Bio


Douglas Franz, MD, MPH, is a board-eligible nephrologist and advanced geriatrics fellow with Veterans Affairs in Palo Alto and Stanford University. He enjoys taking care of patients with kidney disease and serving our veterans. Dr Franz has a particular interest in the management of kidney dysfunction in patients with advanced heart failure as well as in patients with peripheral vascular disease. He is training to further his skills in epidemiology and clinical research with particular interest in utilizing large databases to investigate his questions and mastering contemporary statistical methods combined with new graphical software to vividly illustrate his findings. His goal is to become an independent investigator and operate a clinical research lab in his specialty.

Dr Franz is a burgeoning triathlete, currently training for his second Olympic-distance race. He plays guitar and is an avid reader, listening to two books per week on his commute. Primarily, he enjoys spending time with his wife, their daughter, and their wheaten terrier.

Clinical Focus


  • Fellow
  • Nephrology
  • Heart Failure
  • Ventricular Assist Devices
  • Peripheral Vascular Diseases
  • Geriatric Medicine

Honors & Awards


  • Chief Nephrology Fellow (Inaugural), Stanford University (2017-2018)
  • Young Investigator Forum Presenter, Young Investigators Forum, San Diego, CA (2018)
  • Campbell Fellow for Mentorship, American Society of Nephrology - ASN Kidney Week (2017)
  • Kidney STARS Program, American Society of Nephrology - ASN Kidney Week (2014)
  • Arch S. McMillen Scholarship for Academic Achievement, University of Nebraska Medical Center (2008)
  • Margaret R Noel Scholarship for Outstanding Academic Performance, University of Nebraska Medical Center (2008)
  • Honors Progam, University of Nebraska (2002-2006)

Boards, Advisory Committees, Professional Organizations


  • Member, Alpha Omega Alpha Medical Honor Society (2018 - Present)
  • Member, American Society of Nephrology (2016 - Present)
  • Member, International Society for Heart and Lung Transplantation (2019 - Present)

Professional Education


  • Advanced Fellow, VA Palo Alto / Stanford University, Geriatric Medicine (2019)
  • Fellow, Stanford Univeristy, Nephrology (2018)
  • Resident, University of Nebraska Medical Center, Internal Medicine (2016)
  • Doctor of Medicine, University of Nebraska Medical Center (2013)
  • Master of Public Health, University of Nebraska Medical Center (2013)
  • Bachelor of Science, University of Nebraska Lincoln (2006)

Stanford Advisors


Personal Interests


Triathlons, endurance training, playing guitar, reading and listening to books and podcasts, playing with my wheaten terrier

Research Interests


  • Research Methods

Current Clinical Interests


  • Chronic Kidney Disease
  • Ventricular Assist Devices
  • Heart Failure
  • Peripheral Vascular Disease
  • Epidemiology
  • Biostatistics
  • Geriatrics

Lab Affiliations


Graduate and Fellowship Programs


  • Geriatric Medicine (Fellowship Program)
  • Nephrology (Fellowship Program)

All Publications


  • Outcomes after left ventricular assist device implantation in patients with acute kidney injury. The Journal of thoracic and cardiovascular surgery Silver, S. A., Long, J., Zheng, Y., Goldstone, A. B., Franz, D., Chang, T. I., Chertow, G. M. 2019

    Abstract

    OBJECTIVE: The study objective was to compare outcomes for patients with and without acute kidney injury during hospitalizations when left ventricular assist devices are implanted.METHODS: By using the National Inpatient Sample from 2008 to 2013, we identified patients with an International Classification of Diseases, Ninth Revision procedure code for left ventricular assist device implantation (37.66). We ascertained the presence of acute kidney injury and acute kidney injury requiring dialysis using validated International Classification of Diseases, Ninth Revision codes. We used logistic regression to examine the association of nondialysis-requiring acute kidney injury and acute kidney injury requiring dialysis with mortality, procedural complications, and discharge destination.RESULTS: We identified 8362 patients who underwent left ventricular assist device implantation, of whom 3760 (45.0%) experienced nondialysis-requiring acute kidney injury and 426 (5.1%) experienced acute kidney injury requiring dialysis. In-hospital mortality was 3.9% for patients without acute kidney injury, 12.2% for patients with nondialysis-requiring acute kidney injury, and 47.4% for patients with acute kidney injury requiring dialysis. Patients with nondialysis-requiring acute kidney injury and acute kidney injury requiring dialysis had higher adjusted odds of mortality (3.24, 95% confidence interval [CI], 2.04-5.13 and 20.8, 95% CI, 9.7-44.2), major bleeding (1.38, 95% CI, 1.08-1.77 and 2.44, 95% CI, 1.47-4.04), sepsis (2.69, 95% CI, 1.93-3.75 and 5.75, 95% CI, 3.46-9.56), and discharge to a nursing facility (2.15, 95% CI, 1.51-3.07 and 5.89, 95% CI, 2.67-12.99).CONCLUSIONS: More than 1 in 10 patients with acute kidney injury and approximately 1 in 2 patients with acute kidney injury requiring dialysis died during their hospitalization, with only 30% of patients with acute kidney injury requiring dialysis discharged to home. This information is necessary to support shared decision-making for patients with advanced heart failure and acute kidney injury.

    View details for PubMedID 31053433

  • Long-Term Changes in Kidney Function after Left Ventricular Assist Device Implant: An Analysis of the STS Intermacs Database Franz, D. D., Stedman, M. R., Myers, S. L., Naftel, D. C., Silver, S. A., Banerjee, D., Chang, T. I. ELSEVIER SCIENCE INC. 2019: S89–S90
  • Trends in Rates of Lower Extremity Amputation Among Patients With End-Stage Renal Disease Who Receive Dialysis JAMA Internal Medicine Franz, D., Zheng, Y., Leeper, N. J., Chandra, V., Montez-Rath, M., Chang, T. I. 2018
  • Psychoactive Medication administration and Delirium Prevalence and Duration in ICU patients 43rd Annual Critical Care Congress Franz, D., Olsen, K., Balas, M., Lander, L., Schmid, K., Shostrom, V., Burke, W. LIPPINCOTT WILLIAMS & WILKINS. 2013
  • Implementing the Awakening and Breathing Coordination, Delirium Monitoring/Management, and Early Exercise/Mobility Bundle into Everyday Care: Opportunities, Challenges, and Lessons Learned for Implementing the ICU Pain, Agitation, and Delirium Guidelines CRITICAL CARE MEDICINE Balas, M. C., Burke, W. J., Gannon, D., Cohen, M. Z., Colburn, L., Bevil, C., Franz, D., Olsen, K. M., Ely, E. W., Vasilevskis, E. E. 2013; 41 (9): S116-S127

    Abstract

    The awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle is an evidence-based interprofessional multicomponent strategy for minimizing sedative exposure, reducing duration of mechanical ventilation, and managing ICU-acquired delirium and weakness. The purpose of this study was to identify facilitators and barriers to awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle adoption and to evaluate the extent to which bundle implementation was effective, sustainable, and conducive to dissemination.Prospective, before-after, mixed-methods study.Five adult ICUs, one step-down unit, and a special care unit located in a 624-bed academic medical center: Interprofessional ICU team members at participating institution.In collaboration with the participating institution, we developed, implemented, and refined an awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle policy. Over the course of an 18-month period, all ICU team members were offered the opportunity to participate in numerous multimodal educational efforts. Three focus group sessions, three online surveys, and one educational evaluation were administered in an attempt to identify facilitators and barriers to bundle adoption.Factors believed to facilitate bundle implementation included: 1) the performance of daily, interdisciplinary, rounds; 2) engagement of key implementation leaders; 3) sustained and diverse educational efforts; and 4) the bundle's quality and strength. Barriers identified included: 1) intervention-related issues (e.g., timing of trials, fear of adverse events), 2) communication and care coordination challenges, 3) knowledge deficits, 4) workload concerns, and 5) documentation burden. Despite these challenges, participants believed implementation ultimately benefited patients, improved interdisciplinary communication, and empowered nurses and other ICU team members.In this study of the implementation of the awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle in a tertiary care setting, clear factors were identified that both advanced and impeded adoption of this complex intervention that requires interprofessional education, coordination, and cooperation. Focusing on these factors preemptively should enable a more effective and lasting implementation of the bundle and better care for critically ill patients. Lessons learned from this study will also help healthcare providers optimize implementation of the recent ICU pain, agitation, and delirium guidelines, which has many similarities but also some important differences as compared with the awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle.

    View details for DOI 10.1097/CCM.0b013e3182a17064

    View details for Web of Science ID 000331152200010

    View details for PubMedID 23989089

  • The relationship between physical activity, body mass index, and academic performance in college-age students Open Journal of Epidemiology Franz, D. D., Feresu, S. A. 2013; 3 (1): 4-11

    View details for DOI 10.4236/ojepi.20