#NephJC Transcript
Healthcare social media transcript of the #NephJC hashtag.
– ().
See #NephJC Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Nephrology Journal Club @NephJC Welcome to tonight's #NephJC chat, where we'll be discussing History of Childhood Kidney Disease and Risk of Adult ESKD https://t.co/fhADJU4Mhz |
| Nephrology Journal Club @NephJC My name is Michelle Rheault (@rheault_m) Pediatric Nephrologist from @UMNChildrens hosting tonight #NephJC |
| Nephrology Journal Club @NephJC Please introduce yourselves and reveal any relevent conflicts of interest (COI). Any new Ped Neph tweeps? #NephJC |
 | Beje Thomas @bthomas215 Beje Thomas #NMSC #nephjc |
| Beje Thomas @bthomas215 no COI #nephjc |
 | Jim Myers @kidneystories Thank you and Kevin Fowler for inviting me! #NephJC |
 | Matthew Sparks, MD @Nephro_Sparks Matt Sparks @DukeKidney APD lurking and learning tonight #NephJC no COI |
| Jim Myers @kidneystories RT @NephJC: Welcome to tonight's #NephJC chat, where we'll be discussing History of Childhood Kidney Disease and Risk of Adult ESKD https://t.co/fhADJU4Mhz |
 | Swapnil Hiremath @hswapnil@bsky.social @hswapnil Swapnil Hiremath #nephjc cofounder Adult Nephrologist from @OttawaHospital No other disclosures https://t.co/cDyORML2sq |
 | Samira Farouk, MD, MSCR @ssfarouk Samira Farouk, no COI. @ISMMSKidney nephrology fellow. #NSMC #NephJC |
 | Scherly Leon, MD @SLeonMD Hello all! Scherly Leon, nephrologist in NYC. #nephjc No COI |
| Matthew Sparks, MD @Nephro_Sparks RT @NephJC: Welcome to tonight's #NephJC chat, where we'll be discussing History of Childhood Kidney Disease and Risk of Adult ESKD https://t.co/fhADJU4Mhz |
| Nephrology Journal Club @NephJC Hello Beje, Matt, Jim, Samira, and Swapnil! #NephJC |
 | Edgar V. Lerma 🇵🇭 @edgarvlermamd Edgar Lerma, Chicago-based Adult Nephrologist #NephJC https://t.co/Xhow21F7g6 |
 | Roger Rodby @NephRodby Roger Rodby, no COI #NephJC |
 | Kate Robson @nephrologista Kate Robson #nsmc intern. Adult nephrologist, no COI. #nephjc |
 | Ankur Shah @NephroShah Ankur shah, no COI, NSMC intern #NephJC |
 | Brian Stotter, MD @StotterMD Brian Stotter, PEDS nephrology fellow at Boston Children’s, only COI is the senior author was a former co-fellow #NephJC |
 | Annabel Biruete 🇲🇽 @anniebelch Annabel Biruete, dietetic intern @BSUHealth. As @Nephro_Sparks, lurking and learning! No COI #NephJC |
 | Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD Gary Singer lurking adult nephrologist who sees patients 16 yo and older no COI #NephJC |
| Nephrology Journal Club @NephJC Hello Scherly, Edgar, Roger, Kate, Ankur, and Brian! #NSMC interns all over the place tonight. #NephJC |
 | Zubin J Modi @zjmodi #NephJC https://t.co/JZeSpqX6ZI |
 | Abraham E. Gracia R. @Abraham_RMI RT @edgarvlermamd: How robust are your results? : How robust are your results? : A closer look at Sensitivity Analyses from @manasib33 #Nephpearls #NephJC 👉🏼 #Nephstats 👈🏼 https://t.co/06ci8PZn2y |
| Samira Farouk, MD, MSCR @ssfarouk @edgarvlermamd Is the bean your current location?#NephJC |
| Brian Stotter, MD @StotterMD #PedNeph is invading this #NephJC #kidbeans |
 | Diana Mahbod, MD, CPE, FASN, FNKF @DiMiRenalMD Hello! 👋🏽 Diana here, 2nd year nephrology fellow at UCSF and NSMC intern. No COI 😊#NephJC |
 | Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @gratefull080504 : COI: Hansa Medical, Protalix, @patientMpower ;Otsuka, Omeros #nephjc https://t.co/ZBVnRImp7A |
 | Amanda Grandinetti, MPH @AGrandinettiMPH RT @NephJC: Welcome to tonight's #NephJC chat, where we'll be discussing History of Childhood Kidney Disease and Risk of Adult ESKD https://t.co/fhADJU4Mhz |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Ooh! Samira, Beje, Kate, Brian, Ankur! Lotsa NSMC interns in the house! #nephjc |
 | Gates Colbert, MD @DoctorGates Dallas #Nephrologist. Splitting time with the chat and #PyeongChang2018 . #nephjc |
| Roger Rodby @NephRodby #NephPearls in the house #NephJC |
 | Dr. Divya Bajpai 🇮🇳 @divyaa24 Divya Bajpai, Nephrologist from Mumbai, no Coi #NSMC intern #NephJC |
| Nephrology Journal Club @NephJC Hello Zubin, Gary, Dina, Kevin and Annabel! #NephJC |
| Jim Myers @kidneystories My name is James Myers. I'm a kidney advocate with the NKF & on the BOD with the AAKP. I have an interest in Pediatric Kidney Patients #NephJC |
| Beje Thomas @bthomas215 #NephPearls Rocks #nephjc |
| Nephrology Journal Club @NephJC One of the core goals of #NephJC is to build a personal learning network, so hit that follow button often |
 | Manasi Bapat MD, FASN, FNKF🇮🇳🇺🇸 @manasib33 Manasi Bapat, @ISMMSKidney fellow, #NSMC Intern 2018! Hello everyone!! #NephJC |
 | Arvind Canchi (Conjeevaram)🇮🇳 @arvindcanchi @NephJC Arvind Canchi Nephrologist from Bangalore with my morning cuppa. Will lurk. Interesting topic. Great potential in these parts of the world. Not well explored. No COI. #nephjc |
 | Aakash Shingada, DNB, MRCP(UK), FASN @aakashshingada Aakash Shingada, Nephrology fellow from New Delhi #NSMC intern checking in. No COI #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephRodby hey Roger! Can’t think of anything we can disagree about tonight. Right? right? #nephjc |
| Nephrology Journal Club @NephJC Running short on time and didn't read the article? Catch the #NephJC summary here: https://t.co/3nRcFmrg9z |
| Amanda Grandinetti, MPH @AGrandinettiMPH Hello! No COIs here! #NephJC |
 | Angel Cesar Ortiz @AngelCesarOrtiz Hi everyone! Angel Ortiz. 2nd year nephrology fellow. I’m on call... great topic! ... Neph Ped 👶🏼 #NephJC #NSMC |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd History of Childhood kidney disease and risk of adult ESRD from @NEJM #Nephpearls #NephJC #VisualAbstract by @whatsthegfr 👉🏼 https://t.co/bDuXgjSCFu 📓 https://t.co/wHd2wsoVm9 https://t.co/gHZtrWdrHL |
 | Joel M. Topf, MD FACP @kidney_boy Joel Topf, co-founder #NephJC. Formerly a board certified pediatrician, now adult nephrologist. |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @manasib33 @ISMMSKidney nice write up on sensitivity analysis! #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @AGrandinettiMPH welcome to #nephjc |
 | Sayna Norouzi, MD, FASN @SaynaNorouzi Hi! @SaynaNorouzi, future nephrology fellow @BCMKidneyHealth. No CoI. #NephJC |
| Nephrology Journal Club @NephJC Is the summary too much for you? How about the @NEJM Quicktake video. #NephJC https://t.co/w0xKoU0GS3 |
| Matthew Sparks, MD @Nephro_Sparks @SaynaNorouzi @BCMKidneyHealth Hi Sayna #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @AngelCesarOrtiz Hi Angel #NSMC #nephjc |
 | Silvi Shah, MD, MS @silvishah Hi this is Silvi Shah from Cincy no Coi #nephJC |
| Roger Rodby @NephRodby @DoctorGates Go #LindseyVonn #NephJC |
 | Rajesh rajan @rajeshrajan79 #nephjc Hi everyone. Rajesh. Clinical nephrologist. Here to learn. No COI |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Also: Angel, Aakash, Divya, Manasi, Diana, Sayna: more #NSMC interns! #nephjc |
| Matthew Sparks, MD @Nephro_Sparks The #NSMC interns are really putting out some amazing stuff https://t.co/xCU14HP7JN #nephjc |
| Brian Stotter, MD @StotterMD Senior author regrets not being able to make it tonight (he has 4 kids and it’s 4 or 5am in Israel), but looking forward to the transcript #NephJC |
| Nephrology Journal Club @NephJC Now there are no excuses for not being able to contribute to tonight's conversation. #NephJC |
 | Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD Hector Madariaga. No COI. CambrIdge, MA. I’ll participate if my baby allows me... otherwise just lurking :) Hello, everyone! #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Writer of the excellent patient voice: MT @AGrandinettiMPH: Hello! No COIs here! #NephJC |
| Nephrology Journal Club @NephJC There's also a fantastic Patient Voice essay by @AGrandinettiMPH #NephJC https://t.co/4UyEiGdYDP |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: Running short on time and didn't read the article? Catch the #NephJC summary here: Running short on time and didn't read the article? Catch the #NephJC summary here: https://t.co/3nRcFmrg9z |
| Nephrology Journal Club @NephJC Hi Sarah and Hector! #NephJC |
 | Jillian Warejko @theNevphron Jill Warejko, pedi nephrology attending at Yale. Only COI is that the senior author was my former co-fellow, who woke me up at 3 am when the article was published. #NephJC |
| Beje Thomas @bthomas215 everyone is beaming in #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: Is the summary too much for you? How about the @NEJM Quicktake video. #NephJC https://t.co/w0xKoU0GS3 |
| Joel M. Topf, MD FACP @kidney_boy @hswapnil @manasib33 @ISMMSKidney agreed that was great #NephJC https://t.co/ez7mdbzn68 |
| Kate Robson @nephrologista Great summary & VA, especially highlight far-reaching implications. Much more than a peds issue really #nephjc |
| Matthew Sparks, MD @Nephro_Sparks don't forget to check out the #NephJC Stats Compendium by @manasib33 on sensitivity analysis https://t.co/cfxvebt60x |
| Manasi Bapat MD, FASN, FNKF🇮🇳🇺🇸 @manasib33 @hswapnil @ISMMSKidney Thank you! Thanks to @methodsmanmd for all his excellent input, i learned so much #NephJC |
| Nephrology Journal Club @NephJC The article is available free through the #NephJC link. Special thanks to @NEJM for allowing open access. |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @rajeshrajan79 Hi Rajesh! Welcome to #NephJC! |
| Nephrology Journal Club @NephJC Remember to add #NephJC to every tweet you want to be part of the discussion and recorded in the journal club archive. |
| Joel M. Topf, MD FACP @kidney_boy #NephJC Summary > QuickTake video https://t.co/4oE9Ptbq7o |
| Matthew Sparks, MD @Nephro_Sparks @sarah_gleeson_ Hi Sarah #nephjc |
| Brian Stotter, MD @StotterMD Dogs of #NephJC https://t.co/inUec9JsLV |
| Nephrology Journal Club @NephJC Let's get started - T0:Ped Nephs/Urology, How long do you follow kids with CAKUT or PSGN or HSP nephritis if urine, BP, and creatinine are normal? #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: The article is available free through the #NephJC link. Special thanks to @NEJM for allowing open access. |
 | CourtneyKRoweMD @CourtneyKRoweMD #PedUro fellow from @seattlechildren here for #NephJC! Interested to see how the real doctors do it. No COI. |
| Scherly Leon, MD @SLeonMD @AGrandinettiMPH Thanks for joining us and writing https://t.co/4jd4ZoFXBa #NephJC |
| Nephrology Journal Club @NephJC T0: Adult nephs, Do you ask new CKD patients about childhood kidney disease? Pyelo? Prematurity? #NephJC |
| Scherly Leon, MD @SLeonMD RT @edgarvlermamd: History of Childhood kidney disease and risk of adult ESRD from @NEJM #Nephpearls #NephJC #VisualAbstract by @whatsthegfr 👉🏼 https://t.co/bDuXgjSCFu 📓 https://t.co/wHd2wsoVm9 https://t.co/gHZtrWdrHL |
| Manasi Bapat MD, FASN, FNKF🇮🇳🇺🇸 @manasib33 RT @NephJC: T0: T0: Adult nephs, Do you ask new CKD patients about childhood kidney disease? Pyelo? Prematurity? #NephJC |
| Nephrology Journal Club @NephJC Hello Courtney! Peds Urology in the house. #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 and so are the patient contributors such as @AGrandinettiMPH #nephjc https://t.co/usf3ExQZ7U |
| Kate Robson @nephrologista @NephJC Yes, I do, in particular detail for cryptogenic cases. Recall is often poor however. #nephjc |
| Roger Rodby @NephRodby @NephJC I do not. do people really know their birthweight if low? #NephJC |
| Angel Cesar Ortiz @AngelCesarOrtiz RT @NephJC: Hello Courtney! Peds Urology in the house. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @CourtneyKRowe @seattlechildren Great! Welcome to #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: Let's get started - T0:Ped Nephs/Urology, How long do you follow kids with CAKUT or PSGN or HSP nephritis if urine, BP, and creatinine are normal? #NephJC |
| Gates Colbert, MD @DoctorGates @NephJC T0: I only ask if patient is referred younger than 30 (random age chosen). Asking about childhood diseases and really diving into family history. #nephJC |
| Manasi Bapat MD, FASN, FNKF🇮🇳🇺🇸 @manasib33 Guilty! I ask about family history and past medical history but usually don't ask specifically about childhood kidney disease, will be a practice change for me after tonight! #NephJC |
| Kate Robson @nephrologista @NephJC Might get better results if I knew better guiding questions to ask perhaps? #nephjc |
| Brian Stotter, MD @StotterMD @NephJC Usually follow CAKUT throughout childhood. For PSGN or HSP with resolution I’ll dismiss from clinic but request annual UAs at PCP and BPs w/ every clinic visit #NephJC |
| Gates Colbert, MD @DoctorGates @justinberk welcome Berk! #NephJC |
| Scherly Leon, MD @SLeonMD @StotterMD It is #LoveYourPetDay! #NephJC |
| Joel M. Topf, MD FACP @kidney_boy @NephJC UTI and pyelo ion childhood is part of my renal review of systems. Always ask about late toilet training and mystery fevers to discover congenital ab and infection. #NephJC |
| Zubin J Modi @zjmodi Follow the CAKUT kids pretty regularly even if things are normal, HSP and PSGN not as much if things have other gotten better. Depends on severity. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: T0: T0: Adult nephs, Do you ask new CKD patients about childhood kidney disease? Pyelo? Prematurity? #NephJC |
| Samira Farouk, MD, MSCR @ssfarouk T0: Despite core curriculum lectures in our fellowship program, I do not regularly ask about childhood CKD, pyelo, or prematurity...#NephJC |
| Nephrology Journal Club @NephJC @StotterMD Do you think the kids actually get your recommended PCP follow up? #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @manasib33 Love the honesty #nephjc |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd @NEJM @whatsthegfr History of Childhood kidney disease and risk of adult ESRD from @NEJM #Nephpearls #NephJC 👉🏼 https://t.co/bDuXgjSCFu 📓 https://t.co/wHd2wsoVm9 📺 https://t.co/IRQSc9vrnb via @youtube https://t.co/lfMoxRPPHR |
| Gates Colbert, MD @DoctorGates @NephRodby Vonn going downhill in 5.4.3.2.1. #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @kidney_boy @NephJC Wow. Impressed - is that due to your peds training? (Yes we know you are also an awesome clinician) #NephJC |
| Nephrology Journal Club @NephJC @kidney_boy Important point. Often "recurrent febrile ear infections" is really a history of recurrent pyelo. #NephJC |
| Brian Stotter, MD @StotterMD @kidney_boy @NephJC We diagnose many children with HTN from renal scarring that in retrospect may be from recurrent UTIs misdiagnosed as ear infections #NephJC |
| Matthew Sparks, MD @Nephro_Sparks T0-Typically don't... Ave age of Pt in my clinic in the 60-70s... Do you ask new CKD patients about childhood kidney disease? #nephjc |
| Nephrology Journal Club @NephJC RT @kidney_boy: @NephJC UTI and pyelo ion childhood is part of my renal review of systems. Always ask about late toilet training and mystery fevers to discover congenital ab and infection. #NephJC |
| Nephrology Journal Club @NephJC RT @sarah_gleeson_: |
| Joel M. Topf, MD FACP @kidney_boy @hswapnil @NephJC mostly just awesome clinician. ;-) #NephJC |
| Zubin J Modi @zjmodi @NephJC @StotterMD I have concerns that these recommendations are not followed regularly. #NephJC |
| Matthew Sparks, MD @Nephro_Sparks @CourtneyKRowe @seattlechildren Thanks for joining #nephjc |
| Arvind Canchi (Conjeevaram)🇮🇳 @arvindcanchi Is there data out there that compares low birth weight/ premature birth to future kidney dis vs childhood kidney dis linked tho adult kidney dis? #nephjc |
| Dr. Divya Bajpai 🇮🇳 @divyaa24 @NephJC I do attempt to ask about childhood UTI/unexplained fever/ bladder symptoms, but most of the Pts. Don’t remember and the response is far from satisfactory #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @StotterMD @kidney_boy @NephJC There you go. Practice changing tip #1 already picked up #NephJC |
| Brian Stotter, MD @StotterMD @zjmodi @NephJC As in other parts of the hospital, nobody reads our notes #NephJC |
 | Kathleen Higgins Broderick @KHBroderick Hi Kathleen Broderick - my 19 yo son has NS. Interested in info transitioning from ped neph to adult neph - difficult for many #nephjc |
| Kate Robson @nephrologista @divyaa24 @NephJC This! #nephjc |
| Zubin J Modi @zjmodi RT @StotterMD: @zjmodi @NephJC As in other parts of the hospital, nobody reads our notes #NephJC |
| Nephrology Journal Club @NephJC RT @divyaa24: @NephJC I do attempt to ask about childhood UTI/unexplained fever/ bladder symptoms, but most of the Pts. Don’t remember and the response is far from satisfactory #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 Does the US have a comparable registry to the Israel one discussed in the study? #nephJC |
| Nephrology Journal Club @NephJC Methods: This study linked records of adolescents at Israeli military entrance exam with outcomes in the Israeli ESRD database #NephJC https://t.co/Z3LmF2DSDC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @KHBroderick Hi Kathleen! Welcome back to #NephJC |
| Matthew Sparks, MD @Nephro_Sparks @KHBroderick Huge issue. have not seen a good solution. #NephJC |
| Aakash Shingada, DNB, MRCP(UK), FASN @aakashshingada @NephJC I always ask about childhood infections, UTIs particularly, never asked about ear infections. And urinary stream/flow problems #NephJC |
| Zubin J Modi @zjmodi #NephJC https://t.co/E8EPXQWiHm |
| Nephrology Journal Club @NephJC Welcome Kathleen. Invite your son to join us! #NephJC |
| Rajesh rajan @rajeshrajan79 #nephjc - T0 I have started to ask in the younger patients who are referred. Recent experience in a 32 yo with proteinuria and decreased GFR. He had mri with scarring of kidneys- he had history of reflux with ureteral reimplantation. |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 Does the US have a comparable database ? #nephjc https://t.co/RONWNKwBYf |
| Nephrology Journal Club @NephJC @gratefull080504 The comparable US ESRD registry is USRDS. There isn't a comparable adolescent health screening database. #NephJC |
| CourtneyKRoweMD @CourtneyKRoweMD @nephrologista @divyaa24 @NephJC For those patients who do remember, any themes? Ie, what should I be telling parents to tell their kids? #NephJC |
| Nephrology Journal Club @NephJC The authors have published a number of other high impact papers using a similar design #NephJC |
| Brian Stotter, MD @StotterMD #NephJC https://t.co/EuXGrHI6XP |
| Scherly Leon, MD @SLeonMD @NephJC we are working on it! #Nephjc RIght @AGrandinettiMPH? |
| Kathleen Higgins Broderick @KHBroderick @NephJC 19 year olds not interested in twitter...yet #nephjc |
| Zubin J Modi @zjmodi @NephJC @gratefull080504 No comparable databse for pre-ESRD CKD in the US. Our disjointed system makes these types of population studies very difficult. #NephJC |
| Nephrology Journal Club @NephJC They showed that microscopic hematuria in adolescence increased risk of ESRD @JAMA_current #NephJC https://t.co/0ET0Pkekru https://t.co/Z70AHBTFn5 |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: Methods: Methods: This study linked records of adolescents at Israeli military entrance exam with outcomes in the Israeli ESRD database #NephJC https://t.co/Z3LmF2DSDC |
| Brian Stotter, MD @StotterMD RT @zjmodi: @NephJC @gratefull080504 No comparable databse for pre-ESRD CKD in the US. Our disjointed system makes these types of population studies very difficult. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: They showed that microscopic hematuria in adolescence increased risk of ESRD @JAMA_current #NephJC https://t.co/0ET0Pkekru https://t.co/Z70AHBTFn5 |
| Nephrology Journal Club @NephJC @CourtneyKRowe @nephrologista @divyaa24 I always quiz kids "What's the name of your kidney disease" from about age 7-8 on up. #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 From my understanding URDS registry falls way short of the utility of the Israel registry #nephjc https://t.co/8kNo2Idksn |
| Sayna Norouzi, MD, FASN @SaynaNorouzi RT @NephJC: They showed that microscopic hematuria in adolescence increased risk of ESRD @JAMA_current #NephJC https://t.co/0ET0Pkekru https://t.co/Z70AHBTFn5 |
| Amanda Grandinetti, MPH @AGrandinettiMPH @SLeonMD @NephJC Haha yes we are! #nephjc |
| Dr. Divya Bajpai 🇮🇳 @divyaa24 @CourtneyKRowe @nephrologista @NephJC Obvious pyelo episodes or urinary complains which have reqd intervention and urinary +bowel symp r remembered better #NephJC |
| Nephrology Journal Club @NephJC They also showed that increased BMI in adolescence was associated with increased risk of ESRD #NephJC https://t.co/BDtXGuIIcy https://t.co/4ETuVxOO0P |
| Matthew Sparks, MD @Nephro_Sparks RT @zjmodi: @NephJC @gratefull080504 No comparable databse for pre-ESRD CKD in the US. Our disjointed system makes these types of population studies very difficult. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: They also showed that increased BMI in adolescence was associated with increased risk of ESRD #NephJC https://t.co/BDtXGuIIcy https://t.co/4ETuVxOO0P |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @zjmodi @NephJC Thank you for confirming my understanding It seems like a similar investment could really be a #publichealth benefit #nephjc |
 | Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah Nikhil Shah Adult Nephrologist @UAlberta #Nephjc no COI. Lurking! |
| Nephrology Journal Club @NephJC In this study, 1,544,097 participants were included and followed for mean of 30.4 years (How many people did you have in your last study??) #NephJC https://t.co/ElKebdFyxN |
| Gates Colbert, MD @DoctorGates @NephJC Similar with adults. And then survival reverses once ESRD. #NephJC |
| Roger Rodby @NephRodby @DoctorGates #VonnInSecond #FingersCrossed #NephJC |
| Beje Thomas @bthomas215 Is the end result of this study closer observation of patients with a history of childhood kidney disease #nephjc |
| Nephrology Journal Club @NephJC Cohorts with prior CAKUT, pyelonephritis, or glomerular disease with normal BP, Creat, and Uprotein at time of exam were assembled #NephJC https://t.co/ZOmXFY16fI |
| Kate Robson @nephrologista @divyaa24 @CourtneyKRowe @NephJC If they've had specialist input at the time, much more likely to have attached significance and be able to put a name to the problem. I find same issues w gestational HT. Often won't realise it's relevant unless a specialist at the time stressed it... #nephjc |
| Samira Farouk, MD, MSCR @ssfarouk @NephRodby @DoctorGates Now ready for @mirai_nagasu #tripleaxel #NephJC |
| Kathleen Higgins Broderick @KHBroderick @AGrandinettiMPH @SLeonMD @NephJC #nephjc - Can we form a #NephSnapChat - this is the way to communicate with younger pediatric kidney patients |
| Matthew Sparks, MD @Nephro_Sparks RT @NephJC: They also showed that increased BMI in adolescence was associated with increased risk of ESRD #NephJC https://t.co/BDtXGuIIcy https://t.co/4ETuVxOO0P |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 The NEJM study tonight makes a compelling argument for a #CKD registry Why doesn't one exist in US? #nephJC |
| Nephrology Journal Club @NephJC RT @KHBroderick: @AGrandinettiMPH @SLeonMD @NephJC #nephjc - Can we form a #NephSnapChat - this is the way to communicate with younger pediatric kidney patients |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @KHBroderick: @AGrandinettiMPH @SLeonMD @NephJC #nephjc - Can we form a #NephSnapChat - this is the way to communicate with younger pediatric kidney patients |
| Nikhil Shah MBBS DNB(IM, Neph)🇨🇦 @dr_nikhilshah @NephJC ALWAYS! If young patient I ask them to call parents and find out. #Nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Take that @Nephro_Sparks with your 6 🐁 🐭 studies #NephJC https://t.co/2Avuiq0JTM |
| Nephrology Journal Club @NephJC T1: Any concerns about the inclusion criteria/categorization? Are these useful groupings for analysis? #NephJC |
| Brian Stotter, MD @StotterMD @NephJC One cohort I was hoping to see was those with a history of AKI during childhood, though some of those kids may get lumped into pyelo or GN. #NephJC |
| Beje Thomas @bthomas215 https://t.co/FZdvhLZO7i Donors that gain weight bad stuff happens #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @hswapnil @Nephro_Sparks thanks Swap. 1 million mice will have the P value you desire #nephjc |
 | Aries - It's Me! @_aries_247 Im Not Just An Aries Badass => https://t.co/A3GCJVUTN5 #ariescup #ariestanktop #aries #arieslongsleeve #ariesmug #NephJC https://t.co/kZVqYlymRd |
| Amanda Grandinetti, MPH @AGrandinettiMPH What a great idea! I formed a group for 15-26 year olds with minimal change or fsgs years ago. A snapchat would be an awesome way to communicate! Age based education/reach out is lacking in kidney care #nephjc https://t.co/2KO9Odt78F |
| Matthew Sparks, MD @Nephro_Sparks rut row RT @chrbayne: @NephJC How did they confirm history of “pyelonephritis?” I didn’t see listed. Hard to do for a million people #nephjc |
| Kate Robson @nephrologista @KHBroderick @NephJC @AGrandinettiMPH @SLeonMD Haha I can attest to this after a young adult pt did a snapchat mid-biopsy once. Took me by surprise w needle in hand! #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @nephrologista: @divyaa24 @CourtneyKRowe @NephJC If they've had specialist input at the time, much more likely to have attached significance and be able to put a name to the problem. I find same issues w gestational HT. Often won't realise it's relevant unless a specialist at the time stressed it... #nephjc |
| Beje Thomas @bthomas215 need to counsel our peds patients aggressively on diet and weight #nephjc |
| Dr. Divya Bajpai 🇮🇳 @divyaa24 @NephJC Glomerular disease is too huge an umbrella to be classified together #NephJC |
| Scherly Leon, MD @SLeonMD RT @gratefull080504: The NEJM study tonight makes a compelling argument for a #CKD registry Why doesn't one exist in US? #nephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @maurypinsk Welcome to #NephJC Maury! |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 T1: It is hard to have concerns from a US perspective when we don't have a similar program I will reserve comment #nephJC https://t.co/StcmreRjdo |
| Jim Myers @kidneystories Trying to find exact stats on peds kidney patients has been difficult for me. #NephJC |
| Nephrology Journal Club @NephJC @chrbayne "Pyelo" diagnosis with or without documented scarring, no specific criteria for diagnosis listed. Lots of room for misdiagnosis #NephJC |
| Angel Cesar Ortiz @AngelCesarOrtiz @NephJC I always ask low both weight! #NephJC |
| Kate Robson @nephrologista @gratefull080504 We are working on this in Aus at the moment. Issues have been capture (big popn not always under specialist care), lack of integration of medical records (esp btw primary care & hospital) and specificity of diagnosis (how to 'lump' or 'split' conditions) #nephjc |
| Nephrology Journal Club @NephJC @_aries_247 OMG #NephJC is so cool we're getting spammed. |
| Zubin J Modi @zjmodi @NephJC @chrbayne Also, how many of these kids with pyelonephritis were low grade VUR that just went undiagnosed.? #NephJC |
| Scherly Leon, MD @SLeonMD @KHBroderick @AGrandinettiMPH @NephJC @kidney_boy @Nephro_Sparks SnapChat haunting you! @DrNimraS what say you? #NephJC |
| Kathleen Higgins Broderick @KHBroderick @nephrologista @NephJC @AGrandinettiMPH @SLeonMD #nephjc - whoa that must have entertained the friends! |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 and exercise #nephjc https://t.co/dwG3OIIDOX |
| Angel Cesar Ortiz @AngelCesarOrtiz RT @NephJC: Cohorts with prior CAKUT, pyelonephritis, or glomerular disease with normal BP, Creat, and Uprotein at time of exam were assembled #NephJC https://t.co/ZOmXFY16fI |
| Beje Thomas @bthomas215 Good point it would be great to have a national registry for pediatric patients #nephjc |
| Aakash Shingada, DNB, MRCP(UK), FASN @aakashshingada Was managing call duty with #NephJC. Patient coded. Gtg! 🙄😏 |
| Brian Stotter, MD @StotterMD @NephJC heterogeneity within groups also a problem, doesn’t separate CAKUT that was conservatively managed vs surgically managed by nephrectomy for example #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC @chrbayne But this would bias results towards null, if at all? So true effect would be larger? #NephJc |
| Nephrology Journal Club @NephJC @zjmodi @chrbayne Agree, "pyelo" could have been with or without structural anomalies. Big difference. #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 Yes @Nephro_Sparks Perhaps Geisinger, Kaiser, Intermountain Health, VA, etc. #nephjc https://t.co/sFtHxFLKtR |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd 25 minutes into #NephJC @lindseyvonn is still in position for 🥈 #Olympics #PyeongChang2018 🤞🏼🤞🏼🤞🏼 https://t.co/coBEhUm7qV |
| Scherly Leon, MD @SLeonMD @hswapnil @Nephro_Sparks @NephRodby see how he picks fights, now with @Nephro_Sparks #NephJC |
| Nephrology Journal Club @NephJC @bthomas215 NAPRTCS (@NAPRTCS1) is the closest we have to a national peds CKD/ESRD registry. Many centers not participating unfortunately. #NephJC |
| Matthew Sparks, MD @Nephro_Sparks OMG... wife just turned on Food Network and they are cooking kidneys. NOOOOOO #nephjc |
| Zubin J Modi @zjmodi I am guessing that the number of patients make delving into smaller groups difficult. #NephJC https://t.co/FgTrgQ5GUk |
| Nephrology Journal Club @NephJC RT @StotterMD: @NephJC heterogeneity within groups also a problem, doesn’t separate CAKUT that was conservatively managed vs surgically managed by nephrectomy for example #NephJC |
| Kathleen Higgins Broderick @KHBroderick @gratefull080504 @Nephro_Sparks #nephjc what about pedsnet? |
 | Michelle Rheault @rheault_m @NephJC T1: I would be interested in how "proteinuria"was defined. Dipstick? 1st am? #nephJC |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @Nephro_Sparks It tastes like liver 🧐 #NephJC |
| Brian Stotter, MD @StotterMD @zjmodi Shouldn’t be too hard to do a sub-group analysis #NephJC |
| Beje Thomas @bthomas215 This study used ESKD as an endpoint what about using CKD as an endpoint #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC @bthomas215 @NAPRTCS1 I think @drsamuelcalgary is doing something along those lines in Canada - know more @maurypinsk ? #NephJC |
| Nephrology Journal Club @NephJC Results: Baseline characteristics of the cohorts #NephJC https://t.co/XLU2dVSmp9 |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 and a national #ckd registry for the spectrum of #ckd Strategic investment with incredible #publichealth + economic benefits What is preventing US from doing? #nephjc https://t.co/3q5xqRMwMJ |
| Matthew Sparks, MD @Nephro_Sparks good man Beje RT @bthomas215: This study used ESKD as an endpoint what about using CKD as an endpoint #nephjc |
| Scherly Leon, MD @SLeonMD @bthomas215 Let me know how that turns out, most of us still struggling with adult patients . #NephJC |
| Gates Colbert, MD @DoctorGates @edgarvlermamd @lindseyvonn #spoileralert #NephJC |
| Brian Stotter, MD @StotterMD @bthomas215 Multiple different end-points to define CKD. Just having CAKUT assumes you have CKD based on KDIGO guidelines #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: T1: T1: Any concerns about the inclusion criteria/categorization? Are these useful groupings for analysis? #NephJC |
| Angel Cesar Ortiz @AngelCesarOrtiz @NephJC #NephJC |
| Michelle Rheault @rheault_m @NephJC Note that 3.9% of childhood kidney dz cohort had systolic BP >95% (table1). I thought that was exclusion criteria? #nephjc |
| Zubin J Modi @zjmodi @StotterMD Hard to know based on what was presented. #NephJC |
| Nephrology Journal Club @NephJC T2: A lot of participants had missing baseline SBP data (60.5% of pyelo cohort!). How might this influence results? #NephJC |
| Matthew Sparks, MD @Nephro_Sparks RT @rheault_m: @NephJC Note that 3.9% of childhood kidney dz cohort had systolic BP >95% (table1). I thought that was exclusion criteria? #nephjc |
| Scherly Leon, MD @SLeonMD @NephJC @_aries_247 they are all here for the host! @rheault_m great job! #NephJC #pedsrock |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC T1: given large administrative datasets, this is best you can get I think. I will take it #NephJC |
| Zubin J Modi @zjmodi RT @rheault_m: @NephJC Note that 3.9% of childhood kidney dz cohort had systolic BP >95% (table1). I thought that was exclusion criteria? #nephjc |
 | Diana Cardona-Grau @DrCardonaGrau @NephJC Excited for 1st #NephJC. Peds Urology fellow @UCSDHealth. No COI. |
| Dr. Divya Bajpai 🇮🇳 @divyaa24 @bthomas215 Yes...using CKD as endpoint will increase the event rate and then help in subgroup analysis of these large heterogenous groups #NephJC |
| Nephrology Journal Club @NephJC @gratefull080504 Registries are expensive and no one wants to pay for them. Trust me, I run 2. Extremely valuable though. #NephJC |
 | Laurus @LaurusT001 RT @NephJC: @gratefull080504 Registries are expensive and no one wants to pay for them. Trust me, I run 2. Extremely valuable though. #NephJC |
| Brian Stotter, MD @StotterMD @DrCardonaGrau @NephJC @UCSDHealth Welcome! #NephJC |
| Kate Robson @nephrologista Re Baseline data: (excuse ignorance) are those M:F ratios typical for all these conditions in adolescence? #nephjc |
| Scherly Leon, MD @SLeonMD @gratefull080504 @Nephro_Sparks then we have issues to #healthequity #access, #disparities- as always. #NephJC |
| Nephrology Journal Club @NephJC RT @divyaa24: @bthomas215 Yes...using CKD as endpoint will increase the event rate and then help in subgroup analysis of these large heterogenous groups #NephJC |
| Beje Thomas @bthomas215 Why did they say the parents were from different areas and not mention ethnicity specifically #nephjc |
| Amanda Grandinetti, MPH @AGrandinettiMPH It's always interesting to see how much evidence is available in other specialties. Nephrology is lucky to have such a large population. Makes it much easier to grade the literature #nephjc |
| Kathleen Higgins Broderick @KHBroderick @NephJC @gratefull080504 #nephjc let's unite all the kidney registries - think of the data. |
| Scherly Leon, MD @SLeonMD @NephJC @bthomas215 @NAPRTCS1 how do one get centers to participate? incentives? #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 In the long run registries would save money, improve patient care, and reduce disability US system rewards downstream interventions not up front interventions Uncomfortable truth #NephJC https://t.co/eMW3GUMbcj |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @chrbayne @NephJC Most commonly, noise like this biases towards null. Exceptions discussed here: https://t.co/OBtVHSvrsM #NephJC |
| Brian Stotter, MD @StotterMD @bthomas215 Might be that’s the only data available in the registry? Not sure. #NephJC |
| Scherly Leon, MD @SLeonMD @Nephro_Sparks KIDNEYS are your life, accept it! #NephJC |
| Samira Farouk, MD, MSCR @ssfarouk @Nephro_Sparks @bthomas215 CKD may be a harder endpoint to pick up and depend on routine screenings and regular follow up #NephJC |
| Diana Cardona-Grau @DrCardonaGrau @divyaa24 @NephJC Same for CAKUT as a diagnosis. Huge umbrella with multiple anomalies each with varying degrees of severity. Major limitation not just in this study but nat’l database/registry linkage studies is lack of granularity. #NephJC |
| Manasi Bapat MD, FASN, FNKF🇮🇳🇺🇸 @manasib33 RT @SLeonMD: @Nephro_Sparks KIDNEYS are your life, accept it! #NephJC |
| Nephrology Journal Club @NephJC @nephrologista CAKUT certainly more common in males. Pyelo history should be more common in females.May reflect military service entry criteria? #NephJC |
| Dr. Divya Bajpai 🇮🇳 @divyaa24 @sarah_gleeson_ @bthomas215 May be CKD 3 and above #NephJC |
| Angel Cesar Ortiz @AngelCesarOrtiz RT @rheault_m: @NephJC Note that 3.9% of childhood kidney dz cohort had systolic BP >95% (table1). I thought that was exclusion criteria? #nephjc |
| Nephrology Journal Club @NephJC @chrbayne My urologists at least attempt to get blood pressures for the kids we co-follow. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @DrCardonaGrau @NephJC @UCSDHealth Welcome to #NephJC ! |
| Joel M. Topf, MD FACP @kidney_boy I get that the HR was a gaudy 4+, but the number of events was still small (Low absolute risk). How does this change your management ion the patient in front of you? #NephJC |
| Brian Stotter, MD @StotterMD @Nephro_Sparks @bthomas215 ESKD is an easier end point, needing dialysis or transplantation. CKD in kids has multiple “end points.” Simply having CAKUT puts you in the category of CKD per KDIGO guidelines #NephJC |
| Kate Robson @nephrologista @NephJC Yes good point - 900,000+ M vs 520,000ish F #NephJC |
| Nephrology Journal Club @NephJC RT @DrCardonaGrau: @divyaa24 @NephJC Same for CAKUT as a diagnosis. Huge umbrella with multiple anomalies each with varying degrees of severity. Major limitation not just in this study but nat’l database/registry linkage studies is lack of granularity. #NephJC |
| Scherly Leon, MD @SLeonMD @gratefull080504 Wonder what @ASNKidney @ASNAdvocacy @CMSGov @HHSGov thoughts are on matter? #NephJC |
| Joel M. Topf, MD FACP @kidney_boy @nephrologista @NephJC could this be due to male dominance among army recruits? #NephJC Orthodox women don't serve. |
| Nephrology Journal Club @NephJC Next the authors compared characteristics of those with ESRD according to history or no history of childhood kidney disease #NephJC https://t.co/RualI5ShUv |
| Zubin J Modi @zjmodi @StotterMD @Nephro_Sparks @bthomas215 Additionally, determination of CKD status/stages can be quite difficult with large data sets. #NephJC |
| Nephrology Journal Club @NephJC Those with h/o childhood kidney disease were younger (mean 41.6yrs) vs those without (mean 48.6yrs) #NephJC |
| Scherly Leon, MD @SLeonMD RT @NephJC: @gratefull080504 Registries are expensive and no one wants to pay for them. Trust me, I run 2. Extremely valuable though. #NephJC |
| Nephrology Journal Club @NephJC Adjusted risk of ESKD was higher in those with h/o CAKUT [HR 5.19], Pyelonephritis [HR 4.03], or glomerular disease [HR 3.85] than those with no history #NephJC https://t.co/P19FVDG0yQ |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC Hmm - unless systematic (non-random) missing info, I would be OK with this. #nephjc |
| Nephrology Journal Club @NephJC OK, now answer Joel's question: #NephJC https://t.co/jmhU4rH1uc |
| Samira Farouk, MD, MSCR @ssfarouk Did anyone else notice that #PathJC is happening right now too? #NephJC |
| Zubin J Modi @zjmodi @gratefull080504 Re:CKD registries, the CDC does fund surveillance of CKD in US, but not a full registry. #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @kidsbeansdoc : I see your point but what are the priorities for US Healthcare System? They seem misaligned to say the least #NephJC https://t.co/xx6ykach5r |
| Kate Robson @nephrologista @kidney_boy @NephJC yes, great point thanks #nephjc |
| Nephrology Journal Club @NephJC Cumulative Incidence of ESKD risk by history of CAKUT, pyelonephritis, and glomerular disease #NephJC https://t.co/NWIo4NcCZX |
| Angel Cesar Ortiz @AngelCesarOrtiz RT @SLeonMD: @Nephro_Sparks KIDNEYS are your life, accept it! #NephJC |
| Matthew Sparks, MD @Nephro_Sparks @manasib33 @ssfarouk #PathJC and #NephJC https://t.co/3sAvCz2LYw |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 @zjmodi Correct US had its first surveillance program in 2006 #NephJC |
| Nephrology Journal Club @NephJC @justinberk @kidney_boy If finding proteinuria means you can start to manage closer (tight BP control, ACE inhibitors) then UA yearly seems cheap and reasonable to me #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @justinberk @kidney_boy Low cost intervention. Maybe once in 2 years. & Why not? Risk = ESKD CKD risk likely larger? #NephjC |
 | Alex Meraz @NephroGuy RT @NephJC: Cumulative Incidence of ESKD risk by history of CAKUT, pyelonephritis, and glomerular disease #NephJC https://t.co/NWIo4NcCZX |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 It is a good start Thanks for sharing @maurypinsk #nephJC https://t.co/aNmUJ7FwT1 |
 | Maren Y. Fuller, MD @marenwhymd @ssfarouk Hi #nephjc friends!! #pathjc owes a lot to you, including a strong gif game. We overlap sometimes ☺️ https://t.co/HLfIqz0JrA |
| Maren Y. Fuller, MD @marenwhymd RT @ssfarouk: Did anyone else notice that #PathJC is happening right now too? #NephJC |
| Scherly Leon, MD @SLeonMD @zjmodi @gratefull080504 Can you tell me more about @CDC surveillance? #NephJC |
| Matthew Sparks, MD @Nephro_Sparks RT @hswapnil: @justinberk @kidney_boy Low cost intervention. Maybe once in 2 years. & Why not? Risk = ESKD CKD risk likely larger? #NephjC |
| Dr. Divya Bajpai 🇮🇳 @divyaa24 @NephJC Helps improvising the advice to paediatric Pts. For lifelong risk and need for regular monitoring #NephJC |
| Nephrology Journal Club @NephJC RT @hswapnil: @justinberk @kidney_boy Low cost intervention. Maybe once in 2 years. & Why not? Risk = ESKD CKD risk likely larger? #NephjC |
| Maren Y. Fuller, MD @marenwhymd RT @Nephro_Sparks: @manasib33 @ssfarouk #PathJC and #NephJC https://t.co/3sAvCz2LYw |
| Nephrology Journal Club @NephJC Results held up even when sensitivity analyses were performed to exclude those with microhematuria and to account for length of follow up #NephJC |
 | Pathology JC @path_JC RT @marenwhymd: @ssfarouk Hi #nephjc friends!! #pathjc owes a lot to you, including a strong gif game. We overlap sometimes ☺️ https://t.co/HLfIqz0JrA |
| Beje Thomas @bthomas215 Data says don’t it blow off, need follow up, at a minimum the primary care provider should do the usual renal screening #nephjc |
 | Prashant Bavi @PrashantBavi RT @Nephro_Sparks: @manasib33 @ssfarouk #PathJC and #NephJC https://t.co/3sAvCz2LYw |
| Diana Cardona-Grau @DrCardonaGrau @hswapnil @NephJC Problem whith this is- are we saying a child with grade 1 VUR that spontaneously resolved early on should be followed for increased risk of ESRD as much as one with higher grade + scarring? #NephJC |
| Pathology JC @path_JC RT @Nephro_Sparks: @manasib33 @ssfarouk #PathJC and #NephJC https://t.co/3sAvCz2LYw |
| Maren Y. Fuller, MD @marenwhymd @ssfarouk (Not sure if you share our love of puns 🧐) #pathjc #nephjc |
| Beje Thomas @bthomas215 Kidney kidney kidney screening #nephjc |
| Kate Robson @nephrologista @hswapnil @justinberk @kidney_boy Also (tho not addressed in this paper) follow-up could help manage other assoc risks [CVD & T2DM in those w increased BMI; risk of recurrent PSGN in vulnerable popns etc] #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @sarah_gleeson_: |
 | David I. Chu MD MSCE @DaveIChu @NephJC I'll take a crack. Sorry I'm late. Peds urologist at Lurie in Chicago. No coi. It's a diff of 20 per 100k person-yrs. meaning 1 case difference per 5000 py. Not much at all. Great #nephjc btw! So much to catch up on... |
| Nephrology Journal Club @NephJC Don't know what "sensitivity analysis" means? Check out the #NephJC primer by @manasib33 here: https://t.co/UmZeHIJ1Oe |
| Beje Thomas @bthomas215 Matt gonna I’ll me #nephjc |
| Pathology JC @path_JC @Nephro_Sparks @manasib33 @ssfarouk We are indeed in a parallel universe with our pair of #JCs! #PathJC loves our #NephJC friends! |
| Beje Thomas @bthomas215 Kill #nephjc |
| Gates Colbert, MD @DoctorGates @NephJC @justinberk @kidney_boy I get a yearly UA as part of my physical. No current risk factors. Dippy stick seems like a no brainer #NephJC |
| Scherly Leon, MD @SLeonMD @Nephro_Sparks @manasib33 @ssfarouk we should collaborate in near future! #NephJC |
| Matthew Sparks, MD @Nephro_Sparks RT @path_JC: @Nephro_Sparks @manasib33 @ssfarouk We are indeed in a parallel universe with our pair of #JCs! #PathJC loves our #NephJC friends! |
| Brian Stotter, MD @StotterMD @DrCardonaGrau @hswapnil @NephJC That’s the problem with how broad the groups are. Likewise, PSGN lumped in with FSGS will obviously have different outcomes but message is still the same. #NephJC |
| Zubin J Modi @zjmodi @SLeonMD @gratefull080504 @cdc CDC funds a project looking at CKD in the US, provides website with information for providers and policy makers. Peds available, but more work to be done (I'm working on it) https://t.co/LmYUTHMLwu #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: @justinberk @kidney_boy If finding proteinuria means you can start to manage closer (tight BP control, ACE inhibitors) then UA yearly seems cheap and reasonable to me #NephJC |
| Nephrology Journal Club @NephJC Bingo. Million dollar question: #NephJC https://t.co/ewJth8fZW5 |
| Manasi Bapat MD, FASN, FNKF🇮🇳🇺🇸 @manasib33 RT @NephJC: Bingo. Million dollar question: Bingo. Million dollar question: #NephJC https://t.co/ewJth8fZW5 |
| Amanda Grandinetti, MPH @AGrandinettiMPH Agree. I think registries are becoming more of a stanrdard and expectation now through legislation. Many of the registries linked to outcomes are private and are within medical societies. Challenges also arise to administrative burden. #nephjc https://t.co/sbpXXwsR5i |
| Matthew Sparks, MD @Nephro_Sparks RT @NephJC: Bingo. Million dollar question: Bingo. Million dollar question: #NephJC https://t.co/ewJth8fZW5 |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @DrCardonaGrau: @hswapnil @NephJC Problem whith this is- are we saying a child with grade 1 VUR that spontaneously resolved early on should be followed for increased risk of ESRD as much as one with higher grade + scarring? #NephJC |
| Zubin J Modi @zjmodi @NephJC Literally #NephJC |
| Alex Meraz @NephroGuy @kidney_boy “You have increased risk for End stage CKD, you need to exceed use, loose weight, be healthy!” #NephJC |
| Nephrology Journal Club @NephJC @path_JC @Nephro_Sparks @manasib33 @ssfarouk We love you back! #NephJC #PathJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @DaveIChu @NephJC Better late than never! Welcome to #NephJC! |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 That has been my point all along With registries we could save many kidneys with increased use of ACEs, better bp control, + early nephrology referral @NephJC You understand my main point #nephJC https://t.co/Jg9eA58WsB |
| Dr. Divya Bajpai 🇮🇳 @divyaa24 We should surely ask all the Renal donors (especially young ones) about childhood pyelonephritis/uti/hematuria #nephJC |
| Nephrology Journal Club @NephJC @DoctorGates @justinberk @kidney_boy Screening UAs are no longer recommended in children. #NephJC |
| Maren Y. Fuller, MD @marenwhymd RT @NephJC: @path_JC @Nephro_Sparks @manasib33 @ssfarouk We love you back! #NephJC #PathJC |
| Maren Y. Fuller, MD @marenwhymd RT @path_JC: @Nephro_Sparks @manasib33 @ssfarouk We are indeed in a parallel universe with our pair of #JCs! #PathJC loves our #NephJC friends! |
| CourtneyKRoweMD @CourtneyKRoweMD @DrCardonaGrau @hswapnil @NephJC I say yes — if by “followed” we mean BP checks and UA and making sure they have health care coverage through 20/30s #NephJC |
| Scherly Leon, MD @SLeonMD @zjmodi @gratefull080504 @cdc Thanks! #NephJC |
 | Alicia Núñez Abreu, MD🔬🇩🇴 @Alipathy RT @Nephro_Sparks: @manasib33 @ssfarouk #PathJC and #NephJC https://t.co/3sAvCz2LYw |
| Zubin J Modi @zjmodi @NephJC @DoctorGates @justinberk @kidney_boy In the United States. Other countries do continue to screen children #NephJC |
| Alex Meraz @NephroGuy @DrCardonaGrau @hswapnil @NephJC Maybe we can check for scarring? Is that too much? #NephJC |
| Beje Thomas @bthomas215 @sarah_gleeson_ wonder if the other kidney will hyper filter so loss of renal fxn < 40 % #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @nephrologista: @hswapnil @justinberk @kidney_boy Also (tho not addressed in this paper) follow-up could help manage other assoc risks [CVD & T2DM in those w increased BMI; risk of recurrent PSGN in vulnerable popns etc] #nephjc |
| Brian Stotter, MD @StotterMD @NephroGuy @DrCardonaGrau @hswapnil @NephJC Not sure where you work but we recently had a DMSA tracer shortage… #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 How much do we pay for #dialysis and #kidneytransplants in US? Registries are pennies compared to these costs #nephJC https://t.co/6n6Blrixfi |
| Matthew Sparks, MD @Nephro_Sparks More or less impt than APOL1. Curious and don’t know . #NephJC https://t.co/5ClKIEsJjw |
| Nephrology Journal Club @NephJC RT @divyaa24: We should surely ask all the Renal donors (especially young ones) about childhood pyelonephritis/uti/hematuria #nephJC |
| Beje Thomas @bthomas215 @divyaa24 yes yes yes #nephjc |
| Nephrology Journal Club @NephJC @CourtneyKRowe @DrCardonaGrau @hswapnil Health care coverage is the elephant in the room in the US. Presumably all of the participants in this study had insurance #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 Registries seem to support strategies + policies to support early interventions, early nephew referral, coordination of care The basics which are missing in US #nephJC |
| Kathleen Higgins Broderick @KHBroderick #nephjc - please check out the NephCure Kidney Network patient registry - PCORI-funded and patient powered and run: https://t.co/0M6PzH9CNL - please use our data |
| Samira Farouk, MD, MSCR @ssfarouk @Nephro_Sparks Was just thinking about APOL1. Might be more in the counseling for those with childhood pyelo, rather than an exclusion criteria for donors. #NephJC |
| Angel Cesar Ortiz @AngelCesarOrtiz @divyaa24 Surely! 👌🏿#NephJC |
| Dr. Divya Bajpai 🇮🇳 @divyaa24 @NephroGuy @DrCardonaGrau @hswapnil @NephJC Whether then we should screen with regular DMSA with other parameters? #NephJC |
| CourtneyKRoweMD @CourtneyKRoweMD @NephroGuy @DrCardonaGrau @hswapnil @NephJC What is cost:benefit of DMSA in every kid vs simple annual check with PCP? Haven’t done calc but would guess later more cost effective until we know how to identify high risk #NephJC |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd 47 minutes into #NephJC @lindseyvonn is still in position for 🥉 #Olympics #PyeongChang2018 🤞🏼🤞🏼🤞🏼 https://t.co/OI0L3MtSNJ |
| Zubin J Modi @zjmodi RT @KHBroderick: #nephjc - please check out the NephCure Kidney Network patient registry - PCORI-funded and patient powered and run: #nephjc - please check out the NephCure Kidney Network patient registry - PCORI-funded and patient powered and run: https://t.co/0M6PzH9CNL - please use our data |
| Samira Farouk, MD, MSCR @ssfarouk @edgarvlermamd @lindseyvonn #OlympicPearls #NephJC |
| Nephrology Journal Club @NephJC @chrbayne @NephroGuy @DrCardonaGrau @hswapnil Somebody needs to innovate a new way to detect kidney scarring. (Wait for it.....biomarkers!) #NephJC |
| Matthew Sparks, MD @Nephro_Sparks @ssfarouk Curious as to risk amplifier. Good to set gauge. Maybe APOL1 lower or maybe not. Either way. Just needed to mention APOL1 on the #NephJC chat |
| Nephrology Journal Club @NephJC @KHBroderick Great organization and patient-driven registry. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil No one arguing for peds - adult transition clinics? Do things slip through the cracks then? #NephJC |
| CourtneyKRoweMD @CourtneyKRoweMD @NephJC @DrCardonaGrau @hswapnil Learning in translational #peduro that both access and understanding of US health care is a bigger barrier to care than realized. Assume with dialysis covered less an issue in nephrology? #NephJC |
| Beje Thomas @bthomas215 Was there quit a bit of drop out in this study so as we say the lucky got to ESKD #nephjc |
 | I Love Horses @_ihearthorses Horse Riding Very cool=> https://t.co/NAK77Rz9bX #horsehoodie #horsesweatshirts #horsetshirts #horsetanktop #NephJC https://t.co/e2EJ8LpLeT |
| Samira Farouk, MD, MSCR @ssfarouk @marenwhymd Just like urine love with #PathJC, we're in love with #NephJC #KidneyPuns |
| Joel M. Topf, MD FACP @kidney_boy In the end this study feels like being excited about buying 4 lottery tickets rather than 1. You increased your odds 4x, but you are still aren't going to win. #NephJC |
| Kate Robson @nephrologista @NephJC @chrbayne @NephroGuy @DrCardonaGrau @hswapnil Could U/S elastography be of any benefit? #nephjc |
| Amanda Grandinetti, MPH @AGrandinettiMPH Completely agree! more than ready 4 health 3.0 here in the US! problem lies w finding a solution 2 get physicians 2 submit their data 2 registries. If it's not mandatory, they wont do it. Problem also lies w how the US views healthcare. We need help! #nephjc https://t.co/o0LwQUJ0Cc |
| Pathology JC @path_JC RT @ssfarouk: @marenwhymd Just like urine love with #PathJC, we're in love with #NephJC #KidneyPuns |
| Gates Colbert, MD @DoctorGates Pediatric Nephs: What do you want the adult Nephs to know? Do better? How can we create seamless care? #nephjc |
| Alex Meraz @NephroGuy RT @NephJC: @chrbayne @NephroGuy @DrCardonaGrau @hswapnil Somebody needs to innovate a new way to detect kidney scarring. (Wait for it.....biomarkers!) #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC @CourtneyKRowe @DrCardonaGrau Seems universal healthcare only since 1995 https://t.co/UleAhby4BO (though still pretty good even before) #nephjc |
| Zubin J Modi @zjmodi @CourtneyKRowe @NephJC @DrCardonaGrau @hswapnil Dialysis is covered but the same problems you are talking about play a big role in the pre-ESRD and set kids and adults up for worse outcomes. #NephJC |
| Dr. Divya Bajpai 🇮🇳 @divyaa24 @hswapnil Here in India we r lucky to manage both Ped and adult together....get to follow them longer and uniformly. #NephJC |
| Nephrology Journal Club @NephJC @hswapnil I often transition to internal medicine because you guys don't have time to see a 19 year old with 10 year remote h/o PSGN with creatinine of 1.1. #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 Great points #NephJC https://t.co/smkDzbSlmr |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @CourtneyKRowe: @NephroGuy @DrCardonaGrau @hswapnil @NephJC What is cost:benefit of DMSA in every kid vs simple annual check with PCP? Haven’t done calc but would guess later more cost effective until we know how to identify high risk #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH Yes! We have so much data ready to be mined! Usually registry data just sits in its warehouse #nephjc https://t.co/I8yGVilBfU |
| Joel M. Topf, MD FACP @kidney_boy In the end, a history of resolved kidney disease is not a high enough risk factor to meaningfully separate people into groups that deserve different levels of care. Too many false positives. #NephJC |
| Nephrology Journal Club @NephJC RT @kidney_boy: In the end this study feels like being excited about buying 4 lottery tickets rather than 1. You increased your odds 4x, but you are still aren't going to win. #NephJC |
| Beje Thomas @bthomas215 Peds care is different, if kid does not show to dialysis child protective serv. involved, in adults don’t blink an eye at times #nephjc |
| Diana Cardona-Grau @DrCardonaGrau RT @CourtneyKRowe: @NephJC @DrCardonaGrau @hswapnil Learning in translational #peduro that both access and understanding of US health care is a bigger barrier to care than realized. Assume with dialysis covered less an issue in nephrology? #NephJC |
 | Tomahawk Shoes&Amps @TomahawkSandA A kind to increase our respect for human powers and our hopes and fears. #NephJC #TomahawkAmps |
| Scherly Leon, MD @SLeonMD @Nephro_Sparks Very interesting and not noted on list of absolute exclusions or relative contraindications for living kidney donor per https://t.co/0nTfKrawmi #NephJC |
| Maren Y. Fuller, MD @marenwhymd RT @ssfarouk: @marenwhymd Just like urine love with #PathJC, we're in love with #NephJC #KidneyPuns |
| Amanda Grandinetti, MPH @AGrandinettiMPH I would love to work with it if given the opportunity! #nephjc https://t.co/I8yGVilBfU |
| Kathleen Higgins Broderick @KHBroderick @DoctorGates #nephjc parents can give you some advice too |
| Nephrology Journal Club @NephJC @nephrologista @chrbayne @NephroGuy @DrCardonaGrau @hswapnil OK, I'll bite. What is "elastography"? #NephJC |
| Alex Meraz @NephroGuy @tulunsokit @NephJC @chrbayne @DrCardonaGrau @hswapnil Too expensive for developing countries #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 In the US patients have almost universal access to #dialysis but not preventive care Best Health Care system in the world #nephJC https://t.co/4ccCihA3Zs |
| Scherly Leon, MD @SLeonMD RT @KHBroderick: #nephjc - please check out the NephCure Kidney Network patient registry - PCORI-funded and patient powered and run: #nephjc - please check out the NephCure Kidney Network patient registry - PCORI-funded and patient powered and run: https://t.co/0M6PzH9CNL - please use our data |
 | Jerry Durham @Jerry_DurhamPT RT @gratefull080504: In the US patients have almost universal access to #dialysis but not preventive care Best Health Care system in the world #nephJC https://t.co/4ccCihA3Zs |
| Samira Farouk, MD, MSCR @ssfarouk RT @kidney_boy: In the end, a history of resolved kidney disease is not a high enough risk factor to meaningfully separate people into groups that deserve different levels of care. Too many false positives. #NephJC |
| Kathleen Higgins Broderick @KHBroderick @AGrandinettiMPH #nephjc you're in! Our Steering committee would love your help |
| Nephrology Journal Club @NephJC @DoctorGates I think I would focus education on adult internal med/family practice. They're the ones who are realistically going to get these kids and have to screen and refer. #NephJC |
| Nephrology Journal Club @NephJC RT @DoctorGates: Pediatric Nephs: Pediatric Nephs: What do you want the adult Nephs to know? Do better? How can we create seamless care? #nephjc |
| Zubin J Modi @zjmodi RT @NephJC: @DoctorGates I think I would focus education on adult internal med/family practice. They're the ones who are realistically going to get these kids and have to screen and refer. #NephJC |
| Brian Stotter, MD @StotterMD @DoctorGates Start the transition process early. Late adolescence is too late #NephJC |
| Joel M. Topf, MD FACP @kidney_boy There were 140 cases of ESRD with a pediatric hx and 2,350 cases of ESRD without a pediatric kidney hx. #NephJC |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 Great topic tonight underscores the strategic value of registries #nephJC |
| Matthew Sparks, MD @Nephro_Sparks @NephJC @nephrologista @chrbayne @NephroGuy @DrCardonaGrau @hswapnil TNXB mutations can cause vesicoureteral reflux. https://t.co/ltgEsHnsvI from Rasheed #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH Was involved with @nephcure and listened about a few hospitals pilot testing pediatric to adult Nephrology transition centers. Seems to be working and perhaps has more compassion. Wish it was available when i had to make my switch #nephJC |
| Kate Robson @nephrologista @NephJC @chrbayne @NephroGuy @DrCardonaGrau @hswapnil Like a fibroscan for kidney... Not for primetime use atm. And not really for popn-level f/up I suspect. Just thinking laterally about non-radiating, non-invasive monitoring of potential fibrosis or scarring. #nephjc https://t.co/41uoo27zh8 |
| Nephrology Journal Club @NephJC @KHBroderick @DoctorGates Yes, we need to learn more from parents going through "transition" #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: @DoctorGates I think I would focus education on adult internal med/family practice. They're the ones who are realistically going to get these kids and have to screen and refer. #NephJC |
| Diana Cardona-Grau @DrCardonaGrau RT @DaveIChu: @NephJC I'll take a crack. Sorry I'm late. Peds urologist at Lurie in Chicago. No coi. It's a diff of 20 per 100k person-yrs. meaning 1 case difference per 5000 py. Not much at all. Great #nephjc btw! So much to catch up on... |
| Nephrology Journal Club @NephJC T4: This has been a whirlwind! Any final thoughts? #NephJC |
 | Martín Vargas 🇲🇽 @MartinVargas89 RT @NephJC: They showed that microscopic hematuria in adolescence increased risk of ESRD @JAMA_current #NephJC https://t.co/0ET0Pkekru https://t.co/Z70AHBTFn5 |
| Amanda Grandinetti, MPH @AGrandinettiMPH Yay! Please dm me so I cam get some information and help #nephjc https://t.co/UNKwCFiNG8 |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @DoctorGates: Pediatric Nephs: Pediatric Nephs: What do you want the adult Nephs to know? Do better? How can we create seamless care? #nephjc |
| Samira Farouk, MD, MSCR @ssfarouk T4: Another reminder that thorough history is key, including birth and childhood history, in the initial evaluation of CKD #NephJC |
| Kate Robson @nephrologista @NephJC @hswapnil @DoctorGates I like that approach. Must be something better than either 1. overflowing specialist clinics for infinite short 'just checking you're fine' consults or 2. lost in primary care with no documented record of PHx let alone appreciation for its relevance. #nephjc |
| Manasi Bapat MD, FASN, FNKF🇮🇳🇺🇸 @manasib33 RT @ssfarouk: T4: T4: Another reminder that thorough history is key, including birth and childhood history, in the initial evaluation of CKD #NephJC |
| Zubin J Modi @zjmodi @CourtneyKRowe @NephJC @DrCardonaGrau @hswapnil A great idea. So many issues with transitioning insurance. Kids can loose/change insurance when they become adults and have no idea how to navigate. #NephJC |
| Jim Myers @kidneystories I think there is much to be learned from peds parents #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH This should be the first of many discussions and ongoing in nephrology. There is a large gap in care there that I think we are getting better at in the last 14 years I've had kidney disease. But we must do more. #patientvoice #nephjc https://t.co/uVP4ytDj6E |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 Great topic Registries force policy makers to think about strategies, not tactics US Healthcare system needs a strategy for for #ckd patient care Tonight's chat got me thinking strategically #NephJC https://t.co/b4QgTtw5Oe |
| Nephrology Journal Club @NephJC Special thanks again to @NEJM for providing open access to article and to @manasib33 and @AGrandinettiMPH for excellent commentaries #NephJC |
| Dr. Divya Bajpai 🇮🇳 @divyaa24 @NephJC Need for a study with better paediatric disease subgroup divisions until we can pinpoint the risk for developing ESRD #NephJC |
| Nephrology Journal Club @NephJC RT @AGrandinettiMPH: This should be the first of many discussions and ongoing in nephrology. There is a large gap in care there that I think we are getting better at in the last 14 years I've had kidney disease. But we must do more. #patientvoice #nephjc https://t.co/uVP4ytDj6E |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC Small effect, but IMO true signal. Worth a low cost & convenient follow up. Frequency indeterminate (once a year too often?) #nephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @ssfarouk: T4: T4: Another reminder that thorough history is key, including birth and childhood history, in the initial evaluation of CKD #NephJC |
| Matthew Sparks, MD @Nephro_Sparks RT @hswapnil: @NephJC Small effect, but IMO true signal. Worth a low cost & convenient follow up. Frequency indeterminate (once a year too often?) #nephJC |
| CourtneyKRoweMD @CourtneyKRoweMD RT @hswapnil: @NephJC Small effect, but IMO true signal. Worth a low cost & convenient follow up. Frequency indeterminate (once a year too often?) #nephJC |
| CourtneyKRoweMD @CourtneyKRoweMD RT @divyaa24: @NephJC Need for a study with better paediatric disease subgroup divisions until we can pinpoint the risk for developing ESRD #NephJC |
| Nephrology Journal Club @NephJC Want to be the first on the block to hear about the latest #NephJC news? Sign up for the newsletter. No spam guaranteed! https://t.co/5aumn8ImwF |
| Scherly Leon, MD @SLeonMD @gratefull080504 correct regarding lack of focus on preventative medicine. When they decided to pay for #dialysis they did not anticipate/could have imagined that CKD would be a public health issue! #obesity #diabetes #hypertension alone not even mentioning genetic & structural diseases #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: Special thanks again to @NEJM for providing open access to article and to @manasib33 and @AGrandinettiMPH for excellent commentaries #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH It's been a pleasure #nephjc https://t.co/NZDbAl28ut |
| Kate Robson @nephrologista Thank you. Learnt a lot. #nephjc |
| Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 Great article by @AGrandinettiMPH + I hope she returns to #nephJC |
| Nephrology Journal Club @NephJC RT @divyaa24: @NephJC Need for a study with better paediatric disease subgroup divisions until we can pinpoint the risk for developing ESRD #NephJC |
| Beje Thomas @bthomas215 Thank you all! Very engaging topic! #nsmc #nephjc |
| Kathleen Higgins Broderick @KHBroderick RT @AGrandinettiMPH: This should be the first of many discussions and ongoing in nephrology. There is a large gap in care there that I think we are getting better at in the last 14 years I've had kidney disease. But we must do more. #patientvoice #nephjc https://t.co/uVP4ytDj6E |
| Gary Singer @GarySingerMD@med-mastodon.com @GarySingerMD @StotterMD @DoctorGates Need better communication btw peds and adult nephs and need to manage patient and parents expectations #NephJC |
| Nephrology Journal Club @NephJC RT @hswapnil: @NephJC Small effect, but IMO true signal. Worth a low cost & convenient follow up. Frequency indeterminate (once a year too often?) #nephJC |
| Diana Mahbod, MD, CPE, FASN, FNKF @DiMiRenalMD RT @ssfarouk: T4: T4: Another reminder that thorough history is key, including birth and childhood history, in the initial evaluation of CKD #NephJC |
| Amanda Grandinetti, MPH @AGrandinettiMPH Here to stay! #nephjc https://t.co/H52j8Ptt4b |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd See our @KidneyNews Sept 2012 themed issue: Pediatric ➡️ Adult Transition #NephJC 👉🏼 https://t.co/IqAtfbYsRC https://t.co/4DBsIFN2hR |
| Nephrology Journal Club @NephJC @hswapnil Agree, these are slowly progressing CKDs. Every 2-3 year screening should be adequate if people remember. #NephJC |
| Scherly Leon, MD @SLeonMD RT @gratefull080504: Great topic Registries force policy makers to think about strategies, not tactics US Healthcare system needs a strategy for for #ckd patient care Tonight's chat got me thinking strategically #NephJC https://t.co/b4QgTtw5Oe |
 | Poyan Mehr @poyanmehr He is just a meme Don’t listen to his theme .. Coming late to party Trying to get smarty #NephJC https://t.co/JUzi6HWP37 |
| Scherly Leon, MD @SLeonMD RT @AGrandinettiMPH: This should be the first of many discussions and ongoing in nephrology. There is a large gap in care there that I think we are getting better at in the last 14 years I've had kidney disease. But we must do more. #patientvoice #nephjc https://t.co/uVP4ytDj6E |
| Nephrology Journal Club @NephJC RT @GarySingerMD: @StotterMD @DoctorGates Need better communication btw peds and adult nephs and need to manage patient and parents expectations #NephJC |
| Scherly Leon, MD @SLeonMD RT @NephJC: Special thanks again to @NEJM for providing open access to article and to @manasib33 and @AGrandinettiMPH for excellent commentaries #NephJC |
| Alex Meraz @NephroGuy RT @nephrologista: @NephJC @chrbayne @NephroGuy @DrCardonaGrau @hswapnil Like a fibroscan for kidney... Not for primetime use atm. And not really for popn-level f/up I suspect. Just thinking laterally about non-radiating, non-invasive monitoring of potential fibrosis or scarring. #nephjc https://t.co/41uoo27zh8 |
| Joel M. Topf, MD FACP @kidney_boy @NephJC @justinberk I would rather put energy into generalized proteinuria screenings rather than reserve them for the small number of people with a hx of resolved peds kidney disease #NephJC |
| Alex Meraz @NephroGuy RT @hswapnil: @NephJC Small effect, but IMO true signal. Worth a low cost & convenient follow up. Frequency indeterminate (once a year too often?) #nephJC |
| Michelle Rheault @rheault_m @NephJC @NEJM @manasib33 @AGrandinettiMPH Good night all! Thanks for joining. #nephjc |
| Alex Meraz @NephroGuy RT @NephJC: @hswapnil Agree, these are slowly progressing CKDs. Every 2-3 year screening should be adequate if people remember. #NephJC |
| Alex Meraz @NephroGuy RT @NephJC: Want to be the first on the block to hear about the latest #NephJC news? Sign up for the newsletter. No spam guaranteed! https://t.co/5aumn8ImwF |
| Nephrology Journal Club @NephJC @kidney_boy @justinberk It's just one of many potential risk factors. #NephJC |
| CourtneyKRoweMD @CourtneyKRoweMD @edgarvlermamd @KidneyNews @kidneybiz @NephJC @bthomas215 @rheault_m Nice recs! My last #peduro teen had only 1 q for when mom was out of room — what was “creatinine”! #NephJC |
| Zubin J Modi @zjmodi @rheault_m @NephJC @NEJM @manasib33 @AGrandinettiMPH Thanks for leading the great conversation! #NephJC |
| Nephrology Journal Club @NephJC @CourtneyKRowe @edgarvlermamd @KidneyNews @kidneybiz @bthomas215 @rheault_m Uggh...That means we've failed as educators for our patients. #NephJC |
| Manasi Bapat MD, FASN, FNKF🇮🇳🇺🇸 @manasib33 Great chat! Thank you @rheault_m #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @rheault_m @NephJC @NEJM @manasib33 @AGrandinettiMPH Awesome summary & great discussion! Asking about childhood history for all my consults here on #NephJC |
| Jillian Warejko @theNevphron It’s been real, #nephJC. Clearly, this is just a starting point, showing some evidence to what we already knew. It’s not going to be by force, but by slow wearing away. |
| Manasi Bapat MD, FASN, FNKF🇮🇳🇺🇸 @manasib33 RT @hswapnil: @rheault_m @NephJC @NEJM @manasib33 @AGrandinettiMPH Awesome summary & great discussion! Asking about childhood history for all my consults here on #NephJC |
| Joel M. Topf, MD FACP @kidney_boy RT @AGrandinettiMPH: It's been a pleasure #nephjc https://t.co/NZDbAl28ut |
| Joel M. Topf, MD FACP @kidney_boy RT @NephJC: Want to be the first on the block to hear about the latest #NephJC news? Sign up for the newsletter. No spam guaranteed! https://t.co/5aumn8ImwF |
| Alex Meraz @NephroGuy @divyaa24 Thats an excellent idea! We never ask that @Nephron_power and we surely have to take it into account in the light of this study. Also ask for birth weight!!!! #NephJC |
| Joel M. Topf, MD FACP @kidney_boy 11 minutes left in this survey. Hey electrolyte nerds get your vote in! #NephJC #askRenal https://t.co/eR0HbLP4CO |
 | Matt Sampson @kidneyomicsamps @kidney_boy I really want to disagree strongly with you here, but I haven't read the paper deeply or participated in #nephjc tonight. I'll get back to you after I read it and re-review relevant AKI & D+ HUS literature. |
| CourtneyKRoweMD @CourtneyKRoweMD @NephJC @edgarvlermamd @KidneyNews @kidneybiz @bthomas215 @rheault_m I don’t know, 15yo M could ask his urologist anything about birds & bees but instead asks about his kidneys? Maybe that means someone succeeded in setting priorities #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil The numbers: 532 Tweets. 82 Participants. February 19th 2018. More #NephJC 📊 here https://t.co/xi4DQgG8gl via @symplur https://t.co/zURaz88Zjx |
| Amanda Grandinetti, MPH @AGrandinettiMPH RT @hswapnil: The numbers: The numbers: 532 Tweets. 82 Participants. February 19th 2018. More #NephJC 📊 here https://t.co/xi4DQgG8gl via @symplur https://t.co/zURaz88Zjx |
| Joel M. Topf, MD FACP @kidney_boy @kidneyomicsamps I keep looking at table 3. For every kid with resolved pediatric kidney disease that ultimately reached ESRD, there were 20 kids without pediatric kidney disease that reached ESRD. The ROC are horrible. #NephJC https://t.co/p7DKD1bsnO |
| Diana Cardona-Grau @DrCardonaGrau RT @NephJC: @DoctorGates I think I would focus education on adult internal med/family practice. They're the ones who are realistically going to get these kids and have to screen and refer. #NephJC |
| Kate Robson @nephrologista @hswapnil @divyaa24 @CourtneyKRowe @NephJC it's on all of us to improve patient education & empowerment, no matter where in the lifespan... #nephjc |
| CourtneyKRoweMD @CourtneyKRoweMD It was a whirlwind hour of #NephJC but fun to see a different model from @pedurojc style! Thank you to @rheault_m for the invite and @NephJC for the fun night! https://t.co/sHRdYUQRQH |
| Zubin J Modi @zjmodi RT @hswapnil: The numbers: The numbers: 532 Tweets. 82 Participants. February 19th 2018. More #NephJC 📊 here https://t.co/xi4DQgG8gl via @symplur https://t.co/zURaz88Zjx |
#NephJC content from Twitter.