Thomas Steinemann

Practice Point 2.2.3 underscores using a 2-year kidney failure risk threshold of >40% to determine modality education and timing for KRT preparation, including vascular access planning or transplantation referral. Predicting the optimal timing for these interventions in individuals with declining GFR is challenging. Premature vascular access planning may lead to unnecessary fistula placement, while delayed planning risks central venous catheter overuse at dialysis initiation. Studies advocate for risk-based thresholds, demonstrating comparable efficacy to eGFR alone. While the KDOQI vascular access guideline suggests a >50% risk threshold or eGFR <15 ml/min per 1.73 m², a >40% risk or eGFR of 15 ml/min per 1.73 m² is deemed acceptable for initiating vascular access referral based on current evidence. Lower risk thresholds, like >20%, enhance sensitivity and can prompt modality education or presurgical vascular access planning, particularly in centers with extended wait times. Link to the 2024 KDIGO Guidelines: https://lnkd.in/gDVT83EE #KDIGO2024 #ClinicalPracticeGuideline #ESRD #CKD #ESKD #Kidneydisease #RenalFailure #RenalReplacment #dialysis #hemodialysis #KRT #KidneyReplacementTherapy #CKDCare #ModalityEducation #VascularAccess #TransplantReferral #HealthcareGuidelines #MedicalDecisionMaking #KidneyHealth #PatientOutcomes #HealthcareManagement

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Girish Nadkarni, MD, discusses his study regarding the use of large language models to assess if they could effectively predict when patient visits required admission to the hospital. "Utilizing large language models to predict hospital admissions can revolutionize emergency care, enhancing our ability to triage and treat patients more effectively." - Dr. Girish Nadkarni #HealthcareInnovation #AIinHealthcare #PatientCare #HospitalAdmissions #HealthTech https://lnkd.in/e8Y_Jc9k

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🆕 ACC short video series! Hear from #ACCPresident Cathie Biga, MSN, FACC following the College’s May #ACCBOT meeting on top takeaways. Look for these ACC Leadership Brief series videos following each BOT meeting. 📹 Watch the video here: https://bit.ly/44MTP8n #JACC #ACCAdvocacy #CVBoard

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Digital health technology can support the management of type 2 diabetes, but there are also barriers. For an overview of current applications, wearable devices and federal agency perspective, tune in to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) workshop on September 5-6. Erich S. Huang, MD, PhD, our Head of Clinical Informatics, will be speaking on equitable digital health approaches to diabetes management in the session moderated by Dr. David Klonoff and Dr. Xujing Wang. Register for virtual attendance: https://veri.ly/4e5xPsX #DigitalHealth #DiabetesManagement #T2D

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"Respiratory Distress in the Newborn" discusses the differential diagnosis of newborn respiratory distress. We review the epidemiology, pathophysiology, presentation, diagnosis, and management of its most common etiologies. https://lnkd.in/e3xaUq4

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