American Journal of Kidney Diseases (@ajkd.bsky.social)

@ajkd.bsky.social Oct 8, 2026, 10:00 PM

The Nephrologist’s Guide to Lower Urinary Tract Conditions: A Urology-Based Review

bit.ly/4bX1zK5 (FREE)

@ajkd.bsky.social Oct 8, 2026, 4:02 PM

Commentary by Natasha Freeman on the #AJKDBlog:

A Call for Better Cancer Screening Guidelines for Patients with Glomerular Disease

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@ajkd.bsky.social Oct 8, 2026, 10:02 AM

Steroid Minimization in Kidney Transplantation: Rationale, Implementation, and Future Directions

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Key challenges and knowledge gaps in steroid minimization after kidney transplantation. This conceptual framework summarizes the principal clinical and methodological challenges associated with steroid minimization and early steroid withdrawal strategies. Four key domains are highlighted: (A) balancing metabolic benefits against immunologic risk, (B) defining appropriate candidates in the setting of heterogeneous immunologic risk profiles, (C) protocol and center-level variability in definitions, timing, and induction strategies, and (D) limitations of current precision tools for monitoring and risk stratification. At the center is the need to balance immunologic safety with metabolic benefit when considering steroid minimization. Collectively, these domains underscore variability in practice patterns, uncertainty in patient selection, and limitations in current monitoring approaches, all of which contribute to heterogeneity in outcomes and limit standardization across centers.

@ajkd.bsky.social Oct 7, 2026, 10:00 PM

Platelet Reactivity Expression Score and Major Adverse Cardiovascular and Limb Events in CKD

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Association between CKD and PRESS. (A) Distribution of PRESS z score by CKD status. (B) Distribution of PRESS z score by CKD severity. (C) Correlation between PRESS z score and eGFR. (D) Kaplan-Meier curves for freedom from MACLE stratified by PRESS and CKD status. (E) Risk of MACLE by PRESS and CKD status. Abbreviations: ANOVA, analysis of variance; CKD, chronic kidney disease; eGFR, estimated glomerular filtration rate; MACLE, major adverse cardiovascular and limb events; PRESS, Platelet Reactivity Expression Score.

@ajkd.bsky.social Oct 7, 2026, 4:01 PM

EDITORIAL: Bloodless Potassium: Can Artificial Intelligence–Enabled Electrocardiography Guide Both Acute Detection and Correction of Hypokalemia?

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@ajkd.bsky.social Oct 7, 2026, 10:00 AM

Distribution of GFR in Apparently Healthy Indians

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Measured glomerular filtration rate (mGFR) of apparently healthy Indian subjects is shown for various ages compared to the mGFR of apparently healthy individuals from the European population. Red lines: Median and 2.5th and 97.5th regression quantiles based on second-degree polynomials for Indian apparently healthy subjects.

@ajkd.bsky.social Oct 6, 2026, 10:01 PM

An Interactive Virtual Nephrologist to Engage Patients With Advanced CKD About Transplantation

bit.ly/4z0Bjbg (OPEN ACCESS)

@ajkd.bsky.social Oct 6, 2026, 4:04 PM

Blood Leak Alarms With Hydroxocobalamin Administration

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Suggested algorithms for handling blood leak alarms derived from our institution’s protocol: (A) if blood is visualized; (B) if blood is NOT visualized.

@ajkd.bsky.social Oct 6, 2026, 10:00 AM

The October 2026 issue of AJKD is available now!

Check out the plain-language summaries on what inspired each study, the basic approach taken, what was learned, and why it matters:

bit.ly/46V3wDR

@ajkd.bsky.social Oct 5, 2026, 10:02 PM

Hospitalizations With Pericarditis and Pericardial Effusions in People With Kidney Failure Receiving Dialysis in the United States (2016-2021)

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@winkeldoc

Annual totals and rates of hospitalizations for pericarditis/pericardial effusions for the US prevalent dialysis population, 2016-21 in which cardiac tamponade or cardiogenic shock were present. Notes: Numbers are estimates using the National Inpatient Sample (Panel A), and from both the National Inpatient Sample and the 2023 Annual Data Report of the United States Renal Data Service (Panel B).8 Dotted lines represent 95% confidence intervals.

@ajkd.bsky.social Oct 5, 2026, 4:01 PM

The ‘Known Unknowns’ of CKD of Undetermined Etiology In 2026

bit.ly/4ebVfPG (OPEN ACCESS)

Burden of low eGFR in working-age rural males without hypertension, diabetes or heavy proteinuria. Age-standardised estimates in the 18–60-year-old population from the DEGREE collaboration. Released under a CC BY 4.0 license from Rutter et al.

@ajkd.bsky.social Oct 5, 2026, 10:00 AM

Risks of Postpartum Kidney Disease Following Preeclampsia and Gestational Hypertension

bit.ly/4wf6TQ3 (OPEN ACCESS)

Association of preeclampsia with and without severe features compared to gestational hypertension 0-29, 30-59, 60-89, 90-179, 180-365 days after delivery for any acute kidney injury and chronic kidney disease (confounder-adjusted hazard ratio with 95% CI), Nationwide Readmissions Database, 2010 to 2020

@ajkd.bsky.social Oct 4, 2026, 10:00 PM

On the #AJKDBlog:

@maximalchange.bsky.social interviews Niraj B. Desai, Casey Gashti, and @nephrowhitt.bsky.social about the history of lupus nephritis and several exciting new therapies:

@ajkd.bsky.social Oct 4, 2026, 4:00 PM

The October 2026 issue of AJKD is available now!

Check out the plain-language summaries on what inspired each study, the basic approach taken, what was learned, and why it matters:

bit.ly/46V3wDR

@ajkd.bsky.social Oct 4, 2026, 10:00 AM

An Unexpected Cause of Early Allograft Dysfunction: A Quiz

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@ajkd.bsky.social Oct 2, 2026, 10:00 PM

NEW Blog Interview from Timothy Yau and Ikechi G. Okpechi on the #AJKDBlog:

Chronic Kidney Disease Prevalence in Africa

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@ajkd.bsky.social Oct 2, 2026, 4:01 PM

A Perspective on the Role of Nephrologists in the Cardio-Kidney-Metabolic Syndrome

bit.ly/47vv4jd (OPEN ACCESS)

The roles for nephrologists within the CKM Framework across the spectrum of kidney diseases. The outer rim represents distinct subs-specialties within which nephrologists may integrate the CKM framework and vice-versa. Abbreviations: AKI= acute kidney injury; AKD = acute kidney disease; CKD = Chronic Kidney Disease; CKM = Cardiac Kidney Metabolic

@ajkd.bsky.social Oct 2, 2026, 10:00 AM

Perceptions of Hispanic Patients with Advanced CKD About Communication and Engagement Regarding Kidney Transplantation: A Qualitative Study

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Interview themes overlaid on Berlo’s framework. The Berlo’s communication framework views communication as the transfer of information and includes four components: the source or sender, the message or encoding of the message, channel or the delivery method of the message, and the receiver of the message. This figure overlays linguistic context, conversational context, socioemotional context and informational context on the Berlo’s framework to depict the main themes identified in the interviews.

@ajkd.bsky.social Oct 1, 2026, 10:01 PM

Associations of Pre-Pandemic CKD With Acute and Post-Acute COVID-19: The C4R Study

bit.ly/4whjJON (OPEN ACCESS)

@ajkd.bsky.social Oct 1, 2026, 4:02 PM

Application of a Kidney Hierarchical Composite Endpoints in Trials of CKD Progression: Report of a Scientific Workshop Sponsored by the National Kidney Foundation

bit.ly/4z8VeUR