Commentary
Commentaries are short perspectives by experts on AJKD articles or nephrology news.
A recent AJKD In Practice article by Walther et al outlines the approach to diagnosing and managing pulmonary hypertension (PH) in CKD. A summary is presented here by NSMC Intern, Sai Sudha @drM_sudha. It is well-known that chronic kidney disease
[read more...]The prevalence of chronic kidney disease (CKD) in Asian countries is reported to be among the highest in the world, and as of 2016, has emerged as one of the leading causes of death. The Philippines in particular has experienced a large rise in the
[read more...]The scarcity of kidneys for transplantation has led to continued challenges and subsequent changes in kidney allocation policies. Kidneys that previously would have been discarded are now being transplanted. The impressive success of treating the
[read more...]With the Advancing American Kidney Health Initiative (AAKHI), there has been renewed interest in home dialysis, particularly peritoneal dialysis (PD) as a modality of kidney replacement therapy. With hemodialysis, vascular access is recognized as
[read more...]Data from epidemiological studies suggest coffee consumption may be associated with kidney (and other) outcomes, specifically a higher eGFR or less CKD. This is speculated to be due to anti-inflammatory, anti-oxidant, and anti-fibrotic effects of
[read more...]Proton pump inhibitors (PPIs) are amongst the most frequently prescribed medications with an estimated 15 million in the US taking prescription PPIs, making the estimated prevalence around 7.8% of the adult population. This number doesn’t even
[read more...]Many different definitions of contrast-induced nephropathy (CIN) have appeared in the literature since it was first reported in 1954. It is commonly defined as an acute decline in kidney function following the administration of intravenous iodinated
[read more...]Understanding the pathophysiologic mechanism(s) of thiazide-associated hyponatremia (TAH) is a coming-of-age moment for nephrologists. Sure, we all learned in medical school that thiazides can cause hyponatremia, hypercalcemia, hypokalemia, etc. but
[read more...]Tension – nephrologists live in it. The tension between trying to delay chronic kidney disease (CKD) progression whilst also preparing a patient for dialysis. Tension with administrators who are targeting metric achievement when we know that
[read more...]Acute kidney injury (AKI) is common in hospitalized patients and is associated with high morbidity and mortality, especially if requiring renal replacement therapy. Continuous renal replacement therapy (CRRT) is indicated in patients who are
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