#NephJC Transcript
Healthcare social media transcript of the #NephJC hashtag.
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See #NephJC Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Faisal Walid @Vaizel87 RT @NephJC: To me, this study validates something we all know- patients do not like being on dialysis, plain and simple. #NephJC |
 | sulaiman @sulaiman1403 RT @edgarvlermamd: ACTIVE: ACTIVE: Trial of ⬆️ hemodialysis hours & QOL #Nephpearls #NephJC 👉🏼 https://t.co/5oVBsQkLmd https://t.co/MSc4KURpHe |
 | Jamil Shaikh @djfrs RT @edgarvlermamd: ACTIVE: ACTIVE: Trial of ⬆️ hemodialysis hours & QOL #Nephpearls #NephJC 👉🏼 https://t.co/5oVBsQkLmd https://t.co/MSc4KURpHe |
 | Isabel Martinez Rio @IsaMRR RT @anniebelch: Annabel Biruete, dietetic intern @BSUHealth. Interested in anything that improves QoL of #dialysis patients #nephjc😊 |
 | Francisco Marty, MD @FranciscoMarty_ RT @edgarvlermamd: ACTIVE: ACTIVE: Trial of ⬆️ hemodialysis hours & QOL #Nephpearls #NephJC 👉🏼 https://t.co/5oVBsQkLmd https://t.co/MSc4KURpHe |
 | Ester Sifuentes @T_Tsita RT @NephJC: To me, this study validates something we all know- patients do not like being on dialysis, plain and simple. #NephJC |
 | Roger Rodby @NephRodby RT @anna_burgner: Interesting question. My in center nocturnal patients don't sleep well and still have many QOL complaints. #NephJC https://t.co/sYMXXTm2GV |
 | Luis Martin @robotandroide0 RT @suziekjos: Hi.This is Susan. I was on dialysis for one year. HD, then PD. I am now 21 months post transplant. Yay!!!#nephJC |
 | Roberto Pineda @ROPPINEDA RT @NephJC: #NephJC in just under 90 minutes! Not too late to read the summary https://t.co/NAbvetvGSo or scan the #VisualAbstract https://t.co/3H4hev78Ah |
| Roberto Pineda @ROPPINEDA RT @edgarvlermamd: Join us on tonight's #NephJC ACTIVE: Trial of ⬆️ hemodialysis hours & QOL @NCCIH_Josie 👉🏼 https://t.co/5oVBsQkLmd https://t.co/RmzQUtXEcN |
 | Jim Moriarty @HotKidneyAction RT @DrMattGB: |
| Roberto Pineda @ROPPINEDA RT @edgarvlermamd: What have we learned from FHN Trials from @KidneyNews Jan 2016 issue #Nephpearls #NephJC 👉🏼 https://t.co/Owe5XfbcVl https://t.co/3984zOslcB |
| Roberto Pineda @ROPPINEDA RT @edgarvlermamd: FHN: FHN: Conventional 3x/ week HD vs More frequent In center HD (ASN BRCU 2012/ Dr Depner) #Nephpearls #NephJC https://t.co/E1enOO7bxI |
 | ChristosArgyropoulos MD, PhD PharmanukerInChief @ChristosArgyrop @NephRodby One can substitute (within reason) membrane+convection for time https://t.co/MfKbQcYcQY #Nephjc https://t.co/SHVmerTMmi |
 | Colin Geddes @geddescc RT @hswapnil: +1 indeed @NephRodby: @hswapnil This is the issue: +1 indeed @NephRodby: @hswapnil This is the issue: My son is better off the more he studies but that does not improve his QOL #NephJC |
 | Raul Reyna @raul_reyna RT @AzraBihorac: cachexia, catabolism, cognitive decline, accelerated aging, you name it . Not cured with current HD technology #nephjc |
 | Nephrology Journal Club @NephJC Ok dudes, 15 minutes to show time. Still time to read the summary and paper! https://t.co/NAbvetvGSo #nephjc |
 | Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @DrMattGB: |
 | NBLU: Renal Leaders @NBLUniv RT @NephJC: Ok dudes, 15 minutes to show time. Still time to read the summary and paper! https://t.co/NAbvetvGSo #nephjc |
| Nephrology Journal Club @NephJC Ok, evening all and welcome to this very weeks #nephjc |
| Nephrology Journal Club @NephJC I'm Matt Graham-Brown @drmattgb from the Leicester, UK. I'll be hosting tonight #nephjc |
 | Rob Peel🏳️🌈💙🇬🇧🏴 @rabpeel Hi Matt -Rob Peel Nephrologist Highland Scotland no extended hours HD but short daily no other coi #nephjc |
| Nephrology Journal Club @NephJC Housekeeping bits! Please introduce yourselves & any COI. #nephjc |
 | Paul Phelan @paulphel Paul Phelan, Edinburgh. Will be in and out tonight. No COI #nephjc |
| Nephrology Journal Club @NephJC Not a COI, but I'm a co-investigtor on a study of in centre nocturnal HD, soon to report (MIDNIGHT study) https://t.co/a725rcH9Eb #nephjc |
| Nephrology Journal Club @NephJC Any lurkers, feel free to give us a twitter wave with the # #nephjc |
| Nephrology Journal Club @NephJC We recommend using tchat.io or https://t.co/rFoH4MVMzu . They filter out everything but the hashtag and add #NephJC to every tweet |
| 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. |
| Rob Peel🏳️🌈💙🇬🇧🏴 @rabpeel It's cold and dark in the north #NephJC https://t.co/FSKpCIM1Z4 |
| Nephrology Journal Club @NephJC One of the goals of #NephJC is to build a personal learning network, so hit the follow button often 2 build ur network. (follow each other!) |
| Nephrology Journal Club @NephJC Sign up for the NephJC once a week (or less) newsletter https://t.co/5aumn8ImwF and follow us on twitter. #NephJC |
| Nephrology Journal Club @NephJC Tonight we will discuss this @JASN article https://t.co/BPyYsoNlQ7 #NephJC |
| Nephrology Journal Club @NephJC .@hswapnil has written an excellent summary here https://t.co/NAbvetvGSo #NephJC Really contextualises the study - great stuff Swap |
| Nephrology Journal Club @NephJC Bit of background: Lots of observational https://t.co/F27wK2HQis suggest survival advantage for pts receiving extended hours HD #nephjc |
| Nephrology Journal Club @NephJC Please all feel free to chime in with your own contradictory observational data! #nephjc |
| Nephrology Journal Club @NephJC Good question - he does indeed dabble -'James!, where are you?' @drjamesburton #nephjc https://t.co/kfDQmb5X7L |
| Nephrology Journal Club @NephJC Results from previous trials have been +ve and -ve for 'medical' benefits for extended hours HD #nephjc 1/2 …. |
| Nephrology Journal Club @NephJC …. Exemplified by https://t.co/OtSmqxHHm5 & https://t.co/RuGQ8YbDiT FHN trials and post-hoc analyses #nephjc 2/2 |
| Nephrology Journal Club @NephJC There is also a lot of data suggesting frequent HD reduces LV mass (excellent review by Bakris here https://t.co/1taoMcJHms) #nephjc https://t.co/L3SeXTuV2I |
| Nephrology Journal Club @NephJC Anyway! Many r believers but there is still equipoise as to that benefits of extended HD for all (would be my diplomatic summary!) #nephjc |
| Nephrology Journal Club @NephJC Benefits of extended HD on QOL have been explored and many regimens may improve QOL domains https://t.co/Hhqt49X0z2 #nephjc |
| Nephrology Journal Club @NephJC T0: So... bit of an ice-breaker. Who has experience prescribing/dealing with patients on extended hours HD, and in what format? #nephjc |
| Nephrology Journal Club @NephJC @caioqualunque @renalpages PD and HD in combo - wowzers! #nephjc |
| Nephrology Journal Club @NephJC #nephjc https://t.co/6hW7LKQmTJ |
| Rob Peel🏳️🌈💙🇬🇧🏴 @rabpeel T0 only in the plus size patients to achieve a reasonable clearance rarely longer than 5 hrs or on Nxstage at home for clearance #nephjc |
| Nephrology Journal Club @NephJC @VauxEmma Incremental and tailored - yep, think many are thinking along the same lines. we'll get to this! #nephjc |
| Nephrology Journal Club @NephJC T0: We have an nocturnal in centre program in Leicester 6 nights a week, that has extended to 2 satellite units #nephjc |
| Nephrology Journal Club @NephJC @rabpeel And everyone starts with standard prescription 4 hours 3x week? #nephjc |
| Nephrology Journal Club @NephJC T1: OK lets have a look at the methods. I think the study was nicely designed - please jump in if any comments/concerns with methods #nephjc |
| Nephrology Journal Club @NephJC @renalpages It's doable! We can come back and talk again!!! #nephjc @drjamesburton |
| Nephrology Journal Club @NephJC T1: Worth noting (and reading) the study team published a full protocol paper (big fan of doing this) https://t.co/NbcMGX1A6i. #nephjc |
| Nephrology Journal Club @NephJC T1: The trial was prospectively registered https://t.co/unnZO5wSbb #nephjc - all signs of a well conducted clinical trial. |
| Nephrology Journal Club @NephJC You're bedroom?? #nephjc https://t.co/9JTRtkB8LR |
| Nephrology Journal Club @NephJC @drjamesburton Got any data *winks #nephjc |
| Nephrology Journal Club @NephJC T1: ACTIVE Dialysis was a multicenter, parallel-arm, randomized trial comparing extended with standard HD hours on quality of life #nephjc |
| Nephrology Journal Club @NephJC T1: The trial recruited prevalent AND incident dialysis patients from home & hospital programs dialysing <18 hours/week #nephjc |
| Nephrology Journal Club @NephJC @AKIfellow @drscale86 Lots of confounders in many of the trial data - that's part of the problem with generalization of results #nephjc |
| Nephrology Journal Club @NephJC T1: Full inclusion and exclusion criteria from the trial registry page are here #nephjc https://t.co/6OHpiAAD4k |
| Nephrology Journal Club @NephJC T1: Randomization was neat (web-based) & ensured stratification for region(China/Canada v Australia/New Zealand), setting & vintage. #nephjc |
| Nephrology Journal Club @NephJC T1: although blinding to allocation was not possible, study end-points were blinded #nephjc |
| Nephrology Journal Club @NephJC T1: standard HD arm dialyzed for 12-18 hours per week for 12 months and extended HD arm were planned to do at least 24 hours HD/week #nephjc |
| Nephrology Journal Club @NephJC T1: 1ary outcome was change in QOL (EQ-5D questionnaire), with additional QOL 2ary endpoints and LV mass i change measured with MRI #nephjc |
| Nephrology Journal Club @NephJC T1: They employed an ITT analysis #nephjc |
| Nephrology Journal Club @NephJC T1: Anyone have any other methods comments - they mentioned how missing data was handled in supplemental data - any comments? #nephjc |
| Nephrology Journal Club @NephJC Yes!!! Agree, completely. Also think it may have influenced QOL and LVMi results - we can discuss! #nephjc https://t.co/BIByQzecU9 |
| Nephrology Journal Club @NephJC @toates_19 It's widely used in HD and CKD patients, quite easy to complete and comprehensive across a lot of 'domains' #nephjc |
| Nephrology Journal Club @NephJC T2: If no more methods comments other than questioning including incident pts and EQ-5D validity, lets move on to results results #Nephjc |
| Nephrology Journal Club @NephJC T2: Here is the consort diagram for the study - anyone have any particular comments? #nephjc https://t.co/lABgNWPbJl |
| Nephrology Journal Club @NephJC @richardphull Certainly something to consider, yep. #nephjc |
| Nephrology Journal Club @NephJC expect not - conservation of LV mass measurement with CMR is good even with changing load. timing of CMR not mentioned you're right #nephjc https://t.co/6e7LghIjIv |
| Nephrology Journal Club @NephJC @renalpages Not mentioned #nephjc |
| Nephrology Journal Club @NephJC T2: From table 2, here is dialysis vintage. Did anyone see anywhere how many incident HD patients this included? (I did not!) #nephjc https://t.co/RIhOA4lz22 |
| Nephrology Journal Club @NephJC Fair point. in reality I expect it means no live donor transplant planned #nephjc https://t.co/DLhP8TYU6E |
| Nephrology Journal Club @NephJC T2: The extended HD group received a median 24 hours HD a week, compared to 12 in standard HD arm, and most dialysed in the daytime #nephjc |
| Nephrology Journal Club @NephJC Whatever you think of standard arm, they are comparing two very different amounts of dialysis #nephjc |
| Nephrology Journal Club @NephJC @caioqualunque There is more data in their protocol paper #nephjc |
| Nephrology Journal Club @NephJC T2: Results of 1ary outcome - drum roll - negative. No improvement in EQ-5D in extended HD group compared to control #nephjc |
| Rob Peel🏳️🌈💙🇬🇧🏴 @rabpeel T2 no wonder they had no improved QOL- any benefit was lost by being on a machine! in the day #nephjc |
| Nephrology Journal Club @NephJC T2: AND there was still no signal when missing data accounted for, or with modelling to adjust for dialysis vintage etc. #nephjc |
 | Annabel Biruete 🇲🇽 @anniebelch Very late to the game! Interested to see the other side of the pond perspective @DrMattGB @drjamesburton @toates_19 #nephjc |
| Nephrology Journal Club @NephJC @AKIfellow CMR pretty soon after (I believe 12 days in one arm and 24 in other). 12 months plenty of time to see regression to an intervention #nephjc |
| Nephrology Journal Club @NephJC T2: Small and significant improvement in SF-36 PCS (though not MCS) in extended group #nephjc |
| Paul Phelan @paulphel @NephJC Vintage of 2.5 years & considered unlikely to receive a transplant withing 1 year. Makes you wonder about subject fitness #nephjc |
| Nephrology Journal Club @NephJC T2: WRT LV mass index, no significant improvement shown, though there was a mean reduction in the extended group of nearly 10g/m2 #nephjc |
| Nephrology Journal Club @NephJC I agree, and measure residual function #nephjc https://t.co/g27dupWcia |
| Nephrology Journal Club @NephJC I'm not sure you can really take anything away from those results, agree #nephjc https://t.co/06EYOADVM2 |
| Nephrology Journal Club @NephJC T3: So, in years to come people MAY simply refer to this as a 'negative trial' but is that right? #nephjc |
 | Nathaniel Reisinger @nephrothaniel RT @NephJC: T2: T2: WRT LV mass index, no significant improvement shown, though there was a mean reduction in the extended group of nearly 10g/m2 #nephjc |
| Nephrology Journal Club @NephJC T3: A few points deinitely worth discussing with regards to why this was 'negative' #nephjc |
| Nephrology Journal Club @NephJC T3: Firstly was it the right choice to include incident and prevalent HD patients? If so/not why? #nephjc |
| Nephrology Journal Club @NephJC Yep, and LV mass regresses in first months after initiation, hence my issue with including incident patients. @drpaddymark thoughts? #nephjc https://t.co/wnKYDScVxC |
| Nephrology Journal Club @NephJC Any takers on this?! #nephjc https://t.co/jJEq8Ar1U9 |
| Rob Peel🏳️🌈💙🇬🇧🏴 @rabpeel T3 I assume it was to to increase recruitment- randomisation should remove the bias introduced though surely #nephjc |
| Paul Phelan @paulphel T2 Disappointing results esp given lack of mortality benefit in FHN trial. We are clueless predicting what improves patients QOL #nephjc |
| Nephrology Journal Club @NephJC @drpaddymark teasing! #nephjc |
| Nephrology Journal Club @NephJC @toates_19 @EdoardoMelilli Not a universal effect - @hswapnil and Sunil Badve have a SR and meta-analysis on this #nephjc |
| Annabel Biruete 🇲🇽 @anniebelch @drjamesburton @richardphull @NephJC I want to hear more about it! Do they have any dietary restriction? I hope not 😜#nephjc |
| Nephrology Journal Club @NephJC yep - not universal https://t.co/8lLusdd6cg |
| Nephrology Journal Club @NephJC @rabpeel Not comparing same patients IMO either. Incident very different from many years prevalent physically and psychologically #nephjc |
| Nephrology Journal Club @NephJC Recent KI study which looked @ outcome data from FHN-daily & nocturnal trials found improvements in QOL #nephjc https://t.co/klF1hWhMmK 1/2 |
| Annabel Biruete 🇲🇽 @anniebelch @toates_19 @song_initiative Yes! Would be interesting to see fatigue changes. Would they be less fatigue bc of less FO or more because of session length? #nephjc |
| Nephrology Journal Club @NephJC 2/2 Importantly these trials recruited only Prevalent HD patients who had been on dialysis for much longer #nephjc https://t.co/n3sF1GwW9E |
| Rob Peel🏳️🌈💙🇬🇧🏴 @rabpeel T3 is it the day time in centre dialysis that blocks an effect? #nephjc |
| Nephrology Journal Club @NephJC T3:Ok, key question and applicable beyond this trial when discussing QOL.... 1/2 #nephjc |
| Nephrology Journal Club @NephJC Absolutely effects on LVMi in anuric pts >6 months. Protecting RRF essential. Tailor your dialysis prescriptions folks #nephjc https://t.co/2RIoRNe3iM |
| Nephrology Journal Club @NephJC Randomizing may compare effect of therapies, but when u randomize a life-style does removing 'pt choice' affect satisfaction&QOL? #nephjc |
| Nephrology Journal Club @NephJC Pt choice, satisfaction&QOL are intrinsically linked. Maybe that is why non-randomised studies show improvements in QOL but...1/2 #nephjc |
| Nephrology Journal Club @NephJC …2/2 is that a bad thing?! #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC @toates_19 @EdoardoMelilli Indeed! This one: https://t.co/HR82Mx8OzS in @AJKDonline (work mostly by @Badves) #nephjc |
| Paul Phelan @paulphel @NephJC FHN dialyzed 6 days a wk. How many days a week was extended group in ACTIVE? I only read 24 hours minimum/week #nephjc |
| Nephrology Journal Club @NephJC Boom! Thanks Swap!! #nephjc https://t.co/hBxUh9Ah1x |
| Nephrology Journal Club @NephJC @toates_19 *bows modestly #nephjc |
| Nephrology Journal Club @NephJC @paulphel Not reported that I saw, but stated most achieved extended hours with long sessions 3xweek #nephjc |
| Nephrology Journal Club @NephJC T3: Interesting they chose LVMi, not LV mass. The absolute numbers for LVMi are high (>100) in both groups…1/2 #nephjc |
| Nephrology Journal Club @NephJC T3: …2/2 LVM regresses on starting dialysis then increases again, expect this & choosing LVMi are why this data 'negative' #nephjc |
| Nephrology Journal Club @NephJC I'd also like to know whether papillary muscles were included in the analysis of LV mass - this would account for the high LVMi #nephjc |
| Nephrology Journal Club @NephJC Anyway, Absolute changes in LVMi are quorate with previous studies, so lack of significance is explainable as discussed I think #nephjc |
| Nephrology Journal Club @NephJC Wrapping up, what are people taking away from this study, adding or changing in their practice? #nephjc |
| Nephrology Journal Club @NephJC @EdoardoMelilli @hswapnil @toates_19 @AJKDonline @Badves Indeed, very good authors! #nephjc |
| Rob Peel🏳️🌈💙🇬🇧🏴 @rabpeel I think that we fail to look at fluid control- better achieved with daily/continuous therapy not hours, not clearance but fluid #nephjc |
| Paul Phelan @paulphel @NephJC That's what I thought, wonder if you 'feel better' dialyzing daily, explaining apparent QoL benefit in FHN? #nephjc |
| Nephrology Journal Club @NephJC @unicipa Not stated or a requirement for inclusion, but LVMi very high, so most had it by defined by the way it was measured #nephjc |
| Nephrology Journal Club @NephJC RT @AKIfellow: |
| Nephrology Journal Club @NephJC RT @renalpages: |
| Nephrology Journal Club @NephJC RT @VauxEmma: |
| Nephrology Journal Club @NephJC I absolutely agree with this. Many symptoms and sequelae due to fluid and effects of UF - yes, yes, yes #nephjc https://t.co/8fS3vc022m |
| Nephrology Journal Club @NephJC @paulphel Possibly - still think including incident patients was part of the issue here #nephjc |
| Nephrology Journal Club @NephJC OK, we're getting late. I really enjoyed this paper and think the study was well conducted. Kudos to the authors #nephjc |
| Nephrology Journal Club @NephJC My final thoughts would be do not underestimate the importance of pt choice in QOL outcomes - observational data still have a place…#nephjc |
| Nephrology Journal Club @NephJC Also extended is not going to be right for 'all'. We should pay attention to RRF more and tailor prescriptions for patients #nephjc |
| Rob Peel🏳️🌈💙🇬🇧🏴 @rabpeel frequency of dialysis, patient choice on location- and then perhaps time averaged urea and fluid balance- then hours of dialysis #nephjc |
| Nephrology Journal Club @NephJC @calvapo @DrMattGB No worries Tomas, good to see you, hope you enjoyed being a lurker for a change!! #nephjc |
| Rob Peel🏳️🌈💙🇬🇧🏴 @rabpeel great job matt - thank you #nephjc |
| Nephrology Journal Club @NephJC @renalpages Ha! Need a clearer thought process! #nephjc |
| Nephrology Journal Club @NephJC @drjamesburton @rabpeel I'd replace preserve RRF with maintain urine output. #semantics! But yes, looking after any pee and not drying it up essential #nephjc |
| Nephrology Journal Club @NephJC @rabpeel Thanks Rob, glad you joined - great contributions as always #nephjc |
| Nephrology Journal Club @NephJC @drpaddymark Thanks Paddy, glad you could join in. #nephjc |
| Nephrology Journal Club @NephJC @toates_19 We aims to please Sir #nephjc |
| Nephrology Journal Club @NephJC @richardphull Mine were running around too. Now all peaceful... where did I put that beer? #nephjc |
| Nephrology Journal Club @NephJC @unicipa HAHAHA! Just when I thought things couldn't get any better!! #nephjc who are your team??! |
| Nephrology Journal Club @NephJC @toates_19 @drjamesburton @rabpeel Probably not, but you're not allowed to call it an argument anymore, it's got to be 'healthy debate' or something! #nephjc |
 | SONG @song_initiative Dialysis-free time favoured by patients @AJKDonline @toates_19 @hswapnil @claremcremin @NephJC @renalpages #nephjc https://t.co/UZg4gFIXPf |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @song_initiative: Dialysis-free time favoured by patients @AJKDonline @toates_19 @hswapnil @claremcremin @NephJC @renalpages #nephjc https://t.co/UZg4gFIXPf |
 | Emma @emma_olone @toates_19 @song_initiative Yes and can I encourage all to sign up and do current survey on CVD (and others) as hoping to finalise by ASN - have your say! #nephjc |
 | John Pickering, Skrymaster, 43.6S 172.6E @kiwiskiNZ RT @song_initiative: Dialysis-free time favoured by patients @AJKDonline @toates_19 @hswapnil @claremcremin @NephJC @renalpages #nephjc https://t.co/UZg4gFIXPf |
 | Shilpa Jesudason @shilpa_jes RT @song_initiative: Dialysis-free time favoured by patients @AJKDonline @toates_19 @hswapnil @claremcremin @NephJC @renalpages #nephjc https://t.co/UZg4gFIXPf |
 | Talia Gutman @talia_gutman RT @song_initiative: Dialysis-free time favoured by patients @AJKDonline @toates_19 @hswapnil @claremcremin @NephJC @renalpages #nephjc https://t.co/UZg4gFIXPf |
 | Eleanor Lederer @EleanorLederer RT @NephJC: To me, this study validates something we all know- patients do not like being on dialysis, plain and simple. #NephJC |
| Roger Rodby @NephRodby RT @Proximal_Baxi: @NephJC sometimes every time I round #nephjc |
 | محذوف @milardport RT @NephJC: .@hswapnil has written an excellent summary here https://t.co/NAbvetvGSo #NephJC Really contextualises the study - great stuff Swap |
 | Ankur Shah @NephroShah RT @NephJC: To me, this study validates something we all know- patients do not like being on dialysis, plain and simple. #NephJC |
| Ankur Shah @NephroShah RT @devimol: "clinically-relevant" may be different for us vs patients. and "clinically-relevant" isn't always statistically significant #NephJc |
 | Timothy Yau @Maximal_Change RT @NephJC: To me, this study validates something we all know- patients do not like being on dialysis, plain and simple. #NephJC |
| @TrundleAlong RT @vascuk: | |
| Nephrology Journal Club @NephJC RT @song_initiative: Dialysis-free time favoured by patients @AJKDonline @toates_19 @hswapnil @claremcremin @NephJC @renalpages #nephjc https://t.co/UZg4gFIXPf |
 | Greg Knoll @GregKnoll99 RT @song_initiative: Dialysis-free time favoured by patients @AJKDonline @toates_19 @hswapnil @claremcremin @NephJC @renalpages #nephjc https://t.co/UZg4gFIXPf |
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