Nefrologia

Estudo randomizado | Em crianças com síndrome nefrótica sensível a esteroides recorrente e com infecção aguda de trato respiratório, uma baixa dose diária de prednisolona não reduz o risco de recaída.

28 Jan, 2022 | 16:08h

Evaluation of Daily Low-Dose Prednisolone During Upper Respiratory Tract Infection to Prevent Relapse in Children With Relapsing Steroid-Sensitive Nephrotic Syndrome: The PREDNOS 2 Randomized Clinical Trial – JAMA Pediatrics

Comentário: PREDNOS 2: Prednisolone Doesn’t Lower Relapse Risks in Kids with Nephrotic Syndrome – Physician’s Weekly

 

Comentário no Twitter

In a large non-selected sample of children (365) with relapsing steroid sensitive nephrotic syndrome, the PREDNOS 2 RCT has shown that low dose prednisolone given for 6 days at the start of an URTI does not reduce the risk of relapse https://t.co/9271PHQh0r

— JAMA Pediatrics (@JAMAPediatrics) December 20, 2021

 

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M-A | Efeitos renais tardios da preservação de néfrons vs. nefrectomia radical para tumor de Wilms.

28 Jan, 2022 | 16:00h

Late Kidney Effects of Nephron-Sparing vs Radical Nephrectomy for Wilms Tumor: A Systematic Review and Meta-Analysis – The Journal of Urology (link para o resumo – $ para o texto completo)

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Revisão sistemática | Ultrafiltração para insuficiência cardíaca aguda.

28 Jan, 2022 | 15:16h

Ultrafiltration for acute heart failure – Cochrane Library

Comentário: Fluid removal therapy in acute heart failure – Cochrane Library

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Comentário do KDOQI US sobre a Diretriz KDIGO 2021 para o tratamento da pressão arterial na doença renal crônica.

25 Jan, 2022 | 11:29h

KDOQI US Commentary on the 2021 KDIGO Clinical Practice Guideline for the Management of Blood Pressure in CKD – American Journal of Kidney Diseases

Conteúdos relacionados:

KDIGO 2021 Clinical Practice Guideline for the Management of Blood Pressure in Chronic Kidney Disease

Guideline synopsis: management of blood pressure in patients with chronic kidney disease not receiving dialysis.

 

Comentário no Twitter

The @nkf KDOQI work group agreed with most of the @goKDIGO BP recommendations while highlighting the weak evidence base especially for patients with diabetes and advanced CKD ca. 2022 #Nephpearls

👉🏼 https://t.co/X40N0pacY6 https://t.co/HEHlSD06yO pic.twitter.com/Rpil8m0QOn

— Edgar V. Lerma 🇵🇭 (@edgarvlermamd) January 21, 2022

 

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Estudo randomizado | Em adultos com doença crítica, o uso de solução balanceada de multieletrólitos não reduziu o risco de morte ou lesão renal aguda em comparação à solução salina padrão.

20 Jan, 2022 | 22:05h

Balanced Multielectrolyte Solution versus Saline in Critically Ill Adults – New England Journal of Medicine (link para o resumo – $ para o texto completo)

Comentário: Australian study set to guide the treatment of critically ill patients worldwide – George Institute for Global Health

Conteúdos relacionados:

BaSICS RCT: Among critically ill patients requiring fluid therapy, treatment with a balanced solution did not lead to reduced mortality compared to a 0.9% saline solution.

BaSICS RCT: Among critically ill patients requiring fluid therapy, there was no difference in mortality with slower (333 mL/h) vs. faster (999 mL/h) intravenous fluid bolus rates.

Cochrane Review: Buffered Solutions Do Not Improve Mortality in Critically Ill Adults and Children Compared to 0,9% Saline

 

Comentário no Twitter

Trial of critically ill patients compared balanced multielectrolyte solution (BMES) with saline as fluid therapy in the ICU. There was no evidence that the risk of death or acute kidney injury was lower with the use of BMES than with saline. https://t.co/bmlg4BYaw8 pic.twitter.com/OlKGOM0Dmm

— NEJM (@NEJM) January 18, 2022

 

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Revisão sistemática | Exercícios para adultos submetidos a diálise de manutenção.

20 Jan, 2022 | 21:56h

Exercise training for adults undergoing maintenance dialysis – Cochrane Library

Resumo: Exercise training for adults receiving dialysis treatments – Cochrane Library

 

Comentário no Twitter

New Review Update: Exercise training for adults undergoing maintenance dialysis. discover the latest #CochraneEvidence https://t.co/DmtG0dA6lQ #kidney failure #exercise pic.twitter.com/STYIMpPwAN

— Cochrane Kidney + Tx (@CochraneKidney) January 13, 2022

 

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Diretriz multidisciplinar | Tratamento da nefrolitíase na gestação.

20 Jan, 2022 | 19:59h

Management of Nephrolithiasis in Pregnancy: Multi-Disciplinary Guidelines From an Academic Medical Center – Frontiers in Surgery

 

Comentário do autor no Twitter

https://t.co/bFtOYFgBmr Started as an assigned resident presentation. Turned into a set of multi-d guidelines implemented at the university level. Now published for all to reference! Thank you all authors for input & guidance @peepeeDoctor @willrobe1 @amy_krambeck @sapanambani

— Matthew Lee (@MSLee_MD) December 23, 2021

 

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Revisão | Novos aspectos no tratamento da hipertensão em pacientes com doença renal crônica que não estão em terapia de substituição renal.

12 Jan, 2022 | 12:39h

New Aspects in the Management of Hypertension in Patients with Chronic Kidney Disease not on Renal Replacement Therapy – High Blood Pressure & Cardiovascular Prevention

Conteúdo relacionado: RCT: In patients with advanced chronic kidney disease and poorly controlled hypertension, Chlortalidone had a significant impact in blood-pressure control (−11.0 mm Hg vs. −0.5 mm Hg in the placebo group).

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Perspectiva | Introdução à nefrocardiologia.

16 Dez, 2021 | 12:39h

Introducing Nephrocardiology – Clinical Journal of the American Society of Nephrology

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Estratégia global para diagnóstico e tratamento de lesão renal aguda em pacientes com cirrose hepática.

10 Dez, 2021 | 11:02h

Global strategy for the diagnosis and management of acute kidney injury in patients with liver cirrhosis – United European Gastroenterology Journal

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