Vanessa Grubbs, MD

Assoc Adjunct Professor

Nephrology, Center for Vulnerable Populations, General Internal Medicine ZSFG

College: Duke University, BA
Medical School: Duke University School of Medicine, MD
Internal Medicine Residency: Alameda County Medical Center, Oakland, CA
Nephrology Fellowship: University of California, San Francisco
Other graduate training: University of California, Berkeley, MPH


Dr. Vanessa Grubbs is an Associate Professor in the Division of Nephrology at UCSF and has maintained a clinical practice and research program at Zuckerberg San Francisco General Hospital since 2009. Her research focuses on palliative care for patients with end-stage kidney disease. She is among the 2017 cohort for the Cambia Health Foundation Sojourns Scholar Leadership Program, an initiative designed to identify, cultivate and advance the next generation of palliative care leaders; and the 2018 California Health Care Foundation’s Health Care Leadership Program.

Her clinical and research work fuel her passion for creative writing. Her first book, HUNDREDS OF INTERLACED FINGERS: A Kidney Doctor’s Search for the Perfect Match, was released June 2017 from Harper Collins Publishers, Amistad division and is now in paperback. Dr. Abraham Verghese, best-selling author and physician, described the book as a "gripping, heartfelt memoir ... a deeply insightful look at health care in America as experienced by doctor and patient.” Dr. Grubbs is currently working on a novel.

Education
Clinical Fellowship, - Nephrology, University of California, San Francisco
Honors and Awards
  • K23 Career Development Award, NIH-NIDDK, 2012-2017
  • Harold Amos Medical Faculty Development Program, Robert Wood Johnson Foundation, 2012-2016
Publications
  1. Grubbs V. Diversity, Equity, and Inclusion That Matter. The New England journal of medicine 2020. PMID: 32649073


  2. Grubbs V. Precision in GFR Reporting: Let's Stop Playing the Race Card. Clinical journal of the American Society of Nephrology : CJASN 2020. PMID: 32401730


  3. Grubbs V, Garcia F, Vittinghoff E, Jue BL, Ryder M, Lovett DH, Offenbacher S, Taylor G, Ganz P, Bibbins-Domingo K, Powe NR. Nonsurgical Periodontal Therapy in CKD: Findings of the Kidney and Periodontal Disease (KAPD) Pilot Randomized Controlled Trial. Kidney Medicine 2019. PMID: 32734226


  4. Vanessa Grubbs, Faviola Garcia, Eric Vittinghoff, Bonnie L. Jue, Mark Ryder, David H. Lovett, Steven Offenbacher, George Taylor, Peter Ganz, Kirsten Bibbins-Domingo, Neil R. Powe. Nonsurgical Periodontal Therapy in CKD: Findings of the Kidney and Periodontal Disease (KAPD) Pilot Randomized Controlled Trial. Kidney Medicine 2019. PMID:


  5. Grubbs V. Another Example of Race Disparities in the US Healthcare System. Journal of the American Society of Nephrology : JASN 2019. PMID: 31471499


  6. Grubbs V. Medicare Immunosuppressive Drug Coverage Bills-Can We Afford Them? American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons 2019. PMID: 30848535


  7. Grubbs V, Tuot DS, Powe NR, O'Donoghue D, Chesla CA. Family Involvement in Decisions to Forego or Withdraw Dialysis: A Qualitative Study of Nephrologists in the United States and England. Kidney Medicine 2019. PMID: 32734185


  8. Lam DY, Scherer JS, Brown M, Grubbs V, Schell JO. A Conceptual Framework of Palliative Care across the Continuum of Advanced Kidney Disease. Clinical journal of the American Society of Nephrology : CJASN 2019. PMID: 30728167


  9. Grubbs V. Meeting the Palliative Care Needs of Maintenance Hemodialysis Patients: Beyond the Math. Clinical journal of the American Society of Nephrology : CJASN 2018. PMID: 30026284


  10. Grubbs V. ESRD and Hospice Care in the United States: Are Dialysis Patients Welcome? American journal of kidney diseases : the official journal of the National Kidney Foundation 2018. PMID: 29921453


  11. Grubbs V. Time to Recast Our Approach for Older Patients With ESRD: The Best, the Worst, and the Most Likely. Volume 71 of Issue 5. American journal of kidney diseases : the official journal of the National Kidney Foundation 2018. PMID: 29685211


  12. Cervantes L, Tuot D, Raghavan R, Linas S, Zoucha J, Sweeney L, Vangala C, Hull M, Camacho M, Keniston A, McCulloch CE, Grubbs V, Kendrick J, Powe NR. Association of Emergency-Only vs Standard Hemodialysis With Mortality and Health Care Use Among Undocumented Immigrants With End-stage Renal Disease. Volume 178 of Issue 2. JAMA internal medicine 2018. PMID: 29255898


  13. Montez-Rath ME, Zheng Y, Tamura MK, Grubbs V, Winkelmayer WC, Chang TI. Hospitalizations and Nursing Facility Stays During the Transition from CKD to ESRD on Dialysis: An Observational Study. Volume 32 of Issue 11. Journal of general internal medicine 2017. PMID: 28808869


  14. Grubbs V, O'Riordan D, Pantilat S. Characteristics and Outcomes of In-Hospital Palliative Care Consultation among Patients with Renal Disease Versus Other Serious Illnesses. Volume 12 of Issue 7. Clinical journal of the American Society of Nephrology : CJASN 2017. PMID: 28655708


  15. Huang Y, Tilea A, Gillespie B, Shahinian V, Banerjee T, Grubbs V, Powe N, Rios-Burrows N, Pavkov M, Saran R. Understanding Trends in Kidney Function 1 Year after Kidney Transplant in the United States. Volume 28 of Issue 8. Journal of the American Society of Nephrology : JASN 2017. PMID: 28270413


  16. Grubbs V, Tuot DS, Powe NR, O'Donoghue D, Chesla CA. System-Level Barriers and Facilitators for Foregoing or Withdrawing Dialysis: A Qualitative Study of Nephrologists in the United States and England. Volume 70 of Issue 5. American journal of kidney diseases : the official journal of the National Kidney Foundation 2017. PMID: 28242134


  17. Grubbs V, Garcia F, Jue BL, Vittinghoff E, Ryder M, Lovett D, Carrillo J, Offenbacher S, Ganz P, Bibbins-Domingo K, Powe NR. The Kidney and Periodontal Disease (KAPD) study: A pilot randomized controlled trial testing the effect of non-surgical periodontal therapy on chronic kidney disease. Volume 53. Contemporary clinical trials 2016. PMID: 28011387


  18. Grubbs V, Vittighoff E, Grimes B, Johansen KL. Mortality and illicit drug dependence among hemodialysis patients in the United States: a retrospective cohort analysis. Volume 17 of Issue 1. BMC nephrology 2016. PMID: 27278934


  19. Grubbs V, Vittinghoff E, Taylor G, Kritz-Silverstein D, Powe N, Bibbins-Domingo K, Ishani A, Cummings SR. The association of periodontal disease with kidney function decline: a longitudinal retrospective analysis of the MrOS dental study. Volume 31 of Issue 3. Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association 2015. PMID: 26320037


  20. Tuot DS, Lin F, Shlipak MG, Grubbs V, Hsu CY, Yee J, Shahinian V, Saran R, Saydah S, Williams DE, Powe NR. Potential Impact of Prescribing Metformin According to eGFR Rather Than Serum Creatinine. Volume 38 of Issue 11. Diabetes care 2015. PMID: 26307607


  21. Kshirsagar AV, Grubbs V. Periodontal Disease and CKD-Associated Morbidity: Is There Now Enough Evidence to Move From Observation to Intervention? Volume 66 of Issue 2. American journal of kidney diseases : the official journal of the National Kidney Foundation 2015. PMID: 26210722


  22. Grubbs V, Vittinghoff E, Beck JD, Kshirsagar AV, Wang W, Griswold ME, Powe NR, Correa A, Young B. Association Between Periodontal Disease and Kidney Function Decline in African Americans: The Jackson Heart Study. Volume 86 of Issue 10. Journal of periodontology 2015. PMID: 26110451


  23. Greer RC, Ameling JM, Cavanaugh KL, Jaar BG, Grubbs V, Andrews CE, Ephraim P, Powe NR, Lewis J, Umeukeje E, Gimenez L, James S, Boulware LE. Specialist and primary care physicians' views on barriers to adequate preparation of patients for renal replacement therapy: a qualitative study. Volume 16. BMC nephrology 2015. PMID: 25885460


  24. Tuot DS, Grubbs V. Chronic kidney disease care in the US safety net. Volume 22 of Issue 1. Advances in chronic kidney disease 2015. PMID: 25573515


  25. Grubbs V, Moss AH, Cohen LM, Fischer MJ, Germain MJ, Jassal SV, Perl J, Weiner DE, Mehrotra R. A palliative approach to dialysis care: a patient-centered transition to the end of life. Volume 9 of Issue 12. Clinical journal of the American Society of Nephrology : CJASN 2014. PMID: 25104274


  26. Grubbs V. Undocumented immigrants and kidney transplant: costs and controversy. Volume 33 of Issue 2. Health affairs (Project Hope) 2014. PMID: 24493776


  27. Crews DC, Kuczmarski MF, Grubbs V, Hedgeman E, Shahinian VB, Evans MK, Zonderman AB, Burrows NR, Williams DE, Saran R, Powe NR. Effect of food insecurity on chronic kidney disease in lower-income Americans. Volume 39 of Issue 1. American journal of nephrology 2014. PMID: 24434743


  28. Grubbs V, Lin F, Vittinghoff E, Shlipak MG, Peralta CA, Bansal N, Jacobs DR, Siscovick DS, Lewis CE, Bibbins-Domingo K. Body mass index and early kidney function decline in young adults: a longitudinal analysis of the CARDIA (Coronary Artery Risk Development in Young Adults) study. Volume 63 of Issue 4. American journal of kidney diseases : the official journal of the National Kidney Foundation 2013. PMID: 24295611


  29. Grubbs V, Wasse H, Vittinghoff E, Grimes BA, Johansen KL. Health status as a potential mediator of the association between hemodialysis vascular access and mortality. Volume 29 of Issue 4. Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association 2013. PMID: 24235075


  30. Bansal N, Vittinghoff E, Peralta CA, Shlipak MG, Grubbs V, Jacobs DR, Siscovick D, Steffes M, Carr JJ, Bibbins-Domingo K. Estimated kidney function based on serum cystatin C and risk of subsequent coronary artery calcium in young and middle-aged adults with preserved kidney function: results from the CARDIA study. Volume 178 of Issue 3. American journal of epidemiology 2013. PMID: 23813702


  31. Grubbs V, Plantinga LC, Tuot DS, Hedgeman E, Saran R, Saydah S, Rolka D, Powe NR. Americans' use of dietary supplements that are potentially harmful in CKD. Volume 61 of Issue 5. American journal of kidney diseases : the official journal of the National Kidney Foundation 2013. PMID: 23415417


  32. Plantinga LC, Tuot DS, Grubbs V, Hsu CY, Powe NR. Chronic kidney disease identification in a high-risk urban population: does automated eGFR reporting make a difference? Volume 89 of Issue 6. Journal of urban health : bulletin of the New York Academy of Medicine 2012. PMID: 22684427


  33. Grubbs V, Plantinga LC, Vittinghoff E, O'Hare AM, Dudley RA. Medicare immunosuppressant coverage and access to kidney transplantation: a retrospective national cohort study. Volume 12. BMC health services research 2012. PMID: 22894737


  34. Grubbs V, Plantinga LC, Tuot DS, Powe NR. Chronic kidney disease and use of dental services in a United States public healthcare system: a retrospective cohort study. Volume 13. BMC nephrology 2012. PMID: 22471751


  35. Plantinga L, Grubbs V, Sarkar U, Hsu CY, Hedgeman E, Robinson B, Saran R, Geiss L, Burrows NR, Eberhardt M, Powe N. Nonsteroidal anti-inflammatory drug use among persons with chronic kidney disease in the United States. Volume 9 of Issue 5. Annals of family medicine 2011. PMID: 21911761


  36. Grubbs V, Plantinga LC, Crews DC, Bibbins-Domingo K, Saran R, Heung M, Patel PR, Burrows NR, Ernst KL, Powe NR. Vulnerable populations and the association between periodontal and chronic kidney disease. Volume 6 of Issue 4. Clinical journal of the American Society of Nephrology : CJASN 2011. PMID: 21350109


  37. Grubbs V, Gregorich SE, Perez-Stable EJ, Hsu CY. Health literacy and access to kidney transplantation. Volume 4 of Issue 1. Clinical journal of the American Society of Nephrology : CJASN 2008. PMID: 19056617


  38. Grubbs V, Bibbins-Domingo K, Fernandez A, Chattopadhyay A, Bindman AB. Acute myocardial infarction length of stay and hospital mortality are not associated with language preference. Volume 23 of Issue 2. Journal of general internal medicine 2007. PMID: 18043984


  39. Grubbs V. Good for harvest, bad for planting. Volume 26 of Issue 1. Health affairs (Project Hope) 2007. PMID: 17211033


  40. Grubbs V, Chen AH, Bindman AB, Vittinghoff E, Fernandez A. Effect of awareness of language law on language access in the health care setting. Volume 21 of Issue 7. Journal of general internal medicine 2006. PMID: 16808766