PIVOTAL: Among patients undergoing hemodialysis, a high-dose IV Fe regimen administered proactively was superior to a low-dose regimen administered reactively & resulted in lower doses of ESA being administered from @NEJM #KDIGOAnemia πͺπΈ #Nephpearls
ππΌ nejm.org/doi/pdf/10.105β¦
Crosstalk between iron and oxygen sensing
π HIF-dependent gene expression is iron dependent
π Iron-absorbing genes are HIF target genes
π FPN stabilizes HIF-2 in enterocytes #KDIGOAnemia πͺπΈ #Nephpearls
ππΌ kidney-international.org/article/S0085-β¦
Traditionally used markers of iron status, β¬οΈ TSAT, especially TSAT< 10%, is most strongly associated with the risk of adverse outcomes in CKD patients irrespective of serum ferritin level #KDIGOAnemia πͺπΈ #Nephpearls
ππΌ bmcnephrol.biomedcentral.com/track/pdf/10.1β¦
Daprodustat produced dose-dependent changes in hemoglobin over the first 4 weeks after switching from a stable dose of rhEPO as well as maintained hemoglobin target levels over 24 weeks #KDIGOAnemia πͺπΈ #Nephpearls
ππΌ academic.oup.com/ckj/article/12β¦
Oral daprodustat was noninferior to darbepoetin alfa as measured by mean hemoglobin over weeks 40β52 in Japanese π―π΅ patients receiving hemodialysis switched from ESAs ca. 2020 from @CJASN#Nephpearls
ππΌ cjasn.asnjournals.org/content/clinjaβ¦
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IgA Nephropathy: The @goKDIGO treatment algorithm recommends consideration of use of corticosteroids in patients with "persistent proteinuria >1g/day" if the risk/benefit profile is favorable
π A GFR of 30 is considered a threshold for treatment
Nephrolithiasis 101: When to order a 24-hour urine collection #Nephpearls
Multiple or metabolically active stones (stones that increase in size/ number w/in a year)
Children
Demographic groups not typically prone to stone formation
Stones other than those containing calcium
Interpretation of urine chemistries to identify lithogenic risk factors and assess the contribution of diet to the formation of kidney stones ca. 2016 from @ravineja#Nephpearls
PREDNOS 2: Evaluation of Daily Low-Dose Prednisolone During URTI to Prevent Relapse in Children w/ Relapsing Steroid-Sensitive Nephrotic Syndrome ca, 2022 from @JAMAPediatrics#NephJC#IPNAJC#Nephpearls
Low-dose versus conventional-dose prednisolone for nephrotic syndrome relapses: a randomized controlled non-inferiority trial ca. 2022 from @Ped_Neph#NephJC#IPNAJC#Nephpearls
PREDNOS: Sixteen-week versus standard eight-week prednisolone therapy for childhood nephrotic syndrome ca. 2019 from @bmj_latest#NephJC#IPNAJC#Nephpearls