Silipigni S, Soraci L, Gembillo G. Role of point-of-care ultrasonography in kidney disease management: A single solution for multiple challenges. World J Nephrol 2026; 15(2): 109910 [DOI: 10.5527/wjn.v15.i2.109910]
Corresponding Author of This Article
Guido Gembillo, MD, PhD, Consultant, Unit of Nephrology and Dialysis, AOU “G. Martino”, University of Messina, Via Consolare Valeria n 1, Messina 98125, Sicilia, Italy. ggembillo@gmail.com
Research Domain of This Article
Urology & Nephrology
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editorial
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Silipigni S, Soraci L, Gembillo G. Role of point-of-care ultrasonography in kidney disease management: A single solution for multiple challenges. World J Nephrol 2026; 15(2): 109910 [DOI: 10.5527/wjn.v15.i2.109910]
World J Nephrol. Jun 25, 2026; 15(2): 109910 Published online Jun 25, 2026. doi: 10.5527/wjn.v15.i2.109910
Role of point-of-care ultrasonography in kidney disease management: A single solution for multiple challenges
Salvatore Silipigni, Luca Soraci, Guido Gembillo
Salvatore Silipigni, Department of Biomedical Sciences and Morphologic and Functional Imaging, Policlinico Universitario G.Martino, University of Messina, Messina 98121, Italy
Luca Soraci, Unit of Geriatric Medicine, Italian National Research Center on Aging (IRCCS INRCA), Cosenza 87100, Calabria, Italy
Guido Gembillo, Unit of Nephrology and Dialysis, AOU “G. Martino”, University of Messina, Messina 98125, Sicilia, Italy
Author contributions: Silipigni S led the conceptualization and writing of the editorial; Soraci L and Gembillo G contributed to the discussion of key points and provided critical revisions; all authors reviewed and approved the final version of the manuscript.
Conflict-of-interest statement: We declare no conflict of interest.
Corresponding author: Guido Gembillo, MD, PhD, Consultant, Unit of Nephrology and Dialysis, AOU “G. Martino”, University of Messina, Via Consolare Valeria n 1, Messina 98125, Sicilia, Italy. ggembillo@gmail.com
Received: May 26, 2025 Revised: June 17, 2025 Accepted: August 6, 2025 Published online: June 25, 2026 Processing time: 383 Days and 10.5 Hours
Abstract
In this editorial, we comment on the article by Diniz et al published in the recent issue of the World Journal of Nephrology. Point-of-care ultrasound (POCUS) is rapidly becoming a transformative tool in nephrology and medicine in general, which can be used in both inpatient and outpatient settings. With approximately 850 million people living with chronic kidney disease worldwide, POCUS offers nephrologists a real-time, non-invasive method to avoid diagnostic delays and accelerate complex treatment pathways. Its clinical applications include the assessment of hemodynamics, volume status, vascular access guidance, and dialysis-related complications. By improving clinical decision-making at the bedside and thereby reducing unnecessary testing and healthcare inefficiencies, POCUS can transform and implement nephrology practice. The inclusion of a certifiable, standardized POCUS curriculum in undergraduate medical education is a worthy and feasible goal. Early exposure to ultrasound-based diagnostic tools would greatly enhance nephrology education and equip future physicians with important skills that could transform clinical practice.
Core Tip: Point-of-care ultrasound (POCUS) is a revolutionary diagnostic tool in nephrology, providing a rapid, non-invasive bedside examination for a wide range of clinical scenarios-from assessing hemodynamics and fluid status to dialysis-related complications and guiding vascular access. Integrating POCUS into routine nephrology practice can improve diagnostic accuracy, reduce reliance on redundant imaging and streamline patient management. This editorial highlights the urgent need for standardized POCUS education and calls for its inclusion in student and residency curricula as a critical step in reshaping nephrology care.
