From the Chair

From the Chair: Home Dialysis Takes a Big Step

Ajay K. Singh, MBBS, FRCP, MBA Brigham and Women’s Hospital and Harvard Medical School  Boston, Massachusetts From the early days of hemodialysis, many, including the late Dr. Bernard Scribner at the University of Seattle, worked tirelessly to promote home hemodialysis. In the early 1970s, the use of home hemodialysis peaked, with nearly 40% of all patients in the United States ... Read More »

From the Chair: The New Mineral and Bone Disorder Guideline Update: Osteoporosis and Fracture Risk

Ajay K. Singh, MBBS, FRCP, MBA Brigham and Women’s Hospital and Harvard Medical School Boston, Massachusetts Fractures in chronic kidney disease (CKD) patients, particularly those that are elderly, have substantial morbidity and mortality. The Kidney Disease Improving Global Outcomes 2017 Clinical Practice Guideline Update for the Diagnosis, Evaluation, Prevention, and Treatment of Chronic Kidney Disease-Mineral and Bone Disorder (KDIGO CKD-MBD)1, ... Read More »

From the Chair: Managing Nonvalvular Atrial Fibrillation in Dialysis Patients: What Should You Do?

Ajay K. Singh, MBBS, FRCP, MBA The Controversies in Nephrology series1-7 in the Clinical Journal of the American Society of Nephrology (CJASN) covered a topic that virtually every nephrologist has had to wrestle with, namely how to manage a dialysis patient who develops nonvalvular atrial fibrillation (NVAF). The articles are outstanding and thoughtful. A stroke from NVAF could have devastating ... Read More »