A5050973509- Dialysis and Renal Disease Management
- Chronic Kidney Disease and Diabetes
- Renal and Vascular Pathologies
- Organ Donation and Transplantation
- Health disparities and outcomes
- Healthcare Policy and Management
- Blood Pressure and Hypertension Studies
- Nutritional Studies and Diet
- Food Security and Health in Diverse Populations
- Renal Transplantation Outcomes and Treatments
- Health Systems, Economic Evaluations, Quality of Life
- Cardiovascular Health and Risk Factors
- Geriatric Care and Nursing Homes
- Homelessness and Social Issues
- Sodium Intake and Health
- Healthcare cost, quality, practices
- Palliative Care and End-of-Life Issues
- Global Health Care Issues
- Renal Diseases and Glomerulopathies
- Renal function and acid-base balance
- Central Venous Catheters and Hemodialysis
- Heart Failure Treatment and Management
- Obesity, Physical Activity, Diet
- Diversity and Career in Medicine
- Global Health Workforce Issues
Johns Hopkins University
2016-2025
Johns Hopkins Medicine
2016-2025
American Society of Nephrology
2024
Cooper and Company (United States)
2022
University of Baltimore
2015-2022
The Centers
2021
University of Pennsylvania
2021
Welch Foundation
2012-2019
University of Alberta
2019
Cairo University
2019
Current equations for estimated glomerular filtration rate (eGFR) that use serum creatinine or cystatin C incorporate age, sex, and race to estimate measured GFR. However, in eGFR is a social not biologic construct.
Prevalence of chronic kidney disease (CKD) in people with diagnosed diabetes is known to be high, but little about the prevalence CKD those undiagnosed or prediabetes. We aimed estimate and compare community among diabetes, prediabetes, no diabetes.The 1999 through 2006 National Health Nutrition Examination Survey a representative survey civilian, noninstitutionalized US population. Participants who were aged > =20 years; responded questionnaire; had fasting plasma glucose (FPG), serum...
<h3>Importance</h3> Over the past 2 decades, there has been increased attention and effort to reduce disparities in live donor kidney transplantation (LDKT) for black, Hispanic, Asian patients with end-stage disease. The goal of this study was investigate whether these efforts have successful. <h3>Objective</h3> To estimate changes over time racial/ethnic LDKT United States, accounting differences death deceased transplantation. <h3>Design, Setting, Participants</h3> A secondary analysis a...
In response to a national call for re-evaluation of the use race in clinical algorithms, National Kidney Foundation (NKF) and American Society Nephrology (ASN) established Task Force reassess inclusion estimation GFR United States its implications diagnosis management patients with, or at risk for, kidney diseases.
Small clinical trials have shown that a reduction in dietary acid load (DAL) improves kidney injury and slows function decline; however, the relationship between DAL risk of ESRD population-based cohort with CKD remains unexamined. We examined association DAL, quantified by net excretion (NAEes), progression to nationally representative sample adults United States. Among 1486 age≥20 years enrolled National Health Nutrition Examination Survey III, was determined 24-h recall questionnaire. The...
Background: Food insecurity is common among people receiving in-center hemodialysis and living in residentially segregated communities. associated with hospitalization other chronic diseases but understudied the adult dialysis population. Methods: We examined association of food all-cause risk adults hemodialysis. From February through December 2021, we conducted a prospective cohort study at 17 facilities Maryland, Washington D.C., Virginia. Participants completed survey baseline were...
<b><i>Background:</i></b> Higher dietary acid load can result in metabolic acidosis and is associated with faster kidney disease progression patients chronic (CKD). However, the relationship between incident CKD has not been evaluated. <b><i>Methods:</i></b> We conducted prospective analyses of Atherosclerosis Risk Communities study participants without at baseline (1987-1989, n = 15,055). Dietary was estimated using equation for potential...
Autonomic imbalance, a feature of both diabetes and hypertension, may contribute to adverse cardiovascular outcomes. In animal models, sympathetic nerve activity contributes renal damage but the extent which autonomic dysfunction precedes development CKD ESRD in humans is unknown. We measured resting heart rate variability 13,241 adults (45- 64-years old) followed for median 16 years Atherosclerosis Risk Communities (ARIC) Study. examined parameters by quartiles, defining those lowest...
The relation of food insecurity (inability to acquire nutritionally adequate and safe foods) chronic kidney disease (CKD) is unknown. We examined whether associated with prevalent CKD among lower-income individuals in both the general US adult population an urban population.We conducted cross-sectional analyses participants National Health Nutrition Examination Survey (NHANES) 2003-2008 (n = 9,126) Healthy Aging Neighborhoods Diversity across Life Span (HANDLS) study 1,239). Food was defined...
The use of peritoneal dialysis (PD) has declined in the United States over past decade and technique failure is also reportedly higher PD compared to hemodialysis (HD), but there are little data addressing factors outcomes associated with switching modalities from HD.In a prospective cohort study 262 patients enrolled 28 clinics 13 U.S. states, we examined potential predictors HD (including demographics, clinical factors, laboratory values) association mortality. Cox proportional hazards...
Diet can markedly affect acid-base status and it significantly influences chronic kidney disease (CKD) its progression. The relationship of dietary acid load (DAL) CKD has not been assessed on a population level. We examined the association estimated net excretion (NAEes) with CKD; socio-demographic clinical correlates NAEes. Among 12,293 U.S. adult participants aged >20 years in National Health Nutrition Examination Survey 1999–2004, we by estimating NAEes from nutrient intake body surface...