Mariana Markell
SUNY Downstate Medical Center, USA
: J Kidney
Men and women with kidney disease are often treated as if there is no difference between the genders. Studies suggest, however, that there are intrinsic differences in the male and female kidney, as well as effects of estrogen and progesterone on the kidney that differ from that of testosterone. These observations may underlie the ???female advantage??? that delays the progression of most kidney diseases to ESKD in women compared to men, as well as protection from AKI. When women reach ESKD, however, disparities in care arise, including fewer women starting dialysis with AV fistulae, as well as a much lower rate of living donor transplantation, and kidney transplant overall. It is hoped that recognition of the need for individualized care by gender will help to improve the care of women with kidney disease and especially ESKD.
Mariana Markell after graduating from Yale University, he received an MD from New York Medical College, followed by a Residency in Internal Medicine at the Columbia-Presbyterian Hospital and a Nephrology Fellowship at UCLA. At SUNY Downstate she has been Director of Transplant Medicine, Director of the Transplant Fellowship and is currently Professor of Medicine, serving in multiple leadership positions for the Medical School. He is the author of hundreds of abstracts, book chapters and papers and is a Fellow of the American College of Physicians, the American Society of Transplantation and the National Kidney Foundation.
E-mail: myohomom@aol.com
