That’s great, thank you

Agreed, and the further phenotyping will help lead to treatments for AMR. Kidney transplant physicians need more tools to preserve kidney transplants. The SONG initiative showed that kidney transplant recipients feared going on dialysis more than dying #nephjc

Are these recorded? Would love to listen to them at a later time

Thank you

Is there any comparative study regarding outcomes - for eg long term patency/ maturation rates between endovascular avf and surgically created fistula?

The dialysis industrial complex !! 😎😎

Thank you - hopefully Phosphate study will give some answers
While we are on this topic- is there any study that shows better outcomes by targeting Pth to less than a certain level?

So - will there be another study or do we say hi vs lo doesn’t matter and hopefully don’t have to force pts to swallow extra pills and maybe eat better ?

If there was a NNT for AVF or in this case - the number needed to create (NNC)- what would that be?

it’s amazing how motivated all patients are to avoid/minimize time on dialysis- we should harness this motivation for their benefit- however if they remain on dialysis i always ask them what we can do to fit dialysis to their lifestyle not fit their lifestyle to dialysis-
Pt choices matter

Agree- CVC is not long term but if they have potential donors it not only avoids long term CVC, multiple procedures for AV access creation and patency maintenance but long term dialysis- of course if no viable donor and on wait list then AVf would be the way to go

This is great, will certainly look into it

Do your patients use this device to mitigate infection: www.cathdryglobal.com it's ideal for PD access, but works well w/ CVC access too.
Learned about it last week in @asnkidney.bsky.social webinar cc: @roy-chaudhury.bsky.social from a caregiver of a partner who has been on all dialysis modalities.

For younger pts I start with a CVC and refer them asap for txp eval. They are highly motivated and usually have potential living donors. Have several folks who have undergone Ldtxp and were able to avoid AV access surgery-trying to avoid cookie cutter medicine - the current paradigm of dialysis care

agree that AVF is the preferred access but really need to go away from diktats such as fistula first. need to individualize access. quality of life and patient preferences matter!! we all have pts who are doing just fine with a CVC.