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Family physicians chronic kidney disease

https://read.qxmd.com/read/38227451/cardiovascular-disease-anticoagulation-therapy-for-atrial-fibrillation
#1
JOURNAL ARTICLE
William Criswell, Robert L Gauer
Patients with atrial fibrillation (AF) should receive anticoagulation with warfarin or direct oral anticoagulants (DOACs) if the CHA2 DS2 -VASc (Congestive heart failure, Hypertension, Age 75 years or older [doubled], Diabetes, prior Stroke or transient ischemic attack or thromboembolism [doubled], Vascular disease, Age 65 to 74 years, Sex category) score is at least 2 in men or 3 in women. Antiplatelet therapy is not recommended. DOACs typically are the first-line therapy. Anticoagulation requires special consideration in some patient groups (eg, patients with bleeding problems should be considered for left atrial appendage occlusion devices, rather than anticoagulation)...
January 2024: FP Essentials
https://read.qxmd.com/read/38215416/chronic-kidney-disease-prevention-diagnosis-and-treatment
#2
JOURNAL ARTICLE
Andrew J Goodbred, Robert C Langan
Chronic kidney disease (CKD) affects approximately 15% of the U.S. population, and many people are unaware of their diagnosis. Screening may be considered for patients with cardiovascular disease, diabetes mellitus, hypertension, age 60 years and older, family history of kidney disease, previous acute kidney injury, or preeclampsia. Diagnosis and staging of CKD are based on estimated glomerular filtration rate (eGFR), excessive urinary albumin excretion, or evidence of kidney parenchymal damage lasting more than three months...
December 2023: American Family Physician
https://read.qxmd.com/read/38196437/physicians-knowledge-attitudes-and-barriers-regarding-chronic-kidney-disease-diagnosis-and-management-in-saudi-arabia
#3
JOURNAL ARTICLE
Naweed Al-Zaman, Alaa Alem, Ohood A Alharbi, Ebtesam Ahmed Abdullah, Duha W Azouni, Raghad K Hammad, Reem M Alhejaily, Muayad Albadrani
BACKGROUND: Chronic kidney disease (CKD) is defined as abnormalities of kidney structure and/or function persisting for a minimum of three months. METHODS:  An online cross-sectional study was conducted in the Kingdom of Saudi Arabia (KSA) between June and August 2022 to assess the knowledge, attitudes, practices, and barriers among family, internal medicine, and general physicians related to CKD screening, diagnosis, and management. RESULTS:  A total of 427 physicians were included in the study...
December 2023: Curēus
https://read.qxmd.com/read/38190155/evaluation-of-a-best-practice-advisory-for-primary-aldosteronism-screening
#4
JOURNAL ARTICLE
Suranut Charoensri, Linda Bashaw, Cheryl Dehmlow, Tammy Ellies, Jennifer Wyckoff, Adina F Turcu
IMPORTANCE: Primary aldosteronism (PA) is a common cause of secondary hypertension and an independent risk factor for cardiovascular morbidity and mortality. Fewer than 2% to 4% of patients at risk are evaluated for PA. OBJECTIVE: To develop and evaluate an electronic health record best-practice advisory (BPA) that assists with PA screening. DESIGN, SETTING, AND PARTICIPANTS: This prospective quality improvement study was conducted at academic center outpatient clinics...
January 8, 2024: JAMA Internal Medicine
https://read.qxmd.com/read/38167149/prevalence-and-varieties-of-complementary-and-alternative-medicine-usage-among-individuals-with-pre-dialysis-chronic-kidney-disease-in-taiwan-an-investigative-cross-sectional-analysis
#5
JOURNAL ARTICLE
Ming-Yen Tsai, Yu-Chuen Huang, Ben-Chung Cheng, Chieh-Ying Chin, Yung-Tang Hsu, Wen-Chin Lee
BACKGROUND: Complementary and alternative medicine (CAM) is frequently used in the general population, yet only limited data are available regarding the prevalence of these medications in patients with chronic kidney disease (CKD). Hence, our study aimed to explore the prevalence and types of CAM in Taiwanese patients with CKD. METHODS: A cross-sectional questionnaire survey was conducted by face-to-face interview of 275 pre-dialysis patients without dialysis treatment or kidney transplant at an outpatient nephrology clinic in Taiwan from March 2021 to June 2023...
January 2, 2024: BMC complementary medicine and therapies
https://read.qxmd.com/read/38129771/shared-decision-making-in-chronic-kidney-disease-a-qualitative-study-of-the-impact-of-communication-practices-on-treatment-decisions-for-older-patients
#6
JOURNAL ARTICLE
Maria R Dahm, Suzanne Eggins Raine, Diana Slade, Laura J Chien, Alice Kennard, Giles Walters, Tony Spinks, Girish Talaulikar
BACKGROUND: Effective interpersonal communication is critical for shared decision-making (SDM). Previous SDM communication training in nephrology has lacked context-specific evidence from ethnographic analysis of SDM interactions with older patients considering treatment options of end stage kidney disease (ESKD). This study explores communication strategies in SDM discussions in nephrology, specifically focusing on older patients considering dialysis as kidney replacement therapy (KRT)...
December 21, 2023: BMC Nephrology
https://read.qxmd.com/read/38066651/clinical-features-of-acute-attacks-chronic-symptoms-and-long-term-complications-among-patients-with-acute-hepatic-porphyria-in-japan-a-real-world-claims-database-study
#7
JOURNAL ARTICLE
Yutaka Horie, Yuka Yasuoka, Tomohide Adachi
BACKGROUND: Acute hepatic porphyria (AHP) is a family of rare genetic diseases, including acute intermittent porphyria, variegate porphyria, hereditary coproporphyria, and delta-aminolevulinic acid dehydratase-deficient porphyria. The objective of this retrospective cohort study was to provide information on the clinical features of AHP in Japan-including acute attacks, chronic symptoms, and long-term complications. METHODS: Patients with AHP between April 2008 and June 2020 were selected from Japan's Medical Data Vision claims database...
December 8, 2023: Orphanet Journal of Rare Diseases
https://read.qxmd.com/read/37843942/hypertension-in-adults-initial-evaluation-and-management
#8
JOURNAL ARTICLE
S Lindsey Clarke
Hypertension is a leading modifiable risk factor for cardiovascular disease and the most common chronic condition seen by family physicians. Treatment of hypertension reduces morbidity and mortality due to coronary artery disease, myocardial infarction, heart failure, stroke, and chronic kidney disease. The use of ambulatory and home blood pressure monitoring improves diagnostic accuracy. Assessment of adults with hypertension should focus on identifying complications of the condition and comorbid cardiovascular risk factors...
October 2023: American Family Physician
https://read.qxmd.com/read/37725467/finerenone-kerendia-for-the-treatment-of-chronic-kidney-disease-in-patients-with-type-2-diabetes-mellitus
#9
JOURNAL ARTICLE
Autumn Stewart-Lynch
No abstract text is available yet for this article.
September 2023: American Family Physician
https://read.qxmd.com/read/37531201/palliative-care-training-in-pediatric-nephrology-fellowship-a-cross-sectional-survey
#10
JOURNAL ARTICLE
Taylor R House, Aaron Wightman, Jodi Smith, Margaret Schwarze, Miranda C Bradford, Abby R Rosenberg
BACKGROUND: Children with chronic kidney disease (CKD) and their families encounter significant burdens. Integrating primary palliative care (PC), holistic care provided by nephrologists focused on enhancing quality of life through symptom management, stress relief, and high-quality serious illness communication, provides an opportunity to promote flourishing. Incorporation of primary PC education in training is therefore recommended. Yet adult nephrology fellows report inadequate preparation to deliver primary PC...
August 2, 2023: Kidney360
https://read.qxmd.com/read/37490441/genomic-testing-in-patients-with-renal-disease
#11
REVIEW
Katya Lyulcheva-Bennett, Simon Williams, Matthew Howse, Emma McCann
Inherited kidney disease accounts for a significant proportion of chronic kidney disease and end-stage renal failure. There is increasing evidence that genetic testing for inherited kidney disease should be integrated into clinical care pathways at the earliest opportunity so that patients and their families can maximally benefit from carefully tailored care. Despite increased availability of genetic testing, the proportion of patients with renal disease undergoing genetic investigations remains low. This article introduces key concepts of genetic and genomic testing to the renal physician and addresses some common barriers to the wider integration of genetic testing in routine clinical practice to fully capitalise on recent advances in genomic medicine and improve patient outcomes...
July 2, 2023: British Journal of Hospital Medicine
https://read.qxmd.com/read/37390398/anemia-normocytic-anemia
#12
JOURNAL ARTICLE
Michelle Sommer
Normocytic anemia is anemia with a mean corpuscular volume of 80 to100 mcm3. Its causes include anemia of inflammation, hemolytic anemia, anemia of chronic kidney disease, acute blood loss anemia, and aplastic anemia. In most cases, correction of the anemia should focus on managing the underlying condition. Red blood cell transfusions should be limited to patients with severe symptomatic anemia. Hemolytic anemia can be diagnosed based on signs and symptoms of hemolysis, such as jaundice, hepatosplenomegaly, unconjugated hyperbilirubinemia, increased reticulocyte count, and decreased haptoglobin levels...
July 2023: FP Essentials
https://read.qxmd.com/read/37361411/longitudinal-association-between-periodontitis-and-the-risk-of-hypertension
#13
JOURNAL ARTICLE
John B Aremu, Cynthia M Pérez, Kaumudi J Joshipura
OBJECTIVES: Hypertension poses a major public health challenge due to its association with increased risk of heart disease, chronic kidney disease, and death. The objective of this study is to evaluate the longitudinal association between periodontitis and the risk of hypertension. METHODS: Using a cohort study design, 540 participants free of diagnosed hypertension/prehypertension in the San Juan Overweight Adults Longitudinal Study and with complete 3-year follow-up data were included...
2023: International Journal of Dentistry
https://read.qxmd.com/read/37355866/clinicopathological-study-of-chronic-kidney-disease-of-unknown-etiology-in-odisha
#14
JOURNAL ARTICLE
Swati Parida, Sidhartha Das, Asaranti Kar, Rakesh Kumar Routray
INTRODUCTION: Chronic kidney disease (CKD) is emerging as a serious health problem in Odisha, India. A new form of severe CKD affecting adults, not due to traditional risk factors like diabetes, hypertension, glomerulonephritis, has been reported in Sri Lanka, Central America, and Egypt in the last two decades. This has been named CKD of unknown origin (CKDu), and it is fatal due to late recognition and rapid disease progression. The aim of the study was to elucidate the association between different sociodemographic, and biochemical parameters with renal morphology in CKD of unknown origin patients...
October 2022: Journal of the Association of Physicians of India
https://read.qxmd.com/read/37315964/who-provides-chronic-disease-management-population-based-retrospective-cohort-study-in-alberta
#15
JOURNAL ARTICLE
Jessica Kirkwood, Joey Ton, Christina S Korownyk, Michael R Kolber, G Michael Allan, Scott Garrison
OBJECTIVE: To determine the proportions of patients who receive care from family physicians, specialists, and nurse practitioners for the management of common chronic medical conditions. DESIGN: Population-based retrospective cohort study. SETTING: Province of Alberta. PARTICIPANTS: Adults aged 19 years or older who were registered for provincial health services and each had 2 or more interactions with the same provider between January 1, 2013, and December 31, 2017, for any of 7 specified chronic medical conditions: hypertension, diabetes, chronic obstructive pulmonary disease (COPD), asthma, heart failure, ischemic heart disease, and chronic kidney disease...
June 2023: Canadian Family Physician Médecin de Famille Canadien
https://read.qxmd.com/read/37258011/secondary-hypertension-overview-and-workup-for-the-primary-care-physician
#16
REVIEW
Jeffrey M Turner, Mikhail Dmitriev
Secondary hypertension occurs in 5% to 10% of all patients with hypertension. Given the majority of patients with hypertension will not have a secondary cause, only select patients with specific characteristics should be screened. The causes include a range of abnormalities, some are quite rare, such as pheochromocytoma, while others are much more common, such as chronic kidney disease. When considering which disorders to test for, it is important to incorporate the clinical history, family history, and prevalence of each disease...
July 2023: Medical Clinics of North America
https://read.qxmd.com/read/37248652/serum-urate-monitoring-amongst-older-adults-with-gout-initiating-urate-lowering-therapy-in-ontario-canada
#17
JOURNAL ARTICLE
Timothy S H Kwok, Bindee Kuriya, Gillian Hawker, Ping Li, Gregory Choy, Jessica Widdifield
OBJECTIVE: To assess the proportion of, and factors associated with older adults with gout receiving a serum urate (SUA) test after starting urate lowering therapy (ULT). METHODS: We performed a population-based retrospective cohort study in Ontario, Canada in patients aged ≥66 years with gout newly dispensed ULT between 2010 and 2019. We characterized patients with SUA testing within 6- and 12-months after ULT dispensation. Multi-level logistic regression clustered by ULT prescriber evaluated factors associated with SUA monitoring within 6-months...
May 29, 2023: Arthritis Care & Research
https://read.qxmd.com/read/37192087/using-ace-inhibitors-and-arbs-in-advanced-chronic-kidney-disease-does-not-worsen-and-may-improve-renal-outcomes
#18
JOURNAL ARTICLE
Mark H Ebell
No abstract text is available yet for this article.
May 2023: American Family Physician
https://read.qxmd.com/read/37130015/diagnostic-concordance-of-telemedicine-as-compared-with-face-to-face-care-in-primary-health-care-clinics-in-rural-india-randomized-crossover-trial
#19
JOURNAL ARTICLE
Neha Verma, Bimal Buch, Radha Taralekar, Soumyadipta Acharya
BACKGROUND: With the COVID-19 pandemic, there was an increase and scaling up of provider-to-provider telemedicine programs that connect frontline health providers such as nurses and community health workers at primary care clinics with remote doctors at tertiary facilities to facilitate consultations for rural patients. Considering this new trend of increasing use of telemedicine, this study was conducted to generate evidence for patients, health providers, and policymakers to compare if provider-to-provider telemedicine-based care is equivalent to in-person care and is safe and acceptable in terms of diagnostic and treatment standards...
June 23, 2023: JMIR Formative Research
https://read.qxmd.com/read/37069800/advance-care-planning-in-chronic-kidney-disease-a-national-danish-survey-of-knowledge-and-attitudes-among-clinicians
#20
JOURNAL ARTICLE
Christina Egmose Frandsen, Hans Dieperink, Bettina Trettin, Hanne Agerskov
INTRODUCTION: Patients with chronic kidney disease and their families strongly request advance care planning. They want it to start early-before treatment decisions are made-and to be an ongoing process during their illness trajectory. Previous international studies show that health care professionals find there to be significant barriers that impact the extent of involvement in advance care planning. AIM: To identify Danish nephrology health care professionals' knowledge and attitudes to advance care planning and the status of current advance care planning practice in Denmark...
September 2023: Scandinavian Journal of Caring Sciences
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