Excellent thread from Peter Reese on GFR, race, and the recent change in #kidney #transplant listing rules with UNOS

https://threadreaderapp.com/thread/1648045309900259328.html

It was really bad before. It still doesn’t fix the big problem - seems like band aid to me - and also why journey to transplant should have won in the #NephMadness first round 🤷🏽‍♂️#BlueRibbonMassiveFail

RT @AJKDonline
🎉Congrats to these #NephMadness 2023 Grand Prize Winners:

🏆Top Overall Score: @AngieAsam24 (with a PERFECT bracket)

🏆Top Med Student Score: @__adamkelly__

🏆Top Resident Score: @Mike_Strader

🏆Top Fellow Score: Matthew James

RT @NephroSeeker
Tonight is #NephJc night!
If you try to forget #BlueRibbonFailure during #NephMadness, probably won't get any satisfaction with hydrochlorothiazide not preventing kidney 🪨, but we promise it will be fun🤘
⏰Chat 1: April 11th, 9pm EST
⏰Chat 2: April 12th, 9 pm IST, 3:30 pm GMT https://twitter.com/NephJC/status/1643548243706494981

@Bneuen @Kidney_boy @ChristosArgyrop so you don’t think highly of Sean Barbour’s point that reducing proteinuria with RASi + Flozin = you might miss some patients who may benefit with steroids?

#NephMadness

Devices with an early demise as predicted!

Organ pool will match up supportive care as the other finalist....and I suspect will win as it a more uplifting story?

#NephMadness

This was was predictable.
Supportive care will be a finalist unless the #BlueRibbonFail is completely rockers

#NephMadness

and this is even more hilarious. Finerenone is a solid story, despite @Nephro_Sparks rants. AKI in immune checkpoint inhibitors is cool but we have known that for a few years now...but enough to beat MRAs?

#NephMadness #BlueRibbonFail

Look at this. Secondary TMA was a bizarre choice in first round....IgA has so much to go - so many trials. Flozins and Sparsentan from the non-IS angle. Why pump up this if you were making it lose to....secondary TMA?

Predict quick loss in next roound

#NephMadness @BlueRibbonFail

the #Filtered4 from #Nephmadness are out

OMG what a #BlueRibbonFail this is. Lower than my most pessimistic expectations. Folly of the supposed wise 🤦‍♂️

https://ajkdblog.org/2023/04/05/nephmadness-2023-the-filtered-four/

@captainchloride agreed - I guess this should have been expected!

As Sparky has been ranting in twitter about 😏

I am much more keen on using spiro/eplerenone in DKD with residual risk if I don’t have coverage for Finerenone

#nephmadness

Organ pool makes it here - despite knowing the OPO shenanigans in US, the KDPI madness, the eGFR disparities, the preTx workup idiocy

Why? Because a #BlueRibbonfail liked 'xenotransplant' mention? Hello?? Xeno is not happening anytime soon...

sigh
#Nephmadness

Devices in AKI or ESKD....TBH both are unexciting...I predict a quick demise for device in next round

#NephMadness

Secondary TMA? What? Did the #BlueRibbonFail even read the scouting report?

I was half joking when I made the secondary pick on FF http://www.nephjc.com/freelyfiltered/57/nephmadness-tma

🤦‍♂️ #NephMadness

whoah whoah whoah.....non-IS in IgAN...just as all the IS trials are dropping like TESTING, NEFIGARD and more to come?

What do you say @Bneuen and @ChristosArgyrop - team #flozinator or team #immunosuppression?

I think flozins have had their time in the spotlight - time to let IS come ahead?

So #BlueRibbonFail #NephMadness

WTF here though? #Finerenone over good old spironolactone?

New drugs - and a BRP clean sweep! Who would have seen this coming?

#NephMadness #BlueRibbonFail

same as this one...AKI with ICI could be so many things...hypoMg is a one-trick pony? (clearly physiologically so interesting - I like magnesium since forever)

BRP got this one right as well

#NephMadness

sorry pediatricians - the BRP did get this one right

There is so much more to do in both areas...but supportive care is done so poorly...we owe it to people on dialysis to do a better job

#NephMadness

the crowd and the BRP align on this one....I don't have strong feelings, mood affiliations matter here I think with all that's going on in #USPol
#Nephmadness

The #Effluent8 from #NephMadness are out. https://ajkdblog.org/2023/04/03/nephmadness-2023-the-effluent-eight/

You know what that means? Another round of #BlueRibbonfail whining

@johnefrancis haha - this one is even more …and we poked fun at it in our scouting report even https://ajkdblog.org/2018/03/15/nephmadness-2018-contrast-region/amp/ for #NephMadness