In Practice

The American Society of Nephrology (ASN) today announced the appointment of Michael Allon, MD, as the first Editor-in-Chief of Kidney360, ASN’s new online journal launching in January 2020.

Several initiatives have been implemented by NIDDK and ASN in order to foster kidney research and encourage research investigators as the NIH Division of Kidney, Urologic, & Hematologic Diseases (KUH) saw a 2% decrease in funding from the 2019 NIH budget.

This article includes a list of initiatives taken from an upcoming article in Kidney News March issue.

Outlined in a recent report from CNBC by Lori Ioannous (@Loriloannou1), chronic kidney disease is a “modern-day plague in the United States, driven in large part by the nation’s obesity epidemic”. 30 million Americans, or 1 in 9 adults, have chronic kidney disease, with diabetes and hypertension being major causes. “More than 510,000 kidney patients are now on dialysis, and over 100,000 are on the kidney transplant list”.

“Resident macrophages reprogram toward a developmental state after acute kidney injury” was published today, January 24th, in JCI Insight. The study with co-first authors and trainees in the NIH-funded UAB Medical Scientist Training Program, Jeremie M. Lever and Travis D. Hull, M.D., Ph.D., found that “during acute kidney injury (AKI) in a mouse model, kidney-resident macrophages are reprogrammed to a developmental state, resembling these same cells when they are found in newborn mice.

ima_thumb.pngIn early December 2018, Prabir Roy-Chaudhury, MD, PhD, FASN, the outgoing American Society of Nephrology Co-Chair for KHI, and Raymond C. Harris, MD, FASN, who began his term as Co-Chair for KHI in 2019, recorded a discussion with ASN Executive Vice-President Tod Ibrahim.

The following articles are brief Q&A sessions with American Society of Nephrology (ASN) grant recipients. The sessions explore what research the individual is undertaking with the grant funds, their hopes for the research, career goals, and advice for others interested in applying for these grant funds.

Past Recipient Profiles

“Exome sequencing in a cohort of over 3,000 patients demonstrated genetic causes of chronic kidney disease in about 10% of cases and genetic testing may aid in the treatment of these patients”.

In a recent study published by the Journal of the American Society of Nephrology (JASN), set out to examine the “immediate and longer-term effects of hemodialysis on cerebral circulation, cerebral structure, and cognitive function as they are currently poorly understood.

97 hemodialysis patients, with a median age of 59 years, were included in the study and the tests occurred over a 12-month period. During which transcranial Doppler ultrasounds were used to “measure cerebral arterial mean flow velocity (MFV) throughout dialysis, as well as cognitive scores, and MRI imaging.

"Nigeria, on March 8, joined the rest of the world to celebrate the World Kidney Day (WKD). A day set aside to raise awareness on the plight of people living with Chronic Kidney Disease (CKD) and how to better prevent, treat and manage 'the disease'".

A recent article by Doris Iarovicic, a psychiatrist at Hardvard University's Counseling and Mental Health Services, details her experience with patients who prefer the "expertise" of the digital world to the expertise of in-person physicians.

Read the full article at the New York Times (soft paywall).

National healthcare recruiting company The Medicus Firm said it placed the lowest percentage of internationally trained physicians in 2017 in at least seven years. The percentage of internationally trained physicians placed by Medicus dropped to 24%, down seven points from nearly 32% in 2016, according to the report.

The “Prioritizing Symptoms of ESRD Patients for Developing Therapeutic Interventions” workshop took place from January 8th through January 10th in Washington, DC. The meeting convened various stakeholders, including patients and care givers. Discussion centered around three symptoms of ESRD that were identified as priorities through previous patient focus groups: Fatigue, Insomnia, and Muscle Cramps.

The goal of the meeting was to:

The UCLA Kidney Transplant Program started a voucher program in 2014 which has already proven its utility and saved 25 lives. “The program works like this: The voucher donor gives a kidney to a stranger on dialysis. Often that recipient had a friend or family member who had wanted to be a donor but couldn’t due to incompatibility.

To join the conversation on the affects of Hurricane Harvey on dialysis and kidney care, please sign in and see the "Supporting our Texas Colleagues" forum on ASN Communities. Share your experience and knowledge with peers.

An original investigation published online by JAMA Dermatology on July 26, 2017 found that "renal transplant recipients had greater risk of developing melanoma compared with their non-renal transplant counterparts. Risk factors for developing melanoma included older, age, male sex, recipient white race, living donors, sirolimus therapy, and cyclosporine therapy".

Of 105,174 patients (64,151 or 60.7% male, mean age 49.5, standard deviation 15.3 years) "who received kidney transplants between 2004 and 2012, 488 or 0.4% had a record of melanoma after transplantation".

 Clinicians can now submit Quality Payment Program Hardship Exception Applications