Nephrology
Global kidney health 2017 and beyond
25 Apr, 2017 | 15:52h | UTCGlobal 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 | UTCInvited 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 | UTCScreening 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
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 | UTCCUA guideline on the management of cystic renal lesions – Canadian Urological Association Journal (free)
American College of Radiology (ACR) Appropriateness Criteria Adds Topics
4 Apr, 2017 | 21:19h | UTCACR Appropriateness Criteria Adds Topics, Covers More Clinical Variants Than Ever Before (free)
Browse Appropriateness Criteria Topics (free)
Source: Newswise
This comprehensive guide from American College of Radiology (ACR) covers 230 topics with more than 1,100 clinical indications and has just been updated. It is a very useful resource for doctors in all specialties to guide which exam is most appropriate in each clinical situation.