Women in Nephrology Leadership
Publication date: November 2018Source: Advances in Chronic Kidney Disease, Volume 25, Issue 6Author(s): Wendy Weinstock Brown, Sharon AndersonWomen and men tend to take different paths to leadership, with men being more intentional. When women do undertake leadership activities, they tend to be surprised by how much they enjoy it. Women's leadership styles tend to be more collaborative and inclusive. Women are used to multitasking and tend to persist under difficult circumstances. The nephrology manpower crisis affects both men and women, although some of the drivers are different. There is a persistent and well-known pay ...
Source: Advances in Chronic Kidney Disease - December 9, 2018 Category: Urology & Nephrology Source Type: research

Leading Integrated Kidney Care Entities of the Future
Publication date: November 2018Source: Advances in Chronic Kidney Disease, Volume 25, Issue 6Author(s): Douglas S. Johnson, Klemens B. MeyerThe leaders of 20th century kidney failure treatment took chances; 21st century leaders of integrated kidney care must do the same. Some risks are clinical, some are organizational, and some are financial. Decent and constructive leadership entails humility. A working practitioner is a better leader. Effective leaders empower their employees and collaborators to lead and encourage them to work together. Integrated kidney care leadership supports exchange of ideas within and among organ...
Source: Advances in Chronic Kidney Disease - December 9, 2018 Category: Urology & Nephrology Source Type: research

Leadership in the Industry Arena: Nephrologists in Nonclinical Leadership Roles
Publication date: November 2018Source: Advances in Chronic Kidney Disease, Volume 25, Issue 6Author(s): Akhtar AshfaqOf late, fewer residents are choosing nephrology as a career. Contributing factors may include lack of prestige, uncertain potential of future income, and poor work-life balance. Some current nephrologists are considering transitioning to another career for similar reasons. For those who decide that practicing nephrology is no longer appealing, there are many available avenues where they can use their nephrology expertise and still have a successful future. A leadership role in the pharmaceutical industry is...
Source: Advances in Chronic Kidney Disease - December 9, 2018 Category: Urology & Nephrology Source Type: research

Masthead
Publication date: September 2018Source: Advances in Chronic Kidney Disease, Volume 25, Issue 5Author(s): (Source: Advances in Chronic Kidney Disease)
Source: Advances in Chronic Kidney Disease - October 9, 2018 Category: Urology & Nephrology Source Type: research

Editorial Board
Publication date: September 2018Source: Advances in Chronic Kidney Disease, Volume 25, Issue 5Author(s): (Source: Advances in Chronic Kidney Disease)
Source: Advances in Chronic Kidney Disease - October 9, 2018 Category: Urology & Nephrology Source Type: research

Table of Contents
Publication date: September 2018Source: Advances in Chronic Kidney Disease, Volume 25, Issue 5Author(s): (Source: Advances in Chronic Kidney Disease)
Source: Advances in Chronic Kidney Disease - October 9, 2018 Category: Urology & Nephrology Source Type: research

A Tale of Two Failures: A Guide to Shared Decision-Making for Heart and Renal Failure
Publication date: September 2018Source: Advances in Chronic Kidney Disease, Volume 25, Issue 5Author(s): Hesham Shaban, Jerry Yee (Source: Advances in Chronic Kidney Disease)
Source: Advances in Chronic Kidney Disease - October 9, 2018 Category: Urology & Nephrology Source Type: research

Cardiorenal Syndrome: A Call to Action for a Pressing Medical Issue
Publication date: September 2018Source: Advances in Chronic Kidney Disease, Volume 25, Issue 5Author(s): Peter A. McCullough, Sandeep Soman (Source: Advances in Chronic Kidney Disease)
Source: Advances in Chronic Kidney Disease - October 9, 2018 Category: Urology & Nephrology Source Type: research

Cardiorenal Syndrome: An Overview
Publication date: September 2018Source: Advances in Chronic Kidney Disease, Volume 25, Issue 5Author(s): Claudio Ronco, Antonio Bellasi, Luca Di LulloIt is well established that a large number of patients with acute decompensated heart failure present with various degrees of heart and kidney dysfunction usually primary disease of heart or kidney often involve dysfunction or injury to the other. The term cardiorenal syndrome increasingly had been used without a consistent or well-accepted definition. To include the vast array of interrelated derangements and to stress the bidirectional nature of heart-kidney interactions, a...
Source: Advances in Chronic Kidney Disease - October 9, 2018 Category: Urology & Nephrology Source Type: research

Epidemiology of Cardiorenal Syndrome
Publication date: September 2018Source: Advances in Chronic Kidney Disease, Volume 25, Issue 5Author(s): Junior UdumanCardiorenal syndrome is a spectrum of disorders that emphasizes the bidirectional nature of cardiac and kidney injury. Observational and retrospective studies have helped us to understand the prevalence and burden of each of the 5 types of cardiorenal syndromes. Cardiorenal syndrome type 1 is the most common. The nature of epidemiologic data limits clear delineation between cardiorenal syndrome types 2 and 4. Overall, the presence of cardiac or renal dysfunction strongly predicts a poor outcome of the contr...
Source: Advances in Chronic Kidney Disease - October 9, 2018 Category: Urology & Nephrology Source Type: research

Pathophysiological Mechanisms in Cardiorenal Syndrome
Publication date: September 2018Source: Advances in Chronic Kidney Disease, Volume 25, Issue 5Author(s): Janani Rangaswami, Roy O. MathewCardiorenal syndrome represents the confluence of intricate hemodynamic, neurohormonal, and inflammatory pathways that initiate and propagate the maladaptive cross talk between the heart and kidneys. Several of these pathophysiological principles were described in older historical experiments. The last decade has witnessed major efforts in streamlining its definition, clinical phenotypes, and classification to improve diagnostic accuracy and deliver optimal goal-directed medical therapies...
Source: Advances in Chronic Kidney Disease - October 9, 2018 Category: Urology & Nephrology Source Type: research

Heart–Kidney Interactions in Cardiorenal Syndrome Type 1
Publication date: September 2018Source: Advances in Chronic Kidney Disease, Volume 25, Issue 5Author(s): Alberto Palazzuoli, Gaetano RuoccoThe exact significance of kidney function deterioration during acute decompensated heart failure (ADHF) episodes is still under debate. Several studies reported a wide percentage of worsening renal function (WRF) in ADHF patients ranging from 20% to 40%. This is probably because of different populations enrolled with different baseline kidney and cardiac function, varying definition of acute kidney injury (AKI), etiology of kidney dysfunction (KD), and occurrence of transient or permane...
Source: Advances in Chronic Kidney Disease - October 9, 2018 Category: Urology & Nephrology Source Type: research

Toward Precision Medicine in the Cardiorenal Syndrome
Publication date: September 2018Source: Advances in Chronic Kidney Disease, Volume 25, Issue 5Author(s): Nicholas Wettersten, Alan S. Maisel, Dinna N. CruzAlthough the field of oncology has made significant steps toward individualized precision medicine, cardiology and nephrology still often use a “one size fits all” approach. This applies to the intersection of the heart-kidney interaction and the cardiorenal syndrome as well. Recent studies have shown that the prognostic implications of worsening renal function (WRF) in acute heart failure are variable; thus, there is a need to differentiate the implications of WRF t...
Source: Advances in Chronic Kidney Disease - October 9, 2018 Category: Urology & Nephrology Source Type: research

Diuretics in the Management of Cardiorenal Syndrome
Publication date: September 2018Source: Advances in Chronic Kidney Disease, Volume 25, Issue 5Author(s): Chandrika Chitturi, James E. NovakThe leading cause of death worldwide is cardiovascular disease. The heart and the kidneys are functionally interdependent, such that dysfunction in one organ may cause dysfunction in the other. By one estimate, more than 60% of patients with congestive heart failure develop chronic kidney disease. Volume overload and congestion are hallmarks of heart failure, and these findings are associated with severe symptoms and poor outcomes. Given the importance of congestion, diuretics remain a ...
Source: Advances in Chronic Kidney Disease - October 9, 2018 Category: Urology & Nephrology Source Type: research

Extracorporeal Isolated Ultrafiltration for Management of Congestion in Heart Failure and Cardiorenal Syndrome
Publication date: September 2018Source: Advances in Chronic Kidney Disease, Volume 25, Issue 5Author(s): Amir Kazory, Maria Rosa CostanzoAcute decompensated heart failure has the highest rate of hospital readmission among all medical conditions and portends a significant financial burden on health care system. Congestion, the hallmark of acute decompensated heart failure, represents the primary reason for hospitalization and the driver of adverse outcomes in these patients. Although diuretic-based medical regimens remain the mainstay of management of acute decompensated heart failure, they often show suboptimal efficacy an...
Source: Advances in Chronic Kidney Disease - October 9, 2018 Category: Urology & Nephrology Source Type: research