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Doody's Review ServiceReviewer: Mony Fraer, MD, FACP, FASN (University of Iowa Hospitals and Clinics)
Description: John Daugirdas, the author of the well-known Handbook of Dialysis, 4th edition (Lippincott Williams & Wilkins, 2007), and editor of the online educational tool, HDCN (Hypertension, Dialysis, and Clinical Nephrology), is also the author of this handbook. Over the span of 636 pages, it covers the most common aspects of chronic kidney disease (diagnosis, screening, prevention, halting progression, and management). The 44 chapters and two appendixes are written by an international team of 82 contributors with expertise in medicine (nephrology, internal medicine, endocrinology, cardiology, public health, and transplantation) as well as dietitians and pharmacists.
Purpose: This new handbook is intended as a concise, evidence-based, practical, and updated tool for the management of patients with chronic kidney disease (CKD), particularly in the earlier stages. It can be used as a quick (but not bedside) reference.
Audience: It is written in a manner that makes it an easy read for trainees and clinicians, as well as all the other members of the multidisciplinary team taking care of CKD patients. Primary care providers who treat renal patients will find this to be a practical resource, too.
Features: Topics range from renal physiology to coding and billing, medical documentation, cost of common medications, food preparation tips, environmental risks, and CKD clinic organization. There are chapters on heart failure, advanced glycation end products, use of contrast containing media, visceral adiposity, and the importance of uric acid, as well as CKD in children, pregnant women, and the elderly. The book also includes updated guidelines (from the National Kidney Foundation, the American Heart Association, the National Cholesterol Education Program, and the American Diabetes Association). Each chapter provides background information and explains key concepts in an easy-to-understand way. Some chapters include case vignettes, management algorithms, practical approaches, tables, and figures, as well as summaries or conclusions.
Assessment: This is a comprehensive yet concise and practical up-to-date review (references as recent as 2010). Although there are other handbooks in this field, this is a necessary addition since, quoting from the preface, "there has been a sea change in emphasis in the field of kidney disease."