Nephrology Information Center Archive
The job market for new nephrologists is continuing to improve, and most fellows would recommend nephrology to medical students or residents.
Lixisenatide reduces progression of urinary albumin-creatinine ratio in patients with macroalbuminuria.
For women at high risk for cystitis recurrence who drink low volumes of fluid daily, increasing water intake prevents recurrence.
The use of a moderate to low susceptibility antibiotic to treat a urinary tract infection [UTI] may result in a 1.74-fold increase in the odds of an emergency department readmission within 30 days for another UTI.
Correlation between PPI and hip fracture persisted for subgroups with low, medium, high PPI use.
Kidneys of neonates with left heart obstruction consistently found to be larger than normal.
Due to limited evidence, other experts urge caution in implementing guideline for women.
Five evidence-based recommendations list tests, procedures that doctors, patients should question.
All 20 recipients experienced HCV cure, good quality of life, excellent renal function.
The Belmont Report provides an appropriate framework for living donor organ transplantation.
No differences seen with other fat volume measures between recurring, first-time stones.
Two devices designed to create arteriovenous fistula in patients with CKD in need of hemodialysis
Percutaneous ablation compared with partial, radical nephrectomy for 4,310 patients aged 66 years
Associated with increased risk of composite end point of acute rejection, allograft failure
Much steeper decline in adjusted mean eGFR for those with diagnosed diabetes versus those without
Implementing a urinary tract infection quality improvement program resulted in a decrease in UTI diagnoses in orthopedic patients.
Patients with mild, moderate renal impairment showed improvement in renal biomarkers over one year
Findings based on one-year follow-up after a hospitalization complicated by acute kidney injury
Trained water consumption increase does not significantly reduce the decline of kidney function in individuals with chronic kidney disease.
Prophylaxis safely, effectively prevents HCV transmittance in noninfected patients receiving kidney transplants from HCV-positive donors.
Children who receive a non-kidney solid organ transplant have an increased risk for AKI in the first year after surgery and is associated with an increased risk of CKD.
A 6 variable model predicted advanced chronic kidney disease in patients with acute kidney injury.
Treating lower UTIs with diclofenac may help in optimizing antibiotic treatments.
This approval provides an additional treatment option for patients with complicated urinary tract infection.
Researchers observed excess community-acquired infections incidence in individuals with mild to severe chronic kidney disease.
Intradetrusor injection of onabotulinumtoxin A impairs afferent and efferent nerves, but an injection-free drug delivery approach only impairs the bladder afferent nerves.
It is unclear whether all recurrent kidney stone formers benefit from 24-hour urine collection.
Noctiva is designed to increase absorption of water through the kidneys, decreasing urine production.
Researchers used data from 83 studies to develop guideline for management of patients with small renal masses.
The guidelines provide a clinical framework for the diagnosis and treatment of male urethral stricture.
Low levels of vitamin D in the blood may prevent the cells within the bladder from stimulating an adequate response to abnormal cells.
Guideline from the American Urological Association has been revised to incorporate the management of patients with staghorn renal stones.
Baseline renal function tests may predict the risk of preeclampsia and preterm birth for pregnant women with hypertension.
A patient with type 2 diabetes is undergoing dialysis and needs to control his HbA1c levels while fasting during Ramadan.
In patients with COPD, chronic renal failure is more likely and can be detected from decreased glomerular filtration rates.
A renal transplant recipient experienced drug interaction-induced calcineurin inhibitor nephrotoxicity after starting a cobicistat-containing combination treatment for HIV.
A patient with type 2 diabetes presents with elevated microalbumin levels and a recent history of elevated glucose due to bedtime snacking.
The organization encourages dialysis providers to improve current infection control practices.
The annual incidence of kidney stones has increased 16% between 1997 and 2012
A new online risk calculation tool predicts kidney failure odds in patients with chronic kidney disease.
Researchers found a 15% to 20% reduction in the risk of hospitalization for or death from heart failure in patients who received cardiac resynchronization therapy with defibrillator (CRT-D).
A 29-year-old woman, 12 years post-liver transplant, presents with fever and tachycardia and had recently reported fatigue, weakness, and abdominal pain.
Five EKG parameters can identify chronic kidney disease patients at risk for cardiovascular death.
Training can help reduce fluid and salt intake in patients undergoing hemodialysis.
Monitoring kidney function in hospitalized patients can help prevent acute kidney injury.
People who drink more than one sugary beverage per day have an increased risk of developing NAFLD.
Ezetimibe did not outperform placebo in reducing liver fat in nonalcoholic steatohepatitis (NASH).
Patients with psoriasis should avoid long-term use of medications that are toxic to the kidneys.
Patient with psoriasis were unsuccessfully treated with conventional therapies before treatment with biologics.
After taking a spinning exercise class, a woman developed acute kidney injury.
The follow-up pathway utilizes trigger reports, tracking spreadsheets, and educational materials to improve patient satisfaction.
A patient presented to the office with a 45-year history of maturity onset diabetes of the young after renal failure.
Trading two minutes of sitting for two minutes of light-intensity activity each hour lowered the risk of premature death by 33%.
Patients who reported drinking a higher volume of water (at least 2.0 to 2.5 liters per day) were at a reduced risk for recurrent kidney stones.
Since 2002, the urine test of choice is a urine albumin-to-creatinine ratio (UACR), which is a spot urine test.
Those who consumed high-acid diets appeared to face triple the risk of kidney failure compared with those who consumed low-acid diets.
Of the 27 HIV-positive patients with kidney disease who received transplants from HIV-positive patients who had died, 74% were alive after five years.
There were no significant protective effects noted for fiber, fruit, or vegetable intake on the risk of kidney stone recurrence in women with a history of stones.
Ceftolozane/tazobactam is the fourth antibiotic to be FDA approved in 2014
A woman complaining of seeing yellow lights is diagnosed with digoxin toxicity.
A new study indicated that older patients with predialysis chronic kidney disease should take statins.
Potassium-containing additives were listed in the ingredients in 63% of sodium-reduced products and 25% of non-reduced products.
With acute kidney injury often encountered in the outpatient setting, primary-care providers should know the basics of diagnosis and treatment.
Patient with back pain and blood in urine is diagnosed with autosomal dominant polycystic kidney disease.
Each patient loses 0.8% kidney function/year after the age of 30. If you round this to a loss of 1% per year (for simplicity), you can calculate if a GFR is normal for a patient's age.
The combined outcome of death/cardiovascular disease was not significantly different between donors and nondonors.
A history of reduced kidney function may put an individual at greater risk for developing renal and urothelial cancers.
Hypertension, obesity, diabetes and other risk factors were found in patients with chronic kidney disease years before diagnosis.
Compared with intensive home hemodialysis treatments, kidney transplant patients had better survival rates, but higher early rates of hospitalization.
Patients with both hepatitis C and HIV had higher rates of hepatic decompensation regardless of treatment with antiretroviral therapy than those with HCV alone.
Daily antibiotic use came out on top when compared with several other strategies for managing recurrent urinary tract infections (UTIs).
Can drugs that are contraindicated in patients with severe renal impairment be used in individuals with ESRD who are actively receiving hemodialysis?
The most recent guidelines from the American College of Rheumatology include pharmacologic and nonpharmacologic therapy for hyperuricemia.
An examination of three longitudinal studies showed that women with a history of kidney stones, but not men, were more likely to have CHD.
How should a clinician handle a difference of opinion with the attending physician on duty?
All lots of the new anemia drug peginesatide have been recalled because of severe, sometimes fatal, hypersensitivity reactions.
Albuminuria levels help clinicians better stratify risk and evaluate likely outcomes.
Changes in renal functioning over time were associated with changes in global cognitive ability, verbal episodic memory and abstract reasoning.
The FDA has approved oxybutynin (Oxytrol, Merck) as the first over-the-counter treatment for women 18 and older with overactive bladder.
The FDA has approved Botox for adults with overactive bladder who can't use or don't respond to anticholinergics.
To slow the progression to end-stage renal disease, primary-care clinicians must be able to identify, screen, treat, and educate at-risk individuals.
Urinalysis and physical exam determine if the infection is complicated or uncomplicated, primary or recurrent and guide treatment strategy.
Many patients take vitamins that are more than 100% the recommended daily allowance. When do they begin to pose risks to kidney function?
Is it safe to restart osteoporosis medications in patients with stage 5 chronic kidney disease?
How much of a workup do you recommend before ordering diagnostics with contrast (assuming kidney function tests are normal)?
When is it appropriate to refer diabetic and hypertensive patients to a renal specialist?
Uncontrolled serum uric acid in patients with gout is associated with an increased risk of developing kidney disease and diabetes, according to the findings from two studies presented at the 2011 American College of Rheumatology Meeting.
Imaging was ordered when the patient's clinician could not palpate her ovaries.
Clinicians should consider waist circumference in conjunction with BMI when assessing mortality risk among patients with chronic kidney disease.
Tight glycemic, BP and cholesterol control, as well as weight reduction, exercise and smoking cessation can help prevent renal nephropathy.
If a woman has taken OTC phenazopyridine, and urine dipstick results are skewed, is it appropriate to treat empirically with antibiotics based on history and exam findings?
Cystatin C blood measurements may be useful in assessing the risk of complications associated with chronic kidney disease.
Patient visits her cardiologist complaining of dizziness and lightheadedness.
Designed to record blood sugar levels throughout the day, these devices spot trends that may go unnoticed with standard tests and measurements.
How can I ensure that patients receiving dialysis maintain therapeutic anticoagulation while on warfarin?
How does screening for microalbuminuria change the management of these patients?
Screening could have limited usefulness in reflecting glucose intolerance, predicting the risk of diabetes complications, and measuring quality of care.
A new, minimally invasive approach will decrease morbidity amonghemodialysis patients and help improve their quality of life.
The case involved the death of a 37-year old man who died from cancer and receiving a kidney from a woman who had uterine cancer.
Should patients with calcium oxalate kidney stones and osteopenia be given vitamin D and calcium?