Mohamed Bashir*
Department of Medicine, University of Detroit Mercy, Detroit, USA
Received date: July 30, 2024, Manuscript No. IPIJCR-24-19448; Editor assigned date: August 01, 2024, PreQC No. IPIJCR-24-19448 (PQ); Reviewed date: August 15, 2024, QC No. IPIJCR-24-19448; Revised date: January 07, 2025, Manuscript No. IPIJCR-24-19448 (R); Published date: January 21, 2025, 2024, DOI: 10.36648/IPIJCR.9.1.005
Citation: Bashir M (2025) Challenges and Innovations in Nephrology Care: Addressing Acute Kidney Injury in Pregnancy and Advancing Nephrology Practices. Int J Case Rep Vol:9 No:1
Acute Kidney Injury (AKI) caused by pregnancy is a significant public health issue that results in significant mortality and morbidity for both the mother and the fetus. Ladies with pregnancy-related AKI require prompt admittance to nephrology care to forestall harmful kidney and wellbeing results. There are numerous reasons why patients with pregnancy-related Acute Kidney Injury (AKI) in countries with lower and middle incomes do not have equal access to comprehensive nephrology care. In this point of view, we feature the weight of pregnancy-related AKI and investigate the difficulties among various low-pay and lower-center pay nations. A fundamental aspect of the issue is the dearth of a sufficient nephrology workforce and infrastructure for kidney health care. The treatment of pregnant women with AKI is hampered by a lack of nephrologists, resulting in poor outcomes.
Diagnostic tools and treatment options
The implementation of efficient management strategies is hampered by the absence of diagnostic tools and treatment options, such as kidney replacement therapy. Women must be empowered to receive the right services and support at the right time through international efforts. Pregnancy-related AKI is a complication that is underrepresented in the literature and urgently requires dedicated preventive and early care programs. A specialized nephrologist is needed in the intensive care unit due to the high incidence of acute kidney injury and end-stage kidney disease in critically ill patients. However, little is known about the scope of practice and job satisfaction of individuals who completed dual training in nephrology and critical care. The current practice landscape of critical care nephrology is the subject of this article, as are the educational tracks that can be pursued along this path and the factors that could improve the field's future. We discovered that POCUS examinations could broadly correlate with official radiographic studies in 77% (100%) of cases for evaluating binary questions like volume status or hydronephrosis. Our reported time per study (4.6 minutes) was comparable to the length achieved by nephrologists (5 minutes).
Value-Based Care (VBC) in nephrology
Although the implementation of POCUS into nephrology training is feasible based on this study, further efforts must be made to eliminate training barriers. Patients with disease represent 14% to 22% of admissions to the serious consideration setting and require individualized care because of their perplexing judgments and large number of potential oncology treatments. Basic consideration medical caretakers ought to have a standard information on malignant growth types and be know all about the hazardous circumstances that might introduce anytime under the watchful eye of oncology patients, from starting beginning to end-stage. Oncological crises, for example, TLS and MAH require brief acknowledgment Value- Based Care (VBC) has become the dominant focal point in nephrology with objectives of giving top notch composed care to patients with Cutting-edge-ongoing Kidney Sickness (CKD), execution appraisal for suppliers and lower costs for payers. An absence of accentuation on kidney transplantation was a worry for early VBC nephrology programs. For instance, there was no incentive for kidney transplantation or a quality measure in the comprehensive end-stage renal disease care model.
Recent initiatives, such as the 2019 Advancing Americans Kidney Health initiative, have focused on increasing organ accessibility and kidney transplantation. The end-stage renal disease quality incentive program, a mainstay for dialysis clinics since 2011, only added a transplantation reporting measure in payment year 2022. The mandatory end-stage renal disease treatment choices and the voluntary kidney care choices both utilizing inductive thematic analysis, we assessed physicians' experiences, perspectives and beliefs regarding the evaluation and implementation of research findings into clinical practice for the treatment of ADPKD patients.