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Nephrology

Hypertension in adults: the silent killer

Hypertension is a common finding among patients in primary care; ideal pharmacological treatment, however, continues to be debated.... View Article

January 2023

Chronic kidney disease: the canary in the coal mine

Chronic kidney disease (CKD) is a growing issue in New Zealand. Māori and Pacific peoples are overrepresented in our CKD statistics... View Article

November 2022

Slowing progression of renal dysfunction in patients with diabetes

Diabetic kidney disease (DKD) is the leading cause of end-stage renal disease in New Zealand. Preventing or delaying the development... View Article

June 2019

Proton pump inhibitors and the risk of acute kidney injury

Proton pump inhibitors (PPIs) are among the most prescribed medicines in New Zealand. They are clinically effective and are widely... View Article

August 2016

The detection and management of patients with chronic kidney disease in primary care

A New Zealand consensus statement for the management of chronic kidney disease (CKD) in primary care has recently been developed.... View Article

March 2015

Research updates

Shorter courses of oral corticosteroids for the management of exacerbations in patients with COPD | Diet and the risk of COPD View Article

March 2015

Managing patients with renal colic in primary care: Know when to hold them

Approximately one in ten people will be affected by renal colic at some stage in their life. Patients with red flags should be... View Article

April 2014

Hypertension in Adults: The silent killer

Hypertension is associated with a wide-range of cardiovascular and end-organ diseases. It is a frequent finding among patients... View Article

August 2013

Interpreting urine dipstick tests in adults: a reference guide for primary care

A urine dipstick positive for haematuria or proteinuria is a relatively common occurrence in primary care. For many patients there... View Article

June 2013

Statins and the risk of acute kidney injury

THERE HAVE BEEN RECENT REPORTS in the literature associating the use of statins with acute kidney injury (AKI). A study by Hippisley-Cox... View Article

April 2013

Acute-on-chronic kidney disease: prevention, diagnosis, management and referral in primary care

Acute kidney injury (in a community setting) occurs most commonly in people with existing chronic kidney disease. The first focus... View Article

September 2012

Testing for CVD, diabetes and renal disease in elderly people

Consideration of laboratory testing and interpretation of subsequent results should be guided by a patients “drugs, diseases and... View Article

March 2012

Should we still be measuring urea?

Over recent years the role of urea as a renal function test, has been mostly superseded by creatinine and more recently by the... View Article

December 2009

Making a difference in chronic kidney disease

Mate tākihi ukiuki Chronic kidney disease affects approximately 10% of the population of New Zealand, with a higher prevalence... View Article

July 2009

Drug monitoring - Monitoring diuretics in primary care

Monitoring a person on diuretics is necessary to assess response to treatment and to prevent adverse events, particularly electrolyte... View Article

March 2009

Snippets: Drug information of topical interest


• Calcium Supplementation and the risk of myocardial infarction
• Use of eGFR for drug dose adjustment
• Compulsive gambling...
View Article

December 2007

Acute post-streptococcal glomerulonephritis

In her UPFRONT article on infectious disease patterns (BPJ Issue 5 p4), Professor Diana Lennon noted the fact that Post-streptococcal... View Article

August 2007

Renal Update

Discusses the differences between eGFR and Cockcroft-Gault with suggestions for dose adjustments due to renal impairment. View Article

June 2007

CARM reports: Acute Renal Failure

In the five years from 2002 to 2006 CARM (Centre for Adverse Reactions Monitoring) received 72 reports of acute renal failure... View Article

June 2007