Nathan Hellman
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Nathan Hellman

The CKD-Epi Equation: An Improved MDRD?

Currently, the most widely-utilized method for routine estimation of GFR (eGFR) is the 4-variable MDRD Equation, in which serum creatinine, age, gender and race are the variables entered into a mathematical formula. eGFR as determined by the MDRD…

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The Power of Pee

Often, my ideas for blog postings come from reputable journals such as JASN, CJASN, AJKD, Kidney International, NEJM, etc… But today’s topic derives from my regular reading a website I simply can’t recommend highly enough…Geekologie. From the July…

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Rapamycin for ADPKD?

Another potentially useful drug to prevent cyst growth in autosomal dominant polycystic kidney disease comes from the interesting observation that kidney transplant patients with native ADPKD kidneys who were given an immunosuppressant regimen containing the drug rapamycin (sirolimus)…

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PRES

The MRI above depicts a classic example of posterior reversible encephalopathy syndrome (PRES), sometimes also called reversible posterior leukoencephalopathy, an increasingly-recognized consequence of malignant hypertension.  The whitish areas (“hyper-intense signal”) in the bilateral occipital and parietal lobes represent…

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A recession-proof profession?

How many nephrologists does the U.S. need? I recently heard a thought-provoking calculation from MGH’s Dr. David Steele which helps illustrate a likely shortage in the number of American nephrologists.  The calculation is admittedly a rough estimate, but…

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Why Do U.S. ESRD Patients Do So Poorly?

The Dialysis Outcomes and Practice Patterns Study (DOPPS) is an important longitudinal study of ESRD patients in multiple countries, and is the source of much respected epidemiologic data on dialysis patients worldwide. Interestingly, the DOPPS estimated the crude…

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