Author Archives: Shane Whitney

Incidence of Post-Transplant De Novo Heart Failure Deceased from 1998 to 2010

Compared with other modes of renal replacement therapy, kidney transplantation offers improved survival and quality of life. However, life expectancy among kidney transplant recipients is lower than that in the general population. Cardiovascular disease is one factor that contributes to the increased rates of mortality in the transplant population; heart failure, myocardial infarction, and stroke occur frequently in the first ... Read More »

Proteinuria Is a Marker of Uncontrolled Hypertension

Austin, Texas—Proteinuria is a marker for cardiovascular disease. Identification of patients with proteinuria allows for early treatment to decrease the cardiovascular risk. Michael P. Carson, MD, and colleagues conducted a retrospective chart review designed to identify hospitalized patients with proteinuria, examine the prevalence of concurrent use of medications known to decrease the level of proteinuria, and determine the number of ... Read More »

October 2018: Abstract Round Up

ACUTE KIDNEY INJURY Liver Transplant Outcomes Worsen with AKI Journal of Intensive Care Medicine. doi.org/10.1177/0885066618790558 Both prior to and following liver transplant, the development of acute kidney injury (AKI) in the setting of liver disease is a significant event. AKI may be the cause of worse outcomes or may merely be associated with worse outcomes; the occurrence of renal failure ... Read More »

October 2018 News Briefs

Fresenius Awards $100,000 Grant to ANNA in Celebration of Nephrology Nurses Week   In recognition of the 50th anniversary year of the American Nephrology Nurses Association (ANNA) and in honor of Nephrology Nurses Week, September 9-15, Fresenius Medical Care North America has awarded ANNA a $100,000 grant. According to a press release from Fresenius Medical Care North America, the award ... Read More »

From the Field: I LIKE “POP”

Rick Collins CMS’s Patients Over Paperwork (POP) initiative signals welcome relief from decades of increasingly oppressive documentation requirements. While the proposed changes to evaluation and management services (E&M) coding levels have grabbed headlines due to concerns about possible reduced reimbursement, there is great value in allowing providers to focus more on patient care and less on documentation. For years providers ... Read More »

Guest Contributor: Breaking Down the Kidney Care Industrial Complex: Putting Kidney Disease Patients at the Center of Proactive Care

Carmen A. Peralta, MD, MAS Chief Medical Officer, Cricket Health Chronic kidney disease (CKD) affects 30 million adults in the United States—almost 11% of the population. Yet kidney disease patients are at the mercy of a system that is inadequate to care for them—from lack of, or haphazard, diagnosis and little preventative care to the financial incentives that result in ... Read More »

From the Chair: Becoming Precise in Diagnosing Acute Kidney Injury

Ajay K. Singh, MBBS, FRCP, MBA Brigham and Women’s Hospital and Harvard Medical School BOSTON, MASSACHUSETTS From the time that I trained in nephrology more than 30 years ago, I have been teaching students and fellows the importance of framing the differential diagnosis of acute kidney injury (AKI) along anatomical lines: prerenal, renal, and postrenal, and contextualizing based on the ... Read More »

Weight Loss in Children and Adolescents with CKD Occurs with Decrease in eGFR

Children with chronic kidney disease (CKD), including end-stage renal disease (ESRD), are at risk for weight loss. Results of prior cross-sectional studies in adults have suggested that weight loss begins to occur at an estimated glomerular filtration rate (eGFR) of 40 mL/min/1.73 m2. However, there are few available data for longitudinal assessments of the timing or degree of weight loss ... Read More »