#NephJC Transcript

Healthcare social media transcript of the #NephJC hashtag.
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See #NephJC Influencers/Analytics.

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Annie Medina @HereWithToto
RT @thecurbsiders: (THAT'S RIGHT, @kidney_boy is coming back to The Curbsiders. It's gonna be super-cali-fragi-listic-explain-acidosis) https://t.co/M7tGO2wDy7
Gates Colbert, MD @DoctorGates
@Nephro_Sparks @CJASN Hot topic. And it did not show a statistical significance with eGFR decrease over long term. This is β€œgood news” for a lot of Rec users. Potential for #NephJC ? #jointyears
alexanderjerman @AlexanderJerman
#nephjc Alex Jerman SI , no COI, #lurking
Nephrology Journal Club @NephJC
EU/Africa #nephjc chat is today at 8 pm GTM: Do you know how to manage HTN in children? πŸ‘¨β€πŸ‘¨β€πŸ‘¦β€πŸ‘¦More details at https://t.co/n68IQiKuEx
Ana Maria Matias @AMCMA6
RT @KidneyCathy: Joining the next #NephJC ? It's a long paper so check out the summaries in advance: https://t.co/Z7YJz1LBGp https://t.co/rLou5X0zDx
Swapnil Hiremath @hswapnil@bsky.social @hswapnil
RT @NephJC: EU/Africa #nephjc chat is today at 8 pm GTM: EU/Africa #nephjc chat is today at 8 pm GTM: Do you know how to manage HTN in children? πŸ‘¨β€πŸ‘¨β€πŸ‘¦β€πŸ‘¦More details at https://t.co/n68IQiKuEx
Nephrology Journal Club @NephJC
- 45 min to #nephjc. I'm sure dr Brown Bear will join us to discuss HTN in children. Is Peppa Pig's BP normal? https://t.co/mnlCVCpogt
Nephrology Journal Club @NephJC
Wating for new AHA CPGs on the management of hypertension in the adults, let's start with HTN in children... In less than 30 mins at #nephjc
π‰π¨π¬πžπ©π‘ 𝐅π₯𝐲𝐧𝐧, πŒπƒ @drjosflynn
@NephJC Looking forward to it! #nephjc
Swapnil Hiremath @hswapnil@bsky.social @hswapnil
RT @NephJC: Wating for new AHA CPGs on the management of hypertension in the adults, let's start with HTN in children... In less than 30 mins at #nephjc
Nephrology Journal Club @NephJC
It’s 8/9 pm GMT/CET here in Europe… It’s time for #nephjc
Nephrology Journal Club @NephJC
This is Francesco Iannuzzella aka @caioqualunque, adult nephrologist from Italy, hosting tonight #NephJC
Nephrology Journal Club @NephJC
In the next 1h, we are going to discuss last CPGs on children hypertension #nephjc
Nephrology Journal Club @NephJC
This is a mammoth paper, but don’t worry, there is a great summary by @KidneyCathy at https://t.co/UMtnybKNzK #NephJC
Nephrology Journal Club @NephJC
Please introduce yourself and declare any conflicts of interest #Nephjc
π‰π¨π¬πžπ©π‘ 𝐅π₯𝐲𝐧𝐧, πŒπƒ @drjosflynn
@NephJC Joseph Flynn here, I chaired tge CPG subcommittee for the AAP. #nephjc
Nephrology Journal Club @NephJC
@YincentTse Hi – thanks for making time for #NephJc
Paul Phelan @paulphel
Paul Phelan, adult Nephrologist who knows zilch about HTN in kids, no COI #nephjc
Nephrology Journal Club @NephJC
@drjosflynn Welcome back to #NephJC – looking forward to your insights... First of all, congratulations for your work
Nephrology Journal Club @NephJC
Hi Lynne, Amanda, Louise. Welcome Tom and Paul #nephjc
Nephrology Journal Club @NephJC
We’re all friends here.Remember one of our goals is to build a personal learning network, so make sure you push that follow button #nephjc
Nephrology Journal Club @NephJC
Let's start with some background questions. Do you have any experience with HTN mgmnt in children? if any, how common is htn? #nephjc
Nephrology Journal Club @NephJC
Definition of hypertension in these CPGs is quite clear...Is there any news in htn definition when compared to previous definition? #nephjc
Nephrology Journal Club @NephJC
RT @louise_oni:
Ross Morton @signindoc
Lurking. Ignorant about hypertension in children. Not sure I completely understand it in adults. #nephJC
Nephrology Journal Club @NephJC
How common is the use of Doppler to assess HTN in children? #NephJc
π‰π¨π¬πžπ©π‘ 𝐅π₯𝐲𝐧𝐧, πŒπƒ @drjosflynn
@louise_oni @NephJC Sounds like a lot of white coat htn. ABOM needed! #nephjc
π‰π¨π¬πžπ©π‘ 𝐅π₯𝐲𝐧𝐧, πŒπƒ @drjosflynn
@NephJC Same approach has been followed since 1977, the first NHLBI guidelines on #hypertension in children. #NephJC
Nephrology Journal Club @NephJC
How common is BP self-measurament in children? and, more important, when is it reliable? Does the concept of empowerment apply? #nephjc
Nephrology Journal Club @NephJC
RT @YincentTse:
Cathy Quinlan @CathyQuinlan.bsky.social @KidneyCathy
@louise_oni If you get a chance later could you send me the model u use? Want to intro here. #nephjc
Ross Morton @signindoc
Wondering about masked hypertension in children. Is it common? #nephJC
Nephrology Journal Club @NephJC
@amandanewnham @louise_oni Is the cuff size really so important? is there any study on the error due to inadequate cuff size? #nephjc
Paul Phelan @paulphel
Any Ped Nephs want to comment on this which surprised me. I would have thought secondary causes very likely in this age group #nephjc https://t.co/gvf7NvSKF0
π‰π¨π¬πžπ©π‘ 𝐅π₯𝐲𝐧𝐧, πŒπƒ @drjosflynn
@YincentTse @NephJC Really we only use Doppler in babies. Can only get SBP, so it's utility is limited in my experience. #NephJC
Nephrology Journal Club @NephJC
Great point! @drjosflynn? Comments RT @signindoc: Wondering about masked hypertension in children. Is it common? #nephJC
Cathy Quinlan @CathyQuinlan.bsky.social @KidneyCathy
@amandanewnham @louise_oni Could you msg me the model you use? #nephjc would like to intro here
Nephrology Journal Club @NephJC
RT @drjosflynn: @YincentTse @NephJC Really we only use Doppler in babies. Can only get SBP, so it's utility is limited in my experience. #NephJC
Nephrology Journal Club @NephJC
RT @Errantnephron:
Nephrology Journal Club @NephJC
Table 1 summarises the Key Action Statements #NephJC Is there any specific point to comment? #nephjc
Nephrology Journal Club @NephJC
RT @YincentTse:
π‰π¨π¬πžπ©π‘ 𝐅π₯𝐲𝐧𝐧, πŒπƒ @drjosflynn
@YincentTse @NephJC This is a big problem and why we emphasize measuring the arm circumference then picking an appropriate cuff. #nephjc
Nephrology Journal Club @NephJC
As an adult nephrologist, I've found interesting point 10 on table 1: what's the real role of Home BP monitoring? #nephjc
Nephrology Journal Club @NephJC
RT @drjosflynn: @YincentTse @NephJC This is a big problem and why we emphasize measuring the arm circumference then picking an appropriate cuff. #nephjc
Paul Phelan @paulphel
@YincentTse You guys use much spironolactone in such cases? #nephjc
π‰π¨π¬πžπ©π‘ 𝐅π₯𝐲𝐧𝐧, πŒπƒ @drjosflynn
@NephJC @signindoc Few studies done in unselected children. Prevalence probably well under 10%. #NephJC
Nephrology Journal Club @NephJC
Another Point I can't understand: 14 on Tab 1 - why there is a recommendation against Electrocardiography in LVH? #nephjc
Nephrology Journal Club @NephJC
RT @amandanewnham:
π‰π¨π¬πžπ©π‘ 𝐅π₯𝐲𝐧𝐧, πŒπƒ @drjosflynn
EKGs lack sensitivity for LVH in children so they're not recommended. #NephJC https://t.co/fSImeeFIBJ
π‰π¨π¬πžπ©π‘ 𝐅π₯𝐲𝐧𝐧, πŒπƒ @drjosflynn
@NephJC Only one large study in kids. More data needed! #NephJC
Nephrology Journal Club @NephJC
RT @drjosflynn: EKGs lack sensitivity for LVH in children so they're not recommended. #NephJC https://t.co/fSImeeFIBJ
Nephrology Journal Club @NephJC
RT @drjosflynn: @NephJC Only one large study in kids. More data needed! #NephJC
Nephrology Journal Club @NephJC
Table 2 lists 27 consensus opinion statements #NephJC I greatly appreciated the idea to separate evidence from opinion.
π‰π¨π¬πžπ©π‘ 𝐅π₯𝐲𝐧𝐧, πŒπƒ @drjosflynn
We were asked to base rec's on evidence, then asked to summarize the EO rec's also, thus Table 2 was born! #nephjc https://t.co/TeuSsc7ldc
π‰π¨π¬πžπ©π‘ 𝐅π₯𝐲𝐧𝐧, πŒπƒ @drjosflynn
@YincentTse Data from GOSH shows that no non-invasive modality can replace arteriograms: https://t.co/22XdZBo53r #nephjc
Ross Morton @signindoc
RT @drjosflynn: @NephJC @signindoc Few studies done in unselected children. Prevalence probably well under 10%. #NephJC
Nephrology Journal Club @NephJC
Any issue with opinions in table 2? Auscultatory vs oscillometric BP measurement? Why? lack of evidence? reliability? #nephjc
Nephrology Journal Club @NephJC
RT @YincentTse:
π‰π¨π¬πžπ©π‘ 𝐅π₯𝐲𝐧𝐧, πŒπƒ @drjosflynn
@NephJC Most recent meta-analysis confirms our rec that oscillometric BP ok for screening: https://t.co/WfCaxXw9fP #nephjc
Nephrology Journal Club @NephJC
Tables 14 and 15 give a great list of suspicious exam findings and endocrine causes of HTN. #nephjc
Nephrology Journal Club @NephJC
RT @drjosflynn: @NephJC Most recent meta-analysis confirms our rec that oscillometric BP ok for screening: @NephJC Most recent meta-analysis confirms our rec that oscillometric BP ok for screening: https://t.co/WfCaxXw9fP #nephjc
Nephrology Journal Club @NephJC
Table 17 details drugs for the initial treatment of HTN. Non-pharmacological approach is obviously 1st step #nephjc
Nephrology Journal Club @NephJC
DASH diet? does a modified peadiatric DASH diet exist? #nephjc
Nephrology Journal Club @NephJC
There are clear recommendations about frequency of follow up and monitoring. Is this feasible in your practice? #nephjc
Paul Phelan @paulphel
@YincentTse Cool. As part of 100k Genomes or separately? #nephjc
Nephrology Journal Club @NephJC
@amandanewnham DASH: Dietary Approach to Stop Hypertension https://t.co/XOIUZlO6WK #nephjc
π‰π¨π¬πžπ©π‘ 𝐅π₯𝐲𝐧𝐧, πŒπƒ @drjosflynn
@YincentTse @NephJC Great rec, but hard for many families. #NephJC
Nephrology Journal Club @NephJC
RT @louise_oni:
Nephrology Journal Club @NephJC
Time is over. Final thoughts? #nephjc
π‰π¨π¬πžπ©π‘ 𝐅π₯𝐲𝐧𝐧, πŒπƒ @drjosflynn
Hope that everyone finds the new guidelines useful! #NephJC https://t.co/9rCJZ6Mf3z
Nephrology Journal Club @NephJC
RT @drjosflynn: Hope that everyone finds the new guidelines useful! #NephJC https://t.co/9rCJZ6Mf3z
Nephrology Journal Club @NephJC
I'd like to thank all the partecipants. Thanks to @drjosflynn for his contribution. #nephjc
Ross Morton @signindoc
@drjosflynn learned a lot. Thank you #nephJC
Nephrology Journal Club @NephJC
Once again, I'd like to congatulate the authorsfor their effort to write in clear language, emphasizing patient's perspective #nephjc
Nephrology Journal Club @NephJC
This is @caioqualunque signing out. Thank you all. Good bye. Remember to sign up for the NephJC newsletter! #nephjc
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