In 2020, the Advancing American Kidney Health (AAKH) executive order brought national attention to improving our care of chronic kidney disease. However, many of its components will not occur solely through national efforts. We need to keep watch on state initiatives, since healthcare and insurance are regulated at that level.

Prediabetes after kidney transplantation is associated with an increased risk of cardiovascular events, similar to that seen with posttransplant diabetes mellitus (PTDM), reports a study in Kidney International.

The fact that chronic kidney disease (CKD) and cardiovascular diseases (CVDs) are closely related would not surprise any healthcare professional. Of note, the data show that the primary cause of death resulting from CKD is a cardiovascular event and also that CKD is one of the important risk factors for CVD.

A top area to watch in 2020 is the new emphasis on home dialysis. On July 10, 2019, President Donald Trump signed an executive order launching Advancing American Kidney Health. Based on this executive order, the US Department of Health and Human Services (HHS) released three major goals to improve kidney health.

The World Health Organization has declared 2020, the 200th anniversary of the birth of Florence Nightingale, the Year of the Nurse. Nurses are encouraged by the exposure this will bring to the profession, as it promises to highlight their many roles.

Advancement in hypoxia-inducible factor (HIF) stabilizers for treating anemia of chronic kidney disease (CKD) is a prime area to watch in 2020.

On April 15, 2019, the results of the CREDENCE (1) and SONAR (2) trials were published. Both trials showed a 35% reduction in the relative risk of composite renal events in people with type 2 diabetes and kidney disease (DKD).