NephJC is a nephrology journal club that uses Twitter to discuss the research, guidelines, and editorials that drive nephrology.
This week, we look at using the, marginally effective, Covid treatment, remdesivir in patients with decreased GFR against the advice of the manufacturer and the FDA.
Upcoming Twitter chats:
All scheduled chats are tentative. We may change the schedule depending on the whims of the NephJC work group
January Date TBD: STARMEN trial, Kidney International
Twice a month (that’s aspirational, not a promise), the filtrate (Jennie Lin, Joel Topf, Samira Farouk, Matt Sparks, and Swapnil Hiremath) sit down and recap the latest NephJC discussion. We go as deep as it takes. Give it a listen.
Episode 028: Drs Burgner and Bakris join Matt, Joel, and Josh to discuss FIDELIO.
Episode 027: The first KDIGO diabetes guidlines land in the middle of a revolution in DKD. Join the filtrate as we explore the new guidelines with Katherine Tuttle and Ian de Boer
Episode 026: The filtrate welcome Drs. Vandana Dua Niyyar and Sophia Ambruso to discuss the recent paper in the NEJM, "Drug-Coated Balloons for Dysfunctional Dialysis Arteriovenous Fistulas."
The NephJC Twitter Journal Club Primer
The NephJC work group has produced a primer to document some of our thoughts on the practices on running a Twitter Journal Club. We think it is quite good. Take a look.
In the last year, NephJC has injected some statistical muscle into its editorial team (thank you Perry Wilson and Laurie Tomlinson). Then Manasi Bapat volunteered to create some cogent explainers for the various techniques that are routinely described in the methods section most of us skip over as we rush to the results. Here are the recent posts...
In this edition of #Nephstats, we look at Number Needed to Treat (NNT), a controversial topic creates ripples and roars on social media amongst stat savvy physicians, epidemiologists and biostatisticians. This seems like such a simple and easy number to make sense of a trial’s importance - what could be controversial or wrong about it?
How do you understand the inverted world of non-inferiority? Manasi Bapat breaks it down for us here
She’s back: A stats explainer of statistical modelling, goodness of fit and the Bayes information criterion from Manasi Bapat.
When a study is negative the work is not done. Time to separate a negative trial from an underpowered one. Learn how to think about this with Manasi Bapat.
Propensity scores…what’s up with that?
Multiple testing and the Bonferroni - NSMC intern and NephJC stats explainer Manasi Bapat breaks it down for you in this post.
Manasi deconstructs pragmatic trials for us. How are they different compared to efficacy & explanatory trials?
Manasi Bapat takes you behind the scenes to explain the need for doing sensitivity analyses
We begin a series of occasional commentary on the methods underlying the research being discussed. This edition: the 2 x 2 factorial designs.
The NephJC Book Club
Every summer we blog our way through a book of medical interest and have a Twitter-based book club discussion.
2020 Rana Awdish’s In Shock
2019 Andrew Bomback’s Doctor (Object Lessons)
2018 Siddhartha Mukherjee's Laws of Medicine, Field Notes from an Uncertain Science
2017 Vanessa Grubb's Hundreds of Interlaced Fingers.
2016 Eric Topol's The Patient Will See You Now
2015 Atul Gawande's Being Mortal
Steve Quinlan is a patient who did PD for a year. He looked at the 2020 ISPD guidelines of adequacy and he has thoughts…
The summary is not enough. Check out these tweetorials on
Why did we lose the ability to handle excess uric acid?
What is mendelian randomization and what does it tell us here?
Dr Singh provides his view on this week’s paper in a tight tweetorial.
Some cases of ADTKD are due to mutations of the MUC-1 gene, one mutation is a frame shift mutation that results in a premature stop codon. which results in accumulation of the abnormally short, and toxic protein MUC-1 fs . The researchers found a small protein, BRD4780, that reroute MUC-1fs to lysosomes, preventing proteinopathy and possibly altering the natural history of the disease.
The winners of the fifth annual NephJC Kidneys
Thanks for voting. We virtually announced the winners in all 6 categories, plus a new category:
Rookie of the Year: Anna Gaddy
Most Engaged Scientist: Ron Wald
Study of the Year: DAPA-CKD
Most Valuable Player: Sinead Stoneman and Edgar Lerma
Nathan Hellman Social Media Project of the Year: NephroPOCUS
CJASN Visual Abstract of the Year: Priti Meena
(New this year) NephJC Social Justice Award Investigator making an impact in addressing racial disparities in nephrology and kidney disease: Women in Nephrology