Berns on Nephrology

 
 

  • Goodbye, With Gratitude   Dr Jeffrey Berns is moving on to a new position and retiring as editor-in-chief of Medscape Nephrology.
  • Disparities in Renal Replacement and Dialysis Therapies   Dr Jeffrey Berns comments on three articles examining the provision of dialysis services to patients and concludes that 'we need to address the racial and ethnic disparities.'
  • ESA Labeling and Payment Changes: The Health Impact on Patients   Dr Jeffrey Berns comments on two new studies that reassure about the impact of the 2011 CMS and FDA rule changes.
  • Folic Acid Supplementation for CKD? Not So Fast   Although folic acid supplementation was shown to benefit patients with CKD in a Chinese study, Dr Berns argues that it won't be much help to patients in the United States.
  • CKD Screening Is Not for Everyone   Screening everyone for chronic kidney disease is neither cost-efficient nor useful, says Dr Berns.
  • Erythropoiesis-Stimulating Agents May Increase Cancer Risk   Dr Jeffrey Berns explains how a flawed design limits the impact of this recent study.
  • Earlier RRT for AKI? Not So Fast, Says Dr Berns   Two recent studies compared 'early' with 'late' initiation of RRT in AKI, one showing a significant mortality benefit for early RRT. So, has Jeffrey Berns changed his practice?
  • Dialysis in the United States   How does dialysis for ESRD in the United States differ from that in other countries? Dr Berns comments on an article comparing differences in practice in more than 50 countries and regions.
  • Wasting Good Kidneys: The Weekend Effect   Why are more deceased donor kidneys discarded on weekends? Dr Berns reviews a new study about weekend kidney procurement.
  • ACE Inhibitors vs ARBs in CKD: A Toss-up?   ACE inhibitors and ARBs both have renoprotective effects, but is one better than the other?
  • New FDA Recommendations for Metformin   Dr Berns discusses the FDA's decision to change the labeling for metformin, which now provides recommendations for its use based on estimated glomerular filtration rate rather than serum creatinine.
  • A Simultaneous Liver-Kidney Transplant? Not So Fast   Do you really need that kidney first? Drs Berns and Reese discuss UNOS' new rules for kidney transplantation in liver transplant recipients.
  • Does This Biomarker Test for AKI 'Check' Out?   NephroCheck, a new biomarker test, can evaluate risk for acute kidney injury, but whether it has utility in predicting clinically significant patient outcomes remains to be seen, says Dr Jeffrey Berns.
  • When Desensitization Makes Sense and When It Doesn't   Dr Berns and kidney transplant specialist Dr Deirdre Sawinski discuss how developments in allocation practices and the potential for donor swaps may reduce the need for desensitization and its risks.
  • ESAs and QoL: Patient Selection Matters   A recent study finding little benefit in treating CKD patients with ESAs may have overlooked important patient subgroups, says Dr Jeffrey Berns.
  • Let's Avoid the 'Grope-o-Gram' on Kidney Testing   What is the diagnostic utility of all the tests being ordered for acute kidney injury? asks Dr Jeffrey Berns.
  • REVOKE IV Iron or FIND-CKD Patients?   Dr Jeffrey Berns discusses inconsistencies in the clinical trial evidence comparing intravenous iron with oral iron in patients with chronic kidney disease not on dialysis.
  • How Does Dialysis Care Differ for Minority Patients?   A large study found that patients from racial minority groups were less likely to receive certain types of dialysis or to receive kidney transplants.
  • Does Dialysis Trigger Cardiovascular Events?   Previous studies have documented a high rate of cardiovascular events during the first months after dialysis is initiated, but new research raises questions about what happens in the very first week.
  • Outcomes Worse in Dialysis Started Without Nephrologist Care   'Whatever it takes,' says Dr Jeffrey Berns, we need to get patients with advanced kidney disease into the care of a nephrologist before dialysis is initiated to reduce mortality during the first year.
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