ABSTRACT Chronic kidney disease (CKD) is prevalent in prisons and most nephrologists see persons in prison in various clinical settings. These encounters are often fraught with challenges around logistics and communication with healthcare providers staffing the prison. Preplanning clinic visits along with education for teams can improve care and ease concerns. Access to virtual consultations in prisons is variable despite it being shown to considerably improve access to care. Access to patient information material…

ABSTRACT Shortages in the nephrology workforce contribute to a vicious cycle of increasing workload, trainee burnout and further loss of interest from learners. This situation applies not just to medical students but also to learners in allied health professions, such as nursing staff, dialysis technicians and renal pharmacists. As a medical specialty, nephrology is in constant competition with other specialties to attract future talent. Fortunately, our field has no shortage of qualities that we can highlight for…

ABSTRACT Non-adherence is an issue in all chronic health conditions and the World Health Organization estimates that up to 50% of patients do not take all of their medications. The situation in kidney transplant patients is probably better, as these patients are preselected for good adherence and proactive behaviour. Nonetheless, non-adherence remains a common, significant and likely underdiagnosed problem in transplant nephrology. Not taking immunosuppressive medication as directed is strongly correlated with lat…

Abstract The transition from pediatric to adult renal care is a challenging time for children and young people (CYP). For them, this is a period of seismic change overall and a key step during their journey from parental support to independence. Improving outcomes in paediatric care is resulting in a growing population of CYP who require transition and individualised care planning. The point of transfer to adult services is also a risk escalator to long-term health and it is important to avoid disengagement. Aware…

ABSTRACT The health-care system and particularly renal replacement therapy has a significant carbon footprint adding to global warming and extreme weather conditions. Improving sustainability has become the focus of national and international working groups. Many reviews underline the need for improvement of sustainability in nephrology, in particular dialysis, and provide recommendations on how to reduce waste, energy, and water consumption. However, how to implement these recommendations, and where to start, is …