Kevan Polkinghorne 🇳🇿

@dialysisbloke.bsky.social

#Nephrologist at Monashhealth Prof of Medicine, Monash University #Haemodialysis #BioStats #Epidemiology Melbourne, Australia #MedSky #NephSky #SkyNeph

✅ New Clinical Guidance for Kidney Stone Management Managing kidney stones effectively requires timely decisions and tailored evaluation. This visual summary highlights key steps from acute presentation to post-stone evaluation:

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Stop complaining about pill burden in ESRD! There is no pill you are giving your dialysis patient that has data half as impressive as this study. If they are taking too many pills have them stop any of the dozen pills they are taking with ZEERO data in ESRD. #NephJC

The success rate for NHMRC Ideas Grants announced yesterday was just over 8%. That means 11 of every 12 people who applied got rejected. This is a culture changing level of rejection and frankly a point of national shame. This is a crisis for research. I will not rest until we see this resolved.

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Among more than 800 000 CKD-PC participants, discordance between cystatin C and creatinine eGFR values was associated with increased risk of death, cardiovascular events, and kidney failure. ja.ma/47A5Gdd

JAMA graph: Discordance in Creatinine- and Cystatin C-Based eGFR. Figure 2 shows association of estimated glomerular filtration rate difference with risks of long-term adverse outcomes. Hazard ratio vs. Difference between eGFRcys and eGFRcr, % for Death, CVD death, Heart failure, ASCVD, KFRT.