Highlights from the 60th national meeting of the Italian Society of Nephrology: celebrating the role of the nephrologist
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EDITORIAL
Highlights from the 60th national meeting of the Italian Society of Nephrology: celebrating the role of the nephrologist Luca De Nicola1 · Filippo Aucella2 · Giuliano Brunori3
© Italian Society of Nephrology 2020
“I was led by hand to choose a job that is the only one to me, the only one that allows me achieving myself in the most joyful, most immediate, form”. This statement by Federico Fellini, the most famous Italian filmmaker (Fig. 1), was the incipit of the last national meeting of the Italian Society of Nephrology (SIN), held 2–5 October, 2019 in Rimini, Fellini’s hometown. The claim certainly represents the spirit of the meeting. The scientific committee, in fact, wanted to celebrate the 60th anniversary of our Society by placing emphasis on the practice of nephrology. Nephrologists can be efficacious in improving the prognosis of their patients; however, this task requires passion, curiosity, and flexibility. In particular, updating one’s own knowledge of nephrology on the basis of new scientific discoveries is a relevant aspect. Indeed, since its birth in the 50’s, the field of nephrology has made major progress with regard to renal replacement therapy (RRT) and conservative therapies. Treatment of the complete loss of kidney function has improved thanks to the progress of technological (dialysis) and pharmacological (epoietin and agents for CKD-mineral bone disease above all) tools and because of improved immunosuppression for kidney transplant recipients. Improvements in therapy significantly ameliorated the prognosis of RRT patients. More innovation in dialysis is Electronic supplementary material The online version of this article (https://doi.org/10.1007/s40620-020-00856-4) contains supplementary material, which is available to authorized users. * Luca De Nicola [email protected] 1
Nephrology and Dialysis Unit, Department Advanced Medical and Surgical Sciences, University of Vanvitelli, Naples, Italy
2
Nephrology and Dialysis Unit, IRCCS “Casa Sollievo Della Sofferenza” Scientific Institute for Research and Health Care, San Giovanni Rotondo, Italy
3
Nephrology and Dialysis Unit, Hospital of Trento, Trento, Italy
expected; efforts will soon be dedicated to improving vascular access function, biocompatibility of materials, and treatment safety [1]. Over the last few decades, nephrologists have also observed a substantial attenuation of CKD progression to a rate close to the physiological age-related decline of glomerular filtration rate (GFR). Indeed, collected data regarding 729 CKD patients who were regularly followed-up in an Italian outpatient renal clinic (mean age 64 years; males 59%; diabetes 35%; cardiovascular disease 44.9%, estimated glomerular filtration rate [eGFR] 48 mL/min/1.73 m2, proteinuria 0.9 g/24 h) revealed an overall decline in eGFR averaging 0.99 mL/min/year (Table 1) [2]. Again, this improvement in the renal prognosis of non-dialysis chronic kidney disease (CKD) patients mainly derives from the discovery and implementation of effective t
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