Author Archives: Shane Whitney

July/August 2018: News Briefs

Lori Neal and Kevin Harris Named to NNCC Board of Commissioners Lori Neal, BSN, RN, CNN, and Kevin Harris have been appointed to the Board of Commissioners of the Nephrology Nursing Certification Commission (NNCC). In a June press release, NNCC announced that Ms. Neal and Mr. Harris will serve 2-year terms. Ms. Neal is a clinical support specialist for Fresenius ... Read More »

Older Kidney Transplant Recipients More Adherent to Medications

Austin—There are few available data regarding health and its relationship to adherence to medications as it relates to age in recipients of kidney transplants. Marc Emos, MD, and colleagues at SUNY Downstate Medical Center, Brooklyn, New York, conducted face-to-face interviews with 16 long-term patients chosen at random from the outpatient transplant clinic at the center. A two-question survey was used ... Read More »

ADPKD and Subclinical Metabolic Abnormalities

Austin—Patients with autosomal dominant polycystic kidney disease (ADPKD) experience high lifetime morbidity, related to both renal sequelae and to cardiovascular risk. Recent studies have identified abnormal regulation of pathways affecting cellular signaling, proliferation, and apoptosis in patients with ADPKD. Future targets for treatment may include modifying factors related to abnormal lipid metabolism, insulin insensitivity, early hypertension, as well as other ... Read More »

July/August 2018: Abstract Roundup

ACUTE KIDNEY INJURY Renal Resistive Index as Early Biomarker of AKI Journal of Cardiothoracic and Vascular Anesthesia. doi.org/10.1053/j.jvca.2018.04.014 Renal resistive index (RRI), determined by intraoperative Doppler, seems to be a promising early biomarker of acute kidney injury (AKI). As RRI is studied, the ease, efficiency, and precision with which it can be interpreted will be linked to its clinical usefulness ... Read More »

From the Field: Stop Throwing Away Your Money, Part I

By Rick Collins I am sickened by the many ways in which providers wind up spending money needlessly based on faulty or incomplete information. In this first of two articles, I identify two of the four most common areas which cause providers to waste money and make poor decisions. Employees in Authority Without Financial Skills In my experience, the most ... Read More »

From the Chair: What’s the Best Way to Treat Metastatic Renal Cell Cancer?

Renal cell carcinoma (RCC) accounts for 2% to 3% of all adult malignancies.1,2 It is the most common type of kidney cancer in adults, responsible for approximately 90% to 95% of cases. Approximately, one-third of patients with RCC present, at the time of diagnosis, with metastatic disease. In addition, approximately one-third of patients who present with localized disease also end ... Read More »

Longer Pretransplantation Dialysis Exposure Associated with Increased Failure Risk

There are few definitive data on the impact of dialysis exposure prior to nonpreemptive living donor kidney transplantation on allograft outcomes. According to John S. Gill, MD, MS, and colleagues, the mechanisms that underlie the previous findings of the detrimental association of dialysis exposure with transplant failure remain uncertain and may differ between living and deceased donor transplant recipients. In ... Read More »

Obesity and Transplantation Outcomes in Patients with ADPKD

Austin—The rates of renal transplantation among patients with autosomal dominant polycystic kidney disease (ADPKD) are high. Due to the higher incidence of complications post-transplant among patients who are overweight, some patients are required to lose weight prior to being listed for transplant. For patients with local symptoms from organ enlargement, nephrectomy may be performed with transplantation. Data from recent studies ... Read More »

Serum Potassium Levels Pretransplant and Outcomes Posttransplant

Austin—High risks of serum potassium abnormalities are common among patients undergoing hemodialysis; hyperkalemia is particularly common in that patient population. Previous studies have shown that patients with hypo- and hyperkalemia are at increased risk for mortality compared with patients with normokalemia. Potassium regulation can be achieved with kidney transplantation to varying degrees; however, there are few available data on whether ... Read More »