American Journal of Kidney Diseases最新文献

{"title":"A Perspective on the Role of Nephrologists in the Cardio-Kidney-Metabolic Syndrome","authors":"Vikas S. Sridhar,Adeera Levin","doi":"10.1053/j.ajkd.2026.06.018","DOIUrl":"https://doi.org/10.1053/j.ajkd.2026.06.018","url":null,"abstract":"","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"19 1","pages":""},"PeriodicalIF":13.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149020242","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":"The ‘Known Unknowns’ of CKD of Undetermined Etiology In 2026","authors":"Ben Caplin,Prabhdeep Kaur,Thilanga Ruwanpathirana,Neil Pearce,Marvin Gonzalez-Quiroz","doi":"10.1053/j.ajkd.2026.05.025","DOIUrl":"https://doi.org/10.1053/j.ajkd.2026.05.025","url":null,"abstract":"","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"17 1","pages":""},"PeriodicalIF":13.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149020240","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":"The Role of Angiopoietin-Like Proteins 3 and 4 and Their Target Lipases in CKD: A Drug-Target Mendelian Randomization Study","authors":"Guoyi Yang,David Y. Zhang,Clara J. Fischman,Marina Cuchel,Katalin Susztak,Daniel J. Rader","doi":"10.1053/j.ajkd.2026.06.015","DOIUrl":"https://doi.org/10.1053/j.ajkd.2026.06.015","url":null,"abstract":"","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"19 1","pages":""},"PeriodicalIF":13.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149020243","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":"Key Elements of Clinical Communication After Inpatient Acute Kidney Injury: Modified Delphi Study From the AKINow Recovery Workgroup.","authors":"Y Diana Kwong, Samuel A Silver, Javier A Neyra, Ian E McCoy, Jia H Ng, Emaad M Abdel-Rahman, Leslie S Gewin, Erin F Barreto, Bonnie L Freshly, Kimberly A Koester, Anitha Vijayan","doi":"10.1053/j.ajkd.2026.05.018","DOIUrl":"10.1053/j.ajkd.2026.05.018","url":null,"abstract":"<p><strong>Rationale & objective: </strong>There is a lack of consensus on the key elements needed to foster clear and effective clinical communication after an episode of inpatient acute kidney injury (AKI). This study achieved consensus on key elements of AKI communication between inpatient and outpatient health care professionals.</p><p><strong>Study design: </strong>Three sequential rounds of a modified Delphi process to develop, refine, and achieve consensus on items for inclusion in standardized post-AKI clinical communications. Each round included a survey followed by a virtual discussion.</p><p><strong>Settings & participants: </strong>Forty-seven participants from 12 countries were recruited through purposive and snowball sampling, including 33 physicians (27 nephrologists), 10 allied health practitioners, and 4 patients and/or caregivers.</p><p><strong>Analytic approach: </strong>Quantitative data were summarized using counts and percentages. Qualitative content analysis was performed to capture additional themes. Consensus recommendations (≥80% agreement) and qualitative findings were iteratively integrated into a draft communication guide.</p><p><strong>Results: </strong>Participants strongly agreed that post-AKI communication between health care teams should focus on medication changes and the description of the trends in serum creatinine. For patients requiring dialysis at discharge, the dates dialysis began and was last administered should be reported. Topics of post-AKI communication by clinicians to patients should focus on medication changes as well as follow-up testing and clinical monitoring. Qualitative evaluation highlighted that the effectiveness of a post-AKI communication guide depends on the systematic reporting of clinical information, the provision of actionable guidance for health care professionals and patients, and the promotion of kidney recovery monitoring.</p><p><strong>Limitations: </strong>Potentially limited generalizability because participants were mostly health care practitioners from high-resource settings.</p><p><strong>Conclusions: </strong>A multidisciplinary panel of stakeholders reached consensus on key elements of post-AKI clinical communication. The recommendations may valuably inform post-AKI care.</p><p><strong>Plain-language summary: </strong>Communication among doctors and education of patients remains inconsistent after an episode of inpatient acute kidney injury (AKI). This study investigated the information that should be shared after discharge from the hospital after AKI. After receiving input and repeated feedback from a diverse group of health care professionals and patients who have experienced AKI, consensus was reached on key elements needed to guide standardized clinical communication of inpatient providers with patients and their outpatient providers. The study findings may be used to support better communication and follow-up care after a hospitalization that was complicated by AKI.<","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":" ","pages":""},"PeriodicalIF":9.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148705467","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":"In Reply to \"Considerations on Body Mass Index Stratification in Autosomal Dominant Polycystic Kidney Disease Body-Composition Research\".","authors":"Yong Chul Kim,Dha Woon Im,Jae Yoon Park","doi":"10.1053/j.ajkd.2026.07.002","DOIUrl":"https://doi.org/10.1053/j.ajkd.2026.07.002","url":null,"abstract":"","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"49 1","pages":""},"PeriodicalIF":13.2,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148462643","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":"Considerations on BMI Stratification in ADPKD Body-Composition Research.","authors":"Xun Hu,Long Long","doi":"10.1053/j.ajkd.2026.04.015","DOIUrl":"https://doi.org/10.1053/j.ajkd.2026.04.015","url":null,"abstract":"","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"12 17 1","pages":""},"PeriodicalIF":13.2,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148462623","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":"Trends in Pregnancy After Kidney Transplantation in the United States","authors":"Chenxi Gao, Gayathri Menon, Malika Wilson, Yiting Li, Sunjae Bae, Byoungjun Kim, Babak J. Orandi, Allan B. Massie, Mario P. DeMarco, Aprajita Mattoo, Lauren M. Kucirka, Dorry L. Segev, Mara A. McAdams-DeMarco","doi":"10.1053/j.ajkd.2026.01.015","DOIUrl":"10.1053/j.ajkd.2026.01.015","url":null,"abstract":"","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"88 1","pages":"Pages 110-113"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147733789","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":"KDOQI US Commentary on the KDIGO 2025 Clinical Practice Guideline for the Management of Immunoglobulin A Nephropathy (IgAN) and Immunoglobulin A Vasculitis (IgAV)","authors":"Isabelle Ayoub,&nbsp;Gaia Coppock,&nbsp;Shikha Wadhwani,&nbsp;Timothy Yau","doi":"10.1053/j.ajkd.2026.02.639","DOIUrl":"10.1053/j.ajkd.2026.02.639","url":null,"abstract":"<div><div>The Kidney Disease Outcomes Quality Initiative (KDOQI) convened a work group to review the 2025 KDIGO (Kidney Disease: Improving Global Outcomes) Clinical Practice Guideline for the Management of Immunoglobulin A Nephropathy (IgAN) and Immunoglobulin A Vasculitis (IgAV). The KDOQI work group reviewed the KDIGO guideline statements and practice points and provided perspective for implementation within the context of clinical practice in the United States. Our understanding of the pathophysiology of IgAN has led to several treatment options that are new to this clinical practice guideline. With many ongoing studies on agents with novel therapeutic mechanisms of action, the KDOQI work group acknowledges the challenges in selecting the appropriate disease modifying agents for such a heterogenous disease. In this commentary, the work group addresses the importance of risk stratification of IgAN while emphasizing the novel therapeutic options that are now available to prevent disease progression.</div></div>","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"88 1","pages":"Pages 18-35"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Perspective on the KDOQI US Commentary on the Management of Immunoglobulin A Nephropathy and Immunoglobulin A Vasculitis","authors":"Sarah E. Davis,&nbsp;Malkia S. White,&nbsp;Kelli Collins Damron","doi":"10.1053/j.ajkd.2026.05.003","DOIUrl":"10.1053/j.ajkd.2026.05.003","url":null,"abstract":"","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"88 1","pages":"Pages 36-37"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148283067","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":"Burden and Outcomes Associated With Heart Failure Hospitalizations Among Patients Treated With Dialysis","authors":"Mahlet Assefa,&nbsp;Leila R. Zelnick,&nbsp;Bryan Kestenbaum,&nbsp;Karen S. De Wolski,&nbsp;Nisha Bansal","doi":"10.1053/j.ajkd.2026.01.016","DOIUrl":"10.1053/j.ajkd.2026.01.016","url":null,"abstract":"","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"88 1","pages":"Pages 114-117"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147735300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}