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Bridging the Gap in Dialysis Care - Optimizing Hyperphosphatemia Management and Improving Patient Outcomes

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

Christina Fasulo

UCLA
Senior GI Dietitian

Christina is a registered dietitian and certified nutrition support clinician (CNSC) that specializes in nutrition support and gastrointestinal disorders. She received her master’s degree in Nutritional Sciences from California State University, Los Angeles and completed her internship at Cedars-Sinai and UCLA. Christina previously worked in the Small Bowel Disease and Nutrition and Inflammatory Bowel Disease Programs at Cedars-Sinai, where she helped manage total parenteral nutrition (TPN) and enteral nutrition (EN) in an ambulatory clinic. She is a member of the American Society of Parenteral and Enteral Nutrition (ASPEN), the American Gastroenterology Association (AGA) and Dietitians in Gluten and Gastrointestinal Disorders (DIGID).