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Chronic Kidney Disease III: Interprofessional Care01:28

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Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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Kidney Transplant III: Nursing Management01:16

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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Chronic Kidney Disease I: Introduction01:25

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Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
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Acute Kidney Injury V: Interprofessional Care01:20

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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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As primary excretory organs, the kidneys maintain homeostasis by removing waste substances from the bloodstream. They comprise over a million units called nephrons, which serve as the kidney's functional units.
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Chronic Kidney Disease II: Clinical Manifestations01:24

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Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
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Updated: Sep 4, 2025

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Onco-nephrology: Physicians' Expectations About a New Subspecialty.

Matthieu Delaye1,2, Mélanie Try3,4, Adrien Rousseau3,5

  • 1Department of Medical Oncology and Cellular Therapy, Tenon Hospital (Public Assistance Paris Hospitals, AP-HP), 4 rue de la Chine, Paris, France. matthieu.delaye@aphp.fr.

Journal of Cancer Education : the Official Journal of the American Association for Cancer Education
|July 15, 2022
PubMed
Summary

Physicians desire more training and resources in onco-nephrology, highlighting a need for a national working group and guidelines to manage kidney issues in cancer patients. This specialty addresses common renal events in cancer care.

Keywords:
MultidisciplinarityOnco-nephrologyResidentsSurvey

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Area of Science:

  • Oncology
  • Nephrology
  • Onco-nephrology

Background:

  • Renal events are frequent in cancer patients, and malignancy complicates kidney replacement therapy (KRT) and transplants.
  • Onco-nephrology is an emerging subspecialty with an undefined scope.

Purpose of the Study:

  • To evaluate French resident and senior physicians' knowledge and expectations regarding onco-nephrology.
  • To identify challenges and resource needs in onco-nephrology practice.

Main Methods:

  • An anonymous, self-administered online survey was distributed to French residents and senior physicians.
  • The survey assessed confidence, perceived challenges, training adequacy, and resource availability in onco-nephrology.

Main Results:

  • Physicians reported moderate confidence (6/10) in managing onco-nephrological situations.
  • Managing cancer drugs in KRT/transplant patients and discussing dialysis for cancer patients were key challenges.
  • Residents felt inadequately trained (3/10), and 46% found resources inappropriate; only 21% had access to specialized consultations.

Conclusions:

  • Physicians expressed a strong need for a national working group (8.3/10) and guidelines (87%) in onco-nephrology.
  • The creation of the French national working group, GRIFON (Groupe de Recherche Interdisciplinaire en OncoNéphrologie), addresses these identified needs.