Kidney disease

Pediatrics

Postnatal investigation of antenatally detected hydronephrosis

By Dr. Antoinette van den Brekel on October 28, 2015

Health care providers caring for pregnant women and newborns are often faced with a finding of fetal hydronephrosis on routine screening antenatal ultrasound; in fact it is seen in 1 to 2% of fetuses screened. Babies at risk of rapidly progressive renal injury due to urinary tract obstruction need to be evaluated and referred for specialized care urgently, prior to discharge from hospital.

What blood pressure should I target in my patients with chronic kidney disease?

What blood pressure should I target in my patients with chronic kidney disease?

By Dr. Nadia Zalunardo on September 15, 2014

The most common cause of death among individuals with chronic kidney disease is cardiovascular disease. For most people with CKD, the risk of cardiovascular death exceeds the risk of developing end stage kidney disease.

Understanding eGFR in the clinical context: who does and does not need referral?

By Dr. Adeera Levin on August 9, 2010

Identifying patients with eGFR<60ml/min remains important to avoid potential risks, but it is becoming clear that referring all those patients to nephrologists is neither appropriate nor efficient.

New study on the use of erythropoietin stimulating agents in chronic kidney disease has made us evaluate the risk-benefit of ESA’s in CKD patients not on dialysis.

By Dr. Monica Beaulieu on June 14, 2010

The evidence strongly suggests that there is little to no benefit gained by raising the Hb over > 100g/L (and perhaps even lower) in diabetic patients with CKD not on dialysis.

Choosing antihypertensive combos: does it matter how you do it?

By Dr. Steve Wong on April 20, 2010

I generally started with thiazide diuretics (due to cost and proven effectiveness) then added either an ACE inhibitor (ACEi) or a calcium channel blocker (CCB), consistent with the Canadian Hypertension Society Guidelines.

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