Search results for "Chronic kidney disease"
Guideline issued on blood pressure management in CKD
The Kidney Disease: Improving Global Outcomes Work Group recommends targeting a standardized systolic blood pressure less than 120 mm Hg in patients with chronic kidney disease (CKD) who are not receiving dialysis, among other guidance.
https://immattersacp.org/weekly/archives/2021/06/22/4.htm
22 Jun 2021
New recommendations advise on adding SGLT-2 inhibitors and GLP-1 receptor agonists
A new guideline from The BMJ strongly recommends sodium-glucose cotransporter-2 (SGLT-2) inhibitors for patients with diabetes and established cardiovascular and chronic kidney disease, among other advice.
https://immattersacp.org/weekly/archives/2021/05/18/4.htm
18 May 2021
Large review compares benefits, harms of drugs to treat type 2 diabetes
High-certainty evidence indicated that sodium-glucose cotransporter-2 inhibitors and glucagon-like peptide-1 receptor agonists reduce all-cause death, while finerenone probably also reduced mortality based on moderate-certainty evidence.
https://immattersacp.org/weekly/archives/2023/04/18/4.htm
18 Apr 2023
Diltiazem may increase bleeding risk when coadministered with DOACs in afib
A study of patients with atrial fibrillation in one U.S. health system found a 56% higher risk for bleeding-related hospitalization associated with concomitant use of diltiazem and a direct-acting oral anticoagulant (DOAC) versus a DOAC alone.
https://immattersacp.org/weekly/archives/2022/07/12/5.htm
12 Jul 2022
Cystatin C-based equation performs well for estimating GFR
The European Kidney Function Consortium cystatin C equation, which does not include race- or sex-specific factors, was more accurate than other common equations for predicting glomerular filtration rate (GFR), an international study found.
https://immattersacp.org/weekly/archives/2023/01/31/2.htm
31 Jan 2023
MKSAP Quiz: Evaluation of gynecomastia
A 29-year-old man is evaluated for gynecomastia present for the past 2 years. He also has fatigue, low libido, weight gain, and erectile dysfunction. Following a physical exam, what is the most appropriate diagnostic test?
https://immattersacp.org/weekly/archives/2023/02/28/3.htm
28 Feb 2023
NKF-ASN task force issues final report on use of race in diagnosing kidney disease
Effective immediately in the U.S., estimated glomerular filtration rate should be calculated with an updated equation that does not include a race modifier for Black patients, the National Kidney Foundation (NKF) and the American Society of Nephrology (ASN) said.
https://immattersacp.org/weekly/archives/2021/09/28/2.htm
28 Sep 2021
MKSAP Quiz: 1-year history of lower extremity edema
This week's quiz asks readers to determine the most likely diagnosis for a 60-year-old man with a 30-year history of poorly controlled ankylosing spondylitis and intermittent uveitis who is evaluated for a 1-year history of lower extremity edema.
https://immattersacp.org/weekly/archives/2023/02/14/3.htm
14 Feb 2023
MKSAP Quiz: Follow-up for microscopic hematuria
A 35-year-old woman is evaluated during a follow-up visit for recurrent microscopic hematuria without proteinuria. Following a physical exam, lab studies, and kidney ultrasound, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2022/03/08/3.htm
8 Mar 2022
Race-adjusted eGFR may negatively affect CKD care in African American patients
A cross-sectional registry study found that one-third of African American patients with chronic kidney disease (CKD) would hypothetically be reclassified to a more severe stage if the race multiplier were removed from a common estimated glomerular filtration rate (eGFR) equation.
https://immattersacp.org/weekly/archives/2020/10/27/4.htm
27 Oct 2020