Learning Objectives

• To summarize epidemiology of chronic kidney disease (CKD).
• To identify effects of CKD on morbidity and mortality.
• To define most effective strategies for evaluation and management of patients with CKD.

It is the policy of American Society of Nephrology (ASN) that all individuals in a position to control the content of ASN's educational activities are expected to disclose all their and their life spouse/partner's financial relationships with “ineligible companies” within the prior 24 months as well as other non-financial interests. (“Ineligible companies” are those whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by or on patients.) Participants should note that the use of products outside U.S. Food and Drug Administration (FDA) approved labeling should be considered experimental and are advised to consult current prescribing information for approval indications.

The intent of this policy is not to prevent expert faculty with relevant relationship(s) with commercial interest(s) from involvement in educational activities, but rather to ensure that these activities promote quality and safety, are effective in improving medical practice, are based on valid content, and are independent of control from commercial interests and free of commercial bias. In addition, all faculty were instructed to provide balanced, scientifically rigorous, and evidence-based presentations.

ASN requires all individuals in a position to control content for this activity to complete disclosure forms on the ASN website. Responses are listed below.

Disclosures have been reviewed and assessed by ASN. All relationships with ineligible companies have been identified and all relevant financial relationships have been mitigated.

View the full ASN Conflict of Interest and Disclosure Policy: https://www.asn-online.org/education/cme/coi-disclosure.pdf.

EDITORS:

Alice M. Sheridan, MD—Employer(s): Brigham and Women’s Hospital; No additional relevant financial relationship(s) with ineligible companies to disclose.

Martina M. McGrath, MBChB, FASN—Employer(s): Brigham and Women’s Hospital; VA Boston Medical Center; No additional relevant financial relationship(s) with ineligible companies to disclose.

EDITORAL AUTHOR:

Valerie A. Luyckx, MD, MS, PhD—Employer(s): Brigham and Women's Hospital, Renal Division, Boston, MA; Department of Paediatrics and Child Health, University of Cape Town; Other Interests or Relationships: Royalties from Elsevier as Editor of textbook “The Kidney”.

AUTHORS:

Brad C. Astor, PhD, MPH—Employer(s): University of Wisconsin School of Medicine and Public Health; Consultancy: VascAlert, Sonavex.

Teresa K. Chen, MD—Employer(s): Johns Hopkins University School of Medicine; Research Funding: NIH/NIDDK, Yale University; Honoraria: Anticipated honoraria for contributing to an issue of nephSAP (American Society of Nephrology).

Nimrit Goraya, MD, FASN—Employer(s): Baylor Scott and White Health; No additional relevant financial relationship(s) with ineligible companies to disclose.

Morgan Grams, MD, PhD—Employer(s): New York University; Advisory or Leadership Role: AJKD, CJASN, JASN Editorial Fellowship Committee, NKF Scientific Advisory Board, KDIGO Executive Committee, USRDS Scientific Advisory Board; Other Interests or Relationships: Grant funding from NKF — which receives funding from multiple pharmaceutical companies, grant funding from NIH.

Beini Lyu, MD—Employer(s): Johns Hopkins University Bloomberg School of Public Health; No additional relevant financial relationship(s) with ineligible companies to disclose.

Jennifer D. Moran, MD—Employer(s): Baylor Scott and White Health; No additional relevant financial relationship(s) with ineligible companies to disclose.

Tripti Singh, MBBS, MD, FASN—Employer(s): University of Wisconsin School of Medicine and Public Health; Consultancy: Snap Inc., Cruise, Ubicept — All three companies are consultancy by spouse.

ASN STAFF:

Suzanne P. Armstrong, MA—Employer(s): American Society of Nephrology; No additional relevant financial relationship(s) with ineligible companies to disclose.

Commercial Support

There is no commercial support for this issue.

The nephSAP editorial team and the KSAP editorial board extend their sincere appreciation to the following reviewers. Their efforts and insights help improve the quality of these postgraduate education offerings. 

nephSAP Review Panel, Volume 21, Number 2, June 2022

• Josephine Abraham, MD, MPH, FASN University of Utah United States
• Olufemi A. Aduroja, MD, FASN Texas Tech University Health Sciences Center El Paso United States
• Taha Ayach, MD, FASN University of Kentucky United States
• Shweta Bansal, MD, MBBS, FASN University of Texas Health at San Antonio United States
• Nadiesda Costa, MD, MPH, FASN Georgetown University United States
• Steven M. Gorbatkin, MD, PhD, FASN University of Washington United States
• Susan Grossman, MD Brooklyn VA United States
• Aijaz A. Gundroo, MD, FASN The Ohio State University Wexner Medical Center United States
• Aditi Gupta, MD, MS, FASN University of Kansas Medical Center United States
• Swapnil Hiremath, MD, MPH, FASN University of Ottawa Canada
• Nithin Karakala, MD, FASN University of Arkansas for Medical Sciences United States
• Elizabeth A. Kendrick, MD, FASN UCLA Health United States
• Daphne Harrington Knicely, MD, FASN Johns Hopkins University School of Medicine United States
• Paul A. Kovach, MD, FASN Columbus Nephrology, Inc. United States
• David J. Leehey,MD Hines VA Hospital United States
• Rajil B. Mehta, MD, FASN Starzl Transplantation Institute United States
• Georges Nakhoul, MD, FASN Cleveland Clinic Foundation United States
• Robert Nee, MD, FASN Walter Reed National Military Medical Center United States
• Sankar Narayan Niranjan, MD, FASN Greater Hartford Nephrology United States
• Kevin P. O'Reilly, MD, FASN Columbus Nephrology, Inc. United States
• Amay Parikh, MD, MS, MBA, FASN AdventHealth Medical Group; DialyzeDirect United States
• Paul H. Pronovost, MD, FASN Temple Physicians, Inc United States
• Nirupama Ramkumar, MD, MPH, FASN University of Utah United States
• Rupam Ruchi, MD, FASN University of Florida United States
• Mohammad A. Samih, MD, MBBS, FASN Cayuga Medical Center United States
• Nagaraju Sarabu, MD University Hospital Cleveland Medical Center United States
• Jeffrey I. Silberzweig, MD, FASN The Rogosin Institute United States
• Gurmukteshwar Singh, MD, FASN Geisinger Medical Center- Nephrology United States
• James Sondheimer Wayne State University United States
• Stephen M. Sozio, MD, FASN Johns Hopkins University School of Medicine United States
• Ekamol Tantisattamo, MD, FASN, MPH University of California, Irvine School of Medicine United States
• Ravi K. Thimmisetty, MD, FASN Ochsner Clinic Foundation United States
• George Thomas, MD, FASN Cleveland Clinic United States
• Ruth L. Wintz, MD, FASN Kidney Associates United States

Program Mission and Objectives

nephSAP® provides a learning vehicle for physicians, scientists, advanced practitioners, nurses, pharmacists, and other health professionals working and training in the field of nephrology to renew and refresh their clinical knowledge, diagnostic, and therapeutic skills. This enduring material provides learners challenging, clinically-oriented questions based on case vignettes, detailed learning objectives, a series of articles that review recent publications, and an editorial on an important and evolving topic. This combination of materials enables learners to rigorously assess their strengths and weaknesses in the broad domain of nephrology.

Target Audience

Physicians, scientists, advanced practitioners, nurses, pharmacists, and other health professionals working and training in the field of nephrology.

Accreditation and AMA Credit Designation Statements

In support of improving patient care, the American Society of Nephrology is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The American Society of Nephrology designates this internet activity (enduring material) for a maximum of 10.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM MOC Statement

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 10.0 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to Joint Accreditation for the purpose of granting ABIM MOC credit. MOC points will be applied to only those ABIM candidates who have enrolled in the MOC program. It is your responsibility to complete the ABIM MOC enrollment process.

Original Release Date: June 2022

CME/MOC Termination Date: May 31, 2024

Examination Available Online: On or before June 30, 2022

Estimated Time for Completion: 10 hours 

Self-Assessment Examination

• Answers with explanations are provided with a passing score after the first and/or second attempt
• This issue will be archived June 1, 2024, and answers with explanations will be posted on the ASN website

Method of Participation

• Read the entire issue that is supplemented by original articles in the reference lists.
• Complete the online self-assessment examination.
• Each participant is allowed two attempts to pass the examination (75% correct) for CME and MOC.
• Upon completion, review your score and incorrect answers and print your certificate.

Activity Evaluation, CME and MOC

• Go to ASN eLEARNING CENTER (education.asn-online.org)
• Select MY ACTIVITIES from the left-hand navigation.
• Select the corresponding issue.
• Read all information on the Overview screen.
• Follow the onscreen instructions to:
  • Complete the Exam (i.e., post test),
  • Complete the Evaluation,
  • Claim credit/MOC, and
  • Print a Certificate

Your complete ASN Transcript is available on the ASN eLEARNING CENTER:

• Select TRANSCRIPT on the left-hand navigation.
• View course status, credits claimed, or print a certificate for completed learning activities.