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Shellie Fravel, PharmD

@shelliefravel.bsky.social
119 followers 104 following 49 posts

Pharmacist | Clinical Professor ✨Interest in Nephrology Medicine #NephJC #NephSky #PharmSky

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Reposted by Shellie Fravel, PharmD
ASN Publications @asnpublications.bsky.social · 20/07/2026
Is it time to rethink how we interpret eGFR in aging populations by pairing it with simple tests like gait speed and grip strength? Read this study in #ASNKidney360 to learn more. kidney.pub/KID1239?u... @shelliefravel.bsky.social
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Reposted by Shellie Fravel, PharmD
haysamrady @sodatroubles.bsky.social · 17/06/2026
Estimated Tubular Secretion of Creatinine and Risk of Kidney Failure: The AASK Trial #nephsky #nephrology www.kidneymedicinejournal.org/article/S259...
kidneymedicinejournal.org
Estimated Tubular Secretion of Creatinine and Risk of Kidney Failure: The AASK Trial
Kidney tubular secretion is an important non-glomerular kidney function and is critical for excretion of toxins and many medications.1,2 Creatinine is freely filtered by the glomerulus and actively se...
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Shellie Fravel, PharmD @shelliefravel.bsky.social · 08/06/2026
Filtering the Latest: Staying Current With Kidney Care - ASHP www.ashp.org/Professional...
ashp.org
Filtering the Latest: Staying Current With Kidney Care - ASHP
Through practical discussions, expert insights, and real-world strategies, participants discuss best practices for keeping up-to-date and translating new information through practical discussions, exp...
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Shellie Fravel, PharmD @shelliefravel.bsky.social · 13/05/2026
open.spotify.com/episode/1CF0...
open.spotify.com
Top Ten Things Every Clinician Should Know About the Assessment of Kidney Function
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Reposted by Shellie Fravel, PharmD
Nephrology Journal Club @nephjc.bsky.social · 22/04/2026
Still ordering hydralazine? 🤔 Beyond case reports, this large cohort compares hydralazine vs ACEi/ARB to estimate real-world vasculitis risk, will this 📉 bias & clarify the answer Read more 👇 pubmed.ncbi.nlm.nih.... #TenPostNephJC #NephJC #NephSky #MedSky
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Shellie Fravel, PharmD @shelliefravel.bsky.social · 16/04/2026
Evaluating Long-Term Outcomes Across eGFR Equations in Older Adults - Kidney International Reports www.kireports.org/article/S246...
kireports.org
Evaluating Long-Term Outcomes Across eGFR Equations in Older Adults
The current diagnostic threshold for chronic kidney disease (CKD; estimated glomerular filtration rate [GFR; eGFR] < 60 ml/min per 1.73 m2) may lead to overdiagnosis in older adults. Additionally, no ...
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Reposted by Shellie Fravel, PharmD
Nephrology Journal Club @nephjc.bsky.social · 29/03/2026
The #ISNWCN has high trial impact clinical trials to celebrate latest and more successful results in our nephro world To celebrate the joy of getting together, and to #NephItForward, we officially opened up the #NephJC Editorial Internship application www.nephjc.com/news/nephjc-...
nephjc.com
Announcing the NephJC Editorial Internship — NephJC
Are you a curious, motivated nephrology fellow or early‑career faculty member with a passion for science communication? NephJC is inviting a small group of talented individuals to join our Editorial I...
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Reposted by Shellie Fravel, PharmD
Nature Portfolio @natureportfolio.nature.com · 18/03/2026
A paper in Nature Sustainability presents an approach to upcycle plastic waste through microbial conversion into levodopa, a medicine for Parkinson’s disease. go.nature.com/4ryglvx 🧪
 

This is figure 1, which shows plastic waste recycling and bio-upcycling strategies.
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Reposted by Shellie Fravel, PharmD
American Journal of Kidney Diseases @ajkd.bsky.social · 24/03/2026
Effectiveness and Safety of Apixaban Initiation Following Newly-Diagnosed Atrial Fibrillation in Patients With Kidney Failure on Hemodialysis bit.ly/44IMgkk
Time to Treatment Discontinuation among Apixaban Users and Time to Initiation of Oral Anticoagulation Among Matched Non-Users. Note: OAC – oral anticoagulant. Apixaban users (in red) had filled their first apixaban prescription within 30 days from their new diagnosis with atrial fibrillation. Continued use was present when a subsequent apixaban prescription was filled within no more than 7 days after the most recent supply was exhausted. If no refill occurred, 7 days were added to the most recent days’ supply. Apixaban use also ended when a prescription for a different OAC was filled. Non-users (in blue) of an oral anticoagulant within the same number of days from their new diagnosis with atrial fibrillation as their matched apixaban user were followed for any subsequent initiation of any oral anticoagulant.
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Reposted by Shellie Fravel, PharmD
NKF Nephrology Professionals @nkf-professionals.bsky.social · 23/03/2026
Still using Cockcroft-Gault for dosing decisions? This new course examines its limitations and what clinicians need to know as practice shifts to race-free eGFR. bit.ly/3PQuiYv #KidneyHealth #Nephrology #ContinuingEducation
bit.ly
CaseHippo
One platform for interactive learning, engagement and collaborative knowledge
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Reposted by Shellie Fravel, PharmD
Shoa Clarke @shoaclarke.bsky.social · 13/03/2026
New dyslipidemia guidelines have finally arrived! So much is new & improved compared to prior US guidelines! A broader understanding of lipid risk/reatment (beyond cholesterol), improved thinking about younger adults & lifetime prevention, & so much more! #CardioSky www.jacc.org/doi/10.1016/...
jacc.org
2026 ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Dyslipidemia: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinic...
2026 multisociety guideline for dyslipidemia — lipid management, cholesterol lowering, ASCVD risk reduction, and treatment pathways.
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Shellie Fravel, PharmD @shelliefravel.bsky.social · 11/03/2026
Shellie Fravel joining from Iowa City. No COI, excited to learn a few things tonight! #nephjc
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Reposted by Shellie Fravel, PharmD
ASN Publications @asnpublications.bsky.social · 04/03/2026
New Podcast: Dr. McCausland summarizes the main findings from his study on "Effect of finerenone on eGFR slope across different levels of baseline albuminuria and eGFR: Insights from FINEARTS-HF" #ASNCJASN kidney.pub/CPOD0849
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Reposted by Shellie Fravel, PharmD
NEJM.org @nejm.org · 04/03/2026
In adults with type 1 diabetes and chronic kidney disease with albuminuria, the decrease in the urinary albumin-to-creatinine ratio was significantly greater with finerenone than with placebo. Full phase 3 FINE-ONE trial results: nej.md/4rTPAmu #MedSky #EndoSky #Nephrology
Original Article | MAR 11, 2026
Finerenone in Type 1 Diabetes and Chronic Kidney Disease (FINE-ONE)
Figure 1. Change in the Urinary Albumin-to-Creatinine Ratio.
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Reposted by Shellie Fravel, PharmD
Alex Chang, MD @alexchangmd.bsky.social · 02/03/2026
Use of auto BP devices is rec'd by guidelines but many still measure BP manually. In this preprint, we categorize BP device based on terminal digit (manual BP results in even # terminal digits). Manual BP ~6mmHg lower and associated with 1.16x stroke risk vs automated www.medrxiv.org/content/10.6...
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Reposted by Shellie Fravel, PharmD
Joel Topf @kidneyboy.bsky.social · 25/02/2026
This is topic 1b not a 1B graded suggestion, because the data I'm seeing that this is a make believe problem. Further damning of iron by ESA pushers. #ShowMeTheEvidence #NephJC
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Reposted by Shellie Fravel, PharmD
Nephrology Journal Club @nephjc.bsky.social · 24/02/2026
#NephSky #MedSky 🩸Blood is thicker than water 🌊 Thankfully we thinned out the 2026 KDIGO Anemia Guidelines for you to peruse. Come discuss what's new. Tuesday 2/24/26 at 9pm EST on Bluesky! Summary by @jeyakumarmeyyappan.bsky.social www.nephjc.com/news/kdigo-anemia
nephjc.com
2026 KDIGO Anemia Management Guidelines — NephJC
This week, we will discuss 2026 KDIGO anemia management in patients with kidney disease
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Reposted by Shellie Fravel, PharmD
Nephrology Journal Club @nephjc.bsky.social · 23/02/2026
Hey #MedSky #NephSky KDIGO has updated their guidance on anemia in kidney disease for the first time in a decade! Let's discuss 2/24/26 at 9pm EST Check out the VA by @shelliefravel.bsky.social www.nephjc.com/news/2026/2/23/kdigo-2026-anemia-in-ckd
nephjc.com
KDIGO 2026 Anemia in CKD: The Visual Abstract — NephJC
Anemia remains a central challenge in chronic kidney disease, influencing quality of life, cardiovascular risk, and clinical outcomes. The updated KDIGO 2026 guideline provides practical recommendatio...
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Reposted by Shellie Fravel, PharmD
American Journal of Kidney Diseases @ajkd.bsky.social · 17/02/2026
GFR Measured With Computerized Tomography Urography in Healthy Individuals and Patients With CKD bit.ly/3XsLlQY #OpenAccess
bit.ly
GFR Measured With Computerized Tomography Urography in Healthy Individuals and Patients With CKD
Opportunistic computed tomography (CT)-based screening is the practice of exploiting incidental imaging data for prevention, risk profiling, or presymptomatic detection of relevant disease unrelated…
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Shellie Fravel, PharmD @shelliefravel.bsky.social · 11/02/2026
Shellie Fravel, pharmacist joining from Iowa City, no COI #nephjc
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Reposted by Shellie Fravel, PharmD
Jordy Cohen @jordybc.bsky.social · 09/02/2026
Excited to share our research letter published today in JAMA on the new Apple Watch Hypertension Notification Feature! jamanetwork.com/journals/jam... 1/n
jamanetwork.com
Smartwatch and Hypertension Notification
This cross-sectional study assesses the potential impact of a smartwatch hypertension notification feature for US adults who have not been diagnosed with hypertension.
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Reposted by Shellie Fravel, PharmD
Nephrology Journal Club @nephjc.bsky.social · 08/02/2026
Hey #NephSky 2/10/26 at 9 pm EST we'll discuss #Flozinating into the Future & Beyond... SGLT2i in kidney transplant recipients. What's the latest evidence of risk/benefit? Do #Flozins act mechanistically the same in de-innervated kidneys? Come chat. www.nephjc.com/news/inifinti-flozins-transplant
nephjc.com
To INFINITI and Beyond: SGLT2 Inhibitors in Kidney Transplant Patients — NephJC
This week, we aim for an INFINITe allograft lifespan. or flozination in kidney transplant.
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Reposted by Shellie Fravel, PharmD
Joel Topf @kidneyboy.bsky.social · 28/01/2026
PBFluids▶️PISCES showed a striking cardiovascular benefit with fish oil in hemodialysis. Lovaza closely matches the trial’s ethyl-ester formulation, is FDA regulated, EHR friendly, and offers a practical option while we wait for the exact formulation pbfluids.com/2026/01/why-...
pbfluids.com
Why aren’t you prescribing fish oil to your dialysis patients?
PISCES showed a striking cardiovascular benefit with fish oil in hemodialysis. Lovaza closely matches the trial’s ethyl-ester formulation, is FDA regulated, EHR friendly, and offers a practical, re…
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Reposted by Shellie Fravel, PharmD
Nephrology Journal Club @nephjc.bsky.social · 28/01/2026
Up next on #NephJC we will be unpacking SGLT2i in transplant recipients👇 journals.lww.com/cja...
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Shellie Fravel, PharmD @shelliefravel.bsky.social · 28/01/2026
Shellie Fravel, pharmacist signing on from Iowa City, no COI #nephjc
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Reposted by Shellie Fravel, PharmD
Nephrology Journal Club @nephjc.bsky.social · 26/01/2026
🍌🥑Can pushing K⁺ to the high-normal range reduce ICD shocks and hospitalizations? 🎨 #Visualabstract by @jeyakumarmeyyappan.bsky.social ⏰ #NephJC chat on Jan 27, 9 pm EST www.nephjc.com/news/2026/1/...
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Reposted by Shellie Fravel, PharmD
Nephrology Journal Club @nephjc.bsky.social · 26/01/2026
Oh, the weather outside is frightful 🥶🥶 But #NephJC is so delightful, and since you've no place to go #NephSky... Come discuss POTCAST: potassium goals and cardiac arrhythmias 1/27/26 at 9pm EST on #Bluesky Summary by @shelliefravel.bsky.social @salinesolut.bsky.social www.nephjc.com/news/potcast
nephjc.com
POTCAST- K+ Pop and Arrhythmia Drop — NephJC
This week, we will discuss the POTCAST trial. It is a cardiology trial - but potassium belongs to nephrology.
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Reposted by Shellie Fravel, PharmD
kireports.bsky.social @kireports.bsky.social · 21/01/2026
Sodium-Glucose Cotransporter-2 Inhibitors #SGLT2i and #Cardiorenal Events in #Nonalbuminuric Kidney Disease #VisualAbstract by Augusto Cesar S Santos Jr www.kireports.org/article/S2468-024… @cwhuang0824
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Reposted by Shellie Fravel, PharmD
haysamrady @sodatroubles.bsky.social · 22/01/2026
Can measuring glomerular filtration finally be easy? #nephsky #nephrology www.kireports.org/article/S246...
kireports.org
Can measuring glomerular filtration finally be easy?
Assessment of glomerular filtration rate (GFR) has progressed through a series of practical trade-offs between physiological accuracy and clinical feasibility. Direct measurement of GFR using exogenou...
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Reposted by Shellie Fravel, PharmD
Nephrology Journal Club @nephjc.bsky.social · 03/01/2026
It's 2026!🎉 We will be counting down the Top Ten Nephrology Stories of 2025 on 1/6/26 at 9 pm EST. Join us on TWITTER (it will always be Twitter to us). Come on by #NephJC faithful for a lively discussion! You picked & we're count'em down. www.nephjc.com/news/2025/1/3/top-stories-in-nephrology-2025
nephjc.com
Top Stories in Nephrology 2025 — NephJC
2025 was rich in successful stories. Here are the top 10 that impressed our audience.
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Reposted by Shellie Fravel, PharmD
Nephrology Journal Club @nephjc.bsky.social · 03/01/2026
Did we (meaning "you" of course, because you voted) get them right? Is there something missing or is the order wrong? #NephJC #TopTenStories2025 Come discuss with an international cadre of nephrologists & other interested parties on 1/6/26 at 9 pm EST on #Twitter
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Reposted by Shellie Fravel, PharmD
Melvin Chan @mchanmd.bsky.social · 18/12/2025
The future of nephrology
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Reposted by Shellie Fravel, PharmD
Nephrology Journal Club @nephjc.bsky.social · 19/12/2025
1/10 Last #NephJC we discussed dialysis frequency in AKI-D #TenPostNephJC We sought to answer an age-old question: Is less is really more? Or less is just simply what it is….less? pubmed.ncbi.nlm.nih.gov/41201895/
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Reposted by Shellie Fravel, PharmD
Sabine Karam @sabinekaram.bsky.social · 17/12/2025
The debate about kidney function estimation in cancer patients is not over. What is important to remember is that mCrCl is not mGFR
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Reposted by Shellie Fravel, PharmD
Brian Rifkin @brianrifkin.bsky.social · 17/12/2025
Less dialysis is…less dialysis. #NephJC Sure I’d like to see faster recovery and lower mortality. But what if conservative strategy is only “non-inferior”. Is that good enough, especially if dialysis is a limited resource like @nephroseeker.bsky.social says
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Reposted by Shellie Fravel, PharmD
Nephrology Journal Club @nephjc.bsky.social · 15/12/2025
Join us for the last #NephJC of 2025, 12/16/25 at 9pm EST!🥳 How soon should we withhold dialysis in AKI? We're discussing the LIBERATE-D trial #NephSky This one might just change your mind 🧠🧠 Blog by @msocomd.bsky.social and @sejalplakhani.bsky.social www.nephjc.com/news/liberated-aki
nephjc.com
Dialyze Less, Recover More? AKI’s Chance to Get LIBERATE-D — NephJC
This week, we will discuss whether less is more when it comes to discontinuing dialysis in patients with AKI and a chance to recover.
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Reposted by Shellie Fravel, PharmD
Nephrology Journal Club @nephjc.bsky.social · 15/12/2025
The LIBERATE-D VA by @sejalplakhani.bsky.social Should we break the pattern of thrice weekly dialysis in AKI-D? #NephJC #NephSky www.nephjc.com/news/liberateva
nephjc.com
LIBERATE-D: The Visual Abstract — NephJC
In patients with dialysis-dependent acute kidney injury, a conservative dialysis strategy was evaluated in the LIBERATE-D trial. Could less be more? Join the discussion in #NephJC, but first, check ou...
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Reposted by Shellie Fravel, PharmD
Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 09/12/2025
Our take on the baxdrostat PA trial in @asnpublications.bsky.social #KidneyNews www.kidneynews.org/view/journal... with @nephroseeker.medsky.social and @dramiliflores.bsky.social ! Thanks to Sam Kant and @kdjhaveri.bsky.social for the invite!!
VA of SPARK trial
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Shellie Fravel, PharmD @shelliefravel.bsky.social · 03/12/2025
Shellie Fravel joining from Iowa City. No COI. #NephJC
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Nephrology Journal Club @nephjc.bsky.social · 01/12/2025
Maybe the most shocking study from #KidneyWk. 🐚From the depths of the oceans to #BlueSky, we're discussing PISCES 🐟 12/2/25 9pm EST. #NephJC Are you hooked🪝on fish oil for CV disease in ESRD, or are you throwing it back 🌊? www.nephjc.com/news/pisces-fishoil
nephjc.com
Fish Oil in Dialysis: A Big Catch or an Empty Net — NephJC
Holy Mackerel! This week we will discuss fish oil use in maintenance hemodialysis patients. Could this be the one thing that bends the curve on CV mortality, or is it just a red herring?
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Reposted by Shellie Fravel, PharmD
Nephrology Journal Club @nephjc.bsky.social · 01/12/2025
Holy Mackerel! 🐟 🦜Ahoy matey! Could fish oil unlock the mysteries of increased CV mortality in ESRD? 🏴‍☠️ #NephJC Join us for a lively trawling trip 12/2/25 🛥️at 9pm EST Check out the PISCES VA by @brianrifkin.bsky.social www.nephjc.com/news/piscesva
nephjc.com
PISCES: The Visual Abstract — NephJC
Curious how n-3 PUFAs may cut serious cardiovascular events in dialysis? 🐟 A big signal, a big dose, and a big discussion ahead — don’t miss this #NephJC! Check out the VA made by our master Brian...
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Nephrology Journal Club @nephjc.bsky.social · 20/11/2025
1/10 Last #NephJC we discussed the ORIGIN 3 trial which investigated the use of Atacicept in IgAN #TenPostNephJC Read the article 👇 www.nejm.org/doi/10....
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Nephrology Journal Club @nephjc.bsky.social · 19/11/2025
In just 30 min we will start #NephJC chat on our @nejm.org trial tonight, we’ll explore IgAN treatment closer to pathophysiology ORIGIN with a simultaneous publication during #KidneyWk
doi.org
A Phase 3 Trial of Atacicept in Patients with IgA Nephropathy | NEJM
IgA nephropathy, the most common primary glomerulopathy worldwide, is a kidney disorder of B-cell origin characterized by mesangial accumulation of IgA-containing immune complexes. In at least 50% ...
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Reposted by Shellie Fravel, PharmD
Nephrology Journal Club @nephjc.bsky.social · 18/11/2025
Tonite 11/18/25 on #Bluesky 9pm EST We are discussing ORIGIN3 and atacicept in IgAN. APRIL, BAFF and B-cells, Oh My! (🦁🐯🐻) It's going to be Wicked good. 🧙‍♀️ #NephJC Summary by @notjustdialysis.bsky.social www.nephjc.com/news/atacicept-origin3-gtfb36
nephjc.com
Attacking the Origin of IgAN: ORIGIN3 and Atacicept — NephJC
This week, we will discuss the phase 3 ORIGIN3 trial of atacicept, an APRIL/BAFF inhibitor for use in IgAN.
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AIN/Sandipan Shringi @nephrosage.bsky.social · 13/11/2025
High measured GFR as a predictor of all-cause mortality and cardiovascular disease in a prospective non-diabetic population cohort More info:https://academic.oup.com/ndt/article/40/11/2091/8122110 @ndt-era.bsky.social, @hjanders.bsky.social
academic.oup.com
High measured GFR as a predictor of all-cause mortality and cardiovascular disease in a prospective non-diabetic population cohort
ABSTRACTBackground. High glomerular filtration rate (GFR) is generally regarded as beneficial but has been associated with cardiovascular disease (CVD) and
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 08/11/2025
Missing all the overwhelming amount of science coming out of #KidneyWk? The #NephJC crew has got you covered Day 2 edition www.nephjc.com/news/kidneyw... via @nephroseeker.medsky.social & moi
nephjc.com
Kidney Week in Houston: Day 2 — NephJC
in this edition: Fish Oil, GBD, Flozination meta-analysis, CHW intervention in Hispanic/Latino patients, and much more
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Edgar V. Lerma 🇵🇭 @edgarvlermamd.medsky.network · 08/11/2025
Indications for mineralocorticoid receptor antagonists (MRAs) in the management of cardio-kidney risk #KidneyWk #Nephpearls #NephSky #Cardiorenal ✅ Check out this resource from @theisn.org @isnkidneycare.bsky.social 👉 www.theisn.org/initiatives/...
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Kevan Polkinghorne 🇳🇿 @dialysisbloke.bsky.social · 07/11/2025
Very proud to have lead the Australian arm of PISCES. Huge thanks for Charmaine Lok for the collaboration.
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 07/11/2025
Got #KidneyWk FOMO like @nephroseeker.medsky.social ? We got you covered with daily coverage of the simultaneous publications! www.nephjc.com/news/kidneyw...
nephjc.com
Kidney Week in Houston: Day 1 — NephJC
in this edition: Atacicept in IgAN; Albuminuria as a surrogate outcome, Renal Remission and additional CONFIDENCE analysis
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Shellie Fravel, PharmD @shelliefravel.bsky.social · 29/10/2025
Shellie Fravel, PharmD joining from Iowa City. No COI. Ready to learn lots tonight! #NephJC
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