Asia is synonymous with diversity, which is reflected in the epidemiology of kidney diseases, especially acute kidney injury (AKI). In contrast to people in the industrialized developed countries, most Asian people, especially those living in rural areas with relatively limited access to healthcare, continue to bear a large burden of AKI.

Undergoing home dialysis in a shared house with other patients of Māori or Pacific ethnicity without medical supervision provided patients with flexibility and support, and enabled them to overcome obstacles to home dialysis, according to a recent study.

In 2017, approximately 459,000 patients in the United States received in-center hemodialysis (HD), and more than 108,000 new patients began renal replacement with HD (1). HD catheters were the most common form of vascular access in new patients, accounting for 80% of all accesses. Therefore, more than 86,000 new HD patients began treatment with a catheter in 2017 (1).

Tod Ibrahim, ASN executive vice president, has been named president of the Council of Medical Specialty Societies (CMSS). His term took effect in November 2019./kidneynews/12_3/3/graphic/3f1.jpg


In people with chronic kidney disease (CKD), the risk of cardiovascular events is independently related to coronary microvascular dysfunction—and not to estimated glomerular filtration rate (eGFR), according to a study by Navkaranbir S. Bajaj and colleagues in a recent issue of Circulation.

The enduring success of solid organ transplantation over the past six decades is also accompanied by the need for immunosuppression regimens with their related systemic toxicity. Transplantation between immunologically diverse individuals led to shortened allograft survival for immunologic reasons (acute and chronic rejection) and nonimmunologic reasons (toxicity of the immunosuppressive medication regimens).

All across medicine, there is strong evidence that people who understand and are engaged in their own healthcare have better outcomes. There are several reasons for this, including being able to make quality healthcare choices, knowing when to seek help, and knowing how to reduce the risk for the development of complications (1).