Jayana Devathasan
@jyndvthsn.bsky.social
๐ค 512
๐ฅ 220
๐ 91
Early career NZ nephrologist. Christian. Reader/writer. @Glomcon fellow 2023/24.
reposted by
Jayana Devathasan
Swapnil Hiremath ๐๐จ๐ฆ
2 days ago
An announcement
www.nephjc.com/news/2025/11...
#NephJC
@kidneyboy.bsky.social
and moi hand over the
@nephjc.bsky.social
reigns to
@nephroseeker.medsky.social
&
@brianrifkin.bsky.social
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Taking the reigns โ NephJC
In April 2014, Swapnil and I launched NephJCโand within weeks we were overwhelmed by the sheer work of running a twice-monthly, Twitter-based journal club. Fortunately, we also had a deep bench of fri...
https://www.nephjc.com/news/2025/11/24/taking-the-reigns
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Jayana Devathasan
Swapnil Hiremath ๐๐จ๐ฆ
2 months ago
The need to deprescribe!
www.nytimes.com/2025/09/07/h...
(gift link) Older peeps and falls, often prescription drugs to blame.
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Why Are More Older People Dying After Falls?
https://www.nytimes.com/2025/09/07/health/falls-deaths-elderly-drugs.html?unlocked_article_code=1.l08.8Vaw.XwnI6O7DYUwm&smid=nytcore-ios-share&referringSource=articleShare
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Prof Adeera Levin from @BCRenal education us at @ANZSN 2025 in Perth about models of care in CKD - relationship and knowing your patients is important.
3 months ago
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Jayana Devathasan
Swapnil Hiremath ๐๐จ๐ฆ
4 months ago
We recorded a podcast with him here
www.nephjc.com/freelyfilter...
from the last
#KidneyWk
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FF 75 NephJC Night at Kidney Week โ NephJC
Live from San Diego it is a recording of the NephJC Night Show!
https://www.nephjc.com/freelyfiltered/2024/11/4/nephjc-night-with-the-annual-kidney-week-with
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Jayana Devathasan
Swapnil Hiremath ๐๐จ๐ฆ
4 months ago
Excellent read of the day. Cannot disagree with anything written by Andrew Cohen here:
www.ajkd.org/article/S027...
in
@ajkd.bsky.social
Starts off with citations of the dreaded Student Doctor Network and
@kidneyboy.bsky.social
PB fluids blog.
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Is Dialysis Nephrologyโs Original Sin?
The introduction of hemodialysis in the 1960s and the subsequent enactment of Medicare coverage in 1972 came to shape the evolution of nephrology as a specialty. The subsequent focus on dialysis care ...
https://www.ajkd.org/article/S0272-6386(25)00711-5/fulltext
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Jayana Devathasan
Dr. Genevieve Eastabrook, MD FRCSC (she/her)
4 months ago
Recommendations: -Limit nonessential meetings to core hours (eg. 9-4) recognizing that time outside this window is not equitably accessible -Offer asynchronous or hybrid options for professional development & decision-making forums, reducing reliance on physical presence as a proxy for engagement
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๐ค
add a skeleton here at some point
5 months ago
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30M with aggressive crescentic IgAN. M1E0S1T1C2. 4g proteinuria with Cr 160 umol/L but rising. Induction with IV CYC and pred. Now 1g protein but Cr, now 250 umol/L. Not sure what next :( maybe repeat biopsy?
@nephrowhitt.bsky.social
@hswapnil.medsky.social
@askrenal.bsky.social
5 months ago
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Jayana Devathasan
Swapnil Hiremath ๐๐จ๐ฆ
5 months ago
We donโt get to discuss every important study that comes out on
#NephJC
Hence
#NephJCShorts
www.nephjc.com/news/nephjc-...
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Introducing NephJC Shorts โ NephJC
In just over a decade of critical appraisal on NephJC, we have done several experiments. Some of them have worked out phenomenally well, such as the Freely Filtered podcast. Others were not ready for ...
https://www.nephjc.com/news/nephjc-shorts
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Jayana Devathasan
Joel Topf
5 months ago
My patients live at the margins of society. They donโt have much. Just getting to dialysis three times a week is a big ask. Taking from them to fund tax breaks for the rich is just cruel. I want to be outraged but I just feel like crying.
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Jayana Devathasan
Michelle Rheault, MD
5 months ago
Holy cow. A $35 copay for every dialysis treatment??? โNew Copays: A $35-per-treatment copay for dialysis and CKD patients above the poverty line could cost dialysis patients over $5,000 annually.โ
add a skeleton here at some point
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Jayana Devathasan
Nephgirlsketches
5 months ago
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Jayana Devathasan
Transplant Epidemiology Group Australia
5 months ago
@lachlanmcmichael.bsky.social
presenting his first of two talks at
@tsanz.bsky.social
exploring variation in living donor referral in Australia and New Zealand
@anzdataregistry.bsky.social
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Jayana Devathasan
Lachlan McMichael
5 months ago
๐ย New Publication in Kidney International Reports Pleased to share our recently published editorial commentary: โUpstream Causes, Downstream Consequences: Targeting Pre-Dialysis Pathways to Tackle Inequities in Access to Kidney Transplantationโ ๐ย
doi.org/10.1016/j.ek...
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Jayana Devathasan
Transplant Epidemiology Group Australia
5 months ago
@philclayton.bsky.social
presenting the new HLA matchability score as part of the proposed new kidney allocation system demonstrating improvement in equity
@tsanz.bsky.social
@anzdataregistry.bsky.social
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This is actually very important given so many of our clinical trials use 'slope of gfr' as a clinical outcome
add a skeleton here at some point
5 months ago
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Amazing
add a skeleton here at some point
6 months ago
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Jayana Devathasan
KDIGO
6 months ago
The KDIGO Women and Kidney Health Controversies Conference Report is now available in Kidney International! The report addresses how sex and gender shape kidney health across the lifespan, with a special focus on reproductive health and care equity. Read the report:
kdigo.co/Women-and-Ki...
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Jayana Devathasan
Clinical Kidney Journal
6 months ago
Reducing CKD burden in Europe: first make the elephant apparent!
doi.org/10.1093/ckj/...
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Anybody know of any good nephrology >
#meded
> internal medicine conferences in the East Coast of Canada next year around March to May? Hoping to do a Montreal trip but thought I might tie it to a conference....
@hswapnil.medsky.social
@askrenal.bsky.social
6 months ago
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Post
#era25
shenanigans in the
#dolomites
. Ex
#ubc
fellows (now nephrology staff around the world) unite!
#confidence
iykyk
6 months ago
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We 'know' this but it's a staggering reminder of how practice changing SGLT2i can be. 26 years of delaying the onset of kidney failure! We have to do better NZ and stop restricting the eligibility for these drugs
#era25
6 months ago
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Social media as a tool for spreading kidney health from
@hdiniz.bsky.social
#era25
#inception
6 months ago
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Final conference day at
#era25
6 months ago
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#era26
#era25
add a skeleton here at some point
6 months ago
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Already loving this talk because it's about (the neglected population of) DIALYSIS PATIENTS!
#ERA25
6 months ago
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Jayana Devathasan
Alexander Woywodt
6 months ago
I would love to see more of that at ERA26: people posting on Bluesky with recommendations on where to go ๐ฆ๐ฆ๐ฆ
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Jayana Devathasan
Hugo Diniz, MD ๐ต๐น๐ช๐บ
6 months ago
Prof. Anders starting with a banger Diabetic Kidney Disease and Hypertensive Kidney Disease don't exist! ๐ฑ
#ERA25
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Jayana Devathasan
Hugo Diniz, MD ๐ต๐น๐ช๐บ
6 months ago
Prof Anders made a case for the (im)balance between workload (hyperfiltration) and nephron mass as the key interaction DM is a risk factor - there are no diabetic HF or diabetic cerebral vascular disease. Most cases are probably multifactorial HTN ckd probably doesnt exist and most are genetic
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Very practical session on resistant hypertension by Dr Roland Schneider. Come join us in Hall E2!
#era25
6 months ago
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Not a topic I would usually go to but I'm trying to be better! Great summary slide re: water use in haemodialysis
#era25
6 months ago
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Jayana Devathasan
Michael Walsh
6 months ago
It's been a long journey but today we can share the methods and rationale for the
#ACHIEVEtrial
(Spiro vs placebo for patients with kidney failure receiving maintenance dialysis) and tomorrow we share the results at
#era25
journals.sagepub.com/doi/10.1177/...
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The Aldosterone Blockade for Health Improvement Evaluation in End-Stage Renal Disease (ACHIEVE) Trial: Rationale and Clinical Research Protocol - Michael Walsh, David Collister, Martin Gallagher, Patr...
Background: The mineralocorticoid aldosterone may contribute to the risk of cardiovascular morbidity and mortality in patients receiving maintenance dialysis. W...
https://journals.sagepub.com/doi/10.1177/20543581251348187
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Although you could say they did not ACHIEVE their goals with this study, massive kudos to the study investigators for seeking to study important outcomes in an often neglected dialysis population.
#era25
6 months ago
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Vlado Perkovic discussing Sibeprenlimab (APRIL binder) at Late Breaking Clinic Trials II at
#era25
. Great to see Oceanians (Aus/NZers) on stage!
6 months ago
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Fatigue in CKD. Great sessions on incremental HD and PD in Hall C at
#era25
. (also just a beautiful infographic ๐)
6 months ago
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Jayana Devathasan
Lachlan McMichael
6 months ago
Thank you to
#ERA25
for the opportunity to present work on kidney transplant waitlisting
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Jayana Devathasan
International Society of Glomerular Disease
6 months ago
ISGD President
@tobias-b-huber.bsky.social
advocating for redefining diseases according to endotype rather than histotype on the plenary stage at
#ERA25
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Very good (often neglected) point about the cost of KRT on patients and family.
#era25
6 months ago
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Jayana Devathasan
Christos Argyropoulos MD, PhD, FASN ๐บ๐ธ 0kale/acc
6 months ago
The results of
#confidence
were the best news today: combined treatment with
#flozin
#sglt2i
and non steroidal
#MRA
cut by more than half the level of kidney damage markers (urine albumin/creatinine ratio). In every single trial to date cutting UACR has led to kidney protection
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Jayana Devathasan
Alex Meraz
6 months ago
@kevinyau.bsky.social
GLP1 agonist master Jedi presenting at
#ERA25
. ๐GLP1 agonist reduce ED visits and hospitalizations!!! ๐Awesome methods. Best of the session: ๐DDP4 for comparison, IPTW, ICES data. Ticking all the right boxes (EPI nerd). ๐Only 40% on SGLT2i!!! We should flozinate more!!!
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Jayana Devathasan
Hugo Diniz, MD ๐ต๐น๐ช๐บ
6 months ago
#CONFIDENCE
trial design
#ERA25
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Jayana Devathasan
Swapnil Hiremath ๐๐จ๐ฆ
6 months ago
The first
#ERA25
simultaneous pub CONFIDENCE trial of empagliflozin + finerenone in N = 579 Greater reduction in ACR and BP Note the impressive GFR dip
www.nejm.org/doi/full/10....
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So excited to present my poster with the legendary
@nephroseeker.medsky.social
at
#era25
#bartonella
#glomerulonephritis
#nephsky
6 months ago
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10 years of SGLT2i trials shared by Dr Kaitlyn Mayne at
#era25
!
6 months ago
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Also, I'm loving how so many speakers at
#era25
have been shouting out other speakers/future sessions โบ๏ธ
#collaboration
#nephsky
6 months ago
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Beautiful summary of the practical implications of the
#Flow
trial by Dr Peter Rossing at
#era25
6 months ago
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Jayana Devathasan
Swapnil Hiremath ๐๐จ๐ฆ
6 months ago
By the way the
#ERA25
hashtag is heating up Go check it out to get the science from Vienna and also find more fresh voices to follow!
#NephSky
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Ready for day 2 at
#era25
๐ช๐พ
6 months ago
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Looking forward to an excellent session on genetics. Great intro from the chairs.
#era2025
6 months ago
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Spicy debate incoming about the need for a cardiologist in the diagnosis and rx of HFpEF in every CKD patient ๐ฅ
#era2025
6 months ago
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