Overview
I am a physician-scientist with an academic career focus is geriatric nephrology. The aim of my work is to transform the standard of care for vulnerable adults who have both advanced kidney disease and geriatric problems. I use epidemiology and health services research methodologies to identify effective novel interventions that integrate geriatric principles into kidney care settings. I lead a geriatric nephrology clinic at the Durham VA that integrates a brief geriatric assessment with kidney disease management and dialysis decision-making.
Current Appointments & Affiliations
Associate Professor of Medicine
·
2023 - Present
Medicine, Nephrology,
Medicine
Associate Professor in Population Health Sciences
·
2023 - Present
Population Health Sciences,
Basic Science Departments
Recent Publications
Association of Coprescribing of Gabapentinoid and Other Psychoactive Medications With Altered Mental Status and Falls in Adults Receiving Dialysis.
Journal Article Am J Kidney Dis · February 2025 RATIONALE & OBJECTIVE: Prescribing psychoactive medications for patients with kidney disease is common, but for patients receiving dialysis some medications may be inappropriate. We evaluated the association of coprescribing gabapentinoids and other psycho ... Full text Link to item CiteFrailty in Kidney Disease: A Comprehensive Review to Advance Its Clinical and Research Applications.
Journal Article Am J Kidney Dis · January 2025 Frailty is a multisystem syndrome of decreased physiologic reserve that has been shown to strongly and independently predict morbidity and mortality. Frailty is prevalent in patients living with kidney disease and occurs earlier in individuals with kidney ... Full text Link to item CiteBreast and Prostate Cancer Screening by Life Expectancy in Patients with Kidney Failure on Dialysis.
Journal Article Clin J Am Soc Nephrol · December 1, 2024 KEY POINTS: Breast and prostate cancer screening were more frequent among patients on hemodialysis waitlisted for kidney transplant. Among patients not waitlisted for transplant, we found that screening rates were generally higher among patients with highe ... Full text Link to item CiteRecent Grants
Duke/UNC ADAR Program
Inst. Training Prgm or CMEMentor · Awarded by National Institutes of Health · 2024 - 2029Integration of Geriatric Care into Dialysis Clinics
ResearchPrincipal Investigator · Awarded by National Institute on Aging · 2023 - 2028Kidney Disease Aging Research Collaborative (KDARC) Research Infrastructure to Advance the Science of Geriatric Nephrology (R61/R33)
ResearchPrincipal Investigator · Awarded by NYU Langone Medical Center · 2024 - 2026View All Grants
Education, Training & Certifications
Duke University ·
2013
M.H.S.
Vanderbilt University ·
2006
M.B.A.
Vanderbilt University, School of Medicine ·
2006
M.D.