Understanding DNA has helped science make major strides in understanding and treating disease.

Intensive home hemodialysis (IHHD) has become an apparent alternate treatment option for ESRD patients with several clinical benefits.

What in your field hasn’t changed? What could be improved? What could be made less invasive? The impetus to improve on the way we currently do things will be a driving force in 2018.


Treatment with angiotensin-converting enzyme (ACE) inhibitors, statins, or both does not affect albumin excretion in adolescents with type 1 diabetes, concludes a trial in The New England Journal of Medicine.

Most dialysis in the developed world occurs as three sessions per week, typically about 4 hours per session. This provides us with fairly dismal outcomes—yes, we keep people alive for a period of time (hopefully for some, until they are transplanted)—but our outcomes are worse than breast cancer. It is not enough to claim that there have been improvements; we still have a long way to go.

Mark D. Okusa, MD, FASN

Exercise during dialysis reduces the length of stay for subsequent hospitalizations by three days, according to a recent study.