chapter: Message from the Chair
Meyer KB
Chapter: Message from the Chair
Meyer KB
Chapter: Measurement and analysis of patient-reported outcomes
Meyer KB, Clayton KEditors: Parfrey, P, ed.NNJ: The Humana Press, Totowa
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Abstracts/Posters

Quality of Life (QOL) Outcomes in the HEMO Study.
Meyer K, Benz R for the HEMO Study Group, J Amer Soc Neph
Hemoglobin (Hgb) and Hemodialysis (HD) Patients Generic and Disease-Specific Health-Related Quality of Life Scores.
Laura C. Plantinga, Nancy E. Fink, Bernard G. Jaar, I.-Chan Huang, Albert W. Wu, Klemens B. Meyer, Neil R. Powe, J Amer Soc Neph, American Society of Nephrology, Philadelphia, PA
Clinical Site Factors and Hemodialysis Patients Health-Related Quality of Life.
I.-Chan Huang, Albert Wu, Nancy Fink, Laura Plantinga, Klemens Meyer, Neil Powe, J Amer Soc Neph, American Society of Nephrology, Philadelphia, PA
Quality of Life and Survival in Incident Hemodialysis and Peritoneal Dialysis Patients.
Nancy Fink, Laura Plantinga, Albert Wu, Klemens Meyer, Neil Powe, J Amer Soc Neph, American Society of Nephrology, St. Louis, MO
Fistula First Breakthrough Initiative (FFBI): Lessons about AVF Prevalence Goals.
Andrew D. Howard, Robin S. Howard, Stuart Goldstein, Klemens B. Meyer, J Amer Soc Neph
Predictors and outcomes of dialysis skipping among incident hemodialysis patients.
Unruh M, Evans I, Fink N, Powe N, Meyer KB, J Amer Soc Neph
Daily Hemofiltration Attenuates Circulating Pro-Inflammatory Markers and Cytokine Responsiveness in Patients with End-Stage Renal Disease
Morena M, Teehan G, Meyer K, Jaber BL, J Amer Soc Neph
Health Status and Patient Preference in End-Stage Renal Disease (ESRD)
Boulware LE, Bass EB, Meyer K, Wu A, Fink N, Coresh J, Powe NR, J Amer Soc Neph
Effect of Daily Hemofiltration on Anemia and Blood Presssure Management in ESRD Patients.
Teehan GS, Pingree P, Morena M, Meyer K, Lambert L, Jaber BL, J Amer Soc Neph
Survival among Hemodialysis Patients Receiving Intravenous Doxercalciferol and Paricalcitol Versus Calcitriol.
Francesca Ten• Francesca Tentori, William C. Hunt, Christine A. Stidley, Mark R. Rohrscheib, Klemens B. Meyer, Philip G. Zagertori, William C. Hunt, Christine A. Stidl..., J Amer Soc Neph, American Society of Nephrology, Philadelphia, PA
The Relationship of Social Support to ESRD Patient Quality of Life, Satisfaction, and Survival.
Fink NE, Plantinga LC, Meyer K, Wu A, Rubin H, Coresh J, Klag MJ, Powe NR, J Amer Soc Neph
Symptoms of Restless Legs among Incident Dialysis Patients: Association with Lower Quality of Life and Shorter Survival.
Unruh ML, Levey AS, DAmbrosio C, Fink N, Powe N, Meyer KB, J Amer Soc Neph
Peritoneal Dialysis (PD) and Hemodialysis (HD) Patient Satisfaction.
Cafarelli M,. Brown RH, Meyer KB, Zager PG., Chapman MM, J Amer Soc Neph
Change in health status predicts one year mortality in hemodialysis patients.
A.J. Boening, M.L. Unruh, M.M. Chapman, R.H. Brown, P.G. Zager, K.B. Meyer, J Amer Soc Neph
Quality of life 1 year after initiation of HD and PD: the CHOICE Study.
N.E. Fink, A.W. Wu, J. Marsh, K. Kinchen, K. Meyer, M. Chapman, N.R. Powe, J Amer Soc Neph
Health Status at the Initiation of Dialysis.
Abichandani R, Chapman MM, Ruthazer R, Khan SS, Kausz AT, Pereira BJG, Meaney K, Meyer KB, J Amer Soc Neph
Sleep Disturbances and Clinical Correlates in Patients with End-Stage Renal Disease.
Hartunian MG, Karsou SA, Chapman M, Meyer KB, Pereira BJG, Jaber BL, J Amer Soc Neph
Changes in Comorbidity and Their Influence on Survival: The CHOICE Cohort Study.
Miskulin DC, Coresh J, Meyer KB, Martin AA, Klag MJ, Fink NE, Powe NR, Levey AS, J Amer Soc Neph
A Computerized Erythropoietin Dosing Algorithm Improves Anemia Management and Uses Less Erythropoietin.
D. C. Miskulin, D. Weiner, K. Seefeld, H. Tighiouart, V. Ladik, P. G. Zager, K. Meyer, J Amer Soc Neph, American Society of Nephrology, San Francisco, CA
Quality of Life among Nonagenarians Initiating Hemodialysis.
Ezra Gabbay, Klemens B. Meyer, Michelle M. Richardson, John L. Griffith, Dana C. Miskulin, The 42 Annual Meeting of the American Society of Nephrology, San Diego CA
Secular Trends in Health-Related Quality of Life among Hemodialysis Patients in the United States.
Ezra Gabbay, Klemens B. Meyer, Michelle M. Richardson, John L. Griffith, Dana C. Miskulin, The 42 Annual Meeting of the American Society of Nephrology, San Diego CA
Standardized vs. Patient-Specific Computer-Assisted Erythropoietin Dosing: A Randomized Controlled Trial.
Kevin Ho, John McMichael, Christos Argyropoulos, Vladimir Ladik, Laurie Zickgraf, Alice A. Martin, Klemens B. Meyer, Dana C. Miskulin, J Amer Soc Neph, American Society of Nephrology, Philadelphia, PA
Single Use Versus Reprocessed Dialyzers and Mortality.
Daniel E. Weiner, Hocine Tighiouart, Klemens B. Meyer, J Amer Soc Neph, American Society of Nephrology, Philadelphia, PA
Feasibility of Internet-based data collection with people who have kidney disease.
Saris-Baglama RN, Clayton K, Richardson MM, Gannon M, Politoski G, Anatchkova MD, Turner-Bowker DM, Stevens LA, Miskulin DC, Brown W, Weiner S, Ware JE, Meyer KB, Am J Kidney Dis
Predictors of Mortality and Hospitalization among Elderly Hemodialysis Patients over a Three Year Period.
C. Argyropoulos, B. Larive, D. Miskulin, T. Greene, S. Beddhu, M. Rocco, J. Kusek, K. Meyer, M. Unruh, J Amer Soc Neph, American Society of Nephrology, San Francisco, CA
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Lectures

Lab Orders.
Spring Medical Directors’ Meeting, Las Vegas, NV
Functional Health Computerized Adaptive Testing.
Medical Directors’ Meeting, Dialysis Clinic, Inc., Incline Village NV
Information Technology Prioritization Exercise.
Medical Information Steering Committee, Dialysis Clinic, Inc., Incline Village NV
Home Dialysis.
Emerson Hospital Corporators’ Meeting, Concord MA
Improving Care for Chronic Kidney Disease and Kidney Failure.
MassPRO Liaison Meeting, Sturbridge MA
Decision Support for Anemia Management.
Annual Meeting Tampa, FL
The ESRD Networks and Forum: a User’s Guide.
National Renal Administrators’ Association Annual Meeting, Philadelphia, PA
Institute of Medicine Recommendations Regarding the Structure and Governance of Quality Improvement Organizations.
Forum of End Stage Renal Disease Networks National Leadership Meeting, St. Louis, MO
Chronic Kidney Disease.
Emerson Hospital Medical Staff Conference
Introduction to the Network of New England.
ESRD Network of New England Meeting for Dialysis Technicians, Portsmouth NH
Professionalism.
ESRD Network of New England Annual Meeting, Warwick RI
Network Update.
ESRD Network of New England Annual Meeting, Warwick RI
Tasks and Tools to Help Maintain Solvency and Safety.
Spring Medical Directors’ Meeting, Nashville, TN
Quality of Life Outcomes in the HEMO Study.
Annual Meeting of the American Society of Nephrology, Philadelphia, PA
The Network’s Role in Quality and Accountability.
ESRD Network of New England Annual Meeting, Warwick RI
The Case for Non-Profit Dialysis.
Sebasco Estates
The Magnitude of the Problem: What do we know about Patient Safety? ESRD Network of New England workshop, “ESRD Patient Safety in New England
Needham, MA
Introduction to DARWIN.
Spring Medical Directors’ Meeting
Interstitial Nephritis.
Infectious Disease and Geographic Medicine Morbidity and Mortality Conference, Tufts Medical Center
Resistant Hypertension.
Tufts University School of Medicine and New England Quality Care Alliance, Braintree MA
IT Update & EMR/ePrescribing Survey Results.
Medical Directors Advisory Committee, Dialysis Clinic, Inc, Nashville, TN
The State of the Forum.
Forum of ESRD Networks Annual Meeting
Topics in Hypertension.
General Medical Associates, Tufts Medical Center
Introduction to Dialysis.
Tufts Medical Center Department of Medicine House Staff Conference
How is having chronic kidney disease like taking the boards?
Renal Research Institute Annual Meeting, New Orleans, LA
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Authored Content

Leading Integrated Kidney Care Entities of the FutureDecember 2018

Press Mentions

Should Your Kidney Doctor Have a Financial Stake in Dialysis?December 15th, 2020
Merrimack Valley Man Overcomes Addiction, Kidney FailureDecember 8th, 2020

Committees

Member, Renal Disease and Detoxification Committee, Association for the Advancement of Medical Instrumentation 2013 - Present
President, Board of Directors, National Forum of ESRD Networks 2011 - 2012