Annual proteinuria screening not cost-effective

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Annual screening of adults to detect proteinuria and prevent end-stage renal disease (ESRD) is not cost-effective unless directed only at high-risk groups (that is, those patients with diabetes and hypertension). Screening every 10 years beginning at the age 60 years, however, is highly cost-effective. (LOE=1b)

 
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Boulware LE, Jaar BG, Tarver-Carr ME, Brancati FL, Powe NR. Screening for proteinuria in US adults. A cost-effective analysis. JAMA 2003; 290:3101–3114.

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BOTTOM LINE

Annual screening of adults to detect proteinuria and prevent end-stage renal disease (ESRD) is not cost-effective unless directed only at high-risk groups (that is, those patients with diabetes and hypertension). Screening every 10 years beginning at the age 60 years, however, is highly cost-effective. (LOE=1b)

 
BOTTOM LINE

Annual screening of adults to detect proteinuria and prevent end-stage renal disease (ESRD) is not cost-effective unless directed only at high-risk groups (that is, those patients with diabetes and hypertension). Screening every 10 years beginning at the age 60 years, however, is highly cost-effective. (LOE=1b)

 
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ALLHAT says diuretics are better; ANBP2 says ACEs are better—can we resolve the differences?

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Common infections in clinical practice: Dealing with the daily uncertainties

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In urologic surgery, the legendary becomes routine

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Laparoscopic prostatectomy: A promising option in the treatment of prostate cancer

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Acarbose for the prevention of diabetes

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Skin rash in a transplant patient receiving multiple drugs

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BK polyomavirus: A newly recognized threat to transplanted kidneys

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Local heat decreases renal colic pain

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Local heat decreases the pain, anxiety, and nausea of renal colic during emergency transport. Family physicians should offer this to patients as a supplement to routine care of renal colic pain, while watching for other studies that assess its use for different kinds of pain and in settings other than emergency transport.

 
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PRACTICE RECOMMENDATIONS

Local heat decreases the pain, anxiety, and nausea of renal colic during emergency transport. Family physicians should offer this to patients as a supplement to routine care of renal colic pain, while watching for other studies that assess its use for different kinds of pain and in settings other than emergency transport.

 
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Local heat decreases the pain, anxiety, and nausea of renal colic during emergency transport. Family physicians should offer this to patients as a supplement to routine care of renal colic pain, while watching for other studies that assess its use for different kinds of pain and in settings other than emergency transport.

 
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Abciximab: Safe for Patients with Renal Insufficiency?

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