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Nneka Ufere, MD MSCE

@nnekauferemd.bsky.social
1.5K followers 238 following 35 posts

Transplant Hepatologist at Massachusetts General Hospital. My mission statement: Increase healthcare system empathy for patients with cirrhosis #LiverPal #palliativehepatology #geripal #hpm #hapc #medsky #LiverSky

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Nneka Ufere, MD MSCE @nnekauferemd.bsky.social · 18/04/2025
Today we enrolled our 100th patient into our LiverPal RCT assessing whether longitudinal inpatient palliative care can improve outcomes for hospitalized patients with liver disease and their families. What a Good Friday! #palliativehepatology #livertwitter #liversky
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Malinda Lo @malindalo.bsky.social · 14/04/2025
Harvard redid its whole homepage to push back against the administration’s demands. I mean, this is just a website but I think it’s kind of a great PR move: www.harvard.edu
harvard.edu
Harvard University
Harvard University is devoted to excellence in teaching, learning, and research, and to developing leaders who make a difference globally.
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Emily Moin @emilymoin.com · 14/04/2025
How many hospitalized patients need care in the ICU? How many of them survive? What interventions do they receive there? These are some of the questions I had two years ago while trying to write the "background" section for my masters thesis. But I couldn't find the answers... they did not exist.
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Nneka Ufere, MD MSCE @nnekauferemd.bsky.social · 23/01/2025
As hepatologists, there are few things more devastating and very preventable that we see than HBV reactivation. If you are about to start your patient on an immunosuppressant, please keep this figure in mind. #LiverSky #MedSky buff.ly/4gaKqf7
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Nneka Ufere, MD MSCE @nnekauferemd.bsky.social · 21/01/2025
Devastating read. #medsky jamanetwork.com/journals/jam...
jamanetwork.com
A Call for Mental Health Reform in Medical Education—Breaking the Silence
This essay by parents of a medical student who died by suicide calls for medical schools to better address the pressures of medical training and prevent suicide, burnout, and mental stress among healt...
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Elliot Tapper @ebtapper.bsky.social · 17/01/2025
#liversky Guys. Rifaximin
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Juan Turnes @jturnes.bsky.social · 04/01/2025
Albumin is the closest thing to a "universal remedy" in cirrhosis We use it to treat different complications, with good evidence but also with debatable or negative evidence Excellent analysis by Jonel Trebicka & @ggarciatsao.bsky.social doi.org/10.1097/hep.0000000000000521 #LiverSky
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Nneka Ufere, MD MSCE @nnekauferemd.bsky.social · 03/01/2025
Just created a document titled "R01 SA page". So it begins. Both nervous but also really excited to think big. Advice, thoughts, prayers, etc. welcome! #LiverSky
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Nneka Ufere, MD MSCE @nnekauferemd.bsky.social · 17/12/2024
It is rare that an editorial will make me give a standing ovation to the authors - this one recently published in JAMA Internal Medicine by Kieran Quinn and colleagues did: buff.ly/4ggq9FS @kencovinsky.bsky.social #palliativehepatology #liversky #hapc
buff.ly
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Catherine Mezzacappa @mezzc.bsky.social · 16/12/2024
How do we apply the new SLD definitions in research? To study outcomes and implement trials for different SLD subtypes, we first need to be able to accurately identify each clinical entity using medical records/registry data. www.cghjournal.org/article/S154... @amergastroassn.bsky.social
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Journal of Palliative Medicine @j-palliativemed.bsky.social · 13/12/2024
@j-palliativemed.bsky.social Daniel Shalev et al respond to Susan Block's Special Report: Realizing the Imperative: The Future of Mental Health and Palliative Care Integration www.liebertpub.com/doi/10.1089/...
liebertpub.com
Realizing the Imperative: The Future of Mental Health and Palliative Care Integration | Journal of Palliative Medicine
Journal of Palliative Medicine
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Elliot Tapper @ebtapper.bsky.social · 16/12/2024
Everything you want to know about the management of depression and anxiety in #cirrhosis From Zimbrean (@YalePsych) and Jakab (@YaleDigestive) journals.lww.com/hepcomm/full... #liversky
journals.lww.com
Depression and anxiety management in cirrhosis : Hepatology Communications
nd depression are linked to lower health-related quality of life, more severe symptoms (eg, fatigue), and poorer response to medical treatment. Screening instruments for depression and anxiety have sh...
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Josh Briscoe @jbriscoe.bsky.social · 13/12/2024
"What do you want?" This is probably one of the most insidiously deceptive questions in medical decision-making. 1/8 #HAPC #MedSky #MedEd
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Karen Freund @karenfreundmd.bsky.social · 13/12/2024
Wonderful 1st day of @amcollegegastro.bsky.social #DEI Scholar Adjoa Anyane-Yeboa MD MPH in Department of Medicine at Tufts Medical Center Grand Rounds tomorrow: Leveling the Playing Field: Colorectal Cancer Screening in Historically Marginalize Populations
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Jack Iwashyna @iwashyna.bsky.social · 12/12/2024
The always-thoughtful Derek Angus, master of the large randomized trial, calls for “a qualitative assessment of [the clinical team’s] experience [to] provide insight on how the intervention worked and on features considered unhelpful” The future of RCTs includes qual jamanetwork.com/journals/jam...
jamanetwork.com
Do Sepsis Alerts Help?
A great hope of moving from paper to electronic health records (EHRs) is that health data could be scanned in real-time, alerting the care team of potential gaps in care before untoward consequences o...
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J. Sawalla Guseh, M.D. @jsawallagusehmd.bsky.social · 04/12/2024
+1. Incredibly proud of the hard work that went into this comprehensive review on sudden cardiac arrest in athletes. Understanding these events in athletes has implications that echo far beyond the field and touches the health of all young adults. Full Text Link: bit.ly/3B1TxjT
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Eden Bernstein @edenbernstein.bsky.social · 11/12/2024
Great summary of evidence for safety of naltrexone in liver disease 👇
shmpublications.onlinelibrary.wiley.com
Things We Do for No Reason™: Avoiding naltrexone for alcohol use disorder in liver disease
Hospitalizations related to alcohol use disorder (AUD) are common. Yet, few patients receive pharmacotherapy consistent with guideline recommendations. Previous concerns over the potential hepatotoxi...
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Ken Covinsky @kencovinsky.bsky.social · 12/12/2024
Great question to ask our patients during a clinical encounter: "If we could help you with only one thing today, what would you want it to be?" Recommend this wise essay www.nejm.org/doi/full/10....
nejm.org
A Good Day | NEJM
Shared decision making takes time that most clinicians don’t have. So one medical team developed some shortcuts for eliciting essential input from patients with multiple complex problems.
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Nneka Ufere, MD MSCE @nnekauferemd.bsky.social · 10/12/2024
Continually inspired by Dan Shalev's work @pallipsych.bsky.social and excited for ongoing collaborations at intersection of mental health, palliative care, and cirrhosis/transplant care. #pallipsych #palliativehepatology
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J. David McSwane @davidmcswane.bsky.social · 07/12/2024
Let me tell you a story – one of the more haunting I’ve seen in 20 years of journalism. It’s about greed, death and denial. It took two years to unravel one doctor’s myth, a hospital’s complicity in creating it, and a documented trail of suspicious deaths…🧵
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Mark Cuban @mcuban.bsky.social · 06/12/2024
This is going to save hospitals a lot of money ! www.pennmedicine.org/news/news-re...
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Neil Renic @ncrenic.bsky.social · 04/12/2024
Two stages of writing: 1) This shouldn't take too long 2) Oh no
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Nneka Ufere, MD MSCE @nnekauferemd.bsky.social · 24/11/2024
Do conversations about prognosis (defined as "conversation with your hepatologist about the likely outcome of your liver disease over time") cause patients w/ cirrhosis to lose hope? Simple answer: No Work led by🌟@donlan_john in CGH @amergastroassn.bsky.social buff.ly/4i1R6OM #LiverSky
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Nneka Ufere, MD MSCE @nnekauferemd.bsky.social · 24/11/2024
Do conversations about prognosis (defined as "conversation with your hepatologist about the likely outcome of your liver disease over time") cause patients w/ cirrhosis to lose hope? Simple answer: No Work led by🌟@donlan_john in CGH @amergastroassn.bsky.social buff.ly/4i1R6OM #LiverSky
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Daniel Shalev, MD @pallipsych.bsky.social · 20/11/2024
Amazing, formative work by my friend, collaborator, research role model @nnekauferemd.bsky.social Beyond the impact she is having on the care of people living with cirrhosis, she inspires me to think more expansively about what serious illness and #hspc palliative care are—and can be—as we grow…🧵
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Nneka Ufere, MD MSCE @nnekauferemd.bsky.social · 20/11/2024
Psychological distress is prevalent and interdependent among patients with decompensated cirrhosis and their caregivers, confirming cirrhosis as a SHARED EMOTIONAL CONTAGION within dyads - our new study published in @AmJGastro #palliativehepatology journals.lww.com/ajg/abstract...
journals.lww.com
Psychological Distress is Prevalent and Interdependent... : Official journal of the American College of Gastroenterology | ACG
mong 127 patient-caregiver dyads using Actor-Partner Interdependence Modeling. Results: Among dyads, 26% had both partners reporting clinically significant anxiety and 18% reporting clinically sign...
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Nneka Ufere, MD MSCE @nnekauferemd.bsky.social · 18/11/2024
Nice to see Kavish Patidar recognizing our work led by Paige McLean Diaz on RRT decision-making in transplant ineligible patients at #TLM24. Is it time to trial serious illness communication & TLT interventions in the ACLF space? #palliativehepatology #LiverSky #NephSky @juancarlosqvelez.bsky.social
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Andrew Moon @andrewmmoon.bsky.social · 17/11/2024
In the United States, HCC deaths may have plateaued and soon be on the decline due to successful HCV elimination However, persistent increases in MASLD and ALD-related HCC threaten these trends AASLD #TLM24 #Liversky
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Elliot Tapper @ebtapper.bsky.social · 17/11/2024
Validation of the Hospital Anxiety and Depression Scale in #cirrhosis 🫡 @nnekauferemd.bsky.social journals.lww.com/hepcomm/full...
journals.lww.com
Validation of the Hospital Anxiety and Depression Scale in... : Hepatology Communications
An abstract is unavailable.
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Andrew Moon @andrewmmoon.bsky.social · 18/11/2024
Incredibly important numbers to keep in mind as we’re caring for patients with cirrhosis to frame our discussions with patients and families and involvement of palliative care @nnekauferemd.bsky.social discusses important solutions to facilitate patient-centered care at AASLD #TLM24
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Nneka Ufere, MD MSCE @nnekauferemd.bsky.social · 16/11/2024
Ashley Spann just gave an utter MASTERCLASS on the use of technology in transplant care #TLM24
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Nneka Ufere, MD MSCE @nnekauferemd.bsky.social · 15/11/2024
We've officially made it yall. Utibe Essien is on bluesky - give him a follow! @uressien.bsky.social #medsky
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Nneka Ufere, MD MSCE @nnekauferemd.bsky.social · 15/11/2024
Ponni Perumalswami gave such a beautiful talk on management of alcohol-related liver disease at #TLM24 post-graduate course.
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Elliot Tapper @ebtapper.bsky.social · 15/11/2024
Alcohol, a big problem For everyone t.ly/eejfl This is a paper in JAMA from Sethi and Ramon. Please, #liversky, when you see Bataller at #TLM24, tell him he is needed here
t.ly
Trends in Hospitalizations and Liver Transplants Associated With Alcohol-Induced Liver Disease - PubMed
Trends in Hospitalizations and Liver Transplants Associated With Alcohol-Induced Liver Disease
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Juan Carlos Q Vélez, MD @juancarlosqvelez.bsky.social · 12/11/2024
The most effective pharmacological and hemodynamic intervention for the treatment of hepatorenal syndrome #HRS is a substantial MAP raise, as illustrated in this case example
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Nneka Ufere, MD MSCE @nnekauferemd.bsky.social · 13/11/2024
The air smells so much cleaner here 😊. #liversky
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Darren Dahly @statsepi.bsky.social · 12/11/2024
In clinical research, you will often receive feedback on study design, stats, and/or data analysis from an editor or reviewer that is simply wrong. Here is a list of common "statistical myths" and references you can use to push back. discourse.datamethods.org/t/reference-...
discourse.datamethods.org
Reference Collection to push back against "Common Statistical Myths"
Note: This topic is a wiki, meaning that this main body of the topic can be edited by others. Use the Reply button only to post questions or comments about material contained in the body, or to sugge...
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