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3. Kidney Function Decline and Serious Adverse Drug Reactions in Patients With CKD

Author

Ayav, Carole, Briançon, Serge, Cannet, Dorothée, Combe, Christian, Fouque, Denis, Frimat, Luc, Herpe, Yves-Edouard, Jacquelinet, Christian, Laville, Maurice, Massy, Ziad A., Pascal, Christophe, Robinson, Bruce M., Stengel, Bénédicte, Lange, Céline, Legrand, Karine, Liabeuf, Sophie, Metzger, Marie, Speyer, Elodie, Hannedouche, Thierry, Moulin, Bruno, Mailliez, Sébastien, Lebrun, Gaétan, Magnant, Eric, Choukroun, Gabriel, Deroure, Benjamin, Lacraz, Adeline, Lambrey, Guy, Philippe, Jean, Bourdenx, Essig, Marie, Lobbedez, Thierry, Azar, Raymond, Sekhri, Hacène, Smati, Mustafa, Jamali, Mohamed, Klein, Alexandre, Delahousse, Michel, Martin, Séverine, Landru, Isabelle, Thervet, Eric, Lang, Philippe, Belenfant, Xavier, Urena, Pablo, Vela, Carlos, Chauveau, Dominique, Panescu, Viktor, Noel, Christian, Glowacki, François, Hoffmann, Maxime, Hourmant, Maryvonne, Besnier, Dominique, Testa, Angelo, Kuentz, François, Zaoui, Philippe, Chazot, Charles, Juillard, Laurent, Burtey, Stéphane, Keller, Adrien, Kamar, Nassim, Laville, Solène M., Gras-Champel, Valérie, Hamroun, Aghilès, Moragny, Julien, Lambert, Oriane, Bieber, Brian, and Alencar De Pinho, Natalia

Published
2024
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6. Developing an Evidence and Theory Based Multimodal Integrative Intervention for the Management of Renal Cachexia: A Theory of Change

Author

Blair, Carolyn, Slee, Adrian, Davenport, Andrew, Fouque, Denis, Johnston, William, Kalantar-Zadeh, Kamyar, Maxwell, Peter, McKeaveney, Clare, Mullan, Robert, Noble, Helen, Porter, Sam, Seres, David, Shields, Joanne, Swaine, Ian, Witham, Miles, and Reid, Joanne

Subjects
Nutrition, Kidney Disease, Management of diseases and conditions, 7.1 Individual care needs, cachexia, kidney disease, renal disease, end-stage kidney disease, theory of change, personal and public involvement, complex intervention, multimodal intervention
Abstract

In this study, we aimed to develop a theoretical framework for a multimodal, integrative, exercise, anti-inflammatory and dietary counselling (MMIEAD) intervention for patients with renal cachexia with reference to how this addresses the underlying causal pathways for renal cachexia, the outcomes anticipated, and how these will be evaluated. We used a Theory of Change (ToC) approach to guide six steps. Step 1 included inputs from a workshop to obtain key stakeholder views on the potential development of a multimodal intervention for renal cachexia. Step 2 included the findings of a mixed-methods study with Health Care Practitioners (HCPs) caring for individuals with End Stage Kidney Disease (ESKD) and cachexia. Step 3 included the results from our systematic literature review on multimodal interventions for cachexia management. In step 4, we used the body of our research team's cachexia research and wider relevant research to gather evidence on the specific components of the multimodal intervention with reference to how this addresses the underlying causal pathways for renal cachexia. In steps 5 and 6 we developed and refined the ToC map in consultation with the core research team and key stakeholders which illustrates how the intervention components of MMIEAD interact to achieve the intended long-term outcomes and anticipated impact. The results of this study provide a theoretical framework for the forthcoming MMIEAD intervention for those with renal cachexia and in subsequent phases will be used to determine whether this intervention is effective. To the best of our knowledge no other multimodal intervention trials for cachexia management have reported a ToC. Therefore, this research may provide a useful framework and contribute to the ongoing development of interventions for cachexia management.

Published
2022

7. Exploring the lived experience of renal cachexia for individuals with end-stage renal disease and the interrelated experience of their carers: Study protocol

Author

Blair, Carolyn, Shields, Joanne, Mullan, Robert, Johnston, William, Davenport, Andrew, Fouque, Denis, Kalantar-Zadeh, Kamyar, Maxwell, Peter, McKeaveney, Clare, Noble, Helen, Porter, Sam, Seres, David, Slee, Adrian, Swaine, Ian, Witham, Miles, and Reid, Joanne

Subjects
Health Services and Systems, Health Sciences, Clinical Research, Behavioral and Social Science, Kidney Disease, 7.1 Individual care needs, Management of diseases and conditions, Renal and urogenital, Good Health and Well Being, Humans, Caregivers, Cachexia, Quality of Life, Kidney Failure, Chronic, Renal Dialysis, Qualitative Research, General Science & Technology
Abstract

Renal cachexia is an important consideration in the person-centred care that is needed in end-stage renal disease (ESRD). However, given that clinical guidelines relating to renal cachexia are largely absent, this is an unmet care need. To inform guidelines and future renal service planning, there is an urgency to understand individuals' experiences of renal cachexia and the interrelated experiences of the carers in their lives. We report here the protocol for an interpretative phenomenological study which will explore this lived experience. A purposive sampling strategy will recruit individuals living with ESRD who have cachexia and their carers. A maximum of 30 participants (15 per group) dependent on saturation will be recruited across two nephrology directorates, within two healthcare trusts in the United Kingdom. Individuals with renal cachexia undergoing haemodialysis will be recruited via clinical gatekeepers and their carers will subsequently be invited to participate in the study. Participants will be offered the opportunity to have a face-to-face, virtual or telephone interview. Interviews will be audio-recorded, transcribed verbatim and analysed using interpretative phenomenological analysis. NVivo, will be used for data management. Ethical approval for this study was granted by the Office for Research Ethics Committees Northern Ireland (REC Reference: 22/NI/0107). Scientific evidence tends to focus on measurable psychological, social and quality of life outcomes but there is limited research providing in-depth meaning and understanding of the views of individuals with renal disease who are experiencing renal cachexia. This information is urgently needed to better prepare healthcare providers and in turn support individuals with ESRD and their carers. This study will help healthcare providers understand what challenges individuals with ESRD, and their carers face in relation to cachexia and aims to inform future clinical practice guidelines and develop supportive interventions which recognise and respond to the needs of this population.

Published
2022

8. Biologically plausible trends suggesting that a low‐protein diet may enhance the effect of flozination caused by the sodium‐glucose cotransporter‐2 inhibitor dapagliflozin on albuminuria

Author

Kalantar‐Zadeh, Kamyar, Beddhu, Srinivasan, Kovesdy, Csaba P, Kramer, Holly J, and Fouque, Denis

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Albuminuria, Benzhydryl Compounds, Diabetes Mellitus, Type 2, Diet, Protein-Restricted, Glucose, Glucosides, Humans, Sodium, Sodium-Glucose Transporter 2 Inhibitors, Endocrinology & Metabolism, Clinical sciences
Published
2021

9. Sex and the Risk of Atheromatous and Non-Atheromatous Cardiovascular Disease in CKD: Findings From the CKD-REIN Cohort Study

Author

Azar, Raymond, Belenfant, Xavier, Besnier, Dominique, Bourdenx, Jean Philippe, Burtey, Stéphane, Chauveau, Dominique, Chazot, Charles, Choukroun, Gabriel, Combe, Christian, Delahousse, Michel, Deroure, Benjamin, Essig, Marie, Glowacki, François, Hannedouche, Thierry, Hoffmann, Maxime, Hourmant, Maryvonne, Jamali, Mohamed, Juillard, Laurent, Kamar, Nassim, Keller, Adrien, Klein, Alexandre, Kuentz, François, Lacraz, Adeline, Lambrey, Guy, Landru, Isabelle, Lang, Philippe, Lebrun, Gaetan, Lobbedez, Thierry, Magnant, Eric, Mailliez, Sébastien, Maisonneuve, Nathalie, Martin, Séverine, Moulin, Bruno, Noel, Christian, Panescu, Viktor, Sekhri, Hacène, Smati, Mustafa, Testa, Angelo, Thervet, Eric, Urena, Pablo, Vela, Carlos, Zaoui, Philippe, Faucon, Anne-Laure, Lambert, Oriane, Massy, Ziad A., Drüeke, Tilman B., Fouque, Denis, Frimat, Luc, Jacquelinet, Christian, Laville, Maurice, Liabeuf, Sophie, Pecoits-Filho, Roberto, Hauguel-Moreau, Marie, Mansencal, Nicolas, Alencar de Pinho, Natalia, and Stengel, Bénédicte

Published
2024
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11. Using a generic definition of cachexia in patients with kidney disease receiving haemodialysis: a longitudinal (pilot) study

Author

McKeaveney, Clare, Slee, Adrian, Adamson, Gary, Davenport, Andrew, Farrington, Ken, Fouque, Denis, Kalantar-Zadeh, Kamyar, Mallett, John, Maxwell, Alexander P, Mullan, Robert, Noble, Helen, O’Donoghue, Donal, Porter, Sam, Seres, David S, Shields, Joanne, Witham, Miles, and Reid, Joanne

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Nutrition, Kidney Disease, Clinical Research, Renal and urogenital, Aged, Aged, 80 and over, Cachexia, Female, Hand Strength, Humans, Kidney Diseases, Longitudinal Studies, Male, Middle Aged, Renal Dialysis, cachexia, definition, haemodialysis, longitudinal analysis, phenotype, Urology & Nephrology, Clinical sciences
Abstract

BackgroundResearch indicates that cachexia is common among persons with chronic illnesses and is associated with increased morbidity and mortality. However, there continues to be an absence of a uniformed disease-specific definition for cachexia in chronic kidney disease (CKD) patient populations.ObjectiveThe primary objective was to identify cachexia in patients receiving haemodialysis (HD) using a generic definition and then follow up on these patients for 12 months.MethodThis was a longitudinal study of adult chronic HD patients attending two hospital HD units in the UK. Multiple measures relevant to cachexia, including body mass index (BMI), muscle mass [mid-upper arm muscle circumference (MUAMC)], handgrip strength (HGS), fatigue [Functional Assessment of Chronic Illness Therapy (FACIT)], appetite [Functional Assessment of Anorexia/Cachexia Therapy (FAACT)] and biomarkers [C-reactive protein (CRP), serum albumin, haemoglobin and erythropoietin resistance index (ERI)] were recorded. Baseline analysis included group differences analysed using an independent t-test, dichotomized values using the χ2 test and prevalence were reported using the Statistical Package for the Social Sciences 24 (IBM, Armonk, NY, USA). Longitudinal analysis was conducted using repeated measures analysis.ResultsA total of 106 patients (30 females and 76 males) were recruited with a mean age of 67.6 years [standard deviation (SD) 13.18] and dialysis vintage of 4.92 years (SD 6.12). At baseline, 17 patients were identified as cachectic, having had reported weight loss (e.g. >5% for >6 months) or BMI

Published
2021

12. Erratum to: Using a generic definition of cachexia to understand clinical characteristics and mortality in patients with kidney disease receiving haemodialysis: a longitudinal (pilot) study

Author

McKeaveney, Clare, Slee, Adrian, Adamson, Gary, Davenport, Andrew, Farrington, Ken, Fouque, Denis, Kalantar-Zadeh, Kamyar, Mallett, John, Maxwell, Alexander P, Mullan, Robert, Noble, Helen, O'Donoghue, Donal, Porter, Sam, Seres, David S, Shields, Joanne, Witham, Miles, and Reid, Joanne

Subjects
Good Health and Well Being, Clinical Sciences, Urology & Nephrology
Abstract

In the originally published version of thismanuscript, amendments made during the proofing stage were not applied and have been listed in this erratum. Upon the original publication, there was an error in the spelling of author Kamyar Kalantar-Zadeh’s surname. Upon the original publication, the ORCID ID for authors Andrew Davenport and Helen Noble were incorrectly added to the author list. These have now been deleted. Upon the original publication, the Twitter handle of some authors were added to the Corresponding author information in error. These have now been deleted. Upon the original publication, the following sentence in the “Results” line in the Abstract should read: “A total of 106 patients (30 females and 76 males) were recruited with a mean age of 67.6 years.”. Upon the original publication, the “Materials andMethods” section had the following errors: In the first paragraph, the following sentence should read: “...between September 2017 and April 2019.”. In the second paragraph, the following sentence should read: “A single researcher carried out all assessments.”. Under the “Musclemass (MUAMC)” heading, the following sentence should read: “Suitable cut-point values designated the 5th percentile as an appropriate cut-point for lowMUAMC using normative values (i.e. 5mg/L.”. Upon the original publication, the following text in the Funding section should read: “Public Health Agency Northern Ireland”. Upon the original publication, within the reference section, the following citation (11) should refer to: “StosovicM, StanojevicM, Sanja Simic-Ogrizovic S, et al. The predictive value of anthropometric parameters onmortality in haemodialysis patients. Nephrol Dial Transplant 2011; 26: 1367–1374.”. These errors have now been corrected online. The publisher apologizes for the errors.

Published
2021

13. A call for a better understanding of the role of dietary amino acids and post-translational protein modifications of microbiome in the progression of CKD

Author

Koppe, Laetitia, Beddhu, Srinivasan, Chauveau, Philippe, Kovesdy, Csaba P, Mafra, Denise, Joshi, Shivam, Kalantar-Zadeh, Kamyar, and Fouque, Denis

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Amino Acids, Diet, Gastrointestinal Microbiome, Humans, Protein Processing, Post-Translational, Renal Insufficiency, Chronic, Urology & Nephrology, Clinical sciences
Published
2021

15. #1135 Evaluation of the adequacy of urate lowering therapy prescriptions in patients with chronic kidney disease: results from the CKD-REIN cohort

Author

Mouheb, Agathe, primary, Lambert, Oriane, additional, de Pinho, Natalia Alencar, additional, Jacquelinet, Christian, additional, Laville, Maurice, additional, Combe, Christian, additional, Fouque, Denis, additional, Frimat, Luc, additional, Stengel, Benedicte, additional, Massy, Ziad, additional, Laville, Solene M, additional, and Liabeuf, Sophie, additional

Published
2024
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18. Machine Learning-Based Urine Peptidome Analysis to Predict and Understand Mechanisms of Progression to Kidney Failure

Author

ALENCAR DE PINHO, Natalia, AYAV, Carole, CANNET, Dorothée, COMBE, Christian, DELEUZE, Jean-François, FOUQUE, Denis, FRIMAT, Luc, HERPE, Yves-Edouard, JACQUELINET, Christian, LAVILLE, Maurice, LIABEUF, Sophie, MASSY, Ziad A., PASCAL, Christophe, ROBINSON, Bruce, PECOITS-FILHO, Roberto, SCHANSTRA, Joost, STENGEL, Bénédicte, LANGE, Céline, METZGER, Marie, SPEYER, Elodie, Massy, Ziad A., Lambert, Oriane, Metzger, Marie, Sedki, Mohammed, Chaubet, Adeline, Breuil, Benjamin, Jaafar, Acil, Tack, Ivan, Nguyen-Khoa, Thao, Alves, Melinda, Siwy, Justyna, Mischak, Harald, Verbeke, Francis, Glorieux, Griet, Herpe, Yves-Edouard, Schanstra, Joost P., Stengel, Bénédicte, and Klein, Julie

Published
2023
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21. The number of nephroprotection targets attained is associated with cardiorenal outcomes and mortality in patients with diabetic kidney disease. The CKD‐REIN cohort study

Author

Bonnet, Fabrice, primary, Balkau, Beverley, additional, Lambert, Oriane, additional, Diawara, Yakhara, additional, Combe, Christian, additional, Frimat, Luc, additional, Laville, Maurice, additional, Liabeuf, Sophie, additional, Massy, Ziad A., additional, Metzger, Marie, additional, Stengel, Bénédicte, additional, Alencar de Pinho, Natalia, additional, and Fouque, Denis, additional

Published
2024
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24. Kidney cachexia or protein‐energy wasting in chronic kidney disease: facts and numbers

Author

Koppe, Laetitia, Fouque, Denis, and Kalantar‐Zadeh, Kamyar

Subjects
Nutrition, Kidney Disease, Renal and urogenital, Zero Hunger, Cachexia, Energy Metabolism, Humans, Kidney, Nutritional Status, Renal Dialysis, Renal Insufficiency, Chronic, Wasting Syndrome, Weight Loss, Protein-energy wasting, Chronic kidney disease, Energy intake, Malnutrition, Physiology, Clinical Sciences, Human Movement and Sports Sciences
Abstract

BackgroundWeight loss and homeostatic disturbances of both energy and protein balances are characteristics of several illnesses including cancer, heart failure, and chronic kidney disease (CKD). Different definitions have been used to describe this deleterious process. The term protein-energy wasting (PEW) has been proposed for CKD patients by the International Society of Renal Nutrition and Metabolism.MethodsWe searched the publication in Medline from February 2008 to September 2018 using PEW or cachexia in their title.ResultsSince its inception, the term PEW has been exceptionally successful, highlighted by 327 original publications referenced in PubMed over 10 years. Using this classification, several studies have confirmed that PEW is among the strongest predictors of mortality in CKD patients [hazard ratio of 3.03; confidence interval of 1.69-5.26 in 1068 haemodialysis patients and 1.40 (1.04-1.89) in 1487 non-dialysed patients across PEW stages 0 to 4]. Based on this classification, prevalence of PEW is 28% to 54% among 16 434 adults undergoing maintenance dialysis. PEW prevalence increases when renal function declines, that is, from 5% is a mandatory criterion for cachexia but supportive for PEW.ConclusionsThe recent understanding of cachexia physiopathology during CKD progression suggests that PEW and cachexia are closely related and that PEW corresponds the initial state of a continuous process that leads to cachexia, implicating the same metabolic pathways as in other chronic diseases. Despite the success of the definition of PEW, using a more uniform term such as 'kidney disease cachexia' could be more helpful to design future research through collaborative groups of researchers with focus on cachexia.

Published
2019

25. Implementing core outcomes in kidney disease: report of the Standardized Outcomes in Nephrology (SONG) implementation workshop

Author

Tong, Allison, Manns, Braden, Wang, Angela Yee Moon, Hemmelgarn, Brenda, Wheeler, David C, Gill, John, Tugwell, Peter, Pecoits-Filho, Robert, Crowe, Sally, Harris, Tess, Van Biesen, Wim, Winkelmayer, Wolfgang C, Levin, Adeera, Thompson, Aliza, Perkovic, Vlado, Ju, Angela, Gutman, Talia, Bernier-Jean, Amelie, Viecelli, Andrea K, O’Lone, Emma, Shen, Jenny, Josephson, Michelle A, Cho, Yeoungjee, Johnson, David W, Sautenet, Bénédicte, Tonelli, Marcello, Craig, Jonathan C, Investigators, SONG Implementation Workshop, Craig, Jonathan, Wang, Angela, Wheeler, David, Pecoits-Filho, Roberto, van Biesen, Wim, Winkelmayer, Wolfgang, Sinha, Aditi, Ong, Albert, Denny, Alexis, Dart, Allison, Eddy, Allison, Kelly, Amy, Viecelli, Andrea, Davenport, Andrew, Narva, Andrew, Sharma, Ankit, Warrens, Anthony, Chapman, Arlene, Teixeira-Pinto, Armando, Kelly, Ayano, Murphy, Barbara, Sautenet, Benedicte, Padilla, Benita, Canaud, Bernard, Pullin, Brian, Schiller, Brigitte, Robinson, Bruce, Hanson, Camilla, Hawley, Carmel, Logeman, Charlotte, Lok, Charmaine, Wanner, Christoph, Herzog, Chuck, Rutherford, Claudia, Ahn, Curie, Sumpton, Daniel, Rosenbloom, David, Harris, David, Baron, David, Johnson, David, White, David, Gipson, Debbie, Fouque, Denis, Eilers, Denise, Bockenhauer, Detlef, O'Donoghue, Donal, Chen, Dongping, Dunning, Dyke, Brown, Edwina, Bavlovlenkov, Elena, Mannon, Elinor, Poggio, Emilo, O'Lone, Emma, Chemla, Eric, Dobbels, Fabienne, Zannad, Faiez, Caskey, Fergus, Tentori, Francesca, Hurst, Frank, Schaefer, Franz, and Wong, Germaine

Subjects
Clinical Trials and Supportive Activities, Kidney Disease, Clinical Research, Comparative Effectiveness Research, Renal and urogenital, Generic health relevance, Good Health and Well Being, Consensus, Endpoint Determination, Humans, Randomized Controlled Trials as Topic, Renal Insufficiency, Chronic, Research Design, Stakeholder Participation, Treatment Outcome, core outcome sets, implementation, kidney disease, outcomes, patient-centered care, trials, SONG Implementation Workshop Investigators, Clinical Sciences, Urology & Nephrology
Abstract

There are an estimated 14,000 randomized trials published in chronic kidney disease. The most frequently reported outcomes are biochemical endpoints, rather than clinical and patient-reported outcomes including cardiovascular disease, mortality, and quality of life. While many trials have focused on optimizing kidney health, the heterogeneity and uncertain relevance of outcomes reported across trials may limit their policy and practice impact. The international Standardized Outcomes in Nephrology (SONG) Initiative was formed to identify core outcomes that are critically important to patients and health professionals, to be reported consistently across trials. We convened a SONG Implementation Workshop to discuss the implementation of core outcomes. Eighty-two patients/caregivers and health professionals participated in plenary and breakout discussions. In this report, we summarize the findings of the workshop in two main themes: socializing the concept of core outcomes, and demonstrating feasibility and usability. We outline implementation strategies and pathways to be established through partnership with stakeholders, which may bolster acceptance and reporting of core outcomes in trials, and encourage their use by end-users such as guideline producers and policymakers to help improve patient-important outcomes.

Published
2018

26. Establishing a clinical phenotype for cachexia in end stage kidney disease – study protocol

Author

Reid, Joanne, Noble, Helen R, Adamson, Gary, Davenport, Andrew, Farrington, Ken, Fouque, Denis, Kalantar-Zadeh, Kamyar, Mallett, John, McKeaveney, C, Porter, S, Seres, David S, Shields, Joanne, Slee, Adrian, Witham, Miles D, and Maxwell, Alexander P

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Health Sciences, Nutrition, Clinical Research, Kidney Disease, Aetiology, 2.1 Biological and endogenous factors, Renal and urogenital, Good Health and Well Being, Cachexia, Humans, Kidney Failure, Chronic, Longitudinal Studies, Patient Selection, Phenotype, Renal Dialysis, United Kingdom, End-stage kidney disease, Definition, Longitudinal, Urology & Nephrology, Clinical sciences, Health services and systems, Nursing
Abstract

BackgroundSurveys using traditional measures of nutritional status indicate that muscle wasting is common among persons with end-stage kidney disease (ESKD). Up to 75% of adults undergoing maintenance dialysis show some evidence of muscle wasting. ESKD is associated with an increase in inflammatory cytokines and can result in cachexia, with the loss of muscle and fat stores. At present, only limited data are available on the classification of wasting experienced by persons with ESKD. Individuals with ESKD often exhibit symptoms of anorexia, loss of lean muscle mass and altered energy expenditure. These symptoms are consistent with the syndrome of cachexia observed in other chronic diseases, such as cancer, heart failure, and acquired immune deficiency syndrome. While definitions of cachexia have been developed for some diseases, such as cardiac failure and cancer, no specific cachexia definition has been established for chronic kidney disease. The importance of developing a definition of cachexia in a population with ESKD is underscored by the negative impact that symptoms of cachexia have on quality of life and the association of cachexia with a substantially increased risk of premature mortality. The aim of this study is to determine the clinical phenotype of cachexia specific to individuals with ESKD.MethodsA longitudinal study which will recruit adult patients with ESKD receiving haemodialysis attending a Regional Nephrology Unit within the United Kingdom. Patients will be followed 2 monthly over 12 months and measurements of weight; lean muscle mass (bioelectrical impedance, mid upper arm muscle circumference and tricep skin fold thickness); muscle strength (hand held dynamometer), fatigue, anorexia and quality of life collected. We will determine if they experience (and to what degree) the known characteristics associated with cachexia.DiscussionCachexia is a debilitating condition associated with an extremely poor outcome. Definitions of cachexia in chronic illnesses are required to reflect specific nuances associated with each disease. These discrete cachexia definitions help with the precision of research and the subsequent clinical interventions to improve outcomes for patients suffering from cachexia. The absence of a definition for cachexia in an ESKD population makes it particularly difficult to study the incidence of cachexia or potential treatments, as there are no standardised inclusion criteria for patients with ESKD who have cachexia. Outcomes from this study will provide much needed data to inform development and testing of potential treatment modalities, aimed at enhancing current clinical practice, policy and education.

Published
2018

27. Effectiveness and Tolerance of Renin-Angiotensin System Inhibitors With Aging in Chronic Kidney Disease

Author

Ayav, Carole, Briançon, Serge, Cannet, Dorothée, Combe, Christian, Fouque, Denis, Frimat, Luc, Herpe, Yves-Edouard, Jacquelinet, Christian, Laville, Maurice, Massy, Ziad A., Pascal, Christophe, Robinson, Bruce M., Stengel, Bénédicte, Lange, Céline, Legrand, Karine, Liabeuf, Sophie, Metzger, Marie, Speyer, Elodie, Hannedouche, Thierry, Moulin, Bruno, Mailliez, Sébastien, Lebrun, Gaétan, Magnant, Eric, Choukroun, Gabriel, Deroure, Benjamin, Lacraz, Adeline, Lambrey, Guy, Bourdenx, Jean Philippe, Essig, Marie, Lobbedez, Thierry, Azar, Raymond, Sekhri, Hacène, Smati, Mustafa, Jamali, Mohamed, Klein, Alexandre, Delahousse, Michel, Martin, Séverine, Landru, Isabelle, Thervet, Eric, Lang, Philippe, Belenfant, Xavier, Urena, Pablo, Vela, Carlos, Chauveau, Dominique, Panescu, Viktor, Noel, Christian, Glowacki, François, Hoffmann, Maxime, Hourmant, Maryvonne, Besnier, Dominique, Testa, Angelo, Kuentz, François, Zaoui, Philippe, Chazot, Charles, Juillard, Laurent, Burtey, Stéphane, Keller, Adrien, Kamar, Nassim, Villain, Cédric, Hamroun, Aghilès, Laville, Solene, Mansencal, Nicolas, and Pecoits-Filho, Roberto

Published
2022
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29. A prospective observational study for justification, safety, and efficacy of a third dose of mRNA vaccine in patients receiving maintenance hemodialysis

Author

François, Chantrel, Mathilde, Reydit, Aurélien, Tiple, Clémence, Bechade, Abdelkader, Bemrah, Cécile, Vigneau, Bénédicte, Sautenent, Isabelle, Kazes, Cécile, Courivaud, Jean-Marc, Gabriel, Stéphane, Edet, Lucile, Mercadal, Olivier, Moranne, Fatouma, Toure, Emmanuelle, Laurain, Alex, Ranlin, Nathalie, Longlune, François, Glowacki, Jean-Michel, Tivollier, Philippe, Brunet, Fréderic, Lavainne, Etienne, Berard, Ayman, Sarraj, Marc, Bauwens, Pascale, Testevuide, Henri, Vacher Coponat, Roula, Galland, Nicole, Schauder, Louis -Rachid, Salmi, Damiano, Cerasuolo, Anaïs, Tendron-Franzin, Sahar, Bayat, Michel, Halimi Jean, Aurore, Wolak, Stéphanie, Gentile, Bénédicte, Devictor, Elisabeth, Monnet, Denis, Boucaut Maitre, Mathieu, Nacher, Véronique, Merle, Jean-Philippe, Jais, Jean-Pierre, Daures, Alain, Vergnenegre, Carole, Loos-Ayav, Sylvie, Merle, Marc, Hazzan, Shirley, Gervolino, Jean-Michel, Nguyen, Silvia, Iacobelli, Espi, Maxime, Charmetant, Xavier, Barba, Thomas, Mathieu, Cyrille, Pelletier, Caroline, Koppe, Laetitia, Chalencon, Elodie, Kalbacher, Emilie, Mathias, Virginie, Ovize, Anne, Cart-Tanneur, Emmanuelle, Bouz, Christine, Pellegrina, Laurence, Morelon, Emmanuel, Juillard, Laurent, Fouque, Denis, Couchoud, Cécile, and Thaunat, Olivier

Published
2022
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30. De-indexed estimated glomerular filtration rates for the dosing of oral antidiabetic drugs in patients with chronic kidney disease.

Author

Pluquet, Maxime, Metzger, Marie, Jacquelinet, Christian, Combe, Christian, Fouque, Denis, Laville, Maurice, Frimat, Luc, Massy, Ziad A., Liabeuf, Sophie, and Laville, Solène M.

Abstract

Introduction: Adjusting drug dose levels based on equations that standardize the estimated glomerular filtration rate (eGFR) to a body surface area (BSA) of 1.73m2 can pose challenges, especially for patients with extremely high or low body mass index (BMI). The objective of the present study of patients with CKD and diabetes was to assess the impact of deindexing creatinine-based equations on estimates of kidney function and on the frequency of inappropriate prescriptions of oral antidiabetic drugs (OADs). Methods: The prospective CKD-REIN cohort is comprised of patients with eGFR <60 mL/min/1.73m². The inclusion criteria for this study were the use of OADs and the availability of data on weight, height and serum creatinine. We compared data for three BMI subgroups (group 1 <30 kg/m²; group 2 30-34.9 kg/m²; group 3 =35 kg/m²). Inappropriate prescriptions (contraindicated or over-dosed drugs) were assessed with regard to the summary of product characteristics and the patient's kidney function estimated with the 2009 Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation, the 2021 CKD-EPI equation, the Modification of Diet in Renal Disease (MDRD) equation, the European Kidney Function Consortium (EKFC) equation, their deindexed estimates, and the Cockcroft-Gault (CG) formula. The impact of deindexing the equations was evaluated by assessing 1) the difference between the indexed and deindexed eGFRs, and 2) the difference in the proportion of patients with at least one inappropriate OAD prescription between the indexed and deindexed estimates. Results: At baseline, 694 patients were receiving OADs. The median BMI was 30.7 kg/m², the mean BSA was 1.98m², and 90% of patients had a BSA >1.73m². Deindexing the kidney function estimates led to higher eGFRs, especially in BMI group 3. The proportion of patients with at least one inappropriate prescription differed greatly when comparing indexed and deindexed estimates. The magnitude of the difference increased with the BMI: when comparing BMI group 1 with BMI group 3, the difference was respectively -4% and -10% between deindexed 2021 CKD-EPI and indexed CKD-EPI. Metformin and sitagliptin were the most frequent inappropriately prescribed OADs. Conclusion: We highlight significant differences between the BSA-indexed and deindexed versions of equations used to estimate kidney function, emphasizing the importance of using deindexed estimates to adjust drug dose levels - especially in patients with an extreme BMI. [ABSTRACT FROM AUTHOR]

Published
2024
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31. Using the concept of food as medicine to mitigate inflammation in patients undergoing peritoneal dialysis.

Author

Alvarenga, Livia, Reis, Drielly C. M. V., Kemp, Julie Ann, Teixeira, Karla Thais Resende, Fouque, Denis, and Mafra, Denise

Subjects
RENAL replacement therapy, PERITONEAL dialysis, PREMATURE aging (Medicine), INFLAMMATION, OXIDATIVE stress
Abstract

The most common kidney replacement therapy (KRT) worldwide is hemodialysis (HD), and only 5%–10% of patients are prescribed peritoneal dialysis (PD) as KRT. Despite PD being a different method, these patients also present particular complications, such as oxidative stress, gut dysbiosis, premature aging, and mitochondrial dysfunction, leading to an inflammation process and high cardiovascular mortality risk. Although recent studies have reported nutritional strategies in patients undergoing HD with attempts to mitigate these complications, more information must be needed for PD patients. Therefore, this review provides a comprehensive analysis of recent studies of nutritional intervention to mitigate inflammation in PD patients. [ABSTRACT FROM AUTHOR]

Published
2024
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32. A new approach for cognitive impairment pattern in chronic kidney disease.

Author

Levassort, Hélène, Boucquemont, Julie, Pinho, Natalia Alencar de, Lambert, Oriane, Helmer, Catherine, Metzger, Marie, Teillet, Laurent, Frimat, Luc, Combe, Christian, Fouque, Denis, Laville, Maurice, Jacquelinet, Christian, Liabeuf, Sophie, Stengel, Bénédicte, Massy, Ziad A, Pépin, Marion, and Collaborators, the CKD-REIN Study

Subjects
MINI-Mental State Examination, CHRONIC kidney failure, COGNITION disorders, CARDIOVASCULAR diseases risk factors, ALZHEIMER'S disease, ATTENTION
Abstract

Background Chronic kidney disease (CKD) is associated with an elevated risk of neurocognitive disorders (NCDs). It remains unclear whether CKD-related NCDs have a specific cognitive pattern or are earlier-onset phenotypes of the main NCDs (vascular NCDs and Alzheimer's disease). Methods We used the Mini Mental State Examination score (MMSE) to assess cognitive patterns in 3003 CKD patients (stage 3–4) followed up over 5 years in the Chronic Kidney Disease–Renal Epidemiology and Information Network (CKD-REIN) cohort. After normalizing MMSE scores to a 0-to-100 scale, the associations between the baseline estimated glomerular filtration rate (eGFR, using the Chronic Kidney Disease Epidemiology Collaboration creatinine formula) and changes in each MMSE domain score were assessed in linear mixed models. Results Patients (age: 67 ± 13 years old; males: 65%, mean eGFR: 33± 12 mL/min/1.73 m2) had a good baseline cognitive functions: the mean MMSE score was 26.9/30 ± 2.9. After adjustment for age, sex, educational level, depression (past or present), cardiovascular risk factors and cerebrovascular disease, a lower baseline eGFR (per 10 mL/min/1.73 m2) was associated with a 0.53-point decrement [ P  < .001; 95% confidence interval (CI) (–0.98, –0.08)] for orientation, a 1.04-point decrement [ P  = .03; 95% CI (–1.96, –0.13)] for attention and calculation, a 0.78-point decrement [ P  = .003; 95% CI (–1.30, –0.27)] for language, and a 0.94-point decrement [ P  = .02; 95% CI (–1.75, –0.13)] for praxis. Baseline eGFR was not, however, associated with significant changes over time in MMSE domain scores. Conclusion A lower eGFR in CKD patients was associated with early impairments in certain cognitive domains: praxis, language and attention domains before an obvious cognitive decline. Early detection of NCD in CKD patients must be performed before clinically cognitive decline using preferably tests assessing executive, attentional functions and language, rather than memory tests. This early cognitive screening could lead to a better management of cognitive impairment and their consequences on CKD management. [ABSTRACT FROM AUTHOR]

Published
2024
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33. Precision Medicine for Nutritional Management in End-Stage Kidney Disease and Transition to Dialysis

Author

Wang, Angela Yee-Moon, Kalantar-Zadeh, Kamyar, Fouque, Denis, Wee, Pieter T, Kovesdy, Csaba P, Price, S Russ, and Kopple, Joel D

Subjects
Kidney Disease, Clinical Research, Nutrition, Renal and urogenital, Good Health and Well Being, Acidosis, Appetite, Dietary Proteins, Eating, Gastrointestinal Microbiome, Humans, Insulin Resistance, Kidney Failure, Chronic, Nutrition Assessment, Nutrition Policy, Nutrition Therapy, Precision Medicine, Protein-Energy Malnutrition, Renal Dialysis, Renal Insufficiency, Chronic, Stress, Physiological, Precision medicine, dietary protein, nutritional therapy, end-stage kidney disease, Clinical Sciences, Urology & Nephrology
Abstract

Chronic kidney disease (CKD) is a global public health burden. Dialysis is not only costly but may not be readily available in developing countries. Even in highly developed nations, many patients may prefer to defer or avoid dialysis. Thus, alternative options to dialysis therapy or to complement dialysis are needed urgently and are important objectives in CKD management that could have huge clinical and economic implications globally. The role of nutritional therapy as a strategy to slow CKD progression and uremia was discussed as early as the late 19th and early 20th century, but was only seriously explored in the 1970s. There is a revival of interest recently owing to encouraging data as well as the increase of precision medicine with an emphasis on a personalized approach to CKD management. Although part of the explanation for the inconclusive data may relate to variations in study design and dietary prescription, diversity in genetic make-up, variations in the non-nutritional management of CKD, intra-individual variations in responses to dietary and nondietary treatment, psychosocial factors, and dietary compliance issues, these all may contribute to the heterogeneous data and responses. This brings in the evolving concept of precision medicine, in which disease management should be tailored and individualized according not only to clinical manifestations but also to the genetic make-up and biologic responses to therapy, which may vary depending on genetic composition. Precision nutrition management also should take into account patient demographics, social, psychological, education, and compliance factors, which all may influence the therapeutic needs and responses to the nutritional therapy prescribed. In this review, we provide a novel concept of precision medicine in nutritional management in end-stage kidney disease with a transition to dialysis and propose how this may be the way forward for nutritional therapy in the CKD population.

Published
2018

34. Nutritional Management of Chronic Kidney Disease

Author

Kalantar-Zadeh, Kamyar and Fouque, Denis

Subjects
Humans, Kidney Failure, Chronic, Renal Insufficiency, Chronic, Medical and Health Sciences, General & Internal Medicine
Published
2018

35. Eating During Hemodialysis Treatment: A Consensus Statement From the International Society of Renal Nutrition and Metabolism

Author

Kistler, Brandon M, Benner, Debbie, Burrowes, Jerrilynn D, Campbell, Katrina L, Fouque, Denis, Garibotto, Giacomo, Kopple, Joel D, Kovesdy, Csaba P, Rhee, Connie M, Steiber, Alison, Stenvinkel, Peter, Wee, Pieter ter, Teta, Daniel, Wang, Angela YM, and Kalantar-Zadeh, Kamyar

Subjects
Assistive Technology, Clinical Trials and Supportive Activities, Kidney Disease, Bioengineering, Patient Safety, Digestive Diseases, Clinical Research, Nutrition, Prevention, Prevention of disease and conditions, and promotion of well-being, 3.3 Nutrition and chemoprevention, Oral and gastrointestinal, Biomarkers, Diet, Dietary Supplements, Eating, Humans, Kidney, Meals, Nutritional Status, Observational Studies as Topic, Protein-Energy Malnutrition, Quality of Life, Renal Dialysis, Renal Insufficiency, Chronic, Societies, Scientific, Clinical Sciences, Nutrition and Dietetics, Urology & Nephrology
Abstract

Poor nutritional status and protein-energy wasting are common among maintenance dialysis patients and associated with unfavorable outcomes. Providing foods, meal trays, snack boxes, and/or oral nutritional supplements during hemodialysis can improve nutritional status and might also reduce inflammation, enhance health-related quality of life, boost patient satisfaction, and improve survival. Potential challenges include postprandial hypotension and other hemodynamic instabilities, aspiration risk, gastrointestinal symptoms, hygiene issues, staff burden, reduced solute removal, and increased costs. Differing in-center nutrition policies exist within organizations and countries around the world. Recent studies have demonstrated clinical benefits and highlight the need to work toward clear guidelines. Meals or supplements during hemodialysis may be an effective strategy to improve nutritional status with limited reports of complications in real-world scenarios. Whereas larger multicenter randomized trials are needed, meals and supplements during hemodialysis should be considered as a part of the standard-of-care practice for patients without contraindications.

Published
2018

37. Nutritional Management of Chronic Kidney Disease

Author

Kalantar-Zadeh, Kamyar and Fouque, Denis

Subjects
Renal and urogenital, Oral and gastrointestinal, Cardiovascular, Acidosis, Adult, Diet, Protein-Restricted, Diet, Sodium-Restricted, Humans, Nutritional Requirements, Renal Insufficiency, Chronic, Medical and Health Sciences, General & Internal Medicine
Published
2017

38. Preface

Author

Kopple, Joel D., primary, Massry, Shaul G., additional, Kalantar-Zadeh, Kamyar, additional, and Fouque, Denis, additional

Published
2022
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39. List of contributors

Author

Adamczak, Marcin, primary, Amabile, Maria Ida, additional, Apata, Ibironke W., additional, Apetrii, Mugurel, additional, Avesani, Carla Maria, additional, Bahner, Udo, additional, Bailey, James L., additional, Bansal, Anip, additional, Barba, Christophe, additional, Bellorin-Font, Ezequiel, additional, Bross, Rachelle, additional, Brown-Tortorici, Amanda, additional, Burnier, Michel, additional, Burrowes, Jerrilynn Denise, additional, Carrero, Juan Jesús, additional, Cervantes, MacKenzie K., additional, Chadban, Steven, additional, Chadha, Vimal, additional, Chan, Maria, additional, Chan, Winnie, additional, Chazot, Charles, additional, Chiang, Janet M., additional, Chonchol, Michel, additional, Chwastiak, Lydia, additional, Covic, Adrian, additional, Cuppari, Lilian, additional, Dahl, Neera K., additional, Di Iorio, Biagio, additional, Di Mario, Francesca, additional, Druml, Wilfred, additional, Dukkipati, Ramanath, additional, Fazeli, Gholamreza, additional, Fiaccadori, Enrico, additional, Finkelstein, Fredric, additional, Fouque, Denis, additional, Franch, Harold A., additional, Friedman, Allon N., additional, Garimella, Pranav S., additional, Glassock, Richard J., additional, Goldfarb, David S., additional, González-Ortiz, Ailema, additional, Goraya, Nimrit, additional, Gutiérrez, Orlando M., additional, Hanafusa, Norio, additional, Heidland, August, additional, Heimbürger, Olof, additional, Hirschberg, Raimund, additional, Ikizler, T. Alp, additional, Johansen, Kirsten, additional, Johnson, Richard J., additional, Joshi, Shivam, additional, Kalantar-Zadeh, Kamyar, additional, Kang, Duk-Hee, additional, Kaysen, George A., additional, Kim, Jun-Chul, additional, Kistler, Brandon, additional, Koppe, Laetitia, additional, Kopple, Joel D., additional, Kovesdy, Csaba P., additional, Kramer, Holly J., additional, Kurokawa, Kiyoshi, additional, Lindholm, Bengt, additional, Martin, Kevin J., additional, Martino, Steve, additional, Marzocco, Stefania, additional, Massry, Shaul G., additional, Massy, Ziad A., additional, Mitch, William E., additional, Miyata, Toshio, additional, Molfino, Alessio, additional, Moradi, Hamid, additional, Nakagawa, Takahiko, additional, Narasaki, Yoko, additional, Puzziferri, Nancy, additional, Quinn, Noel, additional, Raj, Dominic S., additional, Raphael, Kalani L., additional, Regunathan-Shenk, Renu, additional, Rhee, Connie M., additional, Ritz, Eberhard, additional, Sabatino, Alice, additional, Sarnak, Mark J., additional, Scialla, Julia, additional, Seefried, Lothar, additional, Sellinger, John, additional, Shah, Anuja, additional, Shah, Neal B., additional, Shah, Sudhir V., additional, Singh, Manisha, additional, Spatola, Leonardo, additional, Stanton, Robert C., additional, Steiber, Alison L., additional, Stenvinkel, Peter, additional, St-Jules, David E., additional, Storer, Thomas W., additional, Sumida, Keiichi, additional, Sussman-Dabach, Elizabeth J., additional, Swaminathan, Sundararaman, additional, Sy, John, additional, Tantisattamo, Ekamol, additional, Vaziri, Nosratola D., additional, Voinescu, Alexandra, additional, Wang, Angela Yee-Moon, additional, Warady, Bradley A., additional, Weiner, Daniel E., additional, Wesson, Donald E., additional, Wiecek, Andrzej, additional, Williams, Mark E., additional, Wolfe, Bruce M., additional, Workeneh, Biruh T., additional, and Zhao, Ying-Yong, additional

Published
2022
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42. Répercussions psychologiques du confinement et de l’épidémie à COVID-19 chez les patients et soignants en hémodialyse en France

Author

Guerraoui, Abdallah, Idier, Laetitia, Hallonet, Patrick, Dolley-Hitze, Thibault, Gosselin, Morgane, Duneau, Gabrielle, Vendrely, Benoît, Hirigoyen, Marie-Dorothée, Azzouz, Lynda, Bouillier, Marc, Pelletier, Solenne, Fouque, Denis, Fessi, Hafedh, De-Precigout, Valérie, Vigneau, Cécile, Kolko, Anne, Pinçon, Émilie, Duquennoy, Simon, Delezire, Arnaud, Chantrel, François, Combe, Christian, Chauveau, Philippe, Caillette-Beaudoin, Agnès, Lasseur, Catherine, and Prézelin-Reydit, Mathilde

Published
2021
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44. Kidney Function Decline and Serious Adverse Drug Reactions in Patients With CKD

Author

Laville, Solène M., primary, Gras-Champel, Valérie, additional, Hamroun, Aghilès, additional, Moragny, Julien, additional, Lambert, Oriane, additional, Metzger, Marie, additional, Jacquelinet, Christian, additional, Combe, Christian, additional, Fouque, Denis, additional, Laville, Maurice, additional, Frimat, Luc, additional, Robinson, Bruce M., additional, Bieber, Brian, additional, Stengel, Bénédicte, additional, De Pinho, Natalia Alencar, additional, Massy, Ziad A., additional, Liabeuf, Sophie, additional, Ayav, Carole, additional, Briançon, Serge, additional, Cannet, Dorothée, additional, Herpe, Yves-Edouard, additional, Pascal, Christophe, additional, Lange, Céline, additional, Legrand, Karine, additional, and Speyer, Elodie, additional

Published
2023
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46. The ROMANOV study found impaired humoral and cellular immune responses to SARSCov-2 mRNA vaccine in virus unexposed patients receiving maintenance hemodialysis.

Author

Espi, Maxime, Charmetant, Xavier, Barba, Thomas, Koppe, Laetitia, Pelletier, Caroline, Kalbacher, Emilie, Chalencon, Elodie, Mathias, Virginie, Ovize, Anne, Cart-Tanneur, Emmanuelle, Bouz, Christine, Pellegrina, Laurence, Morelon, Emmanuel, Fouque, Denis, Juillard, Laurent, and Thaunat, Olivier

Published
2021
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47. Adherence to ketoacids/essential amino acids-supplemented low protein diets and new indications for patients with chronic kidney disease

Author

Fouque, Denis, Chen, Jing, Chen, Wei, Garneata, Liliana, Hwang, SJ, Kalantar-Zadeh, Kamyar, Kopple, Joel D, Mitch, William E, Piccoli, Giorgina, Teplan, Vladimir, and Chauveau, Philippe

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Kidney Disease, Nutrition, Prevention, Aetiology, 2.1 Biological and endogenous factors, Renal and urogenital, Good Health and Well Being, Amino Acids, Diet, Protein-Restricted, Dietary Supplements, Humans, Keto Acids, Patient Compliance, Patient Selection, Renal Insufficiency, Chronic, Protein, Ketoacid, Keto-analog, Low protein diet, Kidney disease, Wasting, Dialysis, Urology & Nephrology, Clinical sciences, Health services and systems, Nursing
Abstract

BackgroundLow protein diets (LPD) have long been prescribed to chronic kidney disease patients with the goals of improving metabolic abnormalities and postpone the start of maintenance dialysis.MethodsWe reviewed the recent literature addressing low protein diets supplemented with ketoacids/essential aminoacids prescribed during chronic kidney disease and their effects on metabolic, nutritional and renal parameters since 2013.ResultsWe show new information on how to improve adherence to these diets, on metabolic improvement and delay of the dialysis needs, and preliminary data in chronic kidney disease associated pregnancy. In addition, data on incremental dialysis have been reviewed, as well as potential strategies to reverse protein energy wasting in patients undergoing maintenance dialysis.ConclusionThese recent data help to better identify the use of low protein diets supplemented with ketoacids/essential aminoacids during chronic kidney disease.

Published
2016

48. Low incidence of SARS-CoV-2, risk factors of mortality and the course of illness in the French national cohort of dialysis patients

Author

Abbassi, Abdelhamid, Debure, Alain, Guerraoui, Abdallah, Benmoussa, Abdelatif, Hamani, Abdelaziz, Ziane, Abdelaziz, Nefti, Abdelhamid, Hadj, Abdelkader, El Amari, Abderrahim, Ghazali, Abderrahmane, Abd El Fatah Mohamed, Abo Bakr, Laradi, Achour, Ben Ahmed, Adel, Sahar, Adel, Pillet, Adele, Lacraz, Adeline, Moinat, Adnan, Massoumi, Afshin, Pardon, Agathe, Beaudoin, Agnes Caillette, Debout, Agnes Chapelet, Mariot, Agnes, Rachi, Ahmed, Afiani, Aida, Boula, Aime Remy, Jalaby, Al, Cremault, Alain, Fournier, Alain, Jeanson, Alain, Lyon, Alain, Nony, Alain, Robert, Alain, Slingeneyer, Alain, Labatide, Alanor Agnes, Sartorius, Albane Brodin, Bensman, Albert, Fournier, Albert, Ranlin, Alex, Sandor, Alex Vido, Colombo, Alexandra, Duhem, Alexandra, Stancu, Alexandra, Dufay, Alexandre, Dumoulin, Alexandre, Ebel, Alexandre, Klein, Alexandre, Martin, Alexandre, Mouneimne, Alexandre, Seidowsky, Alexandre, De Martin, Alfio, Zannier, Alfredo, Aizel, Ali, Hafi, Ali, Diddaoui, Ali Zineddine, Heyani, Alim, Mocanu, Alina, Preda, Alina, Hafi, Aline, Talaszka, Aline, Duquesne, Alyette, Amaouche, Amar, Ghemmour, Amel, Simon, Amelie, Skalli, Amina, Boukadida, Amine, Ragab Eid, Amr Ekhlas, Fedorca, Ana, Baillet, Anabelle, Poyet, Anais, Giorgita, Ancuta Bouffandeau, Ratsimbazafy, Anderson, Pruna, Andre, Argiles, Angel, Testa, Angelo, Vandooren, Ann Karolien, Jolivot, Anne, Labadens, Anne Kolko, Lataste, Anne, Maisin, Anne, Paris, Anne, Sechet, Anne, Wuillai, Anne, Heng, Anne Elisabeth, Josse, Anne Gaelle, Querard, Anne Helene, Reboux, Anne Helene, Adra, Anne Laure, Faller, Anne Laure, Leclerc, Anne Laure, Poitou, Anne Laure, Manucci, Annie Lahoche, Jacquet, Antoine, Pommereau, Antoine, Thierry, Antoine, Adem, Arezki, Chapelet, Arielle, Del Bello, Arnaud, Delezire, Arnaud, Garnier, Arnaud, Guerard, Arnaud, Klisnick, Arnaud, Lionet, Arnaud, Roccabianca, Arnaud, Stolz, Arnaud, Capdeville, Arthur, Allal, Asma, Alrifai, Assem, Diarrassouba, Assetou, Djema, Assia, Carre, Assia Ferhat, Dubrasquet, Astrid Godron, Elmrabet, Atman Haddj, Jegado, Audrey, Thomas, Aurelia Bertholet, Salandre, Aurelie Davourie, Pajot, Aurelie, Lorthioir, Aurelien, Tiple, Aurelien, Sury, Aurore, Abokasem, Ayman, Sarraj, Ayman, Henaoui, Bachir, Chaghouri, Baher, Wehbe, Bassem, Ball, Beatrice, Viron, Beatrice, Issad, Belkassem, Corne, Benedicte Hodemon, Janbon, Benedicte, Deroure, Benjamin, Savenkoff, Benjamin, Jonon, Benoit, Vendrely, Benoit, Djelaleddine, Benyakoub, Ohry, Bernard, Painchart, Bernard, Strullu, Bernard, Temperville, Bernard, Ebikili, Bertin, Hacq, Bertrand, Morel, Bertrand, Aoun, Bilal, Muniz, Blanca, Chlih, Bouchra, Amara, Brahim, Mayor, Brice, Gilson, Brigitte, Llanas, Brigitte, Zins, Brigitte, Bourgeon, Bruno, Coevoet, Bruno, Guery, Bruno, Legallicier, Bruno, Paris, Bruno, Ranchin, Bruno, Seigneuric, Bruno, Dita, Camelia Ghiciuc, Prelipcean, Camelia, Hottelart, Carine Achard, Diet, Carine, Frangie, Carlos, Vela, Carlos, Muresan, Carmina, Deprele, Carole, Araujo, Caroline, Bidault, Caroline, Creput, Caroline, Delclaux, Caroline, Du Halgouet, Caroline, Favennec, Caroline, Freguin, Caroline, Vercel, Caroline Gourraud, Mesguen, Caroline, Obama, Caroline Ndomo, Poitou, Caroline, Dirhold, Caroline Preissig, Roubiou, Caroline, Albert, Catherine, Bessin, Catherine, De Marion Gaja, Catherine, Godart, Catherine, Lasseur, Catherine, Leocardi, Catherine, Lumbroso, Catherine, Melander, Catherine, Michel, Catherine, Maurouard, Catherine Quere, Rouannet, Catherine, Taddei, Catherine, Verove, Cathy, Guiraud, Cecile, Tafelin, Cecile, Baron, Cecile Turc, Formet, Cedric, Pinier, Cedric, De Ste Foy, Celia Lessore, Granolleras, Celine, Bennini, Chaouki, Cartou, Charles, Chazot, Charles, Jouzel, Charlotte, Badid, Cherif, Roubicek, Christa, Viaud, Christel, Verrier, Christelle, Chuet, Christian, Combe, Christian, Dabot, Christian, Duvic, Christian, Emond, Christian, Lagarde, Christian, Lamotte, Christian, Pain, Christian, Mousson, Christiane, Lorriaux, Christie, Beauchamp, Christine, Fumeron, Christine, Le Gurun, Christine, Leroy, Christine, Pietrement, Christine, Richer, Christine, Bouaka, Christophe, Charasse, Christophe, Goupy, Christophe, Ridel, Christophe, Castrale, Cindy, Detourne, Cindy, Francois, Clair, Presne, Claire, Trivin, Claire, Von Kotze, Clarissa, Bernard, Claude, Bonniol, Claude, Desvergnes, Claude, Raharivelina, Claude, Nistor, Claudia, Gueret, Claudine, Lloret, Claudine, Saltiel, Claudine, Rosati, Clelia, Rabate, Clementine, Stanescu, Corina, Ferrandini, Corinne, Guibergia, Corinne, Lemoine, Corinne, Passeron, Corinne, Kahil, Cynthia, Garrouste, Cyril, Van, Cyril Vo, Jolimoy, Cyrille, Kesraoui, Dalila, Jolly, Damien, Thibaudin, Damien, Teboulle, Dan, Daubresse, Daniel, Louvet, Daniel, Rasamimanantsoa, Daniel, Toledano, Daniel, Babici, Daniela, David, Daniela, Dincu, Daniela, Bruno, Danielle, May, Delia, Haussaire, Delphine, Viprey, Delphine Henriet, Bugnon, Denis, Fouque, Denis, Morin, Denis, Nour, Derradji, Mahmoud, Diab Mohamed, Cristescu, Diana Istrati, Aguilera, Didier, Coste, Didier, Hamel, Didier, Le Chapois, Didier, Testou, Didier, Erbilgin, Dilaver, Dahmane, Djamal, Quang, Doan Bui, Bertrand, Dominique, Besnier, Dominique, Blanchier, Dominique, Briffa, Dominique, Caux, Dominique, Durand, Dominique, Fleury, Dominique, Guerrot, Dominique, Hestin, Dominique, Jaubert, Dominique, Joly, Dominique, Lombart, Dominique, Pagniez, Dominique, Pierre, Dominique, Schohn, Dominique, Ikonga, Donatien, Visanica, Dorina, Bazin, Dorothee, Boury, Edouard, Maksour, Edouard, Agbonon, Ekoue, Harrami, Elarbi, Marcu, Elena, Tudorache, Elena, Caniot, Elisabeth, Semjen, Elisabeth, Tomkiewicz, Elisabeth, Scheidt, Elise, Gaboriau, Elke, Lamouroux, Elodie, Guiard, Elsa, Passos, Elsa Martin, Nsembani, Emerson, Fache, Emilie, Kalbacher, Emilie, Pambrun, Emilie, Pincon, Emilie, Launay, Emma Allain, Baron, Emmanuel, Dupuis, Emmanuel, Villar, Emmanuel, Charlin, Emmanuelle, Hecquet, Emmanuelle, Kohler, Emmanuelle, Laurain, Emmanuelle, Rosier, Emmanuelle, Figueroa, Enrique, Azoulay, Eric, Canivet, Eric, Daugas, Eric, Gauthier, Eric, Laruelle, Eric, Le Guen, Eric, Legrand, Eric, Moumas, Eric, Postec, Eric, Prinz, Eric, Renaudineau, Eric, Desport, Estelle, Sutra, Estelle Ricard, Berard, Etienne, Ged, Etienne, Robin, Etienne, Vilaine, Eve, Bargas, Evelyne, Namara, Evelyne Mac, Combarnous, François, Yazbeck, Fatima, Gerard, Fabien, Metivier, Fabien, Parazols, Fabien, Soulis, Fabien, Garnier, Fabrice, Messaoudene, Fadhila Pech, Haidar, Fadi, Boullenger, Fanny, Lepeytre, Fanny, Leroy, Fanny, Frejate, Fares, Bellahsene, Farid, Bellhasene, Farid, Saidani, Farid, Toure, Fatouma, Kriaa, Faycal, Nemmar, Fazia, Vetromile, Fernando, Chalmin, Florence, Lucats, Florence, Sens, Florence, Villemain, Florence, Plasse, Florent, Lebhour, Fouad, Schillinger, Francis, Berge, Franck, Bourdon, Franck, Bridoux, Franck, Reynaud, Franck, Babinet, Francois, Basse, Francois, Chantrel, Francois, Clair, Francois, Coulomb, Francois, De Cornelissen, Francois, Glowacki, Francois, Marchal, Francois, Maurice, Francois, Nobili, Francois, Pourreau, Francois, Provot, Francois, Amani, Francois Roux, Broux, Francoise, Bulte, Francoise, Heibel, Francoise, Leonetti, Francoise, Schott, Francoise Moussion, Le Roy, Frank, Besson, Frederic, Lavainne, Frederic, Tollis, Frederic, Bocquentin, Frederique, Meeus, Frederique, Vecina, Frederique, Von Ey, Friederike, Balit, Gabriel, Choukroun, Gabriel, Gruget, Gabriel, Huchard, Gabriel, Golea, Gabriella, Duneau, Gabrielle, Lefrancois, Gaelle, Pelle, Gaelle, Lebrun, Gaetan, Dumont, Genevieve, Brillet, Georges, Deschenes, Georges, Mourad, Georges, Stamatakis, Georges, Cazajous, Geraldine, D'ythurbide, Geraldine, Wiart, Geraldine Robitaille, Cardon, Gerard, Champion, Gerard, Deschodt, Gerard, Mangenot, Gerard, Motte, Gerard, Schortgen, Gerard, Boulahia, Ghada, Maakaroun, Ghassan, Michel, Ghylene Bourdat, Zanetta, Gilbert, Hufnagel, Gilles, Messier, Gilles, Piccoli, Giorgina, Desvergnes, Gregoire Couvrat, Bobrie, Guillaume, Bonnard, Guillaume, Clement, Guillaume, Jean, Guillaume, Queffeulou, Guillaume, Seret, Guillaume, Vernin, Guillaume, Delavaud, Guy, Lambrey, Guy, Rostoker, Guy, Poussard, Gwenaelle, Kesler, Gwenaelle Roussey, Leon, H., Aboubekr, Habib, Boulechfar, Hacene, Sekhri, Hacene, Hebibi, Hadia, Benalia, Hadjira, Fessi, Hafed, Atchia, Hafsabhai, Bittar, Haiat, Maiza, Hakim, Mazouz, Hakim, El Ali, Hamid, Bougrida, Hammouche, Van Der Pijl, Hans, Lokmane, Hassan, Izzedine, Hassane, Adda, Hassen, De Preneuf, Helene, Leray, Helene, Philippot, Helene, Boulanger, Henri, Merault, Henri, Renaud, Henri, Bonarek, Herve, Maheut, Herve, Nzeyimana, Hilaire, Mehama, Hocine, Zaidi, Hocine, Weclawiak, Hugo, Flodrops, Hugues, Karaaslan, Huseyin, Haskour, Ibrahim, Belhadj, Ihssen, Almoubarak, Imad, Haddad, Imad, Castellano, Ines, Ferrandiz, Ines, Daniliuc, Ioana, Darie, Ioana, Enache, Ioana, Prunescu, Ionut, Djiconkpode, Irenee, Shahapuni, Irina, Bouchoule, Isabelle, Devriendt, Isabelle, Kazes, Isabelle, Kolb, Isabelle, Landru, Isabelle, Poli, Isabelle, Rey, Isabelle, Segalen, Isabelle, Selcer, Isabelle, Vernier, Isabelle, Vrillon, Isabelle, Guenifi, Ismahane, Gheerbrandt, J. Dominique, Potier, Jacky, Becart, Jacques, Cledes, Jacques, Ducros, Jacques, Duvic, Jacques, Fourcade, Jacques, Gaultier, Jacques, Jurine, Jacques, Lebleu, Jacques, Ollier, Jacques, Charles, Jacques Ibsen, Yazji, Jamal, Mansour, Janette, Arnautou, Jean, Brocard, Jean, Carolfi, Jean, Montoriol, Jean, Gouin, Jean Baptiste, Palcoux, Jean Bernard, Bendini, Jean Christophe, Aldigier, Jean Claude, Alphonse, Jean Claude, Delbet, Jean Daniel, Bonne, Jean Francois, Cantin, Jean Francois, De Fremont, Jean Francois, Dessassis, Jean Francois, Subra, Jean Francois, Valentin, Jean Francois, Verdier, Jean Francois, Dion, Jean Jacques, Haultier, Jean Jacques, Montseny, Jean Jacques, Bacri, Jean Louis, Bouchet, Jean Louis, Mahe, Jean Luc, Chalopin, Jean Marc, Gabriel, Jean Marc, Hurot, Jean Marc, Lanau, Jean Marc, Batho, Jean Marie, Coulibaly, Jean Marie, Hardin, Jean Michel, Marc, Jean Michel, Poux, Jean Michel, Rebibou, Jean Michel, Tivollier, Jean Michel, Ottavioli, Jean Noel, Faucon, Jean Paul, Imiela, Jean Paul, Jaulin, Jean Paul, Masselot, Jean Paul, Ortiz, Jean Paul, Bourdenx, Jean Philippe, Devaux, Jean Philippe, Hammelin, Jean Philippe, Rivory, Jean Pierre, Wauquier, Jean Pierre, Larue, Jean Rene, Mondain, Jean Rene, Borde, Jean Sebastien, Virot, Jean Simon, Bosc, Jean Yves, Achiche, Jedjiga, Parasote, Jennifer, Diolez, Jeremie, Harambat, Jerome, Potier, Jerome, Sampol, Jerome, Mustel, Jihad, Lefevre, Jean Jacques, Maurizi, Jocelyne, Gamberoni, Joel, Claudeon, Joelle, Terzic, Joelle, Rogol, Joffrey, Sayegh, Johnny, Cardozo, Jorge, Brasseur, Jose, Guiserix, Jose, Barsumau, Joseph, Albaret, Julie, Beaume, Julie, Attias, Julie Sohier, Dehay, Julien, Hogan, Julien, Journet, Julien, Ott, Julien, Baleynaud, Juliette, Bacchetta, Justine, Faucher, Justine, Yousfi, Kamel, Dardim, Karim, Clabault, Karine, Moreau, Karine, Thomas, Kedna, Sirajedine, Khaled, Chedid, Khalil, El Kaeoui, Khalil, El Karoui, Khalil, Bouachi, Khedidja, Hue, Kheira, El Nasser, Khuzama, Akposso, Kodso, Kunz, Kristian, Bijak, Krzysztof, Kihal, Lilia, Rasoloarijaona, L., Harbouche, Laid, Bencheikh, Larbi, Lamriben, Larbie, Hanafi, Latifa, Parvez, Laura Braun, Champion, Laure, Croze, Laure, Eprinchard, Laure, Patrier, Laure, Nicolet, Laurence, Vrigneaud, Laurence, Duflot, Laurent, Mackaya, Leandre, Chenine, Leila, Odry, Leon, Tamiji, Lili Taghipour, Bouzar, Lilia Antri, Nga Messi, Liliane Ngango, Le Mouellic, Lionel, Mandart, Lise, Weis, Lise, Pouteau, Lise Marie, Georgieva, Lora, Vitanova, Lorita, Chalabi, Lotfi, Delvallez, Luc, Frimat, Luc, Fromentin, Luc, Marty, Luc, Monjot, Luc, Spataru, Luciana, Bessenay, Lucie, Boissinot, Lucie, Wajsbrot, Lucie, Rakoff, Lucien, Lebourg, Ludivine, Perez, Lydie, Lafage, Lyliane, Azzouz, Lynda, Dumoulin, Madeleine, Ouziala, Messaoud, Joseph, Maan, Brahimi, Mabrouk, Fat, Maeva Wong, Fort, Magalie, Nakhla, Magued, Abtahi, Mahdi, Albadawy, Mahen, Alouach, Mahmoud, Mezghani, Mahmoud, Daroux, Maite, Boukelmoune, Maklouf, Dhib, Malek, Touam, Malik, Dubau, 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Vidil, Marie Jacques, Hacini, Sabria, Dahmoune, Said, Lekhal, Saliha, Sakso, Salima Ahriz, Saksi, Salima, Citarda, Salvatore, Boubenider, Samir, Kassis, Samuel, Verhille, Sandra, Genestier, Sandrine, Muller, Sandrine, Krid, Saoussen, Richter, Sarah, Delbes, Sebastien, Mailliez, Sebastien, Veillon, Sebastien, Nony, Sébastien, Benarbia, Seddick, Beaudreuil, Severine, Benyaghla, Sidi Ali, Duquennoy, Simon, Baluta, Simona, Boncila, Simona, Mzoughi, Sonia, Ribal, Sonia, Acamer, Sophie, Chauvet, Sophie, Girerd, Sophie, Ozenne, Sophie, Parahy, Sophie, Duval, Sophie Rubens, Taque, Sophie, Menouer, Soraya, Chargui, Soumaya, Bataille, Stanislas, Barbier, Stephane, Billion, Stephane, Roueff, Stephane, Torner, Stephane, Martin, Stephane Jean, Coupel, Stephanie, Cloarec, Sylvie, Lavaud, Sylvie, Leou, Sylvie, Chatelet, T., Onesta, Tania, Benhabib, Tassadit, Bensalem, Tayeb, Dimulescu, Theodora, Sawadogo, Theophile, Hitze, Thibault Dolley, Baranger, Thierry, Boudemaghe, Thierry, Hannedouche, Thierry, 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Yannick, Mann, Youssef, Brunak, Yvan, Dimitrov, Yves, Doussy, Yves, Tanter, Yves, Benabid, Zaid, Soltani, Zaara, Boukerroucha, Zacharia, Takla, Zafer, Ramanantsialonina, Zana, Dickson, Zara, Tubail, Zead, Pour, Zoe Koochaki, Boukhalfa, Zohra, Jacquot, Zohra, Couchoud, Cécile, Bayer, Florian, Ayav, Carole, Béchade, Clémence, Chantrel, François, Galland, Roula, Hourmant, Maryvonne, and Mercadal, Lucile

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2020
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50. Accumulation of natriuretic peptides is associated with protein energy wasting and activation of browning in white adipose tissue in chronic kidney disease

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Luce, Mathilde, Barba, Christophe, Yi, Dan, Mey, Anne, Roussel, Damien, Bres, Emilie, Benoit, Bérengère, Pastural, Myriam, Granjon, Samuel, Szelag, Jean Christophe, Laville, Maurice, Arkouche, Walid, Bouchara, Anais, Nyam, Elsa, Fouque, Denis, Soulage, Christophe O., and Koppe, Laetitia

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2020
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