Nephrology | Page 42 of 43 | Links Medicus Content Curation & Alerts in Medicine

Observational studies suggest that high serum uric acid levels are associated with multiple health outcomes, including cardiovascular and metabolic diseases. This review findings suggest there is a clear association only for gout and nephrolithiasis.

Home blood pressure monitors inaccurate 70 percent of the time?

7 Jun, 2017 | 15:02h | UTC

An Assessment of the Accuracy of Home Blood Pressure Monitors When Used in Device Owners – American Journal of Hypertension (free)

Commentaries: Home blood pressure monitors inaccurate 70 percent of the time, study finds – MedicalXpress (free) AND Home blood pressure monitors may not be accurate enough – Reuters Health (free)

Small study (85 patients) suggests many of the devices are too inaccurate to be useful.

Systolic Blood Pressure Reduction and Risk of Cardiovascular Disease and Mortality

1 Jun, 2017 | 18:32h | UTC

Systolic Blood Pressure Reduction and Risk of Cardiovascular Disease and Mortality: A Systematic Review and Network Meta-analysis – JAMA Cardiology (free) (RT @GreenlandRohan see Tweet)

Commentaries: Reducing blood pressure below recommended targets significantly reduces CVD, mortality risk – Clinical Advisor (free registration required) And New Review Supports Aggressive BP Targets – MedPage Today (free registration required)

Ideal blood pressure targets are controversial and recommendations vary across hypertension guidelines. This new meta-analysis suggests the risk of cardiovascular disease would be lowest with a systolic blood pressure between 120-124 mmHg.

Renal dysfunction in cirrhosis

17 May, 2017 | 20:13h | UTC

Review: Renal dysfunction in cirrhosis: acute kidney injury and the hepatorenal syndrome – Gastroenterology Report (free)

Source: Critical Care Reviews Newsletter

Series: Acute Kidney Injury in the Intensive Care Unit

6 May, 2017 | 20:32h | UTC

Series: Acute Kidney Injury in the Intensive Care Unit

Fluid management in acute kidney injury – Intensive Care Medicine (free PDF)

Renal recovery after acute kidney injury – Intensive Care Medicine (free)

Diagnostic work-up and specific causes of acute kidney injury – Intensive Care Medicine (free PDF)

Acute kidney injury in the ICU: from injury to recovery: reports from the 5th Paris International Conference – Annals of Intensive Care (free)

Source: Critical Care Reviews Newsletter

Trial of Transplantation of HCV-Infected Kidneys into Uninfected Recipients

5 May, 2017 | 20:19h | UTC

Correspondence: Trial of Transplantation of HCV-Infected Kidneys into Uninfected Recipients – The New England Journal of Medicine (free)

Transplantation of HCV-infected-kidneys into uninfected recipients seems feasible in this era of direct-acting antiviral agents, maybe shortening waiting times for those willing to take the risk.

Global kidney health 2017 and beyond

25 Apr, 2017 | 15:52h | UTC

Global kidney health 2017 and beyond: a roadmap for closing gaps in care, research, and policy – The Lancet (free registration required)

Chronic kidney disease is increasingly recognized as a global public health problem affecting as many as 10–15% of the population worldwide. It is associated with impaired quality of life and strongly reduced life expectancy. The article identifies key activities for the next 5-10 years to address the problem.

Approaches for Evaluation of Asymptomatic Microscopic Hematuria

20 Apr, 2017 | 14:27h | UTC

Cost-effectiveness of Common Diagnostic Approaches for Evaluation of Asymptomatic Microscopic Hematuria – JAMA Internal Medicine (free)

Invited commentary: Asymptomatic Microscopic Hematuria – Rethinking the Diagnostic Algorithm (free)

Routine urinalysis for screening is not presently recommended by any major health organization, but asymptomatic microscopic hematuria is a common incidental finding. This study suggests that the combination of renal ultrasound and cystoscopy is the most cost-effective approach for the evaluation of these patients.

Screening for Endocrine Hypertension

14 Apr, 2017 | 16:27h | UTC

Screening for Endocrine Hypertension: An Endocrine Society Scientific Statement (free)

Source: Screen for Endocrine Hypertension, Endocrine Society Says – Medscape (free registration required)

“The statement provides guidance on screening for 15 hormonal disorders that present with hypertension and that can be potentially cured with surgery or treated with medication” (from Medscape commentary above).

Hypertension Canada’s 2017 Guidelines

10 Apr, 2017 | 16:10h | UTC

Hypertension Canada’s 2017 Guidelines for Diagnosis, Risk Assessment, Prevention, and Treatment of Hypertension in Adults (free)

Achieved blood pressure and cardiovascular outcomes in high-risk patients

11 Apr, 2017 | 15:44h | UTC

Achieved blood pressure and cardiovascular outcomes in high-risk patients: results from ONTARGET and TRANSCEND trials – The Lancet (link to abstract – $ required for full-text) (RT @AnilMakam “Lower achieved blood pressure in high risk patients for cardiovascular disease do WORSE” see Tweets)

In high-risk patients, patients who achieved a systolic blood pressure < 120 mmHg or a diastolic blood pressure < 70 mmHg had HIGHER risk of complications. “These data suggest that the lowest blood pressure possible is not necessarily the optimal target for high-risk patients”

Management of cystic renal lesions

5 Apr, 2017 | 21:51h | UTC

CUA guideline on the management of cystic renal lesions – Canadian Urological Association Journal (free)

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