Our Team
Peter Kotanko, MD, FASN
Head of Biomedical Evidence Generation and
Renal Research Institute

Peter Kotanko, MD, is Research Director at the Renal Research Institute (RRI), New York. Prior to joining RRI, from 1997 to 2007 he served as vice chair of a department of internal medicine at an academic teaching hospital in Graz, Austria. Prior to moving to Graz in 1989, he worked from 1982 to 1989 in the Department of Physiology and the University Clinic of Internal Medicine in Innsbruck, Austria. From 1995 to 1996 he trained in nephrology at the Hammersmith Hospital, London, United Kingdom. He is Adjunct Professor of Medicine and Nephrology at the Icahn School of Medicine at Mount Sinai in New York and holds a teaching appointment at the Medical University of Innsbruck. He has authored and co-authored over 350 publications and book chapters, and he holds multiple patents in the field of kidney replacement therapy. He is an awardee of the 2019 KidneyX prize for innovations in dialysis and the 2021 KidneyX COVID-19 Kidney Care Challenge. He is a Fellow of the American Society of Nephrology.
Recent Articles by Peter Kotanko, MD, FASN
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Hemodialysis InternationalNov 20, 2022
Predicting mortality risk in dialysis: Assessment of risk fa...
Sheetal Chaudhuri, John W Larkin, Murilo Guedes, Y...Abstract Introduction: Several factors affect the survival of End Stage Kidney Disease (ESKD) patients on dialysis. Machine learning (ML) models may help tackle multivariable and complex, often non-linear predictors of adverse clinical events in ESKD patients. In this study, we used advanced ML method as well as a traditional statistical method to develop and compare the... -
Paulo P Galuzio, Alhaji Cherif, Xia Tao, Ohnmar Th...Abstract In patients with kidney failure treated by hemodialysis, intradialytic arterial oxygen saturation (SaO2) time series present intermittent high-frequency high-amplitude oximetry patterns (IHHOP), which correlate with observed sleep-associated breathing disturbances. A new method for identifying such intermittent patterns is proposed. The method is based on the analysis of recurrence in the time series through the...
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Cell biochemistry and functionSep 19, 2022
Effect of hypoxia and uremia on oxidative stress on erythroc...
Sara Soares Tozoni, Gabriela Bohnen, Nadja Grobe,...Abstract Oxidative stress (OS) is essential in uremia-associated comorbidities, including renal anemia. Complications experienced by hemodialysis (HD) patients, such as hypoxemia and uremic toxins accumulation, induce OS and premature death of red blood cells (RBC). We aimed to characterize reactive oxygen species (ROS) production and antioxidant pathways in HD-RBC and RBC from healthy controls (CON-RBC)... -
Clinical Microbiology and InfectionAug 28, 2022
Impact of COVID-19 and malaria coinfection on clinical outco...
Rasha Hussein, Murilo Guedes, Nada Ibraheim, Mazin...Abstract Objectives: Despite the possibility of concurrent infection with COVID-19 and malaria, little is known about the clinical course of coinfected patients. We analysed the clinical outcomes of patients with concurrent COVID-19 and malaria infection. Methods: We conducted a retrospective cohort study that assessed prospectively collected data of all patients who were admitted between May and December... -
David J. Jörg, Doris Fuertinger, Alhaji Cherif, Da...Abstract For the treatment of postmenopausal osteoporosis, several drug classes with different mechanisms of action are available. Since only a limited set of dosing regimens and drug combinations can be tested in clinical trials, it is currently unclear whether common medication strategies achieve optimal bone mineral density gains or are outperformed by alternative dosing schemes...
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Frontiers in NephrologyJul 22, 2022
SARS-CoV-2 neutralizing antibody response after three doses ...
Xiaoling Wang, Maggie Han, Lemuel Rivera Fuentes, ...Abstract Background: In hemodialysis patients, a third vaccination is frequently administered to augment protection against coronavirus disease 2019 (COVID-19). However, the newly emerged B.1.1.159 (Omicron) variant may evade vaccinal protection more easily than previous strains. It is of clinical interest to better understand the neutralizing activity against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants after... -
Journal of Applied PhysiologyJul 01, 2022
Identification of fluid overload in elderly patients with ch...
Usama Hussein, Monica Cimini, Garry J Handelman, J...Abstract Diagnosis of fluid overload (FO) in early stage is essential to manage fluid balance of patients with chronic kidney disease (CKD) and to prevent cardiovascular disease (CVD). However, the identification of fluid status in patients with CKD is largely dependent on the physician's clinical acumen. The ratio of fluid overload to extracellular volume (FO/ECV)... -
Murilo Guedes, Liz Wallim, Camila R Guetter, Yue J...Abstract Background: We tested if fatigue in incident Peritoneal Dialysis associated with an increased risk for mortality, independently from main confounders. Methods: We conducted a side-by-side study from two of incident PD patients in Brazil and the United States. We used the same code to independently analyze data in both countries during 2004 to 2011. We included...
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Hemodialysis InternationalJun 19, 2022
Estimation of fluid status using three multifrequency bioimp...
Lin-Chun Wang, Jochen G Raimann, Xia Tao, Priscila...Abstract Introduction: Segmental eight-point bioimpedance has been increasingly used in practice. However, whether changes in bioimpedance analysis components before and after hemodialysis (HD) using this technique in a standing position is comparable to traditional whole-body wrist-to-ankle method is still unclear. We aimed to investigate the differences between two eight-point devices (InBody 770 and Seca mBCA 514)... -
Peter Kotanko, David J. Jörg, Nadja Grobe, Christo...Abstract Erythropoietin deficiency is an extensively researched cause of renal anemia. The etiology and consequences of shortened red blood cell (RBC) life span in chronic kidney disease (CKD) are less well understood. Traversing capillaries requires RBC geometry changes, a process enabled by adaptions of the cytoskeleton. These changes are mediated by transient activation of the...


Diversity, creativity, and enthusiasm team up to advance patient care.
Peter Kotanko, MD, FASN
Head of Biomedical Evidence Generation and Renal Research Institute