Article
Urology & Nephrology
Helena U. Zacharias, Michael Altenbuchinger, Ulla T. Schultheiss, Johannes Raffler, Fruzsina Kotsis, Sahar Ghasemi, Ibrahim Ali, Barbara Kollerits, Marie Metzger, Inga Steinbrenner, Peggy Sekula, Ziad A. Massy, Christian Combe, Philip A. Kalra, Florian Kronenberg, Benedicte Stengel, Kai-Uwe Eckardt, Anna Kottgen, Matthias Schmid, Wolfram Gronwald, Peter J. Oefner
Summary: A new risk equation based on laboratory tests can be used to identify patients with CKD who are at high risk of progressing to KFRT.
AMERICAN JOURNAL OF KIDNEY DISEASES
(2022)
Article
Physiology
Marija Domislovic, Viktor Domislovic, Mirjana Fucek, Ana Jelakovic, Lana Gellineo, Zivka Dika, Bojan Jelakovic
Summary: The prevalence of CKD is overestimated and the prevalence of glomerular hyperfiltration (GHF) is underestimated in obese subjects using the CKD EPI equation compared to de-indexed equations (CKD Di, CKD Mi).
KIDNEY & BLOOD PRESSURE RESEARCH
(2022)
Editorial Material
Urology & Nephrology
Aleksandar Denic, Andrew D. Rule, Francois Gaillard
Summary: Significant progress has been made in extending allograft survival in kidney transplantation, but there are limited studies comparing functional changes of the donated kidney to the remaining kidney. A study involving 30 donor-recipient pairs demonstrated the adaptive capacity of the transplanted kidney. The study found that the adaptability of the glomerular filtration rate (GFR) is associated with body surface area, nephron number, and compensatory glomerular hyperfiltration.
CLINICAL KIDNEY JOURNAL
(2022)
Article
Urology & Nephrology
Vishal Duggal, I-Chun Thomas, Maria E. Montez-Rath, Glenn M. Chertow, Manjula Kurella Tamura
Summary: Removing race adjustment from the CKD-EPI eGFR would double the estimated prevalence of CKD among Black adults in the United States, impacting a number of drug dosing decisions and potentially improving the accuracy of kidney failure risk prediction for higher-risk Black adults.
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2021)
Article
Urology & Nephrology
Kam Wa Chan, Alfred Siu Kei Kwong, Kathryn Choon Beng Tan, Sing Leung Lui, Gary C. W. Chan, Tai Pang Ip, Wai Han Yiu, Benjamin John Cowling, Vivian Taam Wong, Lixing Lao, Yibin Feng, Kar Neng Lai, Sydney C. W. Tang
Summary: This study assessed the real-world effectiveness of Rehmannia-6-based Chinese medicine treatment on eGFR and albuminuria in patients with diabetes and CKD. The results showed that this Chinese medicine treatment had a positive effect on improving eGFR and reducing albuminuria.
CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2023)
Article
Medicine, General & Internal
C. Hsu, Wei Yang, Rishi V. Parikh, Amanda H. Anderson, Teresa K. Chen, Debbie L. Cohen, Jiang He, Madhumita J. Mohanty, James P. Lash, Katherine T. Mills, Anthony N. Muiru, Afshin Parsa, Milda R. Saunders, Tariq Shafi, Raymond R. Townsend, Sushrut S. Waikar, J. Wang, Myles Wolf, Thida C. Tan, Harold I. Feldman, Alan S. Go
Summary: The study found that using serum creatinine levels to estimate GFR without taking race (or genetic ancestry) into account led to systematic misclassification. Estimating GFR with cystatin C produced similar results while eliminating negative consequences of race-based approaches.
NEW ENGLAND JOURNAL OF MEDICINE
(2021)
Article
Urology & Nephrology
Philip Vestergaard Munch, Uffe Heide-Jorgensen, Simon Kok Jensen, Henrik Birn, Soren Viborg Vestergaard, Jorgen Frokiaer, Henrik Toft Sorensen, Christian Fynbo Christiansen
Summary: In this study, the CKD-EPI21 equation performed slightly better than the CKD-EPI09-NB equation in Danish patients, especially in the total cohort, cancer patients, and potential living kidney donors. Although the CKD-EPI09-NB equation performed slightly better in patients with mGFR <60 mL/min/1.73 m(2), the differences were considered clinically insignificant.
CLINICAL KIDNEY JOURNAL
(2023)
Article
Urology & Nephrology
Aqsa Safdar, Waqas Akram, Mahtab Ahmad Khan, Muhammad Nadeem Alvi
Summary: This study assessed the performance of different equations for estimating glomerular filtration rate in a chronic kidney disease population in Pakistan. The CKD-EPIPK equation showed the best performance compared to other equations.
JOURNAL OF NEPHROLOGY
(2023)
Article
Transplantation
Matthew A. Weir, Michael Walsh, Meaghan S. Cuerden, Jessica M. Sontrop, Bradley L. Urquhart, Yong Jin Lim, Laura C. Chambers, Amit X. Garg
Summary: In this randomized, double-blind, placebo-controlled trial, it was found that micro-particle curcumin capsules (90 mg/day) did not slow the progression of albuminuric CKD over a period of 6 months.
NEPHROLOGY DIALYSIS TRANSPLANTATION
(2023)
Article
Immunology
Pierre Delanaye, Ingrid Masson, Nicolas Maillard, Hans Pottel, Christophe Mariat
Summary: This study compared the predictive performance of the new CKD-EPI equation, classical CKD-EPI equation, and EKFC equation in a French cohort of KTRs. The results showed that the new CKD-EPI equation was less accurate compared to the classical CKD-EPI and EKFC equations. Further validation of the EKFC equation in KTRs with diverse ethnic backgrounds is needed.
Article
Urology & Nephrology
Adriana V. Gregory, Aleksandar Denic, Amr Moustafa, Praveen G. Dasaraju, Bhavya Poudyal, Joshua J. Augustine, Aidan F. Mullan, Panagiotis Korfiatis, Andrew D. Rule, Timothy L. Kline
Summary: The study investigates the clinical importance of the size and number of kidney lobes. It finds that the cortex and medullary volumes and pyramid counts reflect variations in nephron number and size and age-related nephrosclerosis.
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
(2023)
Article
Environmental Sciences
Habyeong Kang, Jung Pyo Lee, Kyungho Choi
Summary: Exposure to consumer chemicals has been found to have inconsistent associations with estimated glomerular filtration rate (eGFR) when adjusted by different methods, but novel covariate-adjusted creatinine standardization revealed significant inverse associations. Phthalate metabolites, DEHP, and BPA were identified as major drivers of the association with eGFR or ACR in mixture exposure models using weighted quantile sum regression. The study suggests that exposure to specific chemicals may lead to declined eGFR and increased ACR in the general adult population.
SCIENCE OF THE TOTAL ENVIRONMENT
(2021)
Article
Endocrinology & Metabolism
Lotta S. Holopainen, Hanna H. Taehtinen, Mika Gissler, Paeivi E. Korhonen, Mikael O. Ekblad
Summary: This study found that compared to women with a higher body surface area (BSA), underweight and normal weight pregnant women with a smaller BSA may be more susceptible to gestational diabetes mellitus (GDM) and have a pathological oral glucose tolerance test (OGTT). In overweight pregnant women, a higher BSA may increase the risk of GDM and pathological OGTT. Additionally, maternal smoking may increase the risk of diabetes and pathological OGTTs in almost all body mass index groups.
ACTA DIABETOLOGICA
(2023)
Article
Endocrinology & Metabolism
Daniel C. Bittel, Adam J. Bittel, Arun S. Varadhachary, Terri Pietka, David R. Sinacore
Summary: Two-thirds of individuals with type 2 diabetes will develop chronic kidney disease, leading to early frailty, mobility deficits, and increased mortality risk. The mechanisms linking renal decline to mobility deficits are crucial for identifying high-risk individuals and formulating effective treatment strategies. Skeletal muscle energetics and mitochondrial function play a key role in impairing physical function in the progression of T2DM-induced CKD.
Review
Urology & Nephrology
Francesco Trevisani, Matteo Floris, Alessandra Cinque, Arianna Bettiga, Giacomo Dell'Antonio
Summary: Accurate assessment of renal function is crucial for personalized medical approaches. However, the current CKD classification system has significant shortcomings that can lead to misleading diagnoses.