Credits Available: 4.5 AMA PRA Category 1 Credit™, Maintenance of Certification (MOC) points available

Description: Chronic kidney disease (CKD) is estimated to impact approximately 37 million individuals in the United States (U.S). Furthermore, about 786,000 persons are living with end-stage kidney disease (ESKD) and receive renal replacement therapy, either through maintenance dialysis or kidney transplantation. Hyperphosphatemia, characterized by phosphorus levels in the bloodstream exceeding the normal parameters of 2.5–4.5 mg/dL, constitutes a critical aspect of the mineral and bone disorder associated with CKD. Elevated levels of serum phosphorus facilitate vascular calcification, impair endothelial function, and may play a role in other newly identified mechanisms of cardiovascular toxicity specific to CKD. The treatment of hyperphosphatemia in patients with CKD requiring dialysis is complex and is ideally managed by a multidisciplinary team of care providers including nephrologists, advanced practice providers (APPs), nurses, dietitians, pharmacists, and other healthcare professionals. Evidence suggests that multidisciplinary care models can slow the progression of CKD and improve mortality rates, but gaps remain in the availability and implementation of these models across different healthcare settings. These challenges include dietary management, optimization of dialysis, pharmacological interventions, patient education, addressing adherence concerns, and the need for comprehensive care models. This collaborative social learning platform establishes a network of providers who can support each other locally, as well as those from different communities, with the goal of learning and sharing best practices that will improve outcomes for patients with hyperphosphatemia.

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This program is intended for:
Target Professions: DO, MD, Nurse, Nurse Practitioner, Physician Assistant, Dietitian, Pharmacist, MBBS
Target Specialties: Nephrology, Nutrition, Pharmacy, Internal Medicine

Raja Dandamudi

Washington Universiti in St louis
Assistant professor

I am a pediatric nephrologist and assistant professor at Saint Louis Children's Hospital, specializing in kidney transplantation, dialysis, and apheresis. I played a pivotal role in establishing the Vascular Assessment Clinic, focusing on subclinical cardiovascular changes in pediatric kidney transplant patients. I have extensive experience in research, mentorship, and clinical quality improvement. I am also an accomplished author and editor, with multiple publications and leadership roles in national and international nephrology initiatives.