This report examines the management of acute kidney injury (AKI) patients from the perspective of nephrologists and critical care physicians in the US. Emphasis is on self-reported patient load, patient demographics, changes and challenges in AKI management, diagnosis and use of AKI staging criteria, treatment of AKI (such as fluid management, intermittent hemodialysis, and bicarbonate), and impact of contrast-induced nephropathy. In addition, the report covers the future of AKI extensively and provides perceptions of four emerging products in development for the prevention/treatment of AKI. The report is the third wave of this series.

Questions Answered in This Report:

  • Understand AKI patient demographics. How many patients are surveyed nephrologists and critical care physicians treating with AKI? What are the common underlying causes of AKI and the comorbidities and risk factors associated with the disease? What percentage of patients present with AKI versus acquire it in the hospital?

  • Understand the diagnosis and current standard of care for patients with AKI and how therapy decisions differ based on presentation. What are the main challenges faced in the management of AKI? How frequently do physicians use RIFLE, AKIN, and KDIGO AKI guidelines? What is the evolving role of biomarkers in the diagnosis of AKI?

  • Understand the level of physician satisfaction with current diagnosis and treatment, as well as the challenges associated with current therapy. What are the perceived unmet needs in the management of patients with AKI?

  • Understand perceptions and beliefs concerning the diagnosis and current and future treatment of AKI. What is the potential for new therapies in development for AKI? What are the perceptions about the uniqueness of products in AKI development?

Scope:

Markets covered: United States.

Primary research: 99 nephrologists and 51 critical care physicians via an online quantitative survey.

Screening criteria: Nephrologists needed to treat a minimum of 50 AKI patients in the past year, while critical care physicians needed 25. Have been in practice a minimum of 2 years and a maximum of 30 years. Spend more than 75% of their professional time in clinical practice (academic hospital setting allowed 50% practice time). Not practice in Vermont.

Field Dates: July 28-August 5, 2015.

Report: PowerPoint format with 128 slides.

Author(s): Rob Dubman, M.B.A.