Derek K. Ng , Matthew B. Matheson , Erum A. Hartung
{"title":"Progress, challenges, and pragmatic concessions in predicting relative risk of kidney survival in ARPKD","authors":"Derek K. Ng , Matthew B. Matheson , Erum A. Hartung","doi":"10.1016/j.kint.2025.02.018","DOIUrl":"10.1016/j.kint.2025.02.018","url":null,"abstract":"<div><div>Autosomal recessive polycystic kidney disease is rare, with heterogeneous disease progression toward kidney failure. Risk stratification tools are needed to identify patients at higher risk of progression. Burgmaier <em>et al.</em> developed a relative risk score model in the international ARPKD registry for children older than 2 months of age without kidney failure. Their regression-based model included 5 predictors and yielded a simple prognostic score that classified “lower-risk” and “higher-risk” groups. Discrimination separating these 2 groups was good, but there are potential future opportunities for absolute risk prediction. We discuss considerations for the interpretation of relative risk scores and external validation of prediction models in rare diseases like autosomal recessive polycystic kidney disease.</div></div>","PeriodicalId":17801,"journal":{"name":"Kidney international","volume":"107 5","pages":"Pages 788-791"},"PeriodicalIF":14.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jürgen Floege , Keisha L. Gibson , Marina Vivarelli , Adrian Liew , Jai Radhakrishnan , Ethan M. Balk , Craig E. Gordon , Gaelen Adam , Marcello Tonelli , Amy Earley , Brad H. Rovin
{"title":"Executive summary of the KDIGO 2025 Clinical Practice Guideline for the Management of Nephrotic Syndrome in Children","authors":"Jürgen Floege , Keisha L. Gibson , Marina Vivarelli , Adrian Liew , Jai Radhakrishnan , Ethan M. Balk , Craig E. Gordon , Gaelen Adam , Marcello Tonelli , Amy Earley , Brad H. Rovin","doi":"10.1016/j.kint.2024.11.006","DOIUrl":"10.1016/j.kint.2024.11.006","url":null,"abstract":"<div><div>The Kidney Disease: Improving Global Outcomes (KDIGO) Clinical Practice Guideline for the Management of Glomerular Diseases was last updated and published in 2021. KDIGO continues to be committed to the nephrology community to provide periodic updates, based on new developments for each of the glomerular diseases. For children with nephrotic syndrome, the updated guideline now contains a treatment algorithm on when to perform a kidney biopsy and/or genetic testing and which immunosuppressive therapy to use in children with a complete response to glucocorticoids (steroid sensitive), who subsequently become infrequent or frequent relapsers or even steroid dependent. If a glucocorticoid-sparing agent must be considered after failure of an initial glucocorticoid therapy to induce remission, the choice among a calcineurin inhibitor, oral cyclophosphamide, levamisole, mycophenolate mofetil, and rituximab is a decision that requires consideration of patient-related issues such as resources, adherence, adverse effects, and patient preferences. Herein, an executive summary of the most important changes in the KDIGO 2025 Clinical Practice Guideline for the Management of Nephrotic Syndrome in Children is provided as a quick reference.</div></div>","PeriodicalId":17801,"journal":{"name":"Kidney international","volume":"107 5","pages":"Pages 806-808"},"PeriodicalIF":14.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Using donor-derived cell-free DNA in kidney transplant patients: this jury needs more evidence","authors":"Nay Seif , Roy D. Bloom","doi":"10.1016/j.kint.2024.10.029","DOIUrl":"10.1016/j.kint.2024.10.029","url":null,"abstract":"","PeriodicalId":17801,"journal":{"name":"Kidney international","volume":"107 5","pages":"Pages 796-799"},"PeriodicalIF":14.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer S.Y. Li , Harry Robertson , Katie Trinh , Arti M. Raghubar , Quan Nguyen , Nicholas Matigian , Ellis Patrick , Angus W. Thomson , Andrew J. Mallett , Natasha M. Rogers
{"title":"Corrigendum to “Tolerogenic dendritic cells protect against acute kidney injury.” Kidney International 2023;104:492–507","authors":"Jennifer S.Y. Li , Harry Robertson , Katie Trinh , Arti M. Raghubar , Quan Nguyen , Nicholas Matigian , Ellis Patrick , Angus W. Thomson , Andrew J. Mallett , Natasha M. Rogers","doi":"10.1016/j.kint.2025.02.001","DOIUrl":"10.1016/j.kint.2025.02.001","url":null,"abstract":"","PeriodicalId":17801,"journal":{"name":"Kidney international","volume":"107 5","pages":"Page 949"},"PeriodicalIF":14.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}