Hamid Abbasi

Practice Point 2.2.3 underscores using a 2-year kidney failure risk threshold of >40% to determine modality education and timing for KRT preparation, including vascular access planning or transplantation referral. Predicting the optimal timing for these interventions in individuals with declining GFR is challenging. Premature vascular access planning may lead to unnecessary fistula placement, while delayed planning risks central venous catheter overuse at dialysis initiation. Studies advocate for risk-based thresholds, demonstrating comparable efficacy to eGFR alone. While the KDOQI vascular access guideline suggests a >50% risk threshold or eGFR <15 ml/min per 1.73 m², a >40% risk or eGFR of 15 ml/min per 1.73 m² is deemed acceptable for initiating vascular access referral based on current evidence. Lower risk thresholds, like >20%, enhance sensitivity and can prompt modality education or presurgical vascular access planning, particularly in centers with extended wait times. Link to the 2024 KDIGO Guidelines: https://lnkd.in/gDVT83EE #KDIGO2024 #ClinicalPracticeGuideline #ESRD #CKD #ESKD #Kidneydisease #RenalFailure #RenalReplacment #dialysis #hemodialysis #KRT #KidneyReplacementTherapy #CKDCare #ModalityEducation #VascularAccess #TransplantReferral #HealthcareGuidelines #MedicalDecisionMaking #KidneyHealth #PatientOutcomes #HealthcareManagement

1

1 Comment

#Openaccess Carlton et al: Frequency & Risk Factors for ⬆️Healthcare Utilization #pedsICU #SurvivingSepsis 🖥️2016–2019 MarketScan Comm & Medicaid Link: https://ow.ly/YILQ50TO3OO Editorial: https://ow.ly/UwG350TO3OQ Society of Critical Care Medicine Fig: Risk factors predicting 3d of healthcare use 90d post-sepsis discharge

3

Excellent new pathway for management of acute HF hospitalization - from ACC. https://lnkd.in/eUu9fwtx

84

1 Comment

The predictors of aggressive recurrence of HCC after resection - Erman Akkus, MD Journal of Hepatology EASL | The Home of Hepatology HPB Surgery #AnkaraUniversity #FacultyOfMedicine #Cancer #HCC #LiverCancer #MedicalOncology #OncoDaily #Oncology #Satellitosis

24

How to hold on and stay on track with aerobic and strenght exercises - tips for surgeons:

14

Helpful analysis - routine stress testing a year post heart attack is not helpful in predicting risk.

54

4 Comments

A novel EHR-based population health management using a multi-faceted intervention addressed many implementation barriers to evidence-based CKD care delivery in primary care setting but was not successful in reducing CKD progression. https://ja.ma/3xNkGoM

8

https://lnkd.in/g5fRgAt2 Article title: Antiphosphlipid Syndrome Presented with Renovascular Hypertension Author(s): Savas Ozturk; Mukremin Uysal; Fulya Cosan; Banu Buyukaydin*; Murat Inanc; Reyhan Diz-Kucukkaya; Isın Kılıcarslan; Aydin Turkmen; Rumeyza Kazancioglu Journal: Archives of Clinical Nephrology Journal ISSN: 2581-3870 Abstract: Renovascular pathologies are one of the treatable causes of hypertension. Antiphospholipid syndrome develops owing to a heterogeneous group of antiphospholipid antibodies which causes various thrombotic problems. This entity may effects very small vessels and sometimes leads to hypertension. We present a 55-year-old female with unilateral renal artery stent implantation because of renovascular hypertension. After application, a re-stenosis developed and in-stent angioplasty was performed, but it was required a nephrectomy because of haemorrhage. #AntiphospholipidSyndrome #ChronicKidneyDisease #RenovascularHypertension #DiabeticNephropathy #ChronicKidneyDiseases #AcuteKidneyDisease #KidneyFibrosis #KidneyCalculi #RenalFailure #RenalTransplantation #ChronicHaemodialysis #RenalCancer #RenalImpairment #Glomerulonephritis #Urogynecology #ReconstructiveUrology #RenalHypertension #Nephrolithiasis #RenalImmunology #RenalPhysiology #RenalOsteodystrophy #RenovascularDisease #Peertechz #PeertechzPublications #ClinicalNephrology #PediatricNephrology #Neurourology #PediatricUrology #TubulointerstitialDisorders #GeriatricNephrology #Haematuria

1

In the article 'A Digital Approach to Tooth Autotransplantation: A Case Report,' authors Pynadath George and Ameer Allybocus present a case of autotransplanting an upper left canine using a digitally guided approach. The meticulous pre-operative planning, use of CBCT data, and a custom surgical guide resulted in a successful and predictable outcome. Key Takeaways: ◾ The importance of imaging techniques in ensuring successful autotransplantation. ◾ Detailed steps of the procedure, from extraction to endodontic follow-up. ◾ Innovative integration of digital tools for precise surgical interventions. This article underscores the potential of autotransplantation as a viable treatment option for adult patients with single tooth edentulous spaces or retained deciduous teeth. 🔗 Read the full article to stay ahead in dental innovation: https://lnkd.in/eDDZKCMv #DentalUpdate #autotransplantation #digitaldentistry #CPD #dentalresearch

16

Top Ten Ways To Reduce Your Risk Of Atrial Fibrillation

18

8 Comments

Management of Severe Traumatic Brain Injury: A Single Institution Experience in a Middle-Income Country. (This article is part of the Research Topic Prioritizing Global Neurosurgery in the Focus of Global Public Health: The ethical, financial and clinical necessities)

5

192 RA pts on MTX: GI Sxs studied w/ MISS (MTX intolerance severity score). GI intolerance seen in 56%, Nausea & pain post-MTX most common. More in afro-descendants, w/ FM, Steroids, or JAKi. MISS results unrelated to Route, Gi Dz, age, MTX dose https://buff.ly/3Sdzp3k

3

With the upcoming Orthosolutions immersive learning experience tour in the US, I thought (with encouragement from Jan S.) we could start some case discussions. The educational events will be in the following cities. 🗓 May, 06, 2024 📍 Chicago, IL 🗓 May, 07, 2024 📍 Indianapolis, IN 🗓 May, 08, 2024 📍 Columbus, OH 🗓 May, 09, 2024 📍 Atlanta, GA Feel free to email Braxton.howard@orthosol.com if you have any questions or require further information. #anklefracture #trauma Dustin Ducharme Brian McGarry Sheena Easton Braxton Howard Case 1: We have some specific with this case. We have a posteromedial die punch. High comminuted fibular. AITFL injury. 2B fracture pattern, but with the posteromedial fragment being split and medial wall in 2 pieces. To cap it off there is an anterior collicular avulsion fracture. What would be the choice of approach and order of fixation?

46

9 Comments

All articles in #Anesthesiology and #Perioperative Science (APS)  Vol 2, Issue 3, are now freely available to access, read and download: https://lnkd.in/ghys_SPt

1

If you experience persistent coughing, shortness of breath, chest pain, or unexplained weight loss, it's important to prioritize your health and seek medical attention. 🏥 Scheduling an appointment with a specialist is crucial for timely diagnosis and personalized treatment. Early detection and intervention greatly improve outcomes for lung health. #cough #cancer #lungcancertreatment #londonsurgeon #marcoscarci #weightloss

11