Create Account | Sign In: Author or Forum

News  |  Journals  |  Conferences  |  Blogs  |  Articles  |  Forums  |  Twitter    



Category: Endocrinology | Family Medicine | Internal Medicine | Nephrology | Nursing | Pharmacy | Journal

Back to Journal Articles

Evidence Lacking for Value of CKD Screening and Monitoring

Last Updated: April 17, 2012.


Variable quality of evidence found for effect of chronic kidney disease treatment options

Share |

Comments: (0)



There is no evidence that screening and monitoring for chronic kidney disease improves clinical outcomes, according to research published in the April 17 issue of the Annals of Internal Medicine.

TUESDAY, April 17 (HealthDay News) -- There is no evidence that screening and monitoring for chronic kidney disease (CKD) improves clinical outcomes, according to research published in the April 17 issue of the Annals of Internal Medicine.

In an effort to provide an evidence base to guide recommendations coming from the U.S. Preventive Services Task Force and the American College of Physicians, Howard A. Fink, M.D., M.P.H., of the Minneapolis Veterans Affairs Medical Center, and colleagues reviewed randomized, controlled trials that evaluated screening, monitoring, or treatment of CKD; reported clinical outcomes; and discussed the benefits and harms of screening and monitoring.

The researchers found that 110 trials assessed treatments, and no trials evaluated screening or monitoring. Compared with placebo, angiotensin-converting enzyme inhibitors and angiotensin II-receptor blockers decreased end-stage renal disease (relative risk [RR], 0.65 and 0.77, respectively), mainly in patients with diabetes who had macroalbuminuria. For patients with microalbuminuria and cardiovascular disease or high-risk diabetes, angiotensin-converting enzyme inhibitors reduced mortality compared to placebo (RR, 0.79). For patients with impaired estimated glomerular filtration rate and either hyperlipidemia or congestive heart failure, statins and β-blockers reduced mortality and cardiovascular events, compared to placebo or control. There was no difference in mortality, end-stage renal disease, or other clinical outcomes with strict or usual blood pressure control. For angiotensin II-receptor blockers and statins, the evidence was rated high; for angiotensin-converting enzyme inhibitors and β-blockers, moderate; and for strict blood pressure control, low.

"We need more research to develop outcome measures that will comprehensively capture the effect of CKD treatments on the diverse and disparate outcomes encountered in this complex population," write the authors of an accompanying editorial.

Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.

Previous: Preexposure Chemoprophylaxis Cuts HIV Infection at a Cost Next: Nutrition, Mobility Predict Early Death in Elderly Cancer Patients

Reader comments on this article are listed below. Review our comments policy.

Submit your opinion:





Remember my personal information

Notify me of follow-up comments?

advertisement.gif (61x7 -- 0 bytes)

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application


 advertisement.gif (61x7 -- 0 bytes)



Useful Sites
  Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us
Copyright © 2001-2014
Doctors Lounge.
All rights reserved.

Medical Reference:
Diseases | Symptoms
Drugs | Labs | Procedures
Software | Tutorials

Links | Humor
Forum Archive
CME | Conferences

Privacy Statement
Terms & Conditions
Editorial Board
About us | Email

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.