diapo - Ordine dei Medici Chirurghi e degli Odontoiatri della
Transcript
diapo - Ordine dei Medici Chirurghi e degli Odontoiatri della
PERCORSO DEL PAZIENTE NEFROPATICO UNA VISIONE D’INSIEME Dipartimento di Medicina Clinica e Sperimentale Unità Operativa Complessa di Nefrologia Unita Operativa Semplice di Terapia Sostitutiva alla Funzione Renale Unità Operativa Semplice di Trapianti Rene e Pancreas Scuola di Specializzazione di Nefrologia Dottorato di ricerca Unità Operativa Complessa di Nefrologia Prof. Buzio Carlo Prof. Allegri Landino Prof. David Salvatore Dott.ssa Ferrari Maria Elena Dott. Maggiore Umberto Dott. Manenti Lucio Dott.ssa Minari Marilena Dott.ssa Palmisano Alessandra Dott. Vaglio Augusto Dott. Bianco Beatrice Dott. Giacosa Roberto Dott. Piotti Giovanni Dott.ssa Galetti Maricla Dott.ssa Libri Irene Dott.ssa Nicastro Maria Unità Operativa Complessa di Nefrologia Reparto Degenza (14 letti) Reparto Emodialisi (18 letti) Reparto Trapianti (8 letti) Ambulatorio Nefrologico Ambulatorio Nefropatie primitive Ambulatorio Nefropatie secondarie Ambulatorio PIRP Ambulatorio di Ecografia addominale Ambulatorio Predialisi-dialisi peritoneale-trapianto Ambulatorio Chirurgico Ambulatorio Trapianti Day Service Insufficienza renale cronica Day Service Nefropatie secondarie e malattie rare ad interessamento renale Day Service Portatore di trapianto renale Day Hospital (2 letti, 3 poltrone) Day Hospital Nefrologico (2 letti) Unità Operativa Complessa di Nefrologia Assistenza(2013) • Nefrologia degenza - Ricoveri in regime ordinario: 599 - Punto medio: 1,81 - Trapianti: 52 - Attrazione regionale ed extraregionale: 28.2% • Nefrologia dialisi - Pazienti in dialisi peritoneali: 20 - Pazienti in emodialisi: 80 • Nefrologia Day Hospital - DH diagnostici, terapeutici: 104 - DH chirurgici: 140 - Attrazione regionale ed extraregionale: 22.8% • Nefrologia Ambulatorio - Visite nefrologiche (unico ambulatorio provinciale): 5511 Unità Operativa Complessa di Nefrologia Assistenza(2013) - Ore straordinario: 3829 - Giorni di ferie arretrate: 510 - Impegno finanziario: 132.894 euro Unità Operativa Complessa di Nefrologia Didattica Corso di Laurea in Medicina e Chirurgia: Scuola di Specializzazione di Nefrologia Scuola di Specializzazione di Allergologia ed Immunologia Clinica, Medicina Interna, Medicina d’Emergenza-Urgenza, Pediatria, Cardiologia, Dermatologia e Venereologia, Neurologia, Anatomia Patologica , Malattie infettive Tesi di laurea Tesi di specializzazione Dottorato di ricerca Meeting clinici Corso di Laurea in Infermieristica Unità Operativa Complessa di Nefrologia Ricerca •Produzione scientifica (2005-2014) N° pubblicazioni: 134 Impact factor complessivo: 832.153 Impact factor medio: 6.21 Unità Operativa Complessa di Nefrologia 1. Genetics of ANCA-associated vasculitides: HLA and beyond. Alberici F, Martorana D, Bonatti F, Gioffredi A, Lyons PA, Vaglio A. Clin Exp Rheumatol. 2014 May-Jun;32 Suppl 82(3):90-97. 2. Consensus guidelines for the diagnosis and clinical management of Erdheim-Chester disease. Diamond EL, Dagna L, Hyman DM, Cavalli G, Janku F, Estrada-Veras J, Ferrarini M, Abdel-Wahab O, Heaney ML, Scheel PJ, Feeley NK, Ferrero E, McClain KL, Vaglio A, Colby T, Arnaud L, Haroche J. Blood. 2014 May 21. pii: blood-2014-03-561381. 3. Primary and secondary glomerulonephritides 2. Nephrol Dial Transplant. 2014 May;29 Suppl 3:iii434-iii447. 4. Transplantation clinical 1. Nephrol Dial Transplant. 2014 May;29 Suppl 3:iii304-iii329. 5. Eosinophilic granulomatosis with polyangiitis (Churg-Strauss): evolutions in classification, etiopathogenesis, assessment and management. Mahr A, Moosig F, Neumann T, Szczeklik W, Taillé C, Vaglio A, Zwerina J. Curr Opin Rheumatol. 2014 Jan;26(1):16-23. 6. Trends in immune cell function assay and donor-specific HLA antibodies in kidney transplantation: A 3-year prospective study. Libri I, Gnappi E, Zanelli P, Reina M, Giuliodori S, Vaglio A, Palmisano A, Buzio C, Riva G, Barozzi P, Luppi M, Cravedi P, Maggiore U. Am J Transplant. 2013 Dec;13(12):3215-22. 7. Polyreactive antibodies developing amidst humoral rejection of human kidney grafts bind apoptotic cells and activate complement. Porcheray F, Fraser JW, Gao B, McColl A, DeVito J, Dargon I, Helou Y, Wong W, Girouard TC, Saidman SL, Colvin RB, Palmisano A, Maggiore U, Vaglio A, Smith RN, Zorn E. Am J Transplant. 2013 Oct;13(10):2590-600. 8. Comparison of PR3-ANCA specific assay performance for the diagnosis of granulomatosis with polyangiitis (Wegener's). Radice A, Bianchi L, Maggiore U, Vaglio A, Sinico RA. Clin Chem Lab Med. 2013 Nov;51(11):2141-9. 9. Atypical haemolytic uraemic syndrome with underlying glomerulopathies. A case series and a review of the literature. Manenti L, Gnappi E, Vaglio A, Allegri L, Noris M, Bresin E, Pilato FP, Valoti E, Pasquali S, Buzio C. Nephrol Dial Transplant. 2013 Sep;28(9):2246-59. 10. Interleukin-6 as an inflammatory mediator and target of therapy in chronic periaortitis. Vaglio A, Catanoso MG, Spaggiari L, Magnani L, Pipitone N, Macchioni P, Pulsatelli L, Nicastro M, Becchi G, Corradi D, Versari A, Boiardi L, Salvarani C. Arthritis Rheum. 2013 Sep;65(9):2469-75. 11. Rituximab is a safe and effective long-term treatment for children with steroid and calcineurin inhibitor-dependent idiopathic nephrotic syndrome. Ravani P, Ponticelli A, Siciliano C, Fornoni A, Magnasco A, Sica F, Bodria M, Caridi G, Wei C, Belingheri M, Ghio L, Merscher-Gomez S, Edefonti A, Pasini A, Montini G, Murtas C, Wang X, Muruve D, Vaglio A, Martorana D, Pani A, Scolari F, Reiser J, Ghiggeri GM. Kidney Int. 2013 Nov;84(5):1025-33. 12. Methotrexate plus prednisone in patients with relapsing idiopathic retroperitoneal fibrosis. Alberici F, Palmisano A, Urban ML, Maritati F, Oliva E, Manenti L, Ferretti S, Cobelli R, Buzio C, Vaglio A. Ann Rheum Dis. 2013 Sep 1;72(9):1584-6. 13. TLR-4 and VEGF polymorphisms in chronic periaortitis. Atzeni F, Boiardi L, Vaglio A, Nicoli D, Farnetti E, Palmisano A, Pipitone N, Martorana D, Moroni G, Longhi S, Bonatti F, Buzio C, Salvarani C. PLoS One. 2013 May 14;8(5):e62330. 14. Eosinophilic granulomatosis with polyangiitis (Churg-Strauss): state of the art. Vaglio A, Buzio C, Zwerina J. Allergy. 2013 Mar;68(3):261-73. 15. Retroperitoneal fibrosis. Pipitone N, Vaglio A, Salvarani C. Best Pract Res Clin Rheumatol. 2012 Aug;26(4):439-48. 16. Eotaxin/CCL11 in idiopathic retroperitoneal fibrosis. Mangieri D, Corradi D, Martorana D, Malerba G, Palmisano A, Libri I, Bartoli V, Carnevali ML, Goldoni M, Govoni P, Alinovi R, Buzio C, Vaglio A. Nephrol Dial Transplant. 2012 Oct;27(10):3875-84. 17. Genotype-phenotype analysis of 4q deletion syndrome: proposal of a critical region. Strehle EM, Yu L, Rosenfeld JA, Donkervoort S, Zhou Y, Chen TJ, Martinez JE, Fan YS, Barbouth D, Zhu H, Vaglio A, Smith R, Stevens CA, Curry CJ, Ladda RL, Fan ZJ, Fox JE, Martin JA, Abdel-Hamid HZ, McCracken EA, McGillivray BC, Masser-Frye D, Huang T. Am J Med Genet A. 2012 Sep;158A(9):2139-51. 18. Genetically distinct subsets within ANCA-associated vasculitis. Lyons PA, Rayner TF, Trivedi S, Holle JU, Watts RA, Jayne DR, Baslund B, Brenchley P, Bruchfeld A, Chaudhry AN, Cohen Tervaert JW, Deloukas P, Feighery C, Gross WL, Guillevin L, Gunnarsson I, Harper L, Hrušková Z, Little MA, Martorana D, Neumann T, Ohlsson S, Padmanabhan S, Pusey CD, Salama AD, Sanders JS, Savage CO, Segelmark M, Stegeman CA, Tesař V, Vaglio A, Wieczorek S, Wilde B, Zwerina J, Rees AJ, Clayton DG, Smith KG. N Engl J Med. 2012 Jul 19;367(3):214-23. 19. New aspects of membranoproliferative glomerulonephritis. Manenti L, Vaglio A, Buzio C. N Engl J Med. 2012 Jul 5;367(1):86; author reply 86-7. 20. Membrano-proliferative glomerulonephritis, atypical hemolytic uremic syndrome, and a new complement factor H mutation: report of a case. Gnappi E, Allinovi M, Vaglio A, Bresin E, Sorosina A, Pilato FP, Allegri L, Manenti L. Pediatr Nephrol. 2012 Oct;27(10):1995-9. 21. IgG4-related disease. Vaglio A, Zwerina J. N Engl J Med. 2012 Apr 26;366(17):1646; author reply 1646-7. 22. PTPN22 R620W polymorphism in the ANCA-associated vasculitides. Martorana D, Maritati F, Malerba G, Bonatti F, Alberici F, Oliva E, Sebastio P, Manenti L, Brugnano R, Catanoso MG, Fraticelli P, Guida G, Gregorini G, Possenti S, Moroni G, Leoni A, Pavone L, Pesci A, Sinico RA, Di Toma L, D'Amico M, Tumiati B, D'Ippolito R, Buzio C, Neri TM, Vaglio A. Rheumatology (Oxford). 2012 May;51(5):805-12. 23. IgG4 immune response in Churg-Strauss syndrome. Vaglio A, Strehl JD, Manger B, Maritati F, Alberici F, Beyer C, Rech J, Sinico RA, Bonatti F, Battistelli L, Distler JH, Schett G, Zwerina J. Ann Rheum Dis. 2012 Mar;71(3):390-3. 24. Churg-Strauss syndrome: update on pathophysiology and treatment. Vaglio A, Moosig F, Zwerina J. Curr Opin Rheumatol. 2012 Jan;24(1):24-30. doi: 10.1097/BOR.0b013e32834d85ce. Review. 26. Prednisone versus tamoxifen in patients with idiopathic retroperitoneal fibrosis: an open-label randomised controlled trial. Vaglio A, Palmisano A, Alberici F, Maggiore U, Ferretti S, Cobelli R, Ferrozzi F, Corradi D, Salvarani C, Buzio C. Lancet. 2011 Jul 23;378(9788):338-46 27. Role of 18F-fluorodeoxyglucose positron emission tomography in the workup of retroperitoneal fibrosis. Pipitone N, Versari A, Vaglio A, Salvarani C. Clin Exp Rheumatol. 2011 Jan-Feb;29(1 Suppl 64):S72-8. 28. Candida sake as the causative agent of spondylodiscitis in a hemodialysis patient. Palmisano A, Benecchi M, De Filippo M, Maggiore U, Buzio C, Vaglio A. Spine J. 2011 Mar;11(3):e12-6. doi: 10.1016/j.spinee.2011.01.026. 29. Eotaxin-3 in Churg-Strauss syndrome: a clinical and immunogenetic study. Zwerina J, Bach C, Martorana D, Jatzwauk M, Hegasy G, Moosig F, Bremer J, Wieczorek S, Moschen A, Tilg H, Neumann T, Spriewald BM, Schett G, Vaglio A. Rheumatology (Oxford). 2011 Oct;50(10):1823-7. 30. CC chemokine receptor 5 polymorphism in chronic periaortitis. Boiardi L, Vaglio A, Nicoli D, Farnetti E, Palmisano A, Pipitone N, Maritati F, Casali B, Martorana D, Moroni G, Gallelli B, Buzio C, Salvarani C. Rheumatology (Oxford). 2011 Jun;50(6):1025-32. 31. A cross-sectional study of the Birmingham Vasculitis Activity Score version 3 in systemic vasculitis. Suppiah R, Mukhtyar C, Flossmann O, Alberici F, Baslund B, Batra R, Brown D, Holle J, Hruskova Z, Jayne DR, Judge A, Little MA, Palmisano A, Stegeman C, Tesar V, Vaglio A, Westman K, Luqmani R. Rheumatology (Oxford). 2011 May;50(5):899-905. 32. Chronic periaortitis: a large-vessel vasculitis? Vaglio A, Pipitone N, Salvarani C. Curr Opin Rheumatol. 2011 Jan;23(1):1-6. 33. Increased fetuin-A levels following treatment with a vitamin D analog. Manenti L, Vaglio A, Pasquali S. Kidney Int. 2010 Dec;78(11):1187; author reply 1187-9.. 34. Measurement of damage in systemic vasculitis: a comparison of the Vasculitis Damage Index with the Combined Damage Assessment Index. Suppiah R, Flossman O, Mukhtyar C, Alberici F, Baslund B, Brown D, Hasan N, Holle J, Hruskova Z, Jayne D, Judge A, Little MA, Merkel PA, Palmisano A, Seo P, Stegeman C, Tesar V, Vaglio A, Westman K, Luqmani R. Ann Rheum Dis. 2011 Jan;70(1):80-5. 35. Increased viral load after intravenous immunoglobulin therapy for BK virus-associated nephropathy. Maggiore U, Medici MC, Vaglio A, Buzio C. Transpl Infect Dis. 2010 Oct;12(5):470-2. 36. EBV-associated leukoencephalopathy with late onset of central nervous system lymphoma in a kidney transplant recipient. Vaglio A, Manenti L, Mancini C, Chierici E, Cobelli R, Bacci F, Palmisano A, Buzio C, Bignardi L, Maggiore U. Am J Transplant. 2010 Apr;10(4):947-51. doi: 10.1111/j.1600-6143.2009.02999.x. 37. Management of hepatitis C virus-related mixed cryoglobulinemia. Iannuzzella F, Vaglio A, Garini G. Am J Med. 2010 May;123(5):400-8. 38. Phase III, randomised, multicentre trial of maintenance immunotherapy with low-dose interleukin-2 and interferon-alpha for metastatic renal cell cancer. Passalacqua R, Buzio C, Buti S, Porta C, Labianca R, Pezzuolo D, Camisa R, Sabbatini R, Benecchi L, Messina C, Cengarle R, Vaglio A, Dalla Chiesa M, Tomasello G, Caminiti C. Cancer Immunol Immunother. 2010 Apr;59(4):553-61. 39. Churg-Strauss syndrome. Vaglio A, Casazza I, Grasselli C, Corradi D, Sinico RA, Buzio C. Kidney Int. 2009 Nov;76(9):1006-11. 40. Retroperitoneal fibrosis: new insights into clinical presentation and diagnosis. Vaglio A. Medicine (Baltimore). 2009 Jul;88(4):208-10. 41. Effectiveness of cardiac resynchronization therapy in heart failure patients with valvular heart disease: comparison with patients affected by ischaemic heart disease or dilated cardiomyopathy. The InSync/InSync ICD Italian Registry. Boriani G, Gasparini M, Landolina M, Lunati M, Biffi M, Santini M, Padeletti L, Molon G, Botto G, De Santo T, Valsecchi S; InSync/InSync ICD Italian Registry Investigators. Eur Heart J. 2009 Sep;30(18):2275-83. 42. Chronic periaortitis: a fibro-inflammatory disorder. Palmisano A, Vaglio A. Best Pract Res Clin Rheumatol. 2009 Jun;23(3):339-53. 43. Peri-renal collateral circles. Palmisano A, Cobelli R, Buzio C, Vaglio A. Urology. 2009 Aug;74(2):292-3. 44. Uraemic pruritus: clinical characteristics, pathophysiology and treatment. Manenti L, Tansinda P, Vaglio A. Drugs. 2009;69(3):251-63.. 45. Chronically administered immunotherapy with low-dose IL-2 and IFN-alpha in metastatic renal cell carcinoma: a feasible option for patients with a good prognostic profile. Vaglio A, Alberici F, Maggiore U, Buti S, Potenzoni D, Passalacqua R, Buzio C. Oncology. 2009;76(1):69-76. 46. Retroperitoneal fibrosis associated with psoriasis: a case series. Famularo G, Palmisano A, Afeltra A, Buzzulini F, Versari A, Minisola G, Vaglio A. Scand J Rheumatol. 2009 Jan-Feb;38(1):68-9. 47. Pericarditis heralding Erdheim-Chester disease. Vaglio A, Corradi D, Maestri R, Callegari S, Buzio C, Salvarani C. Circulation. 2008 Sep 30;118(14):e511-2 48. Images in cardiovascular medicine. Chronic periaortitis. Pipitone N, Ghinoi A, Versari A, Vaglio A, Palmisano A, Salvarani C. Circulation. 2008 Sep 9;118(11):1214-6. 49. Eprodisate in amyloid A amyloidosis: a novel therapeutic approach? Manenti L, Tansinda P, Vaglio A. Expert Opin Pharmacother. 2008 Aug;9(12):2175-80. 50. TLR-mediated induction of negative regulatory ligands on dendritic cells. Gröschel S, Piggott KD, Vaglio A, Ma-Krupa W, Singh K, Goronzy JJ, Weyand CM. J Mol Med (Berl). 2008 Apr;86(4):443-55. 51. Gabapentin as a therapeutic option in uremic pruritus. Manenti L, Vaglio A, Borgatti PP. Kidney Int. 2008 Feb;73(4):512; author reply 512-3. 52. Peripheral inflammatory arthritis in patients with chronic periaortitis: report of five cases and review of the literature. Vaglio A, Palmisano A, Ferretti S, Alberici F, Casazza I, Salvarani C, Buzio C. Rheumatology (Oxford). 2008 Mar;47(3):315-8. 53. Retroperitoneal fibrosis: evolving concepts. Vaglio A, Palmisano A, Corradi D, Salvarani C, Buzio C. Rheum Dis Clin North Am. 2007 Nov;33(4):803-17 54. Eprodisate in AA amyloidosis. Manenti L, Tansinda P, Vaglio A. N Engl J Med. 2007 Sep 13;357(11):1153; author reply 1153-4. 55. HLA-DRB4 as a genetic risk factor for Churg-Strauss syndrome. Vaglio A, Martorana D, Maggiore U, Grasselli C, Zanetti A, Pesci A, Garini G, Manganelli P, Bottero P, Tumiati B, Sinico RA, Savi M, Buzio C, Neri TM; Secondary and Primary Vasculitis Study Group. Arthritis Rheum. 2007 Sep;56(9):3159-66. 56. HCV-related cryoglobulinemic glomerulonephritis: implications of antiviral and immunosuppressive therapies. Garini G, Allegri L, Lannuzzella F, Vaglio A, Buzio C. Acta Biomed. 2007;78(1):51-9. 57. Lung metastasectomy in patients with renal cell cancer (RCC). A 17-year experience in Parma Hospital. Ferretti S, Fornia S, Ampollini L, Rusca M, Salsi P, Vaglio A, Cortellini P. Acta Biomed. 2007;78(1):41-5. 58. Idiopathic retroperitoneal fibrosis: clinicopathologic features and differential diagnosis. Corradi D, Maestri R, Palmisano A, Bosio S, Greco P, Manenti L, Ferretti S, Cobelli R, Moroni G, Dei Tos AP, Buzio C, Vaglio A. Kidney Int. 2007 Sep;72(6):742-53. Epub 2007 Jul 11. 59. Meningeal involvement in apparently ANCA-negative Wegener's granulomatosis: a role for PR3 capture-ELISA? Greco P, Palmisano A, Vaglio A, Scoditti U, Antonelli MY, Crisi G, Sinico RA, Buzio C. Rheumatology (Oxford). 2007 Aug;46(8):1375-6. Epub 2007 May 4. No abstract available. 60. Pure red cell aplasia followed by disseminated intravascular coagulation in a haemodialysis patient receiving erythropoietin-beta. Manenti L, Vaglio A. Nephrol Dial Transplant. 2007 May;22(5):1465-7. 61. Gabapentin use in chronic uraemic itch is in line with emerging pathogenetic hypothesis. Manenti L, Vaglio A. Nephrol Dial Transplant. 2007 Dec;22(12):3669-70. Epub 2007 Feb 28. 62. Calciphylaxis: evolving concepts. Garini G, Galletti E, Ricci R, Vaglio A, Buzio C. Intern Emerg Med. 2006;1(4):320-2. No abstract available. 63. Autoimmune aspects of chronic periaortitis. Vaglio A, Greco P, Corradi D, Palmisano A, Martorana D, Ronda N, Buzio C. Autoimmun Rev. 2006 Aug;5(7):458-64. Epub 2006 Apr 25. Review. 64. Outcome and prognostic factors during the course of primary small-vessel vasculitides. Pavone L, Grasselli C, Chierici E, Maggiore U, Garini G, Ronda N, Manganelli P, Pesci A, Rioda WT, Tumiati B, Pavesi G, Vaglio A, Buzio C; Secondary and Primar Vasculitides (Se.Pri.Va) Study Group. J Rheumatol. 2006 Jul;33(7):1299-306. Epub 2006 Jun 15. 65. Ear, nose and throat manifestations of Churg-Strauss syndrome. Bacciu A, Bacciu S, Mercante G, Ingegnoli F, Grasselli C, Vaglio A, Pasanisi E, Vincenti V, Garini G, Ronda N, Ferri T, Corradi D, Buzio C. Acta Otolaryngol. 2006 May;126(5):503-9. 66. Tamoxifen therapy for retroperitoneal fibrosis. Vaglio A, Greco P, Buzio C. Ann Intern Med. 2006 Apr 18;144(8):619; author reply 619-20. 67. Chronic periaortitis and HLA-DRB1*03: another clue to an autoimmune origin. Martorana D, Vaglio A, Greco P, Zanetti A, Moroni G, Salvarani C, Savi M, Buzio C, Neri TM. Arthritis Rheum. 2006 Feb 15;55(1):126-30. 68. Retroperitoneal fibrosis. Vaglio A, Salvarani C, Buzio C. Lancet. 2006 Jan 21;367(9506):241-51. Review. 69. Tuberculosis as a trigger of retroperitoneal fibrosis. Greco P, Vaglio A, Corradi D, Cobelli R, Zompatori M, Buzio C. Clin Infect Dis. 2005 Oct 1;41(7):e72-5. Epub 2005 Aug 31. 70. Hepatitis C virus-related cryoglobulinemia and glomerulonephritis: pathogenesis and therapeutic strategies. Garini G, Allegri L, Vaglio A, Buzio C. Ann Ital Med Int. 2005 Apr-Jun;20(2):71-80. Review. 71. Post-treatment residual tissue in idiopathic retroperitoneal fibrosis: active residual disease or silent "scar" ? A study using 18Ffluorodeoxyglucose positron emission tomography. Vaglio A, Greco P, Versari A, Filice A, Cobelli R, Manenti L, Salvarani C, Buzio C. Clin Exp Rheumatol. 2005 Mar-Apr;23(2):231-4. 72. Gabapentin for uraemic pruritus. Manenti L, Vaglio A. Nephrol Dial Transplant. 2005 Jun;20(6):1278-9. Epub 2005 Apr 19. No abstract available. 73. Positron emission tomography (PET): evaluation of chronic periaortitis. Salvarani C, Pipitone N, Versari A, Vaglio A, Serafini D, Bajocchi G, Salvo D, Buzio C, Greco P, Boiardi L. Arthritis Rheum. 2005 Apr 15;53(2):298-303. 74. Gabapentin in the treatment of uremic itch: an index case and a pilot evaluation. Manenti L, Vaglio A, Costantino E, Danisi D, Oliva B, Pini S, Prati E, Testori A. J Nephrol. 2005 Jan-Feb;18(1):86-91. 75. (18)F-fluorodeoxyglucose positron emission tomography in the diagnosis and followup of idiopathic retroperitoneal fibrosis. Vaglio A, Versari A, Fraternali A, Ferrozzi F, Salvarani C, Buzio C. Arthritis Rheum. 2005 Feb 15;53(1):122-5. 76. Chronic periaortitis: a spectrum of diseases. Vaglio A, Buzio C. Curr Opin Rheumatol. 2005 Jan;17(1):34-40. 77. Effects of the radiocontrast agent iodixanol on endothelial cell morphology and function. Ronda N, Potì F, Palmisano A, Gatti R, Orlandini G, Maggiore U, Cabassi A, Regolisti G, Fiaccadori E. Vascul Pharmacol. 2013 Jan;58(1-2):39-47. 78. A cross-sectional study of the Birmingham Vasculitis Activity Score version 3 in systemic vasculitis. Suppiah R, Mukhtyar C, Flossmann O, Alberici F, Baslund B, Batra R, Brown D, Holle J, Hruskova Z, Jayne DR, Judge A, Little MA, Palmisano A, Stegeman C, Tesar V, Vaglio A, Westman K, Luqmani R. Rheumatology (Oxford). 2011 May;50(5):899-905. 79. Measurement of damage in systemic vasculitis: a comparison of the Vasculitis Damage Index with the Combined Damage Assessment Index. Suppiah R, Flossman O, Mukhtyar C, Alberici F, Baslund B, Brown D, Hasan N, Holle J, Hruskova Z, Jayne D, Judge A, Little MA, Merkel PA, Palmisano A, Seo P, Stegeman C, Tesar V, Vaglio A, Westman K, Luqmani R. Ann Rheum Dis. 2011 Jan;70(1):80-5. 80. Glomerular Autoimmune Multicomponents of Human Lupus Nephritis In Vivo: α-Enolase and Annexin AI. Bruschi M, Sinico RA, Moroni G, Pratesi F, Migliorini P, Galetti M, Murtas C, Tincani A, Madaio M, Radice A, Franceschini F, Trezzi B, Bianchi L, Giallongo A, Gatti R, Tardanico R, Scaloni A, D'Ambrosio C, Carnevali ML, Messa P, Ravani P, Barbano G, Bianco B, Bonanni A, Scolari F, Martini A, Candiano G, Allegri L, Ghiggeri GM. J Am Soc Nephrol. 2014 May 1. [Epub ahead of print] 81. Mutations in DSTYK and dominant urinary tract malformations. Sanna-Cherchi S, Sampogna RV, Papeta N, Burgess KE, Nees SN, Perry BJ, Choi M, Bodria M, Liu Y, Weng PL, Lozanovski VJ, Verbitsky M, Lugani F, Sterken R, Paragas N, Caridi G, Carrea A, Dagnino M, Materna-Kiryluk A, Santamaria G, Murtas C, Ristoska-Bojkovska N, Izzi C, Kacak N, Bianco B, Giberti S, Gigante M, Piaggio G, Gesualdo L, Kosuljandic Vukic D, Vukojevic K, Saraga-Babic M, Saraga M, Gucev Z, Allegri L, Latos-Bielenska A, Casu D, State M, Scolari F, Ravazzolo R, Kiryluk K, Al-Awqati Q, D'Agati VD, Drummond IA, Tasic V, Lifton RP, Ghiggeri GM, Gharavi AG. N Engl J Med. 2013 Aug 15;369(7):621-9. 82. Circulating antipodocyte antibodies in membranous nephropathy: new findings. Murtas C, Allegri L, Ghiggeri GM. Am J Kidney Dis. 2013 Jul;62(1):12-5. 83. Copy-number disorders are a common cause of congenital kidney malformations. Sanna-Cherchi S, Kiryluk K, Burgess KE, Bodria M, Sampson MG, Hadley D, Nees SN, Verbitsky M, Perry BJ, Sterken R, Lozanovski VJ, MaternaKiryluk A, Barlassina C, Kini A, Corbani V, Carrea A, Somenzi D, Murtas C, Ristoska-Bojkovska N, Izzi C, Bianco B, Zaniew M, Flogelova H, Weng PL, Kacak N, Giberti S, Gigante M, Arapovic A, Drnasin K, Caridi G, Curioni S, Allegri F, Ammenti A, Ferretti S, Goj V, Bernardo L, Jobanputra V, Chung WK, Lifton RP, Sanders S, State M, Clark LN, Saraga M, Padmanabhan S, Dominiczak AF, Foroud T, Gesualdo L, Gucev Z, Allegri L, Latos-Bielenska A, Cusi D, Scolari F, Tasic V, Hakonarson H, Ghiggeri GM, Gharavi AG. Am J Hum Genet. 2012 Dec 7;91(6):987-97. . 84. Coexistence of different circulating anti-podocyte antibodies in membranous nephropathy. Murtas C, Bruschi M, Candiano G, Moroni G, Magistroni R, Magnano A, Bruno F, Radice A, Furci L, Argentiero L, Carnevali ML, Messa P, Scolari F, Sinico RA, Gesualdo L, Fervenza FC, Allegri L, Ravani P, Ghiggeri GM. 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Unità Operativa Complessa di Nefrologia Ricerca •Linee di ricerca -Fibrosi retroperitoneale e malattie IgG4-correlate -Determinanti genetici delle vasculiti ANCA-associate -Trials clinici nelle vasculiti ANCA-associate -Immunopatogenesi e terapia della malattia di Erdheim-Chester -Malattie linfoproliferative post-trapianto renale -Identificazione dei complessi immuni responsabili della patogenesi delle nefropatie glomerulari primitive e secondarie -Aspetti genetico – molecolari delle malformazioni nefro-urinarie - Monitoraggio immunologico con CXCL9 urinario - Determinanti della tolleranza immunitaria - Polimorfismi recettore IL-7 - Immunosoppressione e qualita' del graft nel ricevente anziano di trapianto renale Unità Operativa Complessa di Nefrologia Ricerca Rapporti nazionali ed internazionali Emmanuel Zorn (Harvard University, Boston USA) David Jayne (Vasculitis and Lupus Clinic, Addenbrooke’s Hospital Cambridge, UK) Ken Smith (Dept of Medicine, University of Cambridge UK) Julien Haroche (Hopital Pitié-Salpetriere, Paris, France) Raashid Luqmani (Nuffield centre of Orthopedics, University of Oxford, UK) Jochen Zwerina (Hanusch Hospital, Vienna, Austria, and University of Erlangen, Germany) Javier Martin (CSIS, Granada, Spain) Gian Marco Ghiggeri (U.O.C. di Nefrologia Ospedale Giannina Gaslini di Genova) Ali Gharavi e Simone Sanna Cherchi (Division of Nephrology-Columbia University-New York) Peter Heeger (Mount Sinai Hospital, New York, USA) Daniel Abramowicz (University of Antwerp, Belgium) Klemens Budde (Charite' Hospital, Berlin, Germany) Unità Operativa Complessa di Nefrologia Ricerca Laboratori MATERIALE Luminex Microscopio per microdissezione laser Microscopio a fluorescenza Digital camera Criostato Stereomicroscopio Lettore Elispot Centrifuga Microscopio ottico Digital camera Citofluorimetro Incubatore Incubatore Cappa Biologica Cappa Biologica Cappa Chimica Immuknow Luminometro pH-metro Bilancia Camera umida per Ibridazione in Situ DITTA BIO-RAD Nikon Leica Leica Leica MODELLO BIO-PLEX SYSTEM mmi cellcut Leica DMLB AID Thermo scientific Olympus Digital camera Beckman Coulter THERMOSTATIC OVEN HERAEUS INSTRUMENTS Heraeus GELAIRE AHSI Cilex Turner Biosystem CORNING DHAUS Grant Boekel ELR04 HERAEUS-MEGAFUGE 40R BX41 DCM 310 Cytomics FC500 M710 ND219B Hera safe BCH 4 I Leica CM 1850 GLORUNNER 320 DV14C SM30 PERCORSO DEL PAZIENTE NEFROPATICO PS Reparto degenza Minari Vaglio Medico di MG Bianco Minari Medico di MG CUP Ambulatorio - Day Hospital - Day Service Nefropatie primitive/Nefropatie secondarie/PIRP Allegri Buzio David Ferrari Manenti Ferrari Palmisano Vaglio Ambulatorio predialisi-trapianto Day Hospital Nefrologico Bianco David Minari Manenti Minari Reparto Dialisi peritoneale Reparto David Emodialisi Manenti Reparto trapianti Maggiore Palmisano Piotti Ambulatori trapianti Palmisano Piotti INTERNATIONAL COMPARISON ESRD Incidence Historical Trend USRDS ADR is adjusted for Age Variazione dell’età nei pazienti incidenti RIDT 2010 28 Patologia di base per classe di età nei pazienti incidenti RIDT 2010 Prevalent counts & adjusted rates of ESRD, by primary diagnosis December 31 point prevalent ESRD patients. Adj: age/gender/race; ref: 2010 ESRD patients. USRDS 2013 ADR Ambulatorio Nefrologico 3050 Pazienti 700 (23%) nefropatia diabetica 360 (12%) malattie rare 500 (16%) trapiantato 305 (10%) nefropatia glomerulare 160 (5%)nefropatia interstiziale 580 (19%) nefropatia vascolare 445 (18%) altro Eta’ 150 (7%) 210 (9%) <40 41-60 2317 Pazienti 850 (37%) 1040 (45%) 61-75 >75 Creatininemia 1854 (88%) <3.5mg% 263 (12%) <3.5mg% 2117 HISTORICAL TREND 6-year Period, 10 Regions Random-Coefficients Poisson Regression (Bayesian Analysis) PERCORSO DEL PAZIENTE NEFROPATICO PS Reparto degenza Medico di base CUP Ambulatori - Day Hospital - Day Service nefropatie nefropatie PIRP primitive secondarie Domicilio Ambulatorio nefrologico Reparto dialisi peritoneale Day Hospital pre dialisi-trapianto Reparto emodialisi Reparto trapianti Ambulatorio trapianti • Ringraziare tutti anche specializzandi ed infermieri Unità Operativa Complessa di Nefrologia Minari / Vaglio: Reparto degenza David / Manenti: Reparto emodialisi Maggiore / Palmisano / Piotti: Reparto trapianti Allegri / Ferrari: Ambulatorio nefrologico (Visite CUP, Terapia e follow-up delle nefropatie primitive, Day hospital, Day service: Insufficienza renale cronica) Buzio / Manenti / Palmisano / Vaglio: Ambulatorio Nefropatie Secondarie (Terapia e follow-up nefropatie secondarie, Day service: Nefropatie secondarie e malattie rare ad interessamento renale) Giacosa / Minari: Ambulatorio di ecografia addominale Bianco / Minari: Ambulatorio predialisi-dialisi peritoneale-trapianto David / Minari / Bianco: Ambulatorio chirurgico (Allestimento fistole artero-venose, Posizionamento di cateteri peritoneali) Maggiore / Palmisano / Piotti: Ambulatorio trapianti, Day service: trapianto Unità Operativa Complessa di Nefrologia Produzione scientifica •Anni 2011-2013 Pubblicazioni: 59 Citazioni complessive: 368 •Anno 2012 Impact factor (valori 2012): 100 Impact factor normalizzato (valori 2012): 80 Prevalent adjusted rates of ESRD, by age Figure 1.12 (Volume 2) ref: 2005 ESRD patients USRDS 2012 38 Incident adjusted rates of ESRD, by age Figure 1.4 (Volume 2) ref: 2005 ESRD patients USRDS 2012 39