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.
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.
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”.
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.
Suzanne P. Armstrong, MA—Employer(s): American Society of Nephrology; No additional relevant financial relationship(s) with ineligible companies to disclose.
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.
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
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.
Instructions to obtain American Board of Internal Medicine (ABIM) Maintenance of Certiﬁcation (MOC) Points
Each issue of nephSAP provides 10 MOC points. Respondents must meet the following criteria:
Be certiﬁed by ABIM in internal medicine and/or nephrology and enrolled in the ABIM–MOC program...
Enter your (ABIM) Candidate Number and Date of Birth prior to completing the examination.
Take the self-assessment examination within the timeframe speciﬁed in this issue of nephSAP.
Upon completion, click Claim Your MOC points, the MOC points submitted will match your CME credits claimed, check the Attestation Statement box and submit.
ABIM will notify you when MOC points have been added to your record.
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.
System Requirements Compatible Browser and Software
The nephSAP website (nephsap.org) is formatted for cross-browser functionality, and should display correctly in all currently supported web browsers. Individual nephSAP articles are available as dynamic HTML or in Portable Document Format (PDF), which requires Adobe Reader or comparable PDF viewing software.
The nephSAP website is designed for responsive display. This means the content display will respond to the device you use and to your devices screen resolution.
Medium or Combination of Media Used
The media used include content provided online as dynamic HTML or downloadable PDF, in addition to an online evaluation and self-assessment examination.
If you have difficulty viewing any of the pages, please refer to the nephSAP technical support page for possible solutions. If you continue having problems, contact ASN at email@example.com.