Journal article
Pediatric Nephrology Practice in the US: Survey of Pediatric Nephrology Division Directors
American journal of kidney diseases, Vol.86(1), pp.74-83
07/2025
DOI: 10.1053/j.ajkd.2025.01.025
PMID: 40189035
Abstract
Addressing the growing demand for pediatric nephrology care is challenging because of increasing limitations in the size of this workforce. The objective of this study was to characterize the state of pediatric nephrology practices across the US to inform possible strategies to address this shortfall.
Cross-sectional survey.
The American Society of Pediatric Nephrology (ASPN) interest group comprised of 92 pediatric nephrology division leaders of pediatric nephrology programs.
Practice size defined by number of full-time equivalent (FTE) pediatric nephrologists.
The scope of inpatient and outpatient services related to dialysis and extracorporeal treatment, kidney transplantation, procedures (kidney biopsy, ultrasound, ambulatory blood pressure monitoring), faculty roles, and funding for programmatic activities.
Descriptive and comparative statistics, including Chi-Squared test, Fisher’s Exact test, Student’s t-Test, two proportion Z-test, with significance defined as p-value < 0.05 was performed using GraphPad Prism (version 8.0.0, 131) and SAS Enterprise guide 7.1.
Large programs had more outreach capacity, ancillary staffing, independent transplant programs, diverse kidney replacement options, and on-site outpatient dialysis units. Smaller programs had fewer ambulatory patients and fewer inpatients per FTE pediatric nephrologists. Medium-sized programs had the highest inpatient and ambulatory volume per FTE pediatric nephrologists. The administrative support for transplant/dialysis/fellowship programs was often limited.
Granularity of data was limited. Assessment of trends was not implemented nor were changes in faculty appointment type.
Pediatric nephrologists in medium-sized programs had the highest volume of clinical work and administrative support for transplant/dialysis/fellowship programs was often insufficient in many programs. These findings may inform strategies to support pediatric nephrology programs and enhance the care they provide.
Details
- Title: Subtitle
- Pediatric Nephrology Practice in the US: Survey of Pediatric Nephrology Division Directors
- Creators
- Priya S. Verghese - Northwestern UniversityAmy Bobrowski - Cleveland ClinicCaitlin Carter - Rady Children's Hospital-San DiegoVikas R. Dharnidharka - St. Louis Children's HospitalJyothsna Gattineni - The University of Texas Southwestern Medical CenterJulie E. Goodwin - Yale UniversityDavid B. Kershaw - University of Michigan, Division of Pediatric Nephrology, Ann Arbor, MITeri J. Mauch - University of Nebraska Medical CenterRaoul Nelson - University of UtahMihail Subtirelu - East Tennessee Children's HospitalJoseph Flynn - University of Washington School of MedicineDaniel Feig - University of AlabamaCarolyn L. Abitbol - University of Miami Health SystemSandra Amaral - University of PennsylvaniaDiego Aviles - Childrens Hospital New Orleans, Division of Pediatric NephrologyRichard T. Blaszak - University of Arkansas for Medical SciencesLavjay Butani - University of California, DavisPrasad Devarajan - Cincinnati Children's Hospital Medical CenterBradley P. Dixon - Renal Section, Department of Pediatrics, University of Colorado School of MedicineMohammed K. Faizan - Hasbro Children's HospitalSudha Garimella - Prisma HealthDavid S. Hains - Indiana University School of MedicineStefan G. Kiessling - University of KentuckyRhiana Lau - University of Hawaii SystemMarva Moxey-Mims - George Washington UniversityCarla M. Nester - University of IowaDmitry Samsonov - Maria Fareri Children's HospitalPatricia Seo-Mayer - Inova Children's HospitalJodi M. Smith - University of Washington School of MedicineJohn D. Spencer - The Ohio State UniversityHeather D. Stewart - Dwaine & Cynthia Willet Children's Hospital, Division of Pediatric NephrologyIkuyo Yamaguchi - University of Oklahoma Health Sciences CenterSharon Bartosh - University of Wisconsin, Division of Pediatric NephrologyMazen Y. Arar - The University of Texas Health Science Center at San AntonioHidalgo Guillermo - Hackensack Meridian School of MedicineChristine Sethna - Cohen Children's Medical CenterAmerican Society of Pediatric Nephrology (ASPN) Division Head Interest Group
- Resource Type
- Journal article
- Publication Details
- American journal of kidney diseases, Vol.86(1), pp.74-83
- DOI
- 10.1053/j.ajkd.2025.01.025
- PMID
- 40189035
- NLM abbreviation
- Am J Kidney Dis
- ISSN
- 0272-6386
- eISSN
- 1523-6838
- Publisher
- Elsevier Inc
- Grant note
- American Society of Pediatric Nephrology
Acknowledgements: We are grateful for the support of the American Society of Pediatric Nephrology towards this work. Support for title page creation and format was provided by Author Arranger, a tool developed at the National Cancer Institute (https://authorarranger.nci.nih.gov/) .
- Language
- English
- Electronic publication date
- 04/04/2025
- Date published
- 07/2025
- Academic Unit
- Nephrology, Dialysis and Transplantation; Stead Family Department of Pediatrics; Internal Medicine
- Record Identifier
- 9984808532502771
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