Follow the twists and turns toward better kidney care — more on the road ahead
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After 35 years, I am stepping down as editor-in-chief for Healio | Nephrology News & Issues. Retirement awaits, but I have pledged to myself to keep active.
Whatever I do, it will not compare to what I have learned and experienced as a journalist in covering the specialty of nephrology for more than 3 decades.
When I started as editor in 1989, I had to be a quick learner. Medicare was deciding how much to pay for Amgen’s new blockbuster anemia drug, Epogen. Patients drained by kidney failure and dialysis were finally getting relief. A few months later, nephrologists Tom Parker, MD, and Alan Hull, MD, co-chaired a landmark international conference in Dallas on morbidity and mortality among patients on dialysis. The conclusion? While U.S. patients were sicker, dialysis providers and nephrologists were delivering subpar treatment compared with other countries.
Help in tracking those outcomes, like morbidity and mortality, arrived in 1989 as well: the first edition of the U.S. Renal Data System’s Annual Data Report with hundreds of pages about how kidney disease is managed. It put the community on the global stratosphere for data analysis and collection. More than 30 years later, the 2024 edition of the annual report is set to be released.
Lastly, work was completed in 1991 on the Institute of Medicine study, “Kidney Failure and the Federal Government.” The report offered a number of recommendations on how we could make kidney care better.
Those were all big events we covered in the pages of Healio | Nephrology News & Issues, and there were more to come. What we have learned and come to appreciate is that patients with a chronic disease have a long and difficult path — a hard road for them and for the physicians, nurses, social workers, dietitians, nephrology clinical technicians and nephrology biomedical technicians in this community and the companions and caregivers who care for them, keep dialysis clinic doors open, monitor patients at home, provide care for patients with late-stage chronic kidney disease or help manage those with kidney transplants.
I believe innovation in kidney care will bring brighter days and more treatment options. Plenty of twists and turns are ahead but keep your eye on the road. Healio | Nephrology News & Issues will be there with you.