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    f operators. Methods: We included PD-naïve patients insured by Medicare who had a PD catheter inserted between 2010-2019. We examined the association between specialty of the operator (general surgeon, vascular surgeon, interventional radiologist, or interventional nephrologist) and odds of needing a follow-up procedure, which we defined as catheter removal, replacement, or revision within 90 days of the initial procedure. Mixed logistic regression models clustered by operator were used to examine the association between operator type and outcomes. Results: We included 46,973 patients treated by 5,205 operators (71.1% general surgeons, 17.2% vascular surgeons, 9.7% interventional radiologists, 2.0% interventional nephrologists). 15.5% of patients required a follow-up procedure within 90 days of the initial insertion, of whom 2.9% had a second PD catheter implanted, 6.6% underwent PD catheter removal, and 5.9% had a PD catheter revision within 90 days of the initial insertion. In models

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    • The probability of needing a follow-up procedure after initial PD catheter placement varied by operator specialty and was higher for interventionalists and lowest for general surgeons https://t.co/IidCODXR1t @TimCopeland @eric_weinhandl @kljohansenmd https://t.co/iJYxuRrsy6

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    promoting home dialysis is presented, and the literature supporting it is critically reviewed. Randomized comparisons of home HD and PD with in-center HD have been challenging to conduct and provide only limited information. Nonrandomized studies are heterogeneous in their design and have often yielded conflicting results. They are prone to bias, and this must be carefully considered when evaluating this literature. Home modalities seem to have equivalent clinical outcomes and quality of life when compared with in-center HD. However, the cost of providing home therapies, particularly PD, is lower than conventional, in-center HD. Measures of home dialysis utilization, the philosophy behind their measurement, and important factors to consider when interpreting them are discussed. The importance of understanding measures of home dialysis utilization in the context of rates of kidney failure, the proportion of individuals who opt for conservative care, and rates of kidney transplantation i

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    • There is widespread interest in expanding the uptake of home dialysis in North America. This Home Dialysis: Fundamentals and Beyond article presents the motivation for promoting home dialysis, and critically reviews the literature supporting it https://t.co/4eNxUsRmK7 https://t.co/6QCyr7Omnj

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    In patients with chronic kidney disease, high diastolic blood pressure did not increase risk for adverse kidney or cardiovascular events if systolic BP is under control, according to a study published in Kidney Medicine.“We frequently encounter patients who have controlled systolic BP and uncontrolled diastolic BP in the setting of chronic kidney disease and are faced with the dilemma of

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    • In patients with #CKD, high diastolic blood pressure did not increase risk for adverse #kidney or cardiovascular events if systolic BP is under control. 🩸 Read more here 🔽 https://t.co/alADXPNjIG

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    • Are you a #nephrology fellow or program director? Test your therapeutic and diagnostic knowledge with a quick 5-minute survey. Help make the Nephrology Quiz & Questionnaire session at #KidneyWk exciting! The survey deadline is today at 5:00 p.m. EDT: https://t.co/NfxTFEzJZy https://t.co/KFFW02qo7m

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    Choosing a dialysis modality for patients who have end-stage kidney disease (ESKD) requiring dialysis initiation is a complex task. Informed decision-making is crucial and can only be achieved with a solid foundational dialysis education provided by the clinician and nephrology care team each step along the way. It is about tailoring the treatment and management to each individual patient’s clinical and social situation. Sometimes it is also influenced by the circumstances of their care partners.

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    • Excellent editorial from @osamaelshamy88 & @jmteakell in @KIReports Key section below. Any comparison of HHD vs in centre is rife with selection bias. The RR of 0.6 for survival in linked study is ridiculously implausible https://t.co/zFsT6WJghF https://t.co/j5jGoMN65k

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    Fructose has recently been proposed to stimulate vasopressin secretion in humans. Fructose-induced vasopressin secretion is not only postulated to result from ingestion of fructose-containing drinks but may also occur from endogenous fructose production via activation of the polyol pathway. This raises the question of whether fructose might be involved in some cases of vasopressin-induced hyponatremia, especially in situations where the cause is not fully known such as in the syndrome of inappropriate secretion of diuretic hormone (SIADH) and exercise-associated hyponatremia, which has been observed in marathon runners.

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    • Fructose: A New Variable to Consider in SIADH and the Hyponatremia Associated With Long-Distance Running? https://t.co/wK220IU22s @RichardJJohns11 @PBjornstadMD @CU_Kidney #SIADH https://t.co/5L62uiYQXr

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    Late-Breaking Science - 5 month(s) ago

    Don’t miss the newest results in our Late-Breaking Science and Featured Science sessions. Stay updated on new discoveries, innovations & advancements.

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    • 8 LBS sessions 27 studies including a few on hypertension And a plenary like session on semaglutide alone https://t.co/xsKLbLOsx4 @AHAScience @AHAMeetings knows how to do #AHA23 https://t.co/o80AwnOWJL

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    Acute kidney injury (AKI) and intensive care unit–acquired weakness (ICU-AW) are 2 frequent complications of critical illness that, until recently, have been considered unrelated processes. The adverse impact of AKI on ICU mortality is clear, but its relationship with muscle weakness—a major source of ICU morbidity—has not been fully elucidated. Furthermore, improving ICU survival rates have refocused the field of intensive care toward improving long-term functional outcomes of ICU survivors. We begin our review with the epidemiology of AKI in the ICU and of ICU-AW, highlighting emerging data suggesting that AKI and AKI treated with kidney replacement therapy (AKI-KRT) may independently contribute to the development of ICU-AW.

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    • @lw_peter @drsamsilver @thana_susan @SashaZarnke @Jenn_Flemming @QueensuDOM @ICESOntario Intensive Care Unit–Acquired Weakness in Patients With Acute Kidney Injury: A Contemporary Review https://t.co/1z0UFoQJMt (FREE) @NephCrit_NM @KirbyMayerDPT @Ben_Griffin_MD @NRG3000 @njenkinsphd @FGonzalezSeguel @javo_neyra #AKI https://t.co/YJ1ZqkR2Vr