Nephrology Journal Club
Nephrology Journal Club

@NephJC

10 Tweets 2 reads Feb 17, 2023
Welcome to #TenTweetNephJC
✳️ 10 tweets #NephJC catch-up ✳️
2/10
What did I miss?
The STOP ACEi Trial examined discontinuing RAS in pts with advanced CKD to determine if there were advantages in CKD progression, SAE, CV events or death.
Renin–Angiotensin System Inhibition in Advanced Chronic Kidney Disease (nejm.org)
3/10
1 tweet methods
✅ 39 centers in United Kingdom.
✅ Adults (> 18 yo) with eGFR < 30 cc/min (CKD 4-5). Decrease of > 2 ml/min eGFR in previous 2 years.
✅ 411 patients followed every 3 months for 3 years, randomized 1:1.
4/10
1 tweet results
🔹 1° outcome: eGFR 12.6 +/- 0.7 in discontinue vs 13.3 +/- 0.6 in continue group (p= 0.42)
🔹 2° outcome: ESKD/RRT in 62% of discontinue vs 56% in continue group (HR 1.28, 95% CI 0.99-1.65)
🔹 Serious adverse events were similar between the 2 groups.
5/10
A figure paints 1000 words
6/10
Give me something clever to say
@brendonneuen
7/10
Chat consensus?
“For those already keeping pts on RASi they will keep doing it. For those who stopped due to fear of hastening KRT, [they] may change practice. Doesn’t change anything beyond that. CV benefit being underpowered and buried is a bummer.” @captainchloride
8/10
Quote of the fortnight!
@rheault_m
9/10
I want more info
✅ Check out this tweetorial from Dr Nayan Arora:
✅ Summary from @thana_susan: nephjc.com
✅ VA by @dana_m_larsen: nephjc.com
10/10
Final thoughts
✳️ This has been @brian_rifkin taking over for @jamiewillows. #TenTweetsNephJC.
He was a little busy, be sure to congratulate him on the birth of his new child!!
➡️ Up next - Dec 6, 7 Aprocitentan in Resistant HTN PRECISION in Lancet) !
@ChristosArgyrop

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