Raymond Hsu, MD, MAS

ASSOC PROF OF CLINICAL MED

Raymond Hsu, MD, MAS is an Associate Professor of medicine in the Division of Nephrology. Within nephrology, he is the Director of the Glomerular Disease program at UCSF Health, with expertise in treating patients with (but not limited to): minimal change disease, FSGS, membranous nephropathy, IgA nephropathy, lupus nephritis, ANCA-mediated vasculitis, renal thrombotic micro-angiopathies, pregnancy-associated kidney diseases, and renal complications of cancer and cancer therapies (onco-nephrology). He is directly involved in the diagnosis and treatment of patients with glomerular and other forms of chronic and acute kidney diseases. He additionally maintains a panel of patients with end-stage kidney disease requiring chronic renal replacement therapy including in-center hemodialysis, home hemodialysis, and peritoneal dialysis.

Dr. Hsu's research has focused on the epidemiology and outcomes of acute kidney injury (AKI) using large administrative, clinical, and cohort datasets. He is also involved in coordination of several multi-center prospective observational studies to help elucidate the natural history of CKD and various glomerular disorders.

Dr. Hsu is active in the education of both trainees and practicing physicians, and lectures frequently at national and international conferences.

Education
Fellowship, 2013 - Nephrology, University of California, San Francisco
M.A.S., 2012 - Advanced Training in Clinical Research, University of California, San Francisco
Residency, 2008 - Internal Medicine, University of Washington
M.D., 2005 - School of Medicine, Northwestern University
Publications

  1. Ku E, Copeland TP, McCulloch CE, Seth D, Carlos CA, Cho K, Malkina A, Lo LJ, Hsu RK. Intensive Home Blood Pressure Lowering in Patients with Advanced CKD. American journal of kidney diseases : the official journal of the National Kidney Foundation 2024. PMID: 39427725


  2. Gupta S, Green-Lingren O, Bhimaniya S, Krokhmal A, Jacene H, Ostermann M, Chicklore S, Sprangers B, Deroose CM, Herrmann SM, Wells SL, Kaunfer SA, Ortega JL, Garcia-Carro C, Bold M, Chen KL, Sise ME, Heidari P, Pak WLW, Lee MD, Beckerman P, Eshet Y, Hsu RK, Hernandez Pampaloni M, Rashidi A, Avril N, Donley V, Mithani Z, Kuker R, Awiwi MO, Wang MX, Shah SI, Weintraub MD, Schoder H, Chowdhury RB, Seethapathy H, Reynolds KL, Soler MJ, Abudayyeh A, Glezerman I, Leaf DE. F18-FDG PET imaging as a diagnostic tool for immune checkpoint inhibitor-associated acute kidney injury. The Journal of clinical investigation 2024. PMID: 39115940


  3. Huang JX, Williams JAJ, Hsu RK. Continuous Kidney Replacement Therapy in Pediatric Intensive Care Unit: Little People, Big Gaps. American journal of kidney diseases : the official journal of the National Kidney Foundation 2024. PMID: 39093241


  4. Chen SM, Hsiao YC, Cheng CY, Lin CY, Lai WS, Zeng GQ, Kao CC, Wu MY, Wu MS, Lin YC, Hsu RK. Risk factors for AKI or mortality and long-term follow-up in COVID-19 infected patients in the era nefore vaccination. Journal of the Chinese Medical Association : JCMA 2024. PMID: 39017650


  5. Kwong YD, Hsu RK. Antivirals in Herpes Zoster and AKI: Old Foes, New Insights. Clinical journal of the American Society of Nephrology : CJASN 2024. PMID: 38758601


  6. Hsu RK, Rubinsky AD, Shlipak MG, Johansen KL, Estrella MM, Lee BJ, Peralta CA, Hsu CY. Associations between abrupt transition, dialysis-requiring AKI, and early mortality in ESKD among U.S. veterans. BMC nephrology 2023. PMID: 37964185


  7. Muiru AN, Hsu JY, Zhang X, Appel LJ, Chen J, Cohen DL, Drawz PE, Freedman BI, Go AS, He J, Horwitz EJ, Hsu RK, Lash JP, Liu KD, McCoy IE, Porter A, Rao P, Ricardo AC, Rincon-Choles H, Sondheimer J, Taliercio J, Unruh M, Hsu CY, and the CRIC Study Investigators*. Risk for Chronic Kidney Disease Progression After Acute Kidney Injury: Findings From the Chronic Renal Insufficiency Cohort Study. Annals of internal medicine 2023. PMID: 37429030


  8. Chu CD, McCulloch CE, Hsu RK, Powe NR, Bieber B, Robinson BM, Raina R, Pecoits-Filho R, Tuot DS. Utility of the Kidney Failure Risk Equation and Estimated GFR for Estimating Time to Kidney Failure in Advanced CKD. American journal of kidney diseases : the official journal of the National Kidney Foundation 2023. PMID: 37301501


  9. Ye J, Croom N, Troxell ML, Kambham N, Zuckerman JE, Andeen N, Dall'Era M, Hsu R, Walavalkar V, Laszik ZG, Urisman A. Non-Full House Membranous Lupus Nephritis Represents a Clinically Distinct Subset. Kidney360 2023. PMID: 37257088


  10. Ku E, Del Vecchio L, Eckardt KU, Haase VH, Johansen KL, Nangaku M, Tangri N, Waikar SS, Wiecek A, Cheung M, Jadoul M, Winkelmayer WC, Wheeler DC, for Conference Participants. Novel Anemia Therapies in Chronic Kidney Disease: Conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference. Kidney international 2023. PMID: 37236424


  11. Rol?n L, Hsu RK. Adding CKD to the Alphabet Soup: A Snapshot of Kidney Health in the LGBTQ+ Population. Journal of the American Society of Nephrology : JASN 2023. PMID: 37000952


  12. Hsu CY, Hsu RK. In IgA nephropathy, oral methylprednisolone reduced adverse kidney outcomes but increased adverse events. Annals of internal medicine 2022. PMID: 36063554


  13. Ku E, Hsu RK, McCulloch CE, Lo L, Copeland T, Siyahian S, Grimes B, Johansen KL. Incidence and Risk Factors for Dialysis Reinitiation among Patients with a History of Dialysis Dependency. Clinical journal of the American Society of Nephrology : CJASN 2022. PMID: 35953103


  14. Kwong YD, Liu KD, Hsu RK. Kidney Dysfunction After Acute Heart Failure: Is Acute Kidney Disease the New Acute Kidney Injury? 2021. PMID: 35257051


  15. Gupta S, Short SAP, Sise ME, Prosek JM, Madhavan SM, Soler MJ, Ostermann M, Herrmann SM, Abudayyeh A, Anand S, Glezerman I, Motwani SS, Murakami N, Wanchoo R, Ortiz-Melo DI, Rashidi A, Sprangers B, Aggarwal V, Malik AB, Loew S, Carlos CA, Chang WT, Beckerman P, Mithani Z, Shah CV, Renaghan AD, Seigneux S, Campedel L, Kitchlu A, Shin DS, Rangarajan S, Deshpande P, Coppock G, Eijgelsheim M, Seethapathy H, Lee MD, Strohbehn IA, Owen DH, Husain M, Garcia-Carro C, Bermejo S, Lumlertgul N, Seylanova N, Flanders L, Isik B, Mamlouk O, Lin JS, Garcia P, Kaghazchi A, Khanin Y, Kansal SK, Wauters E, Chandra S, Schmidt-Ott KM, Hsu RK, Tio MC, Sarvode Mothi S, Singh H, Schrag D, Jhaveri KD, Reynolds KL, Cortazar FB, Leaf DE, ICPi-AKI Consortium. Acute kidney injury in patients treated with immune checkpoint inhibitors. 2021. PMID: 34625513


  16. McCoy I, Brar S, Liu KD, Go AS, Hsu RK, Chinchilli VM, Coca SG, Garg AX, Himmelfarb J, Ikizler TA, Kaufman J, Kimmel PL, Lewis JB, Parikh CR, Siew ED, Ware LB, Zeng H, Hsu CY, Assessment, Serial Evaluation, and Subsequent Sequelae in Acute Kidney Injury (ASSESS-AKI) study inv. Achieved blood pressure post-acute kidney injury and risk of adverse outcomes after AKI: A prospective parallel cohort study. BMC nephrology 2021. PMID: 34325668


  17. Se Ri Bae, Charles E McCulloch, Raymond K Hsu, Elaine Ku. Intensive Home Blood Pressure Lowering in Advanced Chronic Kidney Disease: A Pilot Randomized Controlled Trial Protocol. Open Access Journal of Clinical Trials 2021. PMID:


  18. Ku E, Hsu RK, Johansen KL, McCulloch CE, Mitsnefes M, Grimes BA, Liu KD. Recovery of kidney function after dialysis initiation in children and adults in the US: A retrospective study of United States Renal Data System data. PLoS medicine 2021. PMID: 33606673


  19. Brar S, Liu KD, Go AS, Hsu RK, Chinchilli VM, Coca SG, Garg AX, Himmelfarb J, Ikizler TA, Kaufman J, Kimmel PL, Parikh CR, Siew ED, Ware LB, Zeng H, Hsu CY, ASsessment, Serial Evaluation, and Subsequent Sequelae in Acute Kidney Injury (ASSESS-AKI) study inv , ASSESS-AKI Investigators. Prospective Cohort Study of Renin-Angiotensin System Blocker Usage after Hospitalized Acute Kidney Injury. Clinical journal of the American Society of Nephrology : CJASN 2020. PMID: 33272913


  20. Ryann Sohaney, Houssam Mhanna, Maggie Yin, Diane Steffick, Vahakn Shahinian, Nilka Rios Burrows, Meda E. Pavkov, Raymond K. Hsu, Neil R. Powe, Kara Zivin, Rajiv Saran, Michael Heung. Trends in Nephrology Follow-Up After an Episode of AKI in US Veterans. Complement Activation 2020. PMID:


  21. Chen Z, McCulloch CE, Powe NR, Heung M, Saran R, Pavkov ME, Burrows NR, Hsu RK, Hsu CY. Exploring reasons for state-level variation in incidence of dialysis-requiring acute kidney injury (AKI-D) in the United States. BMC nephrology 2020. PMID: 32778062


  22. Kwong YD, Liu KD, Hsu RK, Johansen KL, McCulloch CE, Seth D, Fallahzadeh MK, Grimes BA, Ku E. Recovery of Kidney Function Among Patients With Glomerular Disease Starting Maintenance Dialysis. American journal of kidney diseases : the official journal of the National Kidney Foundation 2020. PMID: 32771649


  23. Hsu CY, Chinchilli VM, Coca S, Devarajan P, Ghahramani N, Go AS, Hsu RK, Ikizler TA, Kaufman J, Liu KD, Parikh CR, Reeves WB, Wurfel M, Zappitelli M, Kimmel PL, Siew ED. Post-Acute Kidney Injury Proteinuria and Subsequent Kidney Disease Progression: The Assessment, Serial Evaluation, and Subsequent Sequelae in Acute Kidney Injury (ASSESS-AKI) Study. JAMA internal medicine 2020. PMID: 31985750


  24. Carlos CA, Hsu RK. AKI with Immune Checkpoint Inhibitors: A Push beyond Case Reports. Clinical journal of the American Society of Nephrology : CJASN 2019. PMID: 31672795


  25. Chen Z, Lee BJ, McCulloch CE, Burrows NR, Heung M, Hsu RK, Pavkov ME, Powe NR, Saran R, Shahinian V, Hsu CY. The relation between dialysis-requiring acute kidney injury and recovery from end-stage renal disease: a national study. BMC nephrology 2019. PMID: 31477040


  26. Hsu CY, Hsu RK, Liu KD, Yang J, Anderson A, Chen J, Chinchilli VM, Feldman HI, Garg AX, Hamm L, Himmelfarb J, Kaufman JS, Kusek JW, Parikh CR, Ricardo AC, Rosas SE, Saab G, Sha D, Siew ED, Sondheimer J, Taliercio JJ, Yang W, Go AS. Impact of AKI on Urinary Protein Excretion: Analysis of Two Prospective Cohorts. Journal of the American Society of Nephrology : JASN 2019. PMID: 31235617


  27. Hsu RK, Hsu CY, McCulloch CE, Yang J, Anderson AH, Chen J, Feldman HI, He J, Liu KD, Navaneethan SD, Porter AC, Rahman M, Tan TC, Wilson FP, Xie D, Zhang X, Go AS. Research-based versus clinical serum creatinine measurements and the association of acute kidney injury with subsequent kidney function: findings from the Chronic Renal Insufficiency Cohort study. Clinical kidney journal 2019. PMID: 32082553


  28. Ku E, Hsu RK, Tuot DS, Bae SR, Lipkowitz MS, Smogorzewski MJ, Grimes BA, Weir MR. Magnitude of the Difference Between Clinic and Ambulatory Blood Pressures and Risk of Adverse Outcomes in Patients With Chronic Kidney Disease. Journal of the American Heart Association 2019. PMID: 31014164


  29. Lee BJ, Hsu CY, Parikh R, McCulloch CE, Tan TC, Liu KD, Hsu RK, Pravoverov L, Zheng S, Go AS. Predicting Renal Recovery After Dialysis-Requiring Acute Kidney Injury. Kidney international reports 2019. PMID: 30993232


  30. Hsu RK, Truwit JD, Matthay MA, Levitt JE, Thompson BT, Liu KD. Effect of Rosuvastatin on Acute Kidney Injury in Sepsis-Associated Acute Respiratory Distress Syndrome. Canadian journal of kidney health and disease 2018. PMID: 30116543


  31. Bragg-Gresham J, Morgenstern H, McClellan W, Saydah S, Pavkov M, Williams D, Powe N, Tuot D, Hsu R, Saran R. County-level air quality and the prevalence of diagnosed chronic kidney disease in the US Medicare population. PloS one 2018. PMID: 30063741


  32. Lee BJ, Hsu CY, Parikh RV, Leong TK, Tan TC, Walia S, Liu KD, Hsu RK, Go AS. Non-recovery from dialysis-requiring acute kidney injury and short-term mortality and cardiovascular risk: a cohort study. BMC nephrology 2018. PMID: 29890946


  33. Federspiel CK, Itenov TS, Mehta K, Hsu RK, Bestle MH, Liu KD. Duration of acute kidney injury in critically ill patients. Annals of intensive care 2018. PMID: 29473104


  34. Moore PK, Hsu RK, Liu KD. Management of Acute Kidney Injury: Core Curriculum 2018. American journal of kidney diseases : the official journal of the National Kidney Foundation 2018. PMID: 29478864


  35. Lee BJ, Go AS, Parikh R, Leong TK, Tan TC, Walia S, Hsu RK, Liu KD, Hsu CY. Pre-admission proteinuria impacts risk of non-recovery after dialysis-requiring acute kidney injury. Kidney international 2018. PMID: 29352593


  36. Peng Z, Yu K, Ostermann M, Xi X, Hsu R, Vincent JL, Prowle JR, Du B, Gallagher M, Wang C, Murugan R, Qiu H, Rimmelé T, Li J, Forni LG, Kashani K, Ronco C, Kellum JA. Pragmatic studies for acute kidney injury: Consensus report of the Acute Disease Quality Initiative (ADQI) 19 Workgroup. Journal of critical care 2017. PMID: 29274596


  37. Hsu RK, Siew ED. The growth of AKI: half empty or half full, it's the size of the glass that matters. Kidney international 2017. PMID: 28807263


  38. Hsu RK, Powe NR. Recent trends in the prevalence of chronic kidney disease: not the same old song. Current opinion in nephrology and hypertension 2017. PMID: 28319485


  39. Hsu RK, Hsu CY. The Role of Acute Kidney Injury in Chronic Kidney Disease. Seminars in nephrology 2016. PMID: 27475659


  40. Sutherland SM, Chawla LS, Kane-Gill SL, Hsu RK, Kramer AA, Goldstein SL, Kellum JA, Ronco C, Bagshaw SM. Utilizing electronic health records to predict acute kidney injury risk and outcomes: workgroup statements from the 15(th) ADQI Consensus Conference. Canadian journal of kidney health and disease 2016. PMID: 26925247


  41. Hsu RK, Chai B, Roy JA, Anderson AH, Bansal N, Feldman HI, Go AS, He J, Horwitz EJ, Kusek JW, Lash JP, Ojo A, Sondheimer JH, Townsend RR, Zhan M, Hsu CY. Abrupt Decline in Kidney Function Before Initiating Hemodialysis and All-Cause Mortality: The Chronic Renal Insufficiency Cohort (CRIC) Study. American journal of kidney diseases : the official journal of the National Kidney Foundation 2016. PMID: 26830447


  42. Hsu RK, McCulloch CE, Heung M, Saran R, Shahinian VB, Pavkov ME, Burrows NR, Powe NR, Hsu CY. Exploring Potential Reasons for the Temporal Trend in Dialysis-Requiring AKI in the United States. Clinical journal of the American Society of Nephrology : CJASN 2015. PMID: 26683890


  43. Hsu CY, Hsu RK, Yang J, Ordonez JD, Zheng S, Go AS. Elevated BP after AKI. Journal of the American Society of Nephrology : JASN 2015. PMID: 26134154


  44. Hsu RK, McCulloch CE, Ku E, Dudley RA, Hsu CY. Regional variation in the incidence of dialysis-requiring AKI in the United States. Volume 8 of Issue 9. Clinical journal of the American Society of Nephrology : CJASN 2013. PMID: 23929923


  45. Hsu RK, Hsu CY. Temporal trends in prevalence of CKD: the glass is half full and not half empty. American journal of kidney diseases : the official journal of the National Kidney Foundation 2013. PMID: 23883656


  46. Hsu RK, McCulloch CE, Dudley RA, Lo LJ, Hsu CY. Temporal changes in incidence of dialysis-requiring AKI. Volume 24 of Issue 1. Journal of the American Society of Nephrology : JASN 2012. PMID: 23222124


  47. Hsu RK, Hsu CY. We can diagnose AKI "early". Clinical journal of the American Society of Nephrology : CJASN 2012. PMID: 23065498


  48. Hsu RK, Hsu CY. Acute kidney injury: comment on "trends in the incidence of acute kidney injury in patients hospitalized with acute myocardial infarction". Archives of internal medicine 2012. PMID: 22332158


  49. Zhang M, Hsu R, Hsu CY, Kordesch K, Nicasio E, Cortez A, McAlpine I, Brady S, Zhuo H, Kangelaris KN, Stein J, Calfee CS, Liu KD. FGF-23 and PTH levels in patients with acute kidney injury: A cross-sectional case series study. Annals of intensive care 2011. PMID: 21906363


  50. Hsu RK, Hsu CY. Proteinuria and reduced glomerular filtration rate as risk factors for acute kidney injury. Current opinion in nephrology and hypertension 2011. PMID: 21455065