Onco-nephrology: A decalogue

Laura Cosmai, Camillo Porta, Maurizio Gallieni, Mark A. Perazella

Research output: Contribution to journalArticlepeer-review


Onco-nephrology is an evolving subspecialty that focuses on the complex relationships existing between kidney and cancer. In this opinion piece, we propose a 'decalogue of onco-nephrology', in order to highlight the areas where the nephrologist and oncologist should work closely over the ensuing years to provide cutting-edge care for patients afflicted with cancer and kidney disease. The 10 points we have highlighted include (1) acute kidney injury and chronic kidney disease in cancer patients; (2) nephrotoxic effects of anticancer therapy, either traditional chemotherapeutics or novel molecularly targeted agents; (3) paraneoplastic renal manifestations; (4) management of patients nephrectomized for a kidney cancer; (5) renal replacement therapy and active oncological treatments; (6) kidney transplantation in cancer survivors and cancer risk in ESRD patients; (7) oncological treatment in kidney transplant patients; (8) pain management in patients with cancer and kidney disease, (9) development of integrated guidelines for onco-nephrology patients and (10) clinical trials designed specifically for onco-nephrology. Following these points, a multidisciplinary onco-nephrology team will be key to providing outstanding, cutting-edge care in both the acute and chronic setting to these patients.

Original languageEnglish
Pages (from-to)515-519
Number of pages5
JournalNephrology Dialysis Transplantation
Issue number4
Publication statusPublished - Apr 1 2016


  • AKI
  • cancer
  • CKD
  • dialysis
  • nephrectomy
  • nephrotoxicity

ASJC Scopus subject areas

  • Nephrology
  • Transplantation


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