CJKHD

A table with columns headers “theme” and “supporting statement”. The theme column list the major themes found in the study interviews. The supporting statements column list examples of participant quotes that describe the associated theme.

Weight management in #CKD patients is key to transplantation eligibility. 12 patients discuss lack of support, family eating habits, endurance, and values of quality of life as key factors to consider. #kidneydisease #obesity @westernu.ca @csnscn.bsky.social

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Summary of sex and gender characteristics of adults on hemodialysis experiencing depression and depressive symptoms (n = 25).

A scoping review found more differences than similarities in #sexandgender related to depression in #hemodialysis patients. Notably higher rates of #depression was observed in females. #kidneyfailure @csnscn.bsky.social @cjkhd.bsky.social @ualberta.bsky.social

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Reasons for non-usage of evidence-based therapies in the C.a.R.E clinic.

Barriers to uptake of evidence-based therapies in the C.a.R.E clinic. @UHN @CSNSCN #kidneyhealth #MedEd

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My Kidneys My Health - Living Well with Chronic Kidney Disease Your comprehensive guide to living well with Chronic Kidney Disease (CKD). Explore diet, medications, symptoms, mental health, and daily life management resources.

The CanSolveCKD team is adapting mykidneysmyhealth.com to better support diverse communities with #CKD. Through patient-oriented research, Indigenous engagement & inclusive design, they're improving access, cultural relevance & sexual health support @csnscn.bsky.social

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This pragmatic randomized control trial determined whether the addition of a virtual monitoring platform can reduce emergency department visits and hospitalizations in advanced #CKD patients. @csnscn.bsky.social @umanitoba.bsky.social

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A #NarrativeReview identifies key barriers that limit the donation of #kidneygrafts after death and proposes different initiatives for potentially expanding the donor pool. #organdonation @mcmasteruniversity.bsky.social @sickkidsto.bsky.social @csnscn.bsky.social

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This figure shows the therapies used by individuals classified as having moderate-to-severe CKD-aP. Of those with moderate-to-severe CKD-aP, 29% were using over-the-counter medications, 1% were using cannabinoids, 9% were taking prescribed Gabapentin or Pregabalin, and 18% were using a combination of these therapies (of these patients 1 was prescribed antihistamines in addition to other treatments). 42% were using no treatments.

The impact of #chronickidneydisease -associated pruritus on quality of life, gaps in care, and the importance of systematic symptom screening. #dialysis @queensuresearch.bsky.social @csnscn.bsky.social

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Figure 4. Mean serum 25(OH)D levels from supplement vs non-supplement groups.

Calcium isn’t just about bones. In dialysis patients, high serum calcium with low #vitaminD meant weaker muscles; supplements helped. Time to rethink calcium’s neuromuscular role. #CalciumMetabolism #Nephrology #Sarcopenia @cjkhd.bsky.social @csnscn.bsky.social

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Figure 2. Montreal cognitive assessment (MoCA).

A #clinicalresearch protocol looks at the prevalence of cognitive impairment in patients undergoing hemodialysis using #VirtualReality cognitive testing
@umanitobasci.bsky.social @dalhousieu.bsky.social @csnscn.bsky.social

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Figure 1. The KRESCENT mentorship team spans across jurisdictions, sectors, and disciplines. 1. Todd Alexander (NPA). KRESCENT Program Director. 2. Adeera Levin (PA), KRESCENT leadership since inception. 3. Sunny Hartwig (PA), KRESCENT Curriculum Chair and KRESCENT alumna. 4. Julie Ho (PA), KRESCENT alumna. 5. Leanne Stalker (PA), Scientific Director of KFoC. 6. Janine Farragher (PA), ECR and KRESCENT alumna. 7. Mary Beaucage (PA), Patient Council member. 8. Kara Schick-Makaroff (PA), KRESCENT alumna. 9. Malcolm King (PA) Indigenous Scholar and former head of the CIHR Institute of Aboriginal Health. 10. Sanjay Pandeya (PA), President of the CSN. 11. Karthik Tennankore (PA). 12. Ana Konvalinka (PA), KRESCENT alumna. 13. Kevin Burns (PA), KRESCENT Founder and former Director. 14. François Madore (PA). 15. Nina Jones (Co-App), KRESCENT alumna. 16. Robert Quinn (Co-App). 17. Lisa Robinson (Co-App) EDI Champion. 18. Morteza Ahmadi (Co-App), KRESCENT alumni entrepreneur. 19. Mitch Abrams (Co-App).

The KRESCENT 2.0 Health Research Training Platform grant process represents a pan-Canadian effort to fund the next generation of kidney scientists through the KRESCENT platform. #kidneydisease #kidneydiseaseawareness #kidneyhealth @csnscn.bsky.social @cjkhd.bsky.social

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A comparative summary of KRESCENT training offerings - from beginning to present (KRESCENT 1.0 to 2.0)

KRESCENT; 2005 -2025 – 20 years! Editorial

#CureKidneyDisease #KRESCENT #Mentoring

@csnscn.bsky.social @cjkhd.bsky.social @ualberta.bsky.social
@ubcmedicine.bsky.social

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Table 1. Cox-Regression Analysis of Kidney-Related Outcomes After Prescription of Anti-Hyperglycemic Medications.

Cox-regression analysis of kidney-related outcomes after prescription of anti-hyperglycemic medications.
#diabetes #kidneydisease #protection @csnscn.bsky.social @cjkhd.bsky.social @ualberta.bsky.social

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Figure 1. Incorporation of lighting, heating and cooling, energy savings, office equipment, office consumables, water savings, and waste management strategies into participants’ kidney care services.

Our survey highlights several simple and pragmatic approaches that kidney care facilities across the country may consider implementing to decrease the environmental burden attributed to #kidneycare. #KidneyResearch
@csnscn.bsky.social @cjkhd.bsky.social

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Figure 1. This risk matrix highlights the outcomes of assessing 15 climate-related scenarios that could impact British Columbia. For more details on each scenario, refer to the Ministry of Environment and Climate Change Strategy’s summary

BC’s Hemodialysis Emergency Support Team is a first-of-its-kind model ensuring #dialysis care continues during crises like wildfires & floods. A blueprint for resilience in renal care. #KidneyHealth #EmergencyPreparedness #CJKHD @csnscn.bsky.social @cjkhd.bsky.social

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Figure 3. Forest plot of comparison: >35 mmol/L versus ≤35 mmol/L dialysate bicarbonate, outcome: pre-dialysis serum bicarbonate at end of study.

Dialysate and oral bicarbonate are used to treat #metabolicacidosis in patients receiving #dialysis. Limited evidence for the effect of different bicarbonate treatment strategies on patient outcomes exists. #RCTs are needed. @cjkhd.bsky.social @csnscn.bsky.social

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Figure 1. Representative image of each organ examined by ultrasound before and after decongestion.

Lung congestion as assessed by point-of-care ultrasonography was associated with worsening #renalfunction in acute heart failure patients - yet other ultrasound measurements were not. #POCUS
@csnscn.bsky.social @cjkhd.bsky.social @mcgilluniversity.bsky.social

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Figure 1. PRISMA figure.

Can pre-op interventions reduce post-parathyroidectomy hypocalcemia in #CKD patients? Our systematic review finds limited but promising evidence. More trials needed! #MedTwitter #NephPearls
@csnscn.bsky.social @cjkhd.bsky.social @ucalgary.bsky.social

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This image illustrates the complexity of barriers and facilitators impacting diabetes self-management in dialysis patients—highlighting how individual, social, and system-level factors are deeply interconnected.

What makes diabetes self-management harder—or easier—for patients on dialysis? From food restrictions to health literacy, the challenges are real.

Let’s talk about what helps and what hinders. #Nephrology #Diabetes #PatientCare #HealthEquity @ucalgary.bsky.social

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There is limited research on impacts for #kidneycare during the COVID-19 pandemic. We used focus groups with #kidneycareproviders about the health and psychosocial impacts of the pandemic, and gathered recommendations for care. @ualberta.bsky.social @ucalgary.bsky.social

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Figure 1. Observed vs expected monthly all-cause mortality rates for adults with advanced CKD prior (March 15, 2017 to February 15, 2020) and during the COVID-19 pandemic (March 15, 2020 to November 15, 2021). Vertical solid line indicates the onset of the COVID-19 pandemic. Table displays observed vs expected rates. Bold font indicates statistical significance at α = 0.05 level.

In a study of 101,688 adults with advanced #CKD in Ontario, all-cause mortality rose 8% during the first 21 months of COVID-19. Non-COVID deaths stayed stable. Hospitalizations and ER visits declined, but nephrology care and AKI rates remained unchanged.@csnscn.bsky.social

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LCA provides detailed environmental impact assessments of individual products or processes, and enables comparisons between functionally equivalent alternatives. LCA is conducted in four stages (Figure 1). LCA design has similarities to clinical outcomes research: the goal is determined (akin to primary and secondary outcomes), the scope or ‘boundary’ is precisely defined (similar to inclusion/exclusion criteria), data are collected, results analysed, and findings interpreted.

A primer on #lifecycleassessment (LCA) is presented, designed to introduce clinicians to LCA methodology, and to understand how a broad range of environmental impacts are reported. A case example of different #hemodialysis modalities is provided. @csnscn.bsky.social

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The authors have adapted the Consolidated Framework for Implementation Research domains to analyze provider perceptions of barriers and enablers in integrating advance care planning in kidney care.

BCRenal team highlights key enablers to advance care planning in chronic kidney disease from renal care provider perspective. #PalliativeCare #Nephrology #AdvanceCarePlanning #QualityImprovement
@csnscn.bsky.social @cjkhd.bsky.social

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A flow diagram illustrating the Canadian Society of Nephrology (CSN) process for developing commentaries. It begins with identifying relevant international guidelines, followed by forming a multidisciplinary working group including clinical experts, allied health professionals, and patient partners. Next, working group members review assigned chapters and complete a pre-meeting survey to assess which recommendations or practice points require discussion. Items flagged for evidence review or Canadian-specific implications are discussed at working group meetings. Based on these discussions, chapters are drafted using a standardized template. The draft is then reviewed by external peer reviewers. After revisions, the final commentary is submitted for publication and disseminated through various platforms including the CSN website, journals, and national networks.

New update from the CSN! We’ve refined how we adapt international guidelines for Canadian practice. Practical, patient-centered, and made for Canada. #nephrology #guidelines
@cjkhd.bsky.social @csnscn.bsky.social

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Figure 5 demonstrates the average number of steps completed toward receiving a kidney transplant which varied from 11.7 (95% CI: 9.3, 14.8) to 44.0 (95% CI: 38.6, 50.1) steps per 100 patient-years across RRPs.

In patients receiving #maintenancedialysis, there is substantial variability across the 4 steps required to receive a #kidneytransplant with the rate of referral varying almost 8-fold across Ontario’s Regional Renal Programs
@lhsccanada.bsky.social @csnscn.bsky.social

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Figure 1. Differential diagnosis of hyperammonemia, organized by mechanisms of increased ammonia production and decreased ammonia clearance

#Hemodialysis in patients with #hyperammonemia can mask underlying causes. A case of recurrent hyperammonemia revealed a portosystemic shunt as the culprit. Consider anatomical shunts in the differential of hyperammonia.
@csnscn.bsky.social @ucalgarymed.bsky.social

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Figure 1. Renal histology. Sharp-edged PAS-negative casts (arrows) in tubular lumen (periodic acid-Schiff stain, original magnification ×400).

A patient presented with severe #AKI and no other symptoms. A #biopsy revealed cast #nephropathy. Bone marrow biopsy ultimately led to a diagnosis of Extranodal Marginal Zone Lymphoma
@csnscn.bsky.social @cjkhd.bsky.social

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Lessons Learned About the Education Needs of Kidney Transplant Recipients: A Mixed-Method Study - Michelle L. Gabriel, Lucy Chen, Sharon Lee, Jenny Accettura, Emily E. Campbell, Melanie Dissanayake, T... Background: Much of the literature on kidney transplant education focuses on educating recipients prior to transplant or in the early postoperative period. It i...

Do the learning needs of patients post #kidneytransplant change? We sought to understand if #education topics are meaningful to patients and if that changes with time.
@csnscn.bsky.social @cjkhd.bsky.social @unityhealthto.bsky.social

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Figure 1. ACHIEVE study flowchart.

Design of the international #ACHIEVE trial comparing spironolactone to placebo in over 2500 people receiving #dialysis for #kidneyfailure.
@csnscn.bsky.social @cjkhd.bsky.social

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A figure representing emerging targets for action to promote inclusion and equity for sexual and gender minorities in transplantation systems.

Emerging targets for action to promote inclusion and equity for sexual and gender #minorities in #transplantation systems. #equity #inclusion

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@csnscn.bsky.social @cjkhd.bsky.social @UM_RadyFHS

Figure 1. Selection process for the nested case-control study.

Routinely measuring blood C-reactive protein levels in the first year after a #kidneytransplant will help identify UTIs sooner, allowing for the initiation of earlier therapy, reducing patient morbidity.
@unityhealthto.bsky.social @csnscn.bsky.social @cjkhd.bsky.social

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