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Moving the neonatal nephrology field forward: results from the Pediatric Academic Society Neonatal Nephrology Focus Group

Journal of Perinatology volume 44, pages 441–443 (2024)Cite this article

Subjects

Over the past decade, attention to neonatal kidney health has grown, including efforts related to research, clinical care and quality improvement. There remain many areas, such as acute kidney injury (AKI), fluid overload (FO), and congenital kidney failure (CKF), where evidence-based practices are lacking [1, 2]. Experts have emphasized the urgent need for ongoing research, clinical trials, and longitudinal studies to advance the field [3].

To begin to address this gap, we organized a multi-disciplinary neonatal nephrology networking session at the 2023 Pediatric Academic Societies Meeting (Washington, DC) on April 29, 2023. Seventy-four participants that participated in the 60-min session. Of those who indicated their subspecialty, there were 30 neonatologists, 35 were nephrologists. Participants included at least 14 trainees. This session featured small group round table discussions where attendees identified key clinical and research needs in three high-priority areas using the following prompts:

  1. (1)

    What do you see as pressing clinical care and research priorities for neonatal nephrology relating to acute critical care?

  2. (2)

    What do you see as pressing clinical care and research priorities for neonatal nephrology relating to the care of children with congenital kidney failure?

  3. (3)

    What are the current barriers to effective multidisciplinary collaboration for the care of neonates?

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References

  1. Goldstein SL, Akcan-Arikan A, Alobaidi R, Askenazi DJ, Bagshaw SM, Barhight M, et al. Consensus-based recommendations on priority activities to address acute kidney injury in children: a modified Delphi consensus statement. JAMA Netw Open. 2022;5:e2229442.

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  3. Harer MW, Selewski DT, Kashani K, Basu RK, Gist KM, Jetton JG, et al. Improving the quality of neonatal acute kidney injury care: neonatal-specific response to the 22nd Acute Disease Quality Initiative (ADQI) conference. J Perinatol. 2021;41:185–95.

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Acknowledgements

We would like to thank all who participated in the session and generated the content and would like to acknowledge all other participants that did not provide their names. We would also like to thank Rita Ryan and PAS staff members Glenda Minshew and Jaclyn Huff.

Author information

Authors and Affiliations

  1. Division of Neonatology, Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

    Cara Slagle

  2. Division of Nephrology, Department of Pediatrics, University of Washington and Seattle Children’s Hospital, Seattle, WA, USA

    Shina Menon

  3. Division of Nephrology, Department of Pediatrics, Medical University of South Carolina, Charleston, SC, USA

    David T. Selewski

  4. Division of Nephrology, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA

    Michelle C. Starr

  5. Division of Child Health Service Research, Indiana University School of Medicine, Indianapolis, IN, USA

    Michelle C. Starr

  6. University of Maryland School of Medicine, Baltimore, MD, USA

    Bakri Alzarka & Neziha Celebi

  7. St. Luke’s University Health Network, Center Vally, PA, USA

    Tecile Andolino

  8. University of Alamaba at Birmingham School of Medicine, Birmingham, AL, USA

    David Askenazi, Lindsey Gordon & Tennille Webb

  9. Northwestern University School of Medicine, Chicago, IL, USA

    Deirdre Bartlett

  10. Cohen Children’s Medical Center, Zucker School of Medicine, New Hyde Park, NY, USA

    Abby Basalely

  11. Washington University School of Medicine, St. Louis Children’s Hospital, St. Louis, MO, USA

    Eileen Ciccia & Vikas Dharnidharka

  12. University of Virginia School of Medicine, Charlottesville, VA, USA

    Jennifer Charlton & Vicky Norwood

  13. University of Kentucky School of Medicine, Lexington, KY, USA

    Aftab Chishti

  14. University of Arkansas for Medical Sciences and Arkansas Children’s Hospital, Little Rock, AR, USA

    Brendan Crawford, Rachel Millner & Saritha Ranabothu

  15. Vanderbild University School of Medicine, Nashville, TN, USA

    Kathy Jabs

  16. University of Washington and Seattle Children’s Hospital, Seattle, WA, USA

    Caroline Jackson & Jodi Smith

  17. Baylor College of Medicine, Texas Children’s Hospital, Houston, TX, USA

    Caroline Jarrell & Mona Khattab

  18. Tulane School of Medicine, New Orleans, LA, USA

    Samantha Krieger

  19. Ann and Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, USA

    Jeanne Frisby-Zedan

  20. Children’s Hospital of Philadephia, Philadelphia, PA, USA

    Rosanna Fulchiero & Melissa Zhou

  21. University of Rochester School of Medicine, Rochester, NY, USA

    Ronnie Guillet & George Schwartz

  22. Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

    Horace Rhodes Hambrick

  23. University of Wisconsin School of Medicine and Public Health, Madison, WI, USA

    Matthew Harer

  24. Medical College of Georgia and Augusta University, Augusta, GA, USA

    Kathleen Herman

  25. Cook Children’s Hospital, Fort Worth, TX, USA

    Lane Lanier

  26. University of Michigan Medical School, C.S. Mott Children’s Hospital, Ann Arbor, MI, USA

    Clare Linder

  27. University of Pittsburgh Medical Center Children’s Hospital of Pittsburgh, Pittsburgh, PA, USA

    Julia McDonald

  28. University of Iowa Stead Family Children’s Hospital, Carver College of Medicine, Iowa City, IA, USA

    Kyle Merrill, Emily Steinbach & Ryan Ward

  29. Inova Children’s Hospital, Fairfax, VA, USA

    Davoud Mohtat

  30. Nationwide Children’s Hospital, The Ohio State University College of Medicine, Columbus, OH, USA

    Claudia Mosquera, Tahagod Mohamed & Laura Walawender

  31. Levine Children’s Hospital, Charlotte, NC, USA

    Robert Moy

  32. Le Bonheur Children’s Hospital, Memphis, TN, USA

    Arwa Nada

  33. Medical University of South Carolina, Charleston, SC, USA

    Natalie Pudalov & Austin Rutledge

  34. Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA

    Kimberly Reidy

  35. Children’s National Hospital, Washington, DC, USA

    Mary Revenis

  36. University of British Columbia, Vancouver, BC, USA

    Sriya Roychaudhuri

  37. McGovern Medical School and UTHealth Houston, Houston, TX, USA

    Elizabeth Sabroske

  38. University of North Carolina School of Medicine, Chapel Hill, NC, USA

    Keia Sanderson

  39. Lousiana State University Health Science Center School of Medicine, Shreveport, LA, USA

    Caroline Straatmann

  40. Okinawa Prefectural Medical Center and Children’s Medical Center, Okinawa, Japan

    Kouki Tomari

Authors
  1. Cara Slagle
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  2. Shina Menon
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  3. David T. Selewski
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  4. Michelle C. Starr
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Consortia

On behalf Collaborative Co-Authors

  • Bakri Alzarka
  • , Tecile Andolino
  • , David Askenazi
  • , Deirdre Bartlett
  • , Abby Basalely
  • , Eileen Ciccia
  • , Neziha Celebi
  • , Jennifer Charlton
  • , Aftab Chishti
  • , Brendan Crawford
  • , Vikas Dharnidharka
  • , Kathy Jabs
  • , Caroline Jackson
  • , Caroline Jarrell
  • , Mona Khattab
  • , Samantha Krieger
  • , Jeanne Frisby-Zedan
  • , Rosanna Fulchiero
  • , Lindsey Gordon
  • , Ronnie Guillet
  • , Horace Rhodes Hambrick
  • , Matthew Harer
  • , Kathleen Herman
  • , Lane Lanier
  • , Clare Linder
  • , Julia McDonald
  • , Rachel Millner
  • , Kyle Merrill
  • , Davoud Mohtat
  • , Claudia Mosquera
  • , Robert Moy
  • , Tahagod Mohamed
  • , Arwa Nada
  • , Vicky Norwood
  • , Natalie Pudalov
  • , Saritha Ranabothu
  • , Kimberly Reidy
  • , Mary Revenis
  • , Sriya Roychaudhuri
  • , Austin Rutledge
  • , Elizabeth Sabroske
  • , Keia Sanderson
  • , George Schwartz
  • , Jodi Smith
  • , Emily Steinbach
  • , Caroline Straatmann
  • , Kouki Tomari
  • , Ryan Ward
  • , Laura Walawender
  • , Tennille Webb
  •  & Melissa Zhou

Contributions

CS and MCS: significant contributions to the design and conception, data analysis and interpretation, drafting the manuscript, critical revision of the manuscript and final approval. SM and DTS: contributions to the design and conception, data analysis, interpretation, and critical revision of the manuscript.

Corresponding author

Correspondence to Michelle C. Starr.

Ethics declarations

Competing interests

All authors report no real or perceived conflicts of interest that could affect the study design, collection, analysis, and interpretation of data, the writing of the report, or the decision to submit the manuscript for publication. For full disclosure, we provide the additional list of authors’ other funding not directly related to this study. MCS and SM are on the medical advisory board of Nuwellis. MCS is supported by Physician Scientist Fund at IUSM and K12TR004415. No other disclosures were reported.

Consent for publication

Patient consent was not required for this study. We present results of a focus group.

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Slagle, C., Menon, S., Selewski, D.T. et al. Moving the neonatal nephrology field forward: results from the Pediatric Academic Society Neonatal Nephrology Focus Group. J Perinatol 44, 441–443 (2024). https://doi.org/10.1038/s41372-023-01791-5

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  • DOI: https://doi.org/10.1038/s41372-023-01791-5

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