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ISN News is brought to you by category and is updated regularly. Please select a news category from the list below, then select a news article to read.

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ERA PRToday three major nephrology societies — the American Society of Nephrology (ASN), the European Renal Association – European Dialysis and Transplant Association (ERA-EDTA), and the International Society of Nephrology (ISN) ― signed a declaration of collaboration.

Monday, 30 May 2016 10:33

ISN Programs in Sudan Featured

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ISN and the Sudanese American Medical Association recently collaborated on three major educational activities in Sudan, which received ISN endorsement and funding. They were co-organized with help from the Sudanese Nephrology Society.

Tuesday, 24 May 2016 10:54

Obituary Evert J. Dorhout Mees Featured

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foto EvertISN announces with regret the death of Evert J. Dorhout Mees. He had a distinguished career as an academic nephrologist in Utrecht, The Netherlands. After retirement he moved to Ismir, Turkey where he did much to help strengthen nephrology in that part of the country.

Tuesday, 24 May 2016 09:57

New KI editor in 2017 Featured

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Detlef Schlondorff announced recently that he will be stepping down as Editor of Kidney International from the end of 2017. Under his leadership ISN’s flagship journal has continued to grow in impact and in appeal to its global readership.

Dr Kumar EAP ultrasoundThe deadline to apply for the ISN Educational Ambassador Program has been extended to June 6, 2016. Make use of this extra time to send your application.

On March 10th, 2016, the world stepped up to raise awareness about kidney health in younger generations.

In 2014, there were about 80,000 kidney transplants from living and deceased donors globally. Deceased donation has increased, especially from donors after circulatory death. This group makes up more than 40% of deceased kidney transplantation activities in the Netherlands. It is also growing signifi cantly in Norway, Spain, the United Kingdom and the United States.

Thursday, 19 May 2016 09:53

CKDu in Sri Lanka Featured

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Adeera Levin, Marcello Tonelli and David Harris represented ISN at a three-day workshop sponsored by the World Health Organization (WHO), which took place in April in Colombo and focused on the epidemic of chronic kidney disease of unknown etiology (CKDu). This is afflicting a large number of agricultural workers in Sri Lanka, particularly in the North and Central provinces.

Kidney International (KI) has now reported on the success of the ISN ANIO Online Clinical Nephropathology Certificate (CNC) Program as an innovative form of training for renal pathologists globally.

Organ transplantation is the best and frequently the only life-saving treatment for end-stage organ failure. According to the WHO, almost 80,000 kidney transplants were performed globally in 2013.

Although impressive, it is estimated that the activity represents less than 10% of the global need. This situation of acute organ shortage has come with its own set of challenges for kidney donors, recipients and doctors, as has the emergence of organ trafficking, a practice that continues to take place in some countries.

Cases of unethical living and deceased kidney donation are still reported in countries like Egypt, India, Mexico, beatriz gilPakistan, the Philippines and Turkey.

Beatriz Domínguez-Gil, who co-chairs the Declaration of Istanbul Custodian Group (DICG) explains the legal, ethical and clinical implications of transplant tourism. In the home country of patients who illicitly obtained an organ overseas, doctors face a guessing game in caring for them. They have no medical reports and cannot refer to a reliable healthcare professional about the procedure.

“Transplant tourism can also become a threat to public health,” she explains as patients also risk bringing in unexpected infections.

The DICG was set up in 2010 after the establishment of the Declaration of Istanbul (DOI) on organ traffi cking and transplant tourism in 2008. The DOI has helped to defi ne organ commercialization and traffi cking, as well as transplant tourism, and its principles have visibly raised awareness among the world’s medical practitioners about illegal organ transplantation.

The DICG has put a strategic plan into place until 2018 to focus on key issues regarding transplantation and set up local strategies to improve ethical transplantation availability in specific countries. It also aims to provide much-needed guidance on travel and
transplantation.

“Doctors do not want to report or compromise their patients. Our objective is to give them the tools to help their patients without compromising vulnerable living donors,” adds Elmi Muller, who leads the DICG with Domínguez-Gil.

A workshop organized in Madrid from April 4 to 5, 2016 also focused on creating a potential registration database for these cases. With representatives from 26 countries, this meeting continued to make the medical community aware of irresponsible commercial networks that should be criminalized.

Elmi Muller believes “practices are changing from day to day.”

The DOI has already inspired changes in legislation. For example, in Israel, legislation was modifi ed to defi ne the meaning of travel for transplantation, which led to banning health insurance companies from reimbursing illegal transplant procedures.

The law was also amended in The Philippines, decreasing the number of foreigners heading to the country for illegal transplantation procedures.

Closely collaborating with the The Tranplantation Society (TTS) and the Chinese government, DICG has worked to put a stop to the use of executed prisoners’ organs for transplantation in China. In Costa Rica, the DICG was critical in dismantling an organ trafficking ring.

According to Muller, improvements in deceased donation are being described in several countries in South elmiEastern Europe (under the leadership of Croatia), Latin America and in the Middle East.

In less than two years, the DOI will celebrate its 10th anniversary. Domínguez-Gil explains that the text and defi nitions will be updated in the same way as the Declaration of Helsinki, (created by the World Medical Association as a statement of ethical principles for medical research involving human subjects) gets updated regularly.

A fitting tribute to the dedicated efforts of this international group of medical professionals who continuously ensure the safety of all kidney transplants patients worldwide.

Read about the Declaration of Istanbul

On World Kidney Day (WKD) 2016, ISN and The Lancet launched an online campaign to raise awareness of kidney disease aimed at the international health community.

As the voices of ISN, your views count and ensure we continue providing the best service while improving kidney care globally.

ISN is excited to let you know about a new feature that is available to you as a member of the Society. This latest benefit will make the task of gathering and searching for meeting abstracts more easy and efficient.

The ISN Renal Disaster Relief Task Force (RDRTF) has released its first report following the earthquake that struck Ecuador on April 17, 2016.

Blantyre renal hospital 1A study undertaken during 2015 at Queen Elizabeth Central Hospital (QECH), Blantyre, Malawi demonstrated that 20% of general medical admissions over a three-month period had evidence of kidney disease. Outcome (hospital mortality) in these patients was significantly worse than those with normal renal function.

The ISN Clinical and Research Program funded specific research into the efficiency of kinkeliba on non-complicated hypersensitive patients. The project was awarded USD 15,000 in 2013. Completed in early 2014, it received the best clinical research prize at the 2015 ISN World Congress of Nephrology congress and the 10th Conference on Kidney Disease in Disadvantaged Populations.

dialysisA dialysis patient referred me to this article from The Atlantic. Published in 2010 but still worth reading. The ISN is all about closing gaps in the provision of kidney care worldwide, but when we think of "gaps", we tend to think of emerging countries, places in Africa or the poorest parts of Asia and Latin America. However, as the article recounts, there are significant gaps in the provision of dialysis even in the United States. Please do read this excellent story, which includes words from ISN past president, dr. Giuseppe Remuzzi, among others.

http://www.theatlantic.com/magazine/archive/2010/12/-god-help-you-youre-on-dialysis/308308/

Forefronts logo webAs of April 29, 2016, send your abstracts and register for the ISN Forefronts symposium taking place in Vienna from December 9 to 11, 2016. The theme for this meeting is regulatory RNAs and the kidney.

Monday, 18 April 2016 15:20

YNC welcomes new chair Featured

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Rolando Claure Del GranadoThe Young Nephrologists Committee (YNC) would like to welcome its new Chair Rolando Claure-Del Granado, who will take over from Jeffrey Perl. Many thanks to Jeffrey for his dedicated efforts in the last few years.

 

The ISN Advancing Clinical Trials (ISN-ACT) group is a new ISN Initiative to leverage existing infrastructures within ISN to improve how the global nephrology community conducts and participates in clinical trial research, through a series of activities and initiatives.

Monday, 18 April 2016 14:33

The Global Kidney Health Atlas Featured

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The Global Kidney Health Atlas (GKHA), part of the ISN Closing The Gaps CKD initiative, is co-chaired by Professor David Johnson (University of Queensland, Australia) and Dr Aminu Bello (University of Alberta, Canada). The purpose is to systematically evaluate the current state of readiness, capacity and competence for delivering kidney health care globally.

Having returned from spending a month working with the renal team Queen Elizabeth Hospital in Blantyre, Malawi, I wanted to blog about what nephrologists and nephrology researchers are up against in the country. I had the pleasure of working with a dedicated team of people on a current research study focusing on children suffering from acute kidney injury in Malawi.

Thursday, 14 April 2016 10:12

The Lancet publishes AKI Global Snapshot results Featured

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0by25 Cover1The outcome of the Acute Kidney Injury (AKI) Global Snapshot, an innovative web-based global cohort study carried out under the ISN 0by25 Initiative, is published in The Lancet today.

Tuesday, 12 April 2016 14:49

Send your submissions to KI Reports Featured

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Kidney International (KI) Reports is now accepting submissions, especially relating to clinical trials, epidemiology, systematic reviews and outcome research.

Surgery nablusA team from the Liverpool International Transplant Initiative and the Royal Liverpool University Hospital carried out the first two kidney transplants at the An-Najah University Hospital in Nablus, on the West Bank on March 26, 2016. The collaboration was made possible thanks to the ISN and The Transplant Society (TTS) Sister Transplant Center Program.

Following this year’s World Kidney Day, The Mario Negri Institute is happy to announce that there will be another edition of the Scientific Writing Academy, taking place from September 12 to 18, 2016  in Ranica, Bergamo, Italy.

KI reportsKidney International Reports, an official journal of the International Society of Nephrology, is a peer-reviewed, open access journal devoted to the publication of leading research and developments related to kidney disease.

Tuesday, 05 April 2016 12:37

Educational Ambassador in Myanmar Featured

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ISN Educational Ambassador Hui-Kim Yap recently made a trip to Myanmar. Based at the National University of Singapore, she taught local doctors at two of the country’s major children's hospitals the latest skills relating to dialysis and shared her knowledge of clinical nephrology and acute kidney injury.

Mesoamerican nephropathyThe final board statement of the Consortium for the Epidemic of Nephropathy in Central America and Mexico / Consorcio de la Epidemia de la Nefropatía en Centroamérica y México (CENCAM) group in relation to chronic kidney disease (CKD) of unknown origin or mesoamerican nephropathy has been released for communication. ISN recently co-sponsored this event.

Access to diagnosis and dialysis for acute kidney injury can be life-saving, but can be prohibitively expensive in low-income settings. The burden of acute kidney injury in sub-Saharan Africa is presumably high but remains unknown. The authors of this study did a systematic review to assess outcomes of acute kidney injury in sub-Saharan Africa and identify barriers to care.

Nexus berlinDrug development has dramatically improved the outcome of diseases in most medical disciplines. However, this does not seem to be the case in nephrology. This will be discussed in two weeks' time when the ISN Nexus symposium will take place in Berlin, Germany from April 14 to 17, 2016.

Tuesday, 29 March 2016 12:33

The influence of diet on kidney stones Featured

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Having discussed the influence of lifestyle modification on prevention of chronic kidney disease in previous columns extensively, I will now turn my attention to its effect on prevention of kidney stones. Almost five percent of adults in the US suffer from kidney stones, with more than half having multiple recurrences. Patients end up in the emergency room experiencing agonizing pain and many undergo multiple procedures to remove them by lithotripsy or surgery.

EAP Cameroon USA webThe deadline for the latest call for applications for the ISN Educational Ambassadors Program (EAP) is May 1st, 2016. Don't miss this opportunity to apply for this ISN Program.

homepage march 9 webThis World Kidney Day, The Lancet and ISN are launching an online campaign to raise awareness of acute and chronic kidney diseases and bring together the best available evidence to inform strategies to the reduce national, regional and global burden of the disease and its risk factors.

This ISN Blog post is provided by Rezvi Sheriff at the Western Hospital, Sri Lanka following this year’s World Kidney Day celebrations.

Western Hospital in Borella, Sri Lanka conducted a special program to mark the 11th World Kidney Day on March 10, 2016.

Chronic Kidney Disease (CKD) is the fastest growing chronic non-communicable disease caused by modifiable lifestyle risk factors as discussed previously, CLICK HERE. It is important to highlight the effect of dietary habits on the onset and progression of CKD.

Thursday, 17 March 2016 18:44

APSN co-funds SRC centers in OSEA region Featured

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apsnlogo1This year, the Asian Pacific Society of Nephrology (APSN) will co-fund eight ISN Sister Renal Centers (SRC) from OSEA, South Asia and North & East Asia.

ISN is taking extra steps to increase its impact on kidney care in low-resource countries and is delighted to announce that doctors, scientists, nurses, dietitians, pharmacists, social workers, and technicians from countries categorized by the World Bank as low income can now join ISN as free members and receive ISN member benefits.

Rates of Chronic Kidney Disease vary considerably across Europe, from 3% to 17% of the population, and are increasing. Demand for kidneys almost always exceeds possible supply, and each country manages transplants differently. A new survey, being presented at the European Association of Urology (EAU) congress in Munich, has shown significant differences in the number of donor kidneys available in each country.

Comparing data from a range of registers, the EAU research found wide country to country variation. For example:

Russian Federation 3.3
Greece 4.2
Germany 10.4
Switzerland 14.3
Poland 15.5
The Netherlands 16.8
UK 20.6
Italy 22.7
France 25.3
Portugal 27.3
Croatia 35.1
Spain 35.7

All figures are 2014 figures. All figures are deceased donors per million population.

Although each country is very different, thse variations mainly depend on two factors, social attitude and perception of organ donation, and legislation. Most organs for transplantation come from brain-dead donors. In Spain for example, each citizen is a potential donor unless they 'opt-out' of the transplant scheme, whereas in Germany there is an 'opt-in' scheme. Some countries also allow donation from living donors, or from persons whose hearts have stopped. The number of organs from both these sources has been increasing.

As transplants becomes more mainstream, and rates of kidney failure are increasing, the demand for organs has increased quite significantly, and there is a general need for more organs to be available. At the moment, whether you can find a donor organ largely depends on where you live. If countries want to increase transplant rates, and so increase survival from kidney failure, they might consider changing the way they source donor organs.

Tuesday, 15 March 2016 08:58

H4KH grant winners announced Featured

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isn h4kh logoFollowing the call for applications, the Hydration for Kidney Health (H4KH) Committee is happy to announce the names of those who have been selected for the New Investigator and Hydration and Kidney Health grants.

Vellore, Tamil Nadu in southern India in January. Warm and pleasant, rather like a good English summer but the locals say it is a bit too chilly! I am glad January was chosen for my ISN Educational Ambassador visit to the Christian Medical College (CMC) – before the monsoon season and the seriously hot weather in the middle of the year.

Vincent Garvey 1Vincent Garvey has been awarded the Affordable Dialysis Prize, taking home US$100,000 for his innovative design. Garvey’s dialysis system can fit into a small suitcase and uses a standard solar panel to power a highly-efficient, miniature distiller capable of producing pure water from any source. Work on a prototype is now underway, with sponsorship opportunities actively being sought.

The Aristide Le Dantec hospital in Dakar hosted a dialysis workshop with the Senegal Society of Nephrology. Peritoneal and hemodialysis were the main focus. A Saving Young Lives (SYL) session presented the challenges and opportunities of setting up an AKI treatment program in Western Africa, while it emphasized the value of peritoneal dialysis (PD). 

According to the data released by The Center for Disease Control and Prevention (CDC) last week, the prevalence of obesity in the United States is at an all time high. Body Mass Index (BMI) is a metric used by organizations worldwide to define and classify severity of obesity.

WKD 2016This year’s World Kidney Day (WKD) campaign emphasizes the importance of following kidney function and blood pressure in children and babies.

The Royal Liverpool University has been working together with the Al Shifa hospital in Gaza since 2013. Read 'The Guardian' report of Salim, a member of the Liverpool team during their last visit to Gaza in February:

On February 25, ISN staff at the Brussels headquarters had the pleasure of meeting former ISN President prof. Robert Atkins (2001-2003), and his wife, prof. Prudence Hill, also involved in kidney medicine being a pathologist at University of Melbourne. 

It was a great opportunity to remember the time when ISN, thanks to prof. Atkins’ foresight, started to structure itself with the help of professional staff, and to compare past and present challenges and opportunities for the ISN. We certainly made some progress during the last two decades, but this is firmly anchored in past leadership’s wisdom and careful planning and commitment to advancing kidney care worldwide through a unique scientific and humanitarian Society.

We are grateful to prof. Atkins for having taken the time in his European trip to come and visit our Brussels office. 

 

ISN HQ Feb 2016 1

Prof. Robert Atkins and his wife, prof. Prudence Hill, from Melbourne, honor the Nephrology ship which was at the first World Congress of Nephrology in Evian, 1960

In partnership with Cochrane Kidney and Transplant, ISN Education is pleased to present new Cochrane Library materials on Corticosteroids for nephrotic syndrome in children.

Earlier this January, several ISN Continuing Medical Education courses took place across China in Shanghai, Jiaxing and Hangzhou. These meetings were made possible thanks to a valuable partnership between the Mayo Clinic College of Medicine, Ruijin Hospital Jiao Tong University, Chang Zheng Hospital, the Second Military Medical University and the First Affiliated Hospital, Zhejiang University.

The ISN-ANIO India Committee called for young nephrologists and diabetologists (both junior faculty and physicians in specialist training) working in India to submit research projects focused on diabetic kidney disease (DKD).

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