Some interesting insights here, including that people are much more influenced by *people they follow* switching platforms than by their own *followers* switching platforms. Preprint: "Why Academics are Leaving Twitter for Bluesky" arxiv.org/abs/2505.24801

Delivery of Palliative Care in the Last Year of Life to Individuals Receiving Maintenance Dialysis: A Population-Level Cross-Sectional Study bit.ly/Bonares25OI #OpenAccess #CKD

(Basic) ICU Hemodynamic “Secrets” - Part1: I know you know them, but let’s remind ourselves of some basic hemodynamic "secrets":

New Commentary by Madhumitha Rajagopal on the #AJKDBlog: Unseen, Unheard: The Silent Strain on Dialysis Caregivers bit.ly/RajagopalBlog (FREE) Article by Driehuis et al: bit.ly/Driehuis25OI

P-values are fraught with hazard, but SO IS BAYESIAN STATISTICS the Achilles heel of Bayesian stats is that someone determines a pre-test probability distribution (usually arbitrarily) The pre-test probability is often too high This inflates the final posterior probability 🧵 #1/4 #EMIMCC

Health Outcome Preferences and Trade-Offs Among Older Adults With Advanced CKD: A Discrete Choice Experiment bit.ly/Schoot25OI #OpenAccess #CKD

Editorial by Marie Evans, Jenny Lindberg, and Johan Sundelöf: Finding Barriers for the Implementation of Advanced Care Planning in Patients Receiving Dialysis bit.ly/AJKD25EvansED (FREE)

NEW on the #AJKDBlog: @maximalchange.bsky.social interviews the authors of a recent review of ADPKD, Sara S. Jdiaa and Reem A. Mustafa, and discusses prognosis, goals, and monitoring. bit.ly/Jdiaa25 (FREE)

‘ Strawberry milkshake ´ dialysate in a Peritoneal Dialysis patient at PD onset ? What is your diagnosis ? ➡️ authors.elsevier.com/a/1lSI0_1y3u... @inesdufour.bsky.social @clemencebechade.bsky.social @lobbedezt.bsky.social @hswapnil.medsky.social @kidneyint.bsky.social

Long-term Outcome of #Adult Patients With #Membranous Nephropathy Treated With #Rituximab #VisualAbstract by @priti899.bsky.social www.kireports.org/ar...

Review by Anjana Gopal, Janine Farragher, Sarbjit V. Jassal, and Istvan Mucsi: Sleep Disorders in CKD bit.ly/GopalREV25 (FREE)

🎨Check out the beautiful #visualabstract by #NephJC intern @shelliefravel.bsky.social ⏰Chat happening on July 8, 9 pm EST www.nephjc.com/news/2025/7/...

The trend in the US was to start at higher GFRs throughout the 2000s and this peaked in 2010 and since then there has been a small decline in mean GFR at initiation but imo it is still too high.

Interesting data from Alberta www.kidney-international.org/article/S008... in @kidneyint.bsky.social GFR < 15 is classified as ‘kidney failure’ in most studies - but about a third of them die before starting RRT. Is that glass half full or half empty? 🥃 #NephSky

➡️ Cognitive impairment and physical dysfunction associated with unplanned dialysis initiation www.kireports.org/ar...

In the latest video in our partnership with @glaucomflecken.bsky.social, the REGENCY trial investigating the efficacy and safety of obinutuzumab when added to standard therapy in patients with active proliferative lupus nephritis is explained. Access the article for free: nej.md/DrG20

Summary: urinary anion gap is not a good measure of urine ammonium and should be abandoned. If you need to know the urinary ammonium, measure the urinary ammonium. 15/15

Determinants of Caregiver Burden Among Spouses of Patients With Kidney Failure: A Qualitative Study bit.ly/42kNvWq #OpenAccess #VisualAbstract

GLP-1 Receptor Agonist Outcomes, Safety, and BMI Change in a National Cohort of Dialysis Patients by Drs. Orandi, McAdams-DeMarco et al. journals.lww.com/cjasn/abstra... GLP-1 RA use in DM 2 patients on HD was associated with weight loss, reduced mortality, higher chance of waitlisting.

#POCUS in #Nephrology: Enthusiasm Alone Won't Suffice; Training Is Key". @ajkd.bsky.social The final typeset version is out. Here is the open access link 🔗 authors.elsevier.com/a/1lFg5_6ClS... #Nephpearls #FOAMed

The rate of procedures for maintaining hemodialysis vascular access in new patients is 0.71 per year, with higher risks in adults with a primary central venous catheter. kidney.pub/KID0841 #ASNKidney360

In the CONFIDENCE trial in persons with chronic kidney disease and type 2 diabetes, combination therapy with finerenone and empagliflozin led to a greater reduction in the urinary albumin-to-creatinine ratio than either drug alone. Full trial results: nej.md/4jEVbbk #ERA25 #MedSky #Nephrology

ACHIEVE trial - Spironolactone in Hemodialysis stopped early... due to futility 😢 I had some hopes for this one. #ERA25

The Standardized Outcomes in Nephrology (SONG) initiative: a decade of harmonizing patient voices and research in #kidneydisease doi.org/10.1016/j.kint.2025.02.016 #NephSky #MedSky #chronickidneydisease #CKD

This was a fun article to work on. Hope you enjoy it. Things We Do for No Reason™: Avoiding IV iodinated contrast material in patients with acute kidney injury or chronic kidney disease Journal of Hospital Medicine shmpublications.onlinelibrary.wiley.com/doi/10.1002/...

A Core Outcome Set for Trials in CKD: Report of the Standardized Outcomes in Nephrology–Chronic Kidney Disease (SONG-CKD) Stakeholder Workshops bit.ly/4gmbwzX

📣 New paper now online @ckj-era.bsky.social: How do patient information documents present dialysis and conservative kidney management? A document analysis. academic.oup.com/ckj/advance-... @flissmurtagh.bsky.social @peolcsw.bsky.social @wolfsonpallcare.bsky.social @danafarber.bsky.social

Could "Obi" replace "BeLi"? Authors in this article explore the efficacy and safety of obinutuzumab for managing active lupus nephritis. bit.ly/KN1703-06 @kdjhaveri.bsky.social #ASNKidneyNews

Association of Coprescribing of Gabapentinoid and Other Psychoactive Medications With Altered Mental Status and Falls in Adults Receiving Dialysis https://bit.ly/4jE4Wb3 #OpenAccess #VisualAbstract

Compared to biopsy for cause - protocol biopsy reveals upto 60% (!) still have active histologies features in #lupus nephritis despite complete or partial remission clinically Nor can immunological data #ISNWCN #NephSky

Continuing our discussion on oncological emergencies from last week, let's tackle malignant hypercalcemia, which occurs in 20-30% of malignancies with a grim prognosis. A must-know🧵 for medicine trainees! #PhysiologyFriday #MedSky #NephSky #OncSky #Onconeph #MedStudentSky

A Core Outcome Set for Trials in CKD: Report of the Standardized Outcomes in Nephrology–Chronic Kidney Disease (SONG-CKD) Stakeholder Workshops https://bit.ly/4gmbwzX

The Aldosterone Paradox: A Skeetutorial:

When discussing serious health issues with patients, it’s crucial to ask permission each time a new sensitive topic is broached… people may have specific needs, timing, or preferences they’d like to voice before you “go there.”

Core Curriculum by Charmaine E. Lok, Theodore You, and Timmy Lee: Hemodialysis Vascular Access: Core Curriculum 2025 https://bit.ly/4ir8vAF (FREE)

As I gear up for residency, I've been reviewing some key medicine topics. I'm currently reviewing oncologic emergencies, starting with Tumor Lysis Syndrome. This is high yield content on the wards and the boards, so let's dive in! A 🧵 #PhysiologyFriday #MedSky #NephSky #MedStudentSky #Skytorial

BREAKING NEWS: The FDA has approved Ozempic for patients with chronic kidney disease. This means the popular injection can be used to reduce the risk of kidney disease worsening, kidney failure and death from cardiovascular disease in patients with chronic kidney disease and diabetes.

Sick of the stomach bug? Moderna is making a norovirus vaccine globalnews.ca/news/1097631... Get weekly updates: CanadaHealthwatch.ca/newsletter 🍁

Join our new webinar NOW on YouTube! Nephroprotection 2025: "4 Pillars" & EASi-KIDNEY with our guests Dr. Doreen Zhu & Dr. Parminder Judge youtu.be/cpAel7yCW6I?... Moderators: Prof. Dr. Johannes Mann, @gunnarheine.bsky.social @marcussaemann.bsky.social

18/n so maybe the drug crystals cause injury as they travel down the nephron but they don’t end up absorbed into the renal parenchyma. As an example, atazanavir crystals do (PMID 32647771) @vipvargh.bsky.social @kireports.bsky.social

Confession: I LOVE hyponatremia 🤓 (I know, I know. What can I say, I'm a true internist!) HypoNa is often feared, maligned, and misunderstood - but I promise it doesn't have to be scary! Here are my top 10 hyponatremia tips and tricks - a 🧵 #emimcc

Example of necrotizing lupus vasculopathy. Hilar arterioles with luminal immune complex deposit and mural necrosis. Ig deposition in lumen of vessel and fibrinogen staining by IF. #renalpath #pathsky #nephsky

Amoxicillin crystalluria during endocarditis treatment doi.org/10.1016/j.kint.2024.07.029 #KINephrologyImage #MedSky #NephSky #nephrotoxicity

Can the BP med cilnidipine cause gingival hyperplasia? Sure, it can. Here is one of my pts. #nephsky

#NephJC tonight Check out the beautiful visual abstract from @nephroseeker.medsky.social!