Resources

While dialysis is a life-saving therapy for patients with end stage kidney disease (ESKD), a variety of symptoms occur following treatment that significantly diminishes the quality of life of people living with kidney disease. A 2009 study published in the Clinical Journal of the American Society of Nephrology (CJASN) reported that patients on maintenance dialysis experience 11 unique symptoms. Patients have identified the need to alleviate these symptoms as a key research area, prioritizing it above other health outcomes.

Meta-analysis “is a group of statistical techniques that enable data from more than one study to be combined and analyzed as a new dataset”. As we are inundated with scientific studies of all kinds, meta-analysis can be a useful technique to better understand comparisons of findings from data. However, it can be a confusing technique at first glance, so the author has delved into five tips to better understand the conclusions from meta-analysis.

ttp _thumb_0.pngThe American Society Nephrology (ASN) is pleased to announce that Raymond C. Harris, MD, FASN, has been selected as the incoming ASN Co-Chair for the Kidney Health Initiative (KHI). Dr. Harris will serve a three-year term, starting in January 2019.  Dr.

A new analysis finds leading indicators point to an improving job market and rising salaries for nephrologists entering practice. ASN released the analysis of the society’s annual survey of nephrology fellows in training—Report on the Survey of 2018 Nephrology Fellows—authored by George Washington University researchers.

NephSAP Volume 17, Number 4, September 2018

Please read the full issue.

The Journal of the American Society of Nephrology (JASN) and the Clinical Journal of American Society of Nephrology (CJASN) online platforms have been relaunched with increased functionality and a new interface providing readers with an on-the-go experience designed for all devices.

The relaunched sites with their modern design, contain numerous new features and functions making the reader experience easier and more efficient – thereby helping ensure that readers and authors can find what they’re looking for when they need it.

Google’s launch of Dataset Search on September 5 is a great step forward for researchers in search of data online that is “freely available to use”. Aimed at “scientists, data journalists, data geeks, or anyone else” the new service will provide a service that assists the open-data movement by providing a simpler way to find and re-use data from “government agencies, scientific publishers, research institutions and even individual researchers”.

To re-establish trust and improve outcomes, we must carry health equity from “the bedside to the curbside.” From research and discovery, to policy and advocacy, nephrologists must engage directly with community members, stakeholders, and lawmakers. Minority communities need to see nephrologists in their schools, houses of worship, block parties, and community centers.

Electronic laboratory notebooks (ELNS) are increasingly being used by researchers and scientists. “ELNs comprise software that helps researchers to document experiments, and that often has features such as protocol templates, collaboration tools, support for electronic signatures and the ability to manage the lab inventory". As younger individuals, who tend to expect and embrace electronic systems in general, begin to fill research roles, they are electing to use ELNs as well. Though use is growing, as there are currently 72 active ELN products, they are not yet ubiquitous.

The American Academy of Pediatrics (AAP), in conjunction with the American Society of Pediatric Nephrology (ASPN), as part of the Choosing Wisely® campaign, recently “released a list of specific nephrology tests and procedures that are commonly ordered but not always necessary when treating children for kidney-related conditions”.

The article provides a unique catalogue of useful articles for guidance and support for researchers, journal editors, and librarians as well as overarching tips for better selecting where to publish your research, how best to edit a journal, and how to guide colleagues as a librarian.

Lisa Charlotte Rost delves into what you should consider when choosing colors for data visualization. With the powerful potential of visualizations in relaying conclusions within a short burst of attention, color choices can make or break their effectiveness.

Only two weeks left to submit your research or clinical case report for the 2018 Kidney Week, the largest nephrology meeting in the world.

Submission will be accepted through 2:00 PM EDT on May 31.

Don't miss this valuable opportunity to present to nephrologists and thought leaders in the field from around the globe.

Please submit your abstract here for consideration today!

The culmination of collaborative work between the Centre of Evidence-Based Medicine and the University of Oxford, the website, Catalogue of Biases, is a complete database of possible biases that inadvertently make their way into scientific research.

His innovations included an approach to medicine that placed an equal emphasis on medical research, teaching and the treatment of patients — a tripartite method that “wasn’t obvious to a lot of people at the time,” Braunwald said.

In this humorous piece by Dr. Tullio Rossi, How to Design an Award-Winning Conference Poster, a conference poster is described as being two things simultaneously: a networking tool and a communication tool.

The poster should attract people’s attention and serve as a conversation starter. It should also be accessible and drive attention to your research. “A scientific poster is simply a visual abstract”.

On April 4th, 2018, CVS Health “announced a new initiative focused on chronic kidney disease and dialysis, which builds upon the company's focus on driving innovation in the management of chronic disease to help improve patient health outcomes while managing costs. This new program will focus on early identification of kidney disease and expansion of home dialysis in order to optimize care for patients with chronic kidney disease. CVS Health's unique enterprise assets along with the company's introduction of a truly innovative new home hemodialysis technology, position the company as a positive disruptor in the field with the ability to help reshape and redefine the kidney care space.

In a piece published by Evidence-Based Nursing, Allison Shorten and Brett Shorten describe different research scenarios and detail which statistical tests may be the most appropriate for the researchers to utilize.

NephSAP Volume 17, Number 1, March 2018

Find the full issue here.

The women who had gestational diabetes were 20 times as likely as controls to develop Type 2 diabetes, consistent with previous studies, and the risk was highest in the first year after giving birth. In addition, these women were 2.8 times as likely to have heart disease, and nearly twice as likely to develop high blood pressure. The researchers controlled for age, body mass index, ethnicity, smoking and other variables.

As studies published become more convoluted with jargon and specific measurement techniques that can be confusing and/or misleading, it’s important to be able to get down to the measured outcomes quickly and with clarity.

This past spring, ASN joined with Women in Nephrology (WIN) to develop a series of webinars designed to help you advance your career.  In one of these presentations, Dr. Yasmin Davidds, Psy. D, M.C.C., and CEO of the Women’s Institute of Negotiation, provides advice on negotiating for leadership success.

The new drug, developed by Merck & Co and Pfizer Inc., is an oral drug known generically as ertugliflozin and in the class of SGLT2 inhibitors, which work to expel excess glucose through urine.


The US Food and Drug Administration (FDA) approved the drug early this week. The drug is expected to be available for sale in early 2018.

December 6th was Match Day for nephrology, with overall results closely mirroring those from last year. A total of 285 of the 474 positions offered for appointment year (AY) 2018 were filled in the nephrology Match, part of the National Resident Matching Program’s (NRMP’s) Medical Specialties Matching Program.

"The Physician Compare 30-day preview period ends this Friday, December 1, 2017 at 8 pm ET. Don’t miss your chance to preview your 2016 performance data before it is publicly reported on Physician Compare profile pages later this year and in the Physician Compare Downloadable Database.

Professor Patrick Dunleavy at the London School of Economics writes about “four principles for improving how you display tables, graphs, charts and diagrams” in academic or scientific research.

The four principles include:

NephSAP Volume 16, Number 4, November 2017


Find the full issue here.

The Medicare Diabetes Prevention Program (MDPP) expanded model is a structured behavior change intervention that aims to prevent the onset of type 2 diabetes among Medicare beneficiaries with an indication of prediabetes.

"Healthcare organizations are only permitted to use business associates that agree to comply with HIPAA Rules and sign a business associate agreement, but finding HIPAA compliant business associates can be a challenge.

A solution has now been developed that resolves the issues for both parties and streamlines the process of finding HIPAA compliant business associates. Would-be business associates can also use the solution to prove that they have the necessary safeguards in place to ensure their products and services can be used without violating HIPAA Rules.

"The Kidney Disease: Improving Global Outcomes (KDIGO) group convened a meeting of stakeholders in September 2016 to identify challenges and make recommendations to improve trial data in nephrology[1] Their conclusions were made public nearly 8 months later and are briefly reported in the full article on Medscape".

It’s been revealed ahead of the November announcement at the American Heart Association (AHA) in Anaheim, that the new guideline for blood pressure target will be 130/80 mm Hg.

The Undifferentiated Medical Student is a podcast started in November 2016 with the goal of “doing interviews with one physician from each of the 120+ specialties and subspecialties listed on the AAMC’s Careers in Medicine website” in order to empower medical school students to think about choosing their specialty and planning their careers.

 

Dr. Meera Harhay – Transplant Nephrology

Stephen Heard, an evolutionary ecologist and entomologist at the University of New Brunswick and previously faculty at the University of Iowa, recently published a short blog detailing how best to read and react to a rejection letter after submitting your work to a journal.

Click here if you’d like to read the full blog.

NephSAP Volume 16, Number 3, September 2017

Find the full issue here.

Chronic Kidney Disease and Progression

Over 20 million people in the U.S. have CKD stages 1-5, and costs for advanced CKD exceed $47 billion annually. The 2017 Chronic Kidney Disease issue of NephSAP guides readers through the latest advances in clinical research for this common and costly disease. This issue of NephSAP provides a background of the clinical research published during the years 2015 and 2016, and covers 5 major areas of CKD research: epidemiology, biomarkers relevant to incidence and progression, genetic variants, cardiovascular disease, and modification of environmental CKD risk factors.

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Registration is now open for the second webinar in the Nephrologists Transforming Dialysis Safety (NTDS) webinar series!  Join your colleagues on September 27 from 12:00 – 1:00 PM EDT. 

The Defense Advanced Research Projects Agency (DARPA) announced $65 million in funding on July 19th, 2017 to seven projects in the US to further improve safety and accuracy of gene editing.

“The Department of Health and Human Services’ Office for Civil Rights has recently issued a reminder to covered entities and business associates of the potential risks associated with file sharing and collaboration tools, explaining the risks these services can introduce and how covered entities can use these services and remain in compliance with HIPAA Rules”.

They understand that file sharing tools and cloud computing services incorporate protections to ensure data is secured, but human error has led to misconfigurations in the past which have caused data breaches.

The Centers for Medicare & Medicaid Services (CMS) released the Quality Payment Program (QPP) proposed rule for 2018 on Tuesday, June 20.  While we are only beginning to go through the proposed rule, all 1,058 pages, it does appear that CMS is concerned about the burden of participating in the program on small practices leading to a significant proposed rise in the low-volume threshold.

As a result, NIH has shifted its strategy to support early and mid-career investigators by launching the Next Generation Researchers Initiative. This new program will go into effect immediately.

Building upon momentum from the Kidney Innovation Summit hosted earlier this year by the Department of Veterans Affairs (VA), along with support from the American Society of Nephrology, the VA Center for Innovation (VACI) released a Broad Agency Announcement (BAA) this week designed to source and fund early stage research, development, prototyping, and piloting of pioneering ideas in the kidney space. 

Physicians and teaching hospitals have until May 15, 2017 to review data reported by drug and medical device makers about them and, if necessary, dispute the payments before the data is made public on June 30, 2017.

In the October 2016 issue of JASN the following article was published focused on new technology, especially the CRISPR/Cas system, and how it may be used for nephrology research and therapy.

A recent ASN Flash Poll found differing opinions among academic nephrologists over procedures, specifically catheter placements and kidney biopsies. Stewart Lecker, MD, PhD, on behalf of the ASN Workforce and Training Committee, developed the survey to capture current perspectives on procedural competence among training program directors (TPDs), associate TPDs (APDs), and division chiefs.

Set yourself and your work up for success: tell the story well, and choose the right journal.

Thursday's Town Hall meeting on the new Nephrologists Transforming Dialysis Safety (NTDS) project drew a lot of interest and some great questions.

 

Check out these photos from Kidney Week, including some of the things you may not know about, or may have missed.

ASN Kidney Week 2016: participants from more than 115 countries, coming together to advance care and research.

Making great abstracts and posters, and presenting your studies so you hold your audience's interest -- some excellent resources for making your work stand out.

Physician protect thyself: whether negotiating a first-time contract or renegotiating or amending a contract -- make sure you're informed in advance.

ASN Communities offer multiple opportunities to connect with colleagues working in the areas that interest you most. Check out this rapidly growing and dynamic ASN initiative here.

Kidney News Online has compiled a list of clinical research resources that may be useful to you.

Training the next generation of nephrologists is exciting and vital to advancing care for millions of people with kidney diseases. ASN sponsors the Nephrology Match and provides information for applicants and programs here

Check out the resources on gene editing: background, pros and cons, potential clinical applications.

ASN and researchers at the George Washington University Health Workforce Institute continue to break ground analyzing trends and key factors.

Detailed workforce analyses and fellows' surveys are available here: http://www.asn-online.org/workforce/

 

Physicians reentering the resource face challenges; resources to help them are expanding.

Pain free implementation? Challenges? Suggest other resources that may be useful to your colleagues, or send in your thoughts and observations about ICD 10 implementation. (info@kidneynews.org)

CMS ICD 10 Coordination Center: https://www.cms.gov/Medicare/Coding/ICD10/ICD10OmbudsmanandICD10CoordinationCenterICC.html

In April 2015, the the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law, repealing the Sustainable Growth Rate (SGR) physician payment system. In April of 2016, HHS Issued a Proposed Rule.  In October of 2016, CMS Issued a Final Rule. Below are some resources to help you understand more about MACRA. We encourage you to send your questions about MACRA to ASN (info@kidneynews.org) or to suggest other resources that may be helpful to your colleagues.

Treatment, research and practice are being profoundly changed by a wide range of  technological advances. Below are some resources to help kidney professionals consider the ramifications of this rapidly moving field. Send suggestions for other resources to info@kidneynews.org, as well as topics in telehealth you would like to know more about.