Letter to the Editor
Creation of the Working Group on Diagnostic and Interventional Nephrology of the Spanish Society of Nephrology
Creación del Grupo de Trabajo en Nefrología Diagnóstica e Intervencionista de la Sociedad Española de Nefrología
Maite Rivera Gorrína,
, Iñaki Cornago Delgadob, Àngels Betriu Barsc, Manuel Lanuza Luengod, Manuel Ceballos Guerreroe, Vicente Paraíso Cuevasf, José Ibeas Lópezg, Ramón Roca Teyh, Pedro Luis Quirós Gangai
Corresponding author
a Servicio de Nefrología, Hospital Ramón y Cajal, Madrid, Spain
b Servicio de Nefrología, Hospital Galdakano, Usansolo, Vizcaya, Spain
c Servicio de Nefrología, Hospital Universitari Arnau de Vilanova, Lleida, Spain
d Servicio de Nefrología, Hospital Virgen de la Arrixaca, Murcia, Spain
e Servicio de Nefrología, Hospital Puerta del Mar, Cádiz, Spain
f Servicio de Nefrología, Hospital del Henares, Coslada, Madrid, Spain
g Servicio de Nefrología, Hospital de Sabadell, Sabadell, Barcelona, Spain
h Servicio de Nefrología, Fundacio Privada Hospital de Mollet, Mollet del Vallès, Barcelona, Spain
i Servicio de Nefrología, Hospital Puerto Real, Cádiz, Spain
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[ "entidad" => "Servicio de Nefrología, Hospital Ramón y Cajal, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Nefrología, Hospital Galdakano, Usansolo, Vizcaya, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Nefrología, Hospital Universitari Arnau de Vilanova, Lleida, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Servicio de Nefrología, Hospital Virgen de la Arrixaca, Murcia, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Servicio de Nefrología, Hospital Puerta del Mar, Cádiz, Spain" "etiqueta" => "e" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "Servicio de Nefrología, Hospital del Henares, Coslada, Madrid, Spain" "etiqueta" => "f" "identificador" => "aff0030" ] 6 => array:3 [ "entidad" => "Servicio de Nefrología, Hospital de Sabadell, Sabadell, Barcelona, Spain" "etiqueta" => "g" "identificador" => "aff0035" ] 7 => array:3 [ "entidad" => "Servicio de Nefrología, Fundacio Privada Hospital de Mollet, Mollet del Vallès, Barcelona, Spain" "etiqueta" => "h" "identificador" => "aff0040" ] 8 => array:3 [ "entidad" => "Servicio de Nefrología, Hospital Puerto Real, Cádiz, Spain" "etiqueta" => "i" "identificador" => "aff0045" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Creación del Grupo de Trabajo en Nefrología Diagnóstica e Intervencionista de la Sociedad Española de Nefrología" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">At its meeting of 9 July 2014, the Board of Directors of the Spanish Society of Nephrology (SEN) approved the creation of the SEN Working Group on Diagnostic and Interventional Nephrology (DIN). This letter, based on the group's founding document, which is available on the SEN website, aims to set forth the reasons why it is necessary to create this group, its objectives and its plan for action.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Ultrasound is an essential tool in the practice of medicine, with multiple applications in kidney patients. In addition to being a very informative and non-invasive diagnostic method, it is the vehicle through which interventions such as biopsy on the kidneys may be performed.<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">1–5</span></a> Furthermore, it is crucial for performing various interventions that are not strictly related to the kidneys, but are the responsibility of the nephrologist, such as placing central lines and managing arteriovenous fistulas for haemodialysis.<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">6</span></a> Finally, it allows the arteries to be visualised for early diagnosis of subclinical artery disease, or evolution of atheromatous disease, which is known to be the basis of the majority of cardiovascular events and mortality in the general population and to an even greater extent in the kidney population.<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">7</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">For this reason, it is important that the nephrologist learn appropriate ultrasound techniques so as to perform and interpret ultrasound examinations in order to achieve more comprehensive and efficient patient management.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Suitable and timely placement of the appropriate catheter for peritoneal dialysis determines the prognosis for the patient and the technique. The nephrologist is trained to place and remove peritoneal catheters, and this is in fact what happens in some Spanish departments of Nephrology.</p><p id="par0025" class="elsevierStylePara elsevierViewall">The above set of activities is called DIN. It is a subspecialty of nephrology that has been expanding since it was named and defined in 2000.<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">1,8–10</span></a> Several scientific societies of nephrology have working groups in this regard, such as the American Society of Diagnostic and Interventional Nephrology (ASDIN), the Latin American Society of Nephrology and Hypertension (SLANH), the Argentinian Society of Nephrology (SAN) and, most recently, the Chilean Society of Nephrology (SCN).</p><p id="par0030" class="elsevierStylePara elsevierViewall">There is significant demand among Spanish nephrologists for training in this field. In the majority of nephrology departments, these activities are assigned to other units and departments, and there is growing dissatisfaction when it is seen that patients’ clinical care needs are not suitably covered. Performing activities related to the diagnosis of kidney disease, which revolve around ultrasound, as well as recovery from nephrology interventions, would represent not only significant healthcare improvement, but also a boost to the specialty, rendering it more attractive to future residents, and probably an improvement in career opportunities.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Aware of this demand, the Board of Directors of the SEN has sponsored various university courses, such as the University Master's Degrees in Imaging of the Nephrology Departments at Hospital Universitario Ramón y Cajal in Madrid (Universidad Alcalá de Henares) and Hospital Universitario Arnau de Vilanova (Universitat de Lleida) and the vascular access ultrasound course at Hospital de Sabadell.</p><p id="par0040" class="elsevierStylePara elsevierViewall">We believe that the creation of a Working Group on DIN could give a major boost to the expansion of this discipline and would allow for the greater participation of Spanish nephrologists. This could make the specialty more attractive for future generations.<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">8–10</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">The fundamental objective of the Working Group on DIN is to incorporate ultrasound into the nephrologist's clinical practice and to re-establish techniques specific to our specialty as part of the central role of the nephrologist. Therefore, its activity shall consist of: bringing together all nephrology specialists who are interested in or who perform DIN in part or in full, as well as boosting the implementation of DIN in the nephrology departments in Spain that are in favour. We shall provide training and scientific activities in the field of DIN through specific courses and workshops. Finally, we would like to promote contacts and joint activities with scientific societies for related specialties, to join forces in a multidisciplinary approach and in the interests of collaborative research.</p><p id="par0050" class="elsevierStylePara elsevierViewall">To carry out these objectives, given that DIN encompasses a broad spectrum of activities, we have considered dividing the activity of the group into several sections (kidney, cardiovascular risk and peritoneal dialysis) for which one or more of the founding members would be responsible. The group is open to broadening its field of action to new disciplines based on incorporating ultrasound into nephrology that may be useful for the nephrologist's routine clinical practice, and that do not enter into conflict with other SEN groups that have already been established.</p><p id="par0055" class="elsevierStylePara elsevierViewall">We encourage all nephrologists interested in performing and promoting DIN to join the group.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Rivera Gorrín M, Cornago Delgado I, Betriu Bars À, Lanuza Luengo M, Ceballos Guerrero M, Paraíso Cuevas V, et al. Creación del Grupo de Trabajo en Nefrología Diagnóstica e Intervencionista de la Sociedad Española de Nefrología. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 1 | 3 |
| 2024 October | 45 | 29 | 74 |
| 2024 September | 36 | 20 | 56 |
| 2024 August | 63 | 48 | 111 |
| 2024 July | 34 | 27 | 61 |
| 2024 June | 38 | 36 | 74 |
| 2024 May | 66 | 31 | 97 |
| 2024 April | 48 | 28 | 76 |
| 2024 March | 53 | 29 | 82 |
| 2024 February | 52 | 38 | 90 |
| 2024 January | 25 | 22 | 47 |
| 2023 December | 21 | 28 | 49 |
| 2023 November | 44 | 29 | 73 |
| 2023 October | 87 | 35 | 122 |
| 2023 September | 72 | 26 | 98 |
| 2023 August | 40 | 26 | 66 |
| 2023 July | 35 | 34 | 69 |
| 2023 June | 60 | 12 | 72 |
| 2023 May | 72 | 35 | 107 |
| 2023 April | 48 | 16 | 64 |
| 2023 March | 76 | 23 | 99 |
| 2023 February | 69 | 16 | 85 |
| 2023 January | 35 | 23 | 58 |
| 2022 December | 49 | 27 | 76 |
| 2022 November | 43 | 36 | 79 |
| 2022 October | 43 | 52 | 95 |
| 2022 September | 44 | 41 | 85 |
| 2022 August | 33 | 32 | 65 |
| 2022 July | 24 | 48 | 72 |
| 2022 June | 40 | 38 | 78 |
| 2022 May | 47 | 31 | 78 |
| 2022 April | 39 | 35 | 74 |
| 2022 March | 54 | 48 | 102 |
| 2022 February | 45 | 41 | 86 |
| 2022 January | 25 | 30 | 55 |
| 2021 December | 26 | 38 | 64 |
| 2021 November | 38 | 32 | 70 |
| 2021 October | 37 | 33 | 70 |
| 2021 September | 31 | 35 | 66 |
| 2021 August | 34 | 44 | 78 |
| 2021 July | 30 | 39 | 69 |
| 2021 June | 31 | 29 | 60 |
| 2021 May | 39 | 40 | 79 |
| 2021 April | 89 | 79 | 168 |
| 2021 March | 76 | 53 | 129 |
| 2021 February | 56 | 42 | 98 |
| 2021 January | 39 | 27 | 66 |
| 2020 December | 31 | 27 | 58 |
| 2020 November | 21 | 15 | 36 |
| 2020 October | 21 | 26 | 47 |
| 2020 September | 30 | 22 | 52 |
| 2020 August | 36 | 18 | 54 |
| 2020 July | 35 | 16 | 51 |
| 2020 June | 31 | 25 | 56 |
| 2020 May | 24 | 17 | 41 |
| 2020 April | 30 | 14 | 44 |
| 2020 March | 18 | 14 | 32 |
| 2020 February | 37 | 17 | 54 |
| 2020 January | 40 | 20 | 60 |
| 2019 December | 39 | 41 | 80 |
| 2019 November | 36 | 27 | 63 |
| 2019 October | 26 | 13 | 39 |
| 2019 September | 19 | 17 | 36 |
| 2019 August | 19 | 13 | 32 |
| 2019 July | 20 | 18 | 38 |
| 2019 June | 32 | 27 | 59 |
| 2019 May | 22 | 20 | 42 |
| 2019 April | 35 | 37 | 72 |
| 2019 March | 45 | 29 | 74 |
| 2019 February | 21 | 40 | 61 |
| 2019 January | 30 | 28 | 58 |
| 2018 December | 193 | 42 | 235 |
| 2018 November | 322 | 22 | 344 |
| 2018 October | 329 | 17 | 346 |
| 2018 September | 137 | 15 | 152 |
| 2018 August | 74 | 18 | 92 |
| 2018 July | 55 | 13 | 68 |
| 2018 June | 79 | 14 | 93 |
| 2018 May | 83 | 19 | 102 |
| 2018 April | 137 | 9 | 146 |
| 2018 March | 135 | 11 | 146 |
| 2018 February | 199 | 5 | 204 |
| 2018 January | 156 | 9 | 165 |
| 2017 December | 184 | 6 | 190 |
| 2017 November | 52 | 13 | 65 |
| 2017 October | 38 | 8 | 46 |
| 2017 September | 39 | 6 | 45 |
| 2017 August | 26 | 7 | 33 |
| 2017 July | 30 | 10 | 40 |
| 2017 June | 34 | 9 | 43 |
| 2017 May | 37 | 9 | 46 |
| 2017 April | 38 | 6 | 44 |
| 2017 March | 14 | 1 | 15 |
| 2017 February | 25 | 9 | 34 |
| 2017 January | 28 | 15 | 43 |
| 2016 December | 54 | 12 | 66 |
| 2016 November | 55 | 17 | 72 |
| 2016 October | 67 | 6 | 73 |
| 2016 September | 86 | 8 | 94 |
| 2016 August | 72 | 0 | 72 |
| 2016 July | 130 | 4 | 134 |
| 2016 June | 89 | 0 | 89 |
| 2016 May | 87 | 0 | 87 |
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