I see many tweets claiming that hypertension is a cause of CKD. This is a common error. It is far more likely that CKD is a cause of hypertension.
Richard J. Glassock
8,247 posts
Richard J. Glassock
@GlassockJ
Father, husband, golfer, oenophile, Nephrologist- committed to lifelong learning and curiosity. I love what I do and hope to continue to do it until the end.
Laguna Niguel, CA, USA
Born February 4
Joined September 2017
- For Kidney Health Advocates- lets all get on the same page: 1) only <5% of incident CKD is caused by HTN;2) progression of CKD can be slowed by treatment of HTN when proteinuria is concomitantly present; 3) HTN is mostly consequent to CKD, not caused by CKD.
- Replying to @krupali @kidneydoc101 and @ReutersIndiaThis is a humanitarian crisis of un- imaginable severity. A global response is required . We must all, collectively, help the people of India cope and survive this tragedy.
- I just celebrated my 2 year anniversary of joining Twitterdom. It has been very enjoyable, enlightening and eye-opening. I am still learning how to be an effective communicator and responsible Tweeter.
- I just heard a wonderful lecture on AKI at the Cleveland Clinic Nephrology Update-2019. Conclusion - creatinine based classifications of AKI are an epidemiological construct having little value in decision making or clinical care in the ICU. A drastic change is needed.
- Replying to @goKDIGO and @Kidney_IntDisappointed that KDIGO decided against adopting an age-adapted threshold of eGFR for classifying/ diagnosing CKD. Many older people will be labeled as having CKD unnecessarily, IMO. Maybe the next iteration of these very important CPG will recognize/correct this oversight.
- A diet rich in vegetables, fresh fruit and nuts bereft of red meat is a very attractive idea to prevent CVD and CKD- the problem is that this notion is based almost entirely on observational (potentially confounded) Data. Is it not time for a large well powered RCT?
- Now we have RASi, SGLT2i and MRA. Will the prevalent counts of ESRD finally begin to fall?
- It is now “official- “Contrast-induced Nephropathy” (CIN) has morphed into “Contrast-associated Nephropathy” (CAN). See Annals for Hospitalists- July, 2019).
- Hats off to Drs. Tonelli and Dickinson (JASN 2020;31:1931-1940) who have written what may arguably be the best critical analyses of early detection of CKD yet published. It should be required reading before embarking on any effort to detect CKD by screening or case-finding.
- It is so frustrating to read posts on Twitter describing that something is linked to something else tacitly suggesting a causal relationship when we all know that association (correlation ) is not equivalent to causation. Most associations in fact are non-causal and coincidental
- 2020 has been a really tough year for a lot of people throughout the world. We need to acknowledge their suffering and loss, as we look forward to a New Year full of promise and hope . May 2021 bring us the relief we so desperately need.
- What a wonderful experience. NephMadness is a gift that keeps on giving. It provided solace and enjoyment while realizing that the world was changing around us, perhaps for decades to come. Many thanks to the BRP, Bloggers and the organizers
- How many antigen-antibody systems are involved in the pathogenesis of Membranous Nephropathy in humans? I have lost count- but the modifying terms “Primary” and “Idiopathic” no longer seem very relevant. A new system of nosology will evolve, and very soon, I predict.