Sumit Mohan
sumitmohan.bsky.social
Sumit Mohan
@sumitmohan.bsky.social
Nephrologist, Deputy Editor @KI Reports
Reposted by Sumit Mohan
The 8 largest Dow Jones drops in history
1. Trump 3/16/20 -2,997.10
2. Trump 3/12/20 -2,352.60
3. Trump 4/4/25 -2,231.07
4. Trump 3/9/20 -2,013.76
5. Trump 6/11/20 -1,861.82
6. Trump 4/3/25 -1,679.39
7. Trump 3/11/20 -1,464.94
8. Trump 3/18/20 -1,338.46
Tired of winning yet?
April 5, 2025 at 3:33 PM
There were real geographic disparities- not just rural vs urban but as we showed - the differences were more to do with organ offer acceptance than anything else. journals.lww.com/jasn/abstrac... …. Also multi listing benefits pts with higher SES largely
Major Variation across Local Transplant Centers in... : Journal of the American Society of Nephrology
probability of receiving a deceased donor kidney transplant within 3 years of waiting list placement across centers. For the average patient, probability of transplant varied 16-fold between different...
journals.lww.com
January 26, 2025 at 5:24 PM
Yes - non utilization is a discard. Terminology changes that a few insist on. There can be good reasons to say no to an organ and often not. See table 3 in our paper above - or the variation here pubmed.ncbi.nlm.nih.gov/31469394/
Association Between Declined Offers of Deceased Donor Kidney Allograft and Outcomes in Kidney Transplant Candidates - PubMed
This study found that transplant candidates appeared to receive a large number of viable deceased donor kidney offers that were refused on their behalf by transplant centers, potentially exacerbating ...
pubmed.ncbi.nlm.nih.gov
January 26, 2025 at 2:06 PM
And yet folks continue to defend the status quo… our allocation system is broken and those responsible for regulation are asleep at the wheel…
January 23, 2025 at 3:35 AM
Congratulations!
January 8, 2025 at 6:15 PM
Happens in any 24 hr urine collection with a UTI or bacteriuria. The urea clearance is much higher than the creatinine clearance rather it being the other way around…. leads to a falsely low CrCl that gets incorrectly blamed on an incomplete collection.
January 3, 2025 at 3:39 AM
Reposted by Sumit Mohan
Legend:
December 4, 2024 at 9:01 AM
For many the low hanging fruit is expanding their living donor program
November 28, 2024 at 10:24 PM
The secret sauce here is going to good waitlist management - eliminate internal holds, inactivate folks that aren’t ready, implement filters well. This coupled with review of offers that are declined but accepted by others.
November 28, 2024 at 10:24 PM
In the interim, here is the first paper that was written on this pmc.ncbi.nlm.nih.gov/articles/PMC... - this has gone from a niche rare event to something that encompasses nearly 20% of all deceased donor kidneys in the US
Deceased donor kidneys allocated out of sequence by Organ Procurement Organizations
Deceased donor kidney allocation follows a ranked match-run of potential recipients. Organ procurement organizations (OPOs) are permitted to deviate from the mandated match-run in exceptional circumst...
pmc.ncbi.nlm.nih.gov
November 27, 2024 at 10:18 PM
There should be a few papers coming … if we can make it past the reviewers 😂 … it’s been more of a challenge than usual
November 27, 2024 at 10:15 PM