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Article ; Online: Big Data and Glomerular Disease: Uncovering Common Outcomes of Rare Disease.

Glenn, Dorey A / Hogan, Susan L

Journal of the American Society of Nephrology : JASN

2023 Volume 32, Issue 9, Page(s) 2106–2108

MeSH term(s)	Big Data ; Glomerulosclerosis, Focal Segmental ; Humans ; Kidney Diseases/epidemiology ; Nephrotic Syndrome ; Rare Diseases/epidemiology
Language	English
Publishing date	2023-02-02
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	1085942-1
ISSN	1533-3450 ; 1046-6673
ISSN (online)	1533-3450
ISSN	1046-6673
DOI	10.1681/ASN.2021070954
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Article: Acute Kidney Injury and Pediatric Bone Health.

Hegde, Anisha / Denburg, Michelle R / Glenn, Dorey A

Frontiers in pediatrics

2021 Volume 8, Page(s) 635628

Abstract: Acute kidney injury (AKI) has been associated with deleterious impacts on a variety of body systems. While AKI is often accompanied by dysregulation of mineral metabolism-including alterations in calcium, phosphate, vitamin D, parathyroid hormone, ... ...

Abstract	Acute kidney injury (AKI) has been associated with deleterious impacts on a variety of body systems. While AKI is often accompanied by dysregulation of mineral metabolism-including alterations in calcium, phosphate, vitamin D, parathyroid hormone, fibroblast growth factor 23, and klotho-its direct effects on the skeletal system of children and adolescents remain largely unexplored. In this review, the pathophysiology of dysregulated mineral metabolism in AKI and its potential effects on skeletal health are discussed, including data associating AKI with fracture risk.
Language	English
Publishing date	2021-02-09
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2711999-3
ISSN	2296-2360
ISSN	2296-2360
DOI	10.3389/fped.2020.635628
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Article ; Online: Bone Health in Glomerular Kidney Disease.

Glenn, Dorey A / Denburg, Michelle R

Current osteoporosis reports

2019 Volume 17, Issue 6, Page(s) 570–579

Abstract: Purpose of review: To summarize the literature regarding alterations in bone health in patients with glomerular kidney disease and highlight areas in need of additional investigation.: Recent findings: There is mounting evidence that children and ... ...

Abstract	Purpose of review: To summarize the literature regarding alterations in bone health in patients with glomerular kidney disease and highlight areas in need of additional investigation. Recent findings: There is mounting evidence that children and adults with glomerular conditions, with or without compromised kidney function, comprise a distinct subgroup of patients with unique risk factors for altered bone health. Patients with glomerular kidney disease are exposed to both disease-related and treatment-related factors that affect bone structure and function. In addition to chronic kidney disease-related risk factors for impaired bone health, high rates of exposure to osteotoxic medications, varying degrees of systemic inflammation, and altered vitamin D metabolism may contribute to compromised bone health in individuals with glomerular disease. Further study is needed to better understand these risk factors and the complex interaction between the immune system and bone cells in glomerular disease.
MeSH term(s)	Absorptiometry, Photon ; Animals ; Bone Density ; Bone and Bones/diagnostic imaging ; Bone and Bones/metabolism ; Chronic Kidney Disease-Mineral and Bone Disorder/metabolism ; Glomerulonephritis/drug therapy ; Glomerulonephritis/metabolism ; Glucocorticoids/adverse effects ; Humans ; Inflammation/metabolism ; Osteoporosis/chemically induced ; Osteoporosis/diagnostic imaging ; Osteoporosis/metabolism ; Osteoporotic Fractures ; Renal Insufficiency, Chronic/metabolism ; Vitamin D/metabolism
Chemical Substances	Glucocorticoids ; Vitamin D (1406-16-2)
Language	English
Publishing date	2019-11-16
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2186581-4
ISSN	1544-2241 ; 1544-1873
ISSN (online)	1544-2241
ISSN	1544-1873
DOI	10.1007/s11914-019-00531-z
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Article ; Online: Association of mental health-related patient reported outcomes with blood pressure in adults and children with primary proteinuric glomerulopathies.

Schuchman, Matthew / Brady, Tammy M / Glenn, Dorey A / Tuttle, Katherine R / Cara-Fuentes, Gabriel / Levy, Rebecca V / Gonzalez-Vicente, Agustin / Alakwaa, Fadhl M / Srivastava, Tarak / Sethna, Christine B

Journal of nephrology

2024

Abstract: Introduction: The prevalence of mental health disorders including anxiety and depression is increasing and is linked to hypertension in healthy individuals. However, the relationship of psychosocial patient-reported outcomes on blood pressure (BP) in ... ...

Abstract	Introduction: The prevalence of mental health disorders including anxiety and depression is increasing and is linked to hypertension in healthy individuals. However, the relationship of psychosocial patient-reported outcomes on blood pressure (BP) in primary proteinuric glomerulopathies is not well characterized. This study explored longitudinal relationships between psychosocial patient-reported outcomes and BP status among individuals with proteinuric glomerulopathies. Methods: An observational cohort study was performed using data from 745 adults and children enrolled in the Nephrotic Syndrome Study Network (NEPTUNE). General Estimating Equations for linear regression and binary logistic analysis for odds ratios were performed to analyze relationships between the exposures, longitudinal Patient-Reported Outcome Measurement Information System (PROMIS) measures and BP and hypertension status as outcomes. Results: In adults, more anxiety was longitudinally associated with higher systolic and hypertensive BP. In children, fatigue was longitudinally associated with increased odds of hypertensive BP regardless of the PROMIS report method. More stress, anxiety, and depression were longitudinally associated with higher systolic BP index, higher diastolic BP index, and increased odds of hypertensive BP index in children with parent-proxy patient-reported outcomes. Discussion/conclusion: Chronically poor psychosocial patient-reported outcomes may be significantly associated with higher BP and hypertension in adults and children with primary proteinuric glomerulopathies. This interaction appears strong in children but should be interpreted with caution, as multiple confounders related to glomerular disease may influence both mental health and BP independently. That said, access to mental health resources may help control BP, and proper disease and BP management may improve overall mental health.
Language	English
Publishing date	2024-03-21
Publishing country	Italy
Document type	Journal Article
ZDB-ID	1093991-x
ISSN	1724-6059 ; 1120-3625 ; 1121-8428
ISSN (online)	1724-6059
ISSN	1120-3625 ; 1121-8428
DOI	10.1007/s40620-024-01919-6
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Article ; Online: Systematic Review of Safety and Efficacy of COVID-19 Vaccines in Patients With Kidney Disease.

Glenn, Dorey A / Hegde, Anisha / Kotzen, Elizabeth / Walter, Emmanuel B / Kshirsagar, Abhijit V / Falk, Ronald / Mottl, Amy

Kidney international reports

2021 Volume 6, Issue 5, Page(s) 1407–1410

Language	English
Publishing date	2021-02-09
Publishing country	United States
Document type	Journal Article
ISSN	2468-0249
ISSN (online)	2468-0249
DOI	10.1016/j.ekir.2021.02.011
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Article: Pediatric Nephrology Training Worldwide 2016:

Primack, William A / Glenn, Dorey A / Meyers, Kevin E C

Kidney international reports

2016 Volume 1, Issue 3, Page(s) 144–147

Language	English
Publishing date	2016-07-18
Publishing country	United States
Document type	Journal Article
ISSN	2468-0249
ISSN	2468-0249
DOI	10.1016/j.ekir.2016.07.002
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Article ; Online: Influenza Vaccine Administration and Effectiveness Among Children and Adults With Glomerular Disease.

Glenn, Dorey A / Pate, Virginia / Zee, Jarcy / Walter, Emmanuel B / Denburg, Michelle R / Hogan, Susan / Falk, Ronald J / Mottl, Amy / Layton, J Bradley

Kidney international reports

2023 Volume 9, Issue 2, Page(s) 257–265

Abstract: Introduction: Influenza infections contribute to excess healthcare utilization, morbidity, and mortality in individuals with glomerular disease (GD); however, influenza vaccination may not yield protective immune responses in this high-risk patient ... ...

Abstract	Introduction: Influenza infections contribute to excess healthcare utilization, morbidity, and mortality in individuals with glomerular disease (GD); however, influenza vaccination may not yield protective immune responses in this high-risk patient population. The objective of the present study was to describe influenza vaccine administration from 2010 to 2019 and explore the effectiveness of influenza vaccination in patients with GD. Methods: We conducted an observational cohort study using healthcare claims for seasonal influenza vaccination (exposure) as well as influenza and influenza-like illness (outcomes) from commercially insured children and adults <65 years of age with primary GD in the Merative MarketScan Research Databases. Propensity score-weighted cox proportional hazards models and ratio-of-hazard ratios (RHR) analyses were used to compare influenza infection risk in years where seasonal influenza vaccines matched or mismatched circulating viral strains. Results: The mean proportion of individuals vaccinated per season was 23% (range 19%-24%). In pooled analyses comparing matched to mismatched seasons, vaccination was minimally protective for both influenza (RHR 0.86, 95% confidence interval [CI]: 0.52-1.41) and influenza-like illness (RHR 0.86, 95% CI 0.59-1.24), though estimates were limited by sample size. Conclusion: Rates of influenza vaccination are suboptimal among patients with GD. Protection from influenza after vaccination may be poor, leading to excess infection-related morbidity in this vulnerable population.
Language	English
Publishing date	2023-11-02
Publishing country	United States
Document type	Journal Article
ISSN	2468-0249
ISSN (online)	2468-0249
DOI	10.1016/j.ekir.2023.10.031
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Article ; Online: Tobacco exposure in adults and children with proteinuric glomerulopathies: a NEPTUNE cohort study.

Wang, Linda / Smith-Salzberg, Bayle / Meyers, Kevin Ec / Glenn, Dorey A / Tuttle, Katherine R / Derebail, Vimal K / Brady, Tammy M / Gibson, Keisha / Smith, Abigail R / O'Shaughnessy, Michelle M / Srivastava, Tarak / Hall, Gentzon / Zee, Jarcy / Bitzer, Markus / Sethna, Christine B

BMC nephrology

2023 Volume 24, Issue 1, Page(s) 30

Abstract: Background: Tobacco exposure has been recognized as a risk factor for cardiovascular disease (CVD) and progression of kidney disease. Patients with proteinuric glomerulopathies are at increased risk for cardiovascular morbidity and mortality. Multiple ... ...

Abstract	Background: Tobacco exposure has been recognized as a risk factor for cardiovascular disease (CVD) and progression of kidney disease. Patients with proteinuric glomerulopathies are at increased risk for cardiovascular morbidity and mortality. Multiple studies have linked tobacco exposure to CVD and chronic kidney disease, but the relationships between smoking and proteinuric glomerulopathies in adults and children have not been previously explored. Methods: Data from the Nephrotic Syndrome Study Network (NEPTUNE), a multi-center prospective observational study of participants with proteinuric glomerulopathies, was analyzed. 371 adults and 192 children enrolled in NEPTUNE were included in the analysis. Self-reported tobacco exposure was classified as non-smoker, active smoker, former smoker, or exclusive passive smoker. Baseline serum cotinine levels were measured in a sub-cohort of 178 participants. Results: The prevalence of active smokers, former smokers and exclusive passive smoking among adults at baseline was 14.6%, 29.1% and 4.9%, respectively. Passive smoke exposure was 16.7% among children. Active smoking (reference non-smoking) was significantly associated with greater total cholesterol among adults (β 17.91 95% CI 0.06, 35.76, p = 0.049) while passive smoking (reference non-smoking) was significantly associated with greater proteinuria over time among children (β 1.23 95% CI 0.13, 2.33, p = 0.03). Higher cotinine levels were associated with higher baseline eGFR (r = 0.17, p = 0.03). Conclusion: Tobacco exposure is associated with greater risk for CVD and worse kidney disease outcomes in adults and children with proteinuric glomerulopathies. Preventive strategies to reduce tobacco exposure may help protect against future cardiovascular and kidney morbidity and mortality in patients with proteinuric glomerulopathies.
MeSH term(s)	Humans ; Adult ; Child ; Cohort Studies ; Cotinine ; Nicotiana ; Tobacco Smoke Pollution/adverse effects ; Neptune ; Kidney Diseases/chemically induced ; Cardiovascular Diseases
Chemical Substances	Cotinine (K5161X06LL) ; Tobacco Smoke Pollution
Language	English
Publishing date	2023-02-09
Publishing country	England
Document type	Observational Study ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	2041348-8
ISSN	1471-2369 ; 1471-2369
ISSN (online)	1471-2369
ISSN	1471-2369
DOI	10.1186/s12882-023-03073-w
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Article ; Online: Association of COVID-19 Versus COVID-19 Vaccination With Kidney Function and Disease Activity in Primary Glomerular Disease: A Report of the Cure Glomerulonephropathy Study.

Wang, Chia-Shi / Glenn, Dorey A / Helmuth, Margaret / Smith, Abigail R / Bomback, Andrew S / Canetta, Pietro A / Coppock, Gaia M / Khalid, Myda / Tuttle, Katherine R / Bou-Matar, Raed / Greenbaum, Larry A / Robinson, Bruce M / Holzman, Lawrence B / Smoyer, William E / Rheault, Michelle N / Gipson, Debbie / Mariani, Laura H

American journal of kidney diseases : the official journal of the National Kidney Foundation

2023 Volume 83, Issue 1, Page(s) 37–46

Abstract: Rationale & objective: Patients with glomerular disease (GN) may be at increased risk of severe COVID-19, yet concerns over vaccines causing disease relapse may lead to vaccine hesitancy. We examined the associations of COVID-19 with longitudinal kidney ...

Abstract	Rationale & objective: Patients with glomerular disease (GN) may be at increased risk of severe COVID-19, yet concerns over vaccines causing disease relapse may lead to vaccine hesitancy. We examined the associations of COVID-19 with longitudinal kidney function and proteinuria and compared these with similar associations with COVID-19 vaccination. Study design: Observational cohort study from July 1, 2021, to January 1, 2023. Setting & participants: A prospective observational study network of 71 centers from North America and Europe (CureGN) with children and adults with primary minimal change disease, focal segmental glomerulosclerosis, membranous nephropathy, or IgA nephropathy. Exposure: COVID-19 and COVID-19 vaccination. Outcome: Repeated measure of estimated glomerular filtration rate (eGFR); recurrent time-to-event outcome of GN disease worsening as defined by doubling of the urinary protein-creatinine ratio (UPCR) to at least 1.5g/g or increase in dipstick urine protein by 2 ordinal levels to 3+(300mg/dL) or above. Analytical approach: Interrupted time series analysis for eGFR. Prognostic matched sequential stratification recurrent event analysis for GN disease worsening. Results: Among 2,055 participants, 722 (35%) reported COVID-19 infection; of these, 92 (13%) were hospitalized, and 3 died (<1%). The eGFR slope before COVID-19 infection was-1.40mL/min/1.73m Limitations: Infrequent or short follow-up. Conclusions: Among patients with primary GN, COVID-19 infection was severe for 1 in 8 cases and was associated with subsequent worsening of GN disease activity, as defined by proteinuria. By contrast, vaccination against COVID-19 was not associated with change in disease activity or kidney function decline. These results support COVID-19 vaccination for patients with GN. Plain-language summary: In this cohort study of 2,055 patients with minimal change disease, focal segmental glomerulosclerosis, membranous nephropathy, or IgA nephropathy, COVID-19 resulted in hospitalization or death for 1 in 8 cases and was associated with a 35% increase in risk for worsening proteinuria. By contrast, vaccination did not appear to adversely affect kidney function or proteinuria. Our data support vaccination for COVID-19 in patients with glomerular disease.
MeSH term(s)	Adult ; Child ; Humans ; Cohort Studies ; COVID-19/complications ; COVID-19/epidemiology ; COVID-19 Vaccines/adverse effects ; Glomerular Filtration Rate ; Glomerulonephritis, IGA/urine ; Glomerulonephritis, Membranous ; Glomerulosclerosis, Focal Segmental ; Kidney Glomerulus ; Nephrosis, Lipoid ; Proteinuria/epidemiology ; Vaccination ; Prospective Studies
Chemical Substances	COVID-19 Vaccines
Language	English
Publishing date	2023-08-31
Publishing country	United States
Document type	Observational Study ; Journal Article
ZDB-ID	604539-x
ISSN	1523-6838 ; 0272-6386
ISSN (online)	1523-6838
ISSN	0272-6386
DOI	10.1053/j.ajkd.2023.07.008
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Article ; Online: Validation of Diagnosis Codes to Identify Infection-Related Acute Care Events in Patients With Glomerular Disease.

Glenn, Dorey A / Zee, Jarcy / Hegde, Anisha / Henderson, Candace / O'Shaughnessy, Michelle M / Bomback, Andrew / Gibson, Keisha / Greenbaum, Larry A / Mansfield, Sarah / Hu, Yichun / Mariani, Laura / Falk, Ronald / Hogan, Susan / Denburg, Michelle / Mottl, Amy

Kidney international reports

2021 Volume 6, Issue 12, Page(s) 3079–3082

Language	English
Publishing date	2021-08-23
Publishing country	United States
Document type	Journal Article
ISSN	2468-0249
ISSN (online)	2468-0249
DOI	10.1016/j.ekir.2021.08.019
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