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Myths and Shibboleths in Nephrology »

Authors: E.A. Friedman (Editor), Iram Anees
ISBN-13: 9781402006166, ISBN-10: 1402006160
Format: Paperback
Publisher: Springer-Verlag New York, LLC
Date Published: December 2007
Edition: (Non-applicable)

Author Biography: E.A. Friedman

Book Synopsis

Based upon a series of assignments completed by nephrology fellows, this text critically examines a number of renal medicine's prevalent beliefs. Each of 26 short chapters summarizes the case for and against a commonly accepted medical myth. For example, one author argues that while untreated malignant hypertension is often complicated by end- stage renal disease, it has not yet been conclusively documented to be one of its causes. The editors teach at the Downstate Medical Center in Brooklyn, New York. Annotation (c)2003 Book News, Inc., Portland, OR

	Dedication
	Foreword
	Preface
	Contributors
1	Urinary tract infection can lead to end stage renal disease (ESRD)	1
2	Kidney donation does not jeopardize function in the remaining kidney	4
3	Hypertension imposes a risk of chronic kidney failure	6
4	Angiotensin converting enzyme inhibitors (ACEi) are superior to other antihypertensive drugs because of their renoprotective properties	8
5	Dietary protein restriction slows progression of renal insufficiency	13
6	Plasmapheresis is beneficial in some renal disorders	16
7	Urinary tract infection is more prevalent in diabetes	19
8	Type 1 diabetes is more likely than type 2 diabetes to lead to nephropathy and ESRD	21
9	Pharmacological strategies may prevent acute tubular necrosis (ATN)	24
10	Intravenous iron may be hazardous in infected hemodialysis patients	26
11	Peritoneal dialysis is equivalent to hemodialysis	28
12	Rationing of ESRD treatment is an unavoidable reality	32
13	Tacrolimus is superior to cyclosporine in renal transplantation	34
14	Dialyzer re-use is safe and cost effective	38
15	Living related pancreas after kidney transplantation is preferable to cadaveric simultaneous pancreas-kidney transplantation	40
16	Administration of active vitamin D metabolites is beneficial in patients with advanced chronic renal failure (pre end-stage renal disease)	43
17	Surgical intervention and prompt nephrectomy are preferred in emphysematous pyelonephritis	45
18	Mortality in chronic hemodialysis is greater in the U.S. than in Europe and Japan	48
19	A single hemodialysis treatment prevents uremic bleeding and restores platelet function	51
20	Kidney biopsy is indicated in every care of lupus nephritis	53
21	Indicators of glycemic control in diabetic ESRD patients should be equivalent to those utilized in earlier stages of diabetic nephropathy	55
22	Fish oil is effective therapy for IgA nephropathy	57
23	Physician assistants should replace nephrologists in dialysis units	59
24	Patients with severe cerebrovascular accidents (CVA) require long-term bladder catheters	62
25	Pre-transplant blood transfusions enhance renal allograft survival	65
26	Hemoperfusion is superior to hemodialysis in the treatment of certain poisonings and/or drug overdoses	70
	Epilogue	74

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Myths and Shibboleths in Nephrology »

Author Biography: E.A. Friedman

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