Nephrologist and Clinical Researcher @UCSFNephrology | @StanfordNeph Fellowship | @BIDMC_IM Residency | #UTSW MD
San Francisco, CA
Joined February 2016
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Thanks to @medpagetoday and @genevievefri for allowing me to share my thoughts on outpatient management of AKI-D. medpagetoday.com/opinion/sec…
Dr. Diana Kwong presenting on patient-reported outcomes in AKI-D. @UCSFNephrology #KidneyWk.
Dr. Divya Ravi presenting a case of living donor transplant less than 3 years after myeloma. @UCSFNephrology #KidneyWk
Dr. Merve Postalcioglu sharing her work on tubular biomarkers independently predicting cardiovascular events. @UCSFNephrology #KidneyWk
Dr. Calyani Ganesan leading an afternoon session on kidney stone prevention. @StanfordNeph #KidneyWk
Dr. Omid Vadpey presenting his case of potential sustained aldosterone inhibition after baxdrostat. @UCSFNephrology #Kid
Three of four authors present! Dr. Chris Showers with fellows Dr. Neha Vaidya and Dr. Piera Sosa. @UCSFNephrology #KidneyWk
Division Chief Dr. Chi-yuan Hsu opening the lunchtime session on complement in IgA. @UCSFNephrology #KidneyWk
Heroic commitment to investigator-initiated research on primary hyperoxaluria by Dr. Matthew Breeggemann, flying in to present before back on service tomorrow! @UCSFNephrology #kidn
Heroic commitment to investigator-initiated research on primary hyperoxaluria by Dr. Matthew Breeggemann, flying in to present before back on service tomorrow! @UCSFNephrology #kidn
Ian McCoy, MD, MS retweeted
Patients with AKI requiring dialysis may be able to stop treatment sooner than expected, according to study in #ASNJASN. Creatinine clearance outperformed urine output in predicting dialysis independence. Many patients with clearance of 5-10 mL/min could discontinue dialysis. kidney.pub/JASN1245
Ian McCoy, MD, MS retweeted
My girls absolutely get me.
A nephrologist cannot get a better #FathersDay gift♥️
My heart is so full ♥️♥️
Ian McCoy, MD, MS retweeted
This Perspective by @NephroNinja and @eugelin06 describes both the financial and non-financial implications of the AKI-D to ESKD status transition.
Implications of AKI-D Versus ESKD Status
bit.ly/4dCvbhq
@UCSFNephrology @KeckKidneys
Ian McCoy, MD, MS retweeted
The draft of the KDIGO 2026 AKI/AKD Guideline is now available for public review through April 27, 2026.
Download the guideline and submit comments via the feedback form on the guideline website: kdigo.org/guidelines/acute-k…
This update to the 2012 guideline introduces a unified framework across AKI and AKD, with advances in diagnosis, prevention, and management, including updated recommendations on biomarkers, kidney replacement therapy, and follow-up care.
Recommendations were developed by an international Work Group, including patient representatives, using GRADE methodology.
KDIGO welcomes feedback from the global kidney community. Reviewers may focus on sections most relevant to their expertise, and contributors may be acknowledged in the final publication.
#AKI #AKD
Check out our ideas on how to fix AKI-D policy problems: (1) no incentives to monitor for recovery, (2) no incentives to treat AKI-D differently than ESKD, (3) no AKI-D quality metrics, and (4) no transplant wait-time accrual until ESKD.
https://
bit.ly/4dCvbhq
Ian McCoy, MD, MS retweeted
This Perspective by @NephroNinja and @eugelin06 describes both the financial and non-financial implications of the AKI-D to ESKD status transition.
Implications of AKI-D Versus ESKD Status
bit.ly/4dCvbhq
@UCSFNephrology @KeckKidneys
ALT Changes in classification of an incident hemodialysis population over six months (includes both ESKD and AKI-D). Simulated data combining reported outcomes in the AKI-D and ESKD populations (assumes 3 incident ESKD patients for every incident AKI-D patient, linear cumulative ESKD mortality of 10% at 6 months, and AKI-D outcomes as per Figure 4.10 of the 2024 United States Renal Data System Annual Data Report).
Does the % reduction in albuminuria after starting SGLT2i inform the magnitude of benefit? Do people with 80% reduction see more stabilization of eGFR than people with 30% reduction? @askrenal
Glad I wasn't on jeopardy tonight. IgA nephropathy causes swelling in this organ...(kidneys was the answer). Microscopic swelling I guess, from glomerulonephritis? 🧐
Ian McCoy, MD, MS retweeted
Photo of me when I read “creatinine and kidney function better after dialysis yesterday”
Ian McCoy, MD, MS retweeted
The CKD awareness publication in JAMA Cardiology is really the furthest thing from novel. If anything, I am surprised that we continue to talk about this topic.
The much more interesting question is how many people with eGFR-defined CKD would benefit from knowing that they have a disease that could (but usually will not) end in kidney failure.