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

Jarred Prudencio

University of Hawaii at Hilo/Hawaii Island Family Medicine Residency Clinic
Clinical Pharmacist & Associate Professor of Pharmacy Practice

I practice as an ambulatory care pharmacist in a primary care/family medicine clinic where I have been providing comprehensive medication management since 2016. The clinic is a teaching clinic which is home for a family medicine residency program and training site for pharmacy and nursing students. I am on the faculty at the Daniel K. Inouye College of Pharmacy at the University of Hawaii at Hilo, where I teach students in various therapeutic topics relating to chronic disease state management, pharmacotherapy, and I oversee the experiential education office.