{"title":"Peritoneal Dialysis in the United States: Growing Pains or Making Gains?","authors":"Lawrence B. Slapcoff , Jeffrey Perl","doi":"10.1053/j.ajkd.2025.08.002","DOIUrl":"10.1053/j.ajkd.2025.08.002","url":null,"abstract":"","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"86 4","pages":"Pages 434-436"},"PeriodicalIF":8.2,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938873","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":"Operationalizing Environmental Sustainability in Kidney Care at System and Provider Levels: Knowledge Is the First Step","authors":"Isabelle Ethier , Caroline Stigant","doi":"10.1053/j.ajkd.2025.08.001","DOIUrl":"10.1053/j.ajkd.2025.08.001","url":null,"abstract":"","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"86 4","pages":"Pages 429-431"},"PeriodicalIF":8.2,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938797","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":"From What to Why: Mechanistic Understandings Behind Sex Differences in Peritoneal Dialysis Discontinuation","authors":"Sandipan Shringi, Edward Medeiros, Ankur D. Shah","doi":"10.1053/j.ajkd.2025.08.003","DOIUrl":"10.1053/j.ajkd.2025.08.003","url":null,"abstract":"","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"86 4","pages":"Pages 432-433"},"PeriodicalIF":8.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938850","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}
Craig E. Gordon , Pranav S. Garimella , Ronald D. Perrone , Dana C. Miskulin
{"title":"Autosomal Dominant Polycystic Kidney Disease: Core Curriculum 2025","authors":"Craig E. Gordon , Pranav S. Garimella , Ronald D. Perrone , Dana C. Miskulin","doi":"10.1053/j.ajkd.2025.05.010","DOIUrl":"10.1053/j.ajkd.2025.05.010","url":null,"abstract":"<div><div>Autosomal dominant polycystic kidney disease (ADPKD) is the most common genetic cause of kidney failure. Scientific advances have improved the approach to diagnosis, prognosis, and management of renal and extrarenal manifestations. The combination of total kidney volume, kidney function, and the genetic mutation (if known), predicts risk for progression to kidney failure, thereby identifying patients in whom disease modifying therapy is recommended. Currently there is one therapy approved by the US Food and Drug Administration (FDA) for slowing ADPKD progression, the V2 receptor antagonist, tolvaptan. Other therapies are under active investigation for ADPKD. This Core Curriculum discusses diagnosis and management of the renal and extrarenal manifestations seen in ADPKD including acute and chronic pain and cyst infection and polycystic liver disease and intracranial aneurysm. Management of hypertension and women’s health and pregnancy management in ADPKD are covered. This review was aligned with the findings of the recently published Kidney Disease Improving Global Outcomes (KDIGO) clinical practice guideline for the Evaluation, Management, and Treatment of ADPKD.</div></div>","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"86 4","pages":"Pages 525-542"},"PeriodicalIF":8.2,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144899173","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}
Prince Mohan Anand MD, Neeraj Singh MD, Gaurav Gupta MD, Mona Doshi MD, Bekir Tanriover MD, Deborah Adey MD, Krista L. Lentine MD PhD, Silke Niederhaus MD, Ronald F. Parsons MD, Alexander Wiseman MD, Matthew Cooper MD, Gary Singer MD, Darshana Dadhania MD, Roy D. Bloom MD
{"title":"Transition of Care of Kidney Recipients from Transplant Centers to Referring Nephrologists: Report from the American Society of Transplantation Controversies Conference","authors":"Prince Mohan Anand MD, Neeraj Singh MD, Gaurav Gupta MD, Mona Doshi MD, Bekir Tanriover MD, Deborah Adey MD, Krista L. Lentine MD PhD, Silke Niederhaus MD, Ronald F. Parsons MD, Alexander Wiseman MD, Matthew Cooper MD, Gary Singer MD, Darshana Dadhania MD, Roy D. Bloom MD","doi":"10.1053/j.ajkd.2025.06.016","DOIUrl":"https://doi.org/10.1053/j.ajkd.2025.06.016","url":null,"abstract":"The expanding number of surviving kidney transplant patients, driven in part by federal initiatives to increase transplant access for patients with advanced CKD, has strained the capacity of the existing transplant nephrology workforce to manage longer-term post-transplant recipients. As patients are living longer with working allografts, the need for effective long-term management has become very important. This can only be achieved by closer collaboration between transplant centers and referring nephrologists. There is, therefore, a great need for closer involvement of referring nephrologists in providing care for this medically complex patient population, necessitating ongoing bidirectional communication with transplant centers. The American Society of Transplantation Kidney Pancreas Community of Practice organized a Controversies Conference in October 2022 to identify major challenges and propose guidance for collaborative, safe and standardized care transition and longitudinal management of this population. This article summarizes the key themes, strategies, and recommendations that emerged from the conference, offering a roadmap for enhancing collaborative care models and supporting a sustainable system to manage the evolving needs of this medically complex patient population.","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"50 1","pages":""},"PeriodicalIF":13.2,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144899175","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}
Ali Shah , Meghan Gwinn , Sayna Norouzi , Zainab Obaidi
{"title":"A Patient With HIV and Nephrotic Range Proteinuria: A Quiz","authors":"Ali Shah , Meghan Gwinn , Sayna Norouzi , Zainab Obaidi","doi":"10.1053/j.ajkd.2025.05.006","DOIUrl":"10.1053/j.ajkd.2025.05.006","url":null,"abstract":"","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"86 3","pages":"Pages A15-A18"},"PeriodicalIF":8.2,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144863496","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":"Missed Opportunities: Rethinking Primary Care Engagement in Dialysis-Dependent Populations","authors":"Brittany N. Watson, Clarissa J. Diamantidis","doi":"10.1053/j.ajkd.2025.07.001","DOIUrl":"10.1053/j.ajkd.2025.07.001","url":null,"abstract":"","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"86 4","pages":"Pages 423-425"},"PeriodicalIF":8.2,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144870851","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}
Anthony J. Bleyer MD MS, Kendrah O. Kidd PhD, Martina Živná PhD, Stanislav Kmoch PhD
{"title":"Autosomal Dominant Tubulointerstitial Kidney Disease: A Review","authors":"Anthony J. Bleyer MD MS, Kendrah O. Kidd PhD, Martina Živná PhD, Stanislav Kmoch PhD","doi":"10.1053/j.ajkd.2025.05.015","DOIUrl":"https://doi.org/10.1053/j.ajkd.2025.05.015","url":null,"abstract":"Autosomal dominant tubulointerstitial kidney disease (ADTKD) is an increasingly recognized rare condition with three primary characteristics: autosomal dominant inheritance, bland urinary sediment (absence of hematuria and proteinuria) and chronic kidney disease (CKD) leading to kidney failure (need for renal replacement therapy or kidney transplantation) between 20 and 80 years of age, with a mean age of kidney failure of approximately 45 years. Pathogenic variants in <ce:italic>UMOD</ce:italic>, <ce:italic>MUC1</ce:italic>, <ce:italic>REN</ce:italic>, and <ce:italic>APOA4</ce:italic> have been identified as causative in ADTKD families. Prior to 2000, ADTKD was only diagnosed clinically, and described in less than 50 families. However, with the advent of genetic testing and a better understanding of this condition, ADTKD is being increasingly recognized and is the third most common monogenic cause of kidney failure. The purpose of this review is to provide an understanding of the clinical characteristics of ADTKD, its subtypes and a practical approach to diagnosis and management for clinical nephrologists.","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"85 2 1","pages":""},"PeriodicalIF":13.2,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144899177","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}
Aleksandra Kukla MD, Ricardo V. Cohen MD, Allon N. Friedman MD
{"title":"Metabolic Bariatric Surgery in Kidney Transplant Candidates","authors":"Aleksandra Kukla MD, Ricardo V. Cohen MD, Allon N. Friedman MD","doi":"10.1053/j.ajkd.2025.06.015","DOIUrl":"https://doi.org/10.1053/j.ajkd.2025.06.015","url":null,"abstract":"Patients with obesity are the largest and fastest-growing demographic among individuals with renal failure in the United States. Transplant centers often reject patients with high body mass index due to risks of post-transplant complications. Metabolic bariatric surgery, the most efficient and durable weight loss method, can facilitate a timely kidney transplant listing and improve obesity-related comorbidities in a relatively safe manner. In this review, we identify kidney transplant candidates who are likely to benefit from MBS, discuss the potential risks of this procedure, and propose post-surgery monitoring and management to optimize safety and maximize the benefits of this therapy.","PeriodicalId":7419,"journal":{"name":"American Journal of Kidney Diseases","volume":"107 1","pages":""},"PeriodicalIF":13.2,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144899176","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}