What are the most important risk factors for suboptimal dialysis initiation? In #ASNKidney360, this article investigates within a prospective cohort study. Read more: kidney.pub/KID0895#ASNKidney360, @hswapnil.medsky.social @sbrimble.bsky.social

We called it unplanned pubmed.ncbi.nlm.nih.gov/30899532/ but suboptimal seems more common @sbrimble.bsky.social

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/...

As an example Guidelines hijacked by industry for decades

some of the most striking tortured phrases i’ve seen in a while. Look here to discover what “moo warm steadiness” is pubpeer.com/publications...

a lot of people think you need a lot of money to buy clothes. now you're right. ok. my bad.

THIS IS WHAT A TRADE WAR LOOKS LIKE -

First and only? Can’t be such a stickler as to ignore the PIVOTAL trial. PIVOTAL trial effect estimate on all-cause mortality HR 0.84 (95% CI 0.71 to 1) I do think expecting anything to improve all-cause mortality in ESRD is probably unwise. www.nejm.org/doi/full/10....

Pete Buttigieg breaks down DEI for everyday folks… “The opposite of diversity is uniformity. The opposite of equity is inequity. The opposite of inclusion is exclusion.” @petebuttigieg.bsky.social Our problem: too many value uniformity over inclusion and they’re the ones running the government. 🧵

It’s been 25 years - RenalWeek was in Toronto in 2000 Time to bring it back 😎

Ugh Dr Jayme Locke (you may know from the XenoTransplant story) hired from UAB to fix the transplant system (that is abysmally awful if you have followed @sumitmohan.bsky.social ) But she was ‘probabtionary’ so DOGE fired her 🤦🏽‍♂️ @wsj.com story on 🍎 News $wall apple.news/Ans49CVgKQy-... #NephSky

First Nations offer to buy ‘iconic’ Hudson’s Bay store chain for tobacco, blanket

Did you know the @csnscn.bsky.social has a jobs board ? www.csnscn.ca/job-board/

Dr Rasha Alawieh, assistant professor in transplant nephrology at Brown, detained at airport after travel to Lebanon, despite valid H-1B visa #nephsky #transplantsky #medsky www.browndailyherald.com/article/2025... @kateschapira.bsky.social @brownmedicine.bsky.social

Really google??!! #nepgrologist

A study of eight AI search engines found they provided incorrect citations of news articles in 60%+ of queries; Grok 3 answered 94% of the queries incorrectly (Columbia Journalism Review) Main Link | Techmeme Permalink

Prospective Cohort Study in #Alport Syndrome Patients under Standard Therapy - the ATHENA study www.kireports.org/article/S246...

This table from @drjmluther.bsky.social needs to be disseminated more widely (We added it to our @cmaj-jamc.bsky.social 5 things for that reason www.cmaj.ca/content/196/...) #NephMadness

I learned that around 3 million military connected kids- largely children of veterans who have left the service are dependent on Medicaid. This breaks my heart both at the threat to their healthcare access and the fact that we clearly need to do more to help veterans make this transition

Genetic regulation of plasma sodium concentration is variable and pathways involving the pituitary gland have an important role. There is no evidence of genetic predisposition for the plasma sodium-lowering effect of thiazides. bit.ly/JASN0622 #ASNJASN #BasicResearch

Rubio terminated 5800 USAID contracts – more than 90% of its foreign aid programs – in defiance of the courts. Here’s a list of just some of the lifesaving awards that were terminated. Nearly all were Congressionally mandated. They’ve saved millions of lives. 🧵

Just beware the "time-averaged proteinuria" methodology was flawed because it uses future information to predict the future at baseline and could be exaggerating effects. See our paper on this unfortunately popular method in nephrology literature: doi.org/10.2215/CJN....

Agree. Would almost always opt for a better agent. *Except* I recently learned it’s the only RAS blocker that’s thought to be semi-ok while breast feeding! www.ncbi.nlm.nih.gov/books/NBK500...

Agree with Scott Even in HFrEF they used up to 20 mg enalapril (eg www.nejm.org/doi/full/10....) so to cap at 10 mg for HT is quasi-homeopathic Also Why use enalapril at all?

Are you effectively preventing VTE in your patients with nephrotic syndrome? Check out our paper below on KI reports about this important topic. It's a fantastic collaboration with some truly brilliant minds! #NephSky @glomcon.org www.kireports.org/article/S246...

Case Series of Infection-Related #Glomerulonephritis (IRGN) in Quebec Indigenous Peoples: Heterogenous clinical, laboratory, and pathological presentations that make the diagnosis of #IRGN quite challenging. @csnscn.bsky.social @cjkhd.bsky.social doi.org/10.1177/2054...

Dear @gavinnewsom.bsky.social, As you are well aware, California has the largest number of undocumented immigrants in the United States with an estimated 2.6 million individuals according to the Department of Homeland Security.

Our last #ISNWCN debate on protein restriction in CKD is now published - #OpenAccess pubmed.ncbi.nlm.nih.gov/39933007/ with @kidneyboy.bsky.social and Abdullah Bawazir, OttawaRenal fellow #NephSky

Lovely day for a walk in these troubling times. A white-throated sparrow. #bird

Breaking news: Dual RAAS blockade still doesn’t work

Great talk! His argument to treat the immunologic disease not the CKD particularly early in the course is very appealing We need to test it in an RCT! The big trials typically have pts on some/max RAASI as inclusion/run-in Great that we can start thinking differently!

Adolescents and young adults receiving care at dialysis facilities with higher patient to staff ratios had reduced access to waitlisting and transplant, particularly if they were younger than 22 years at dialysis initiation. ja.ma/41FEgzO