Renal Denervation In The Medicare Population

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Renal Denervation in the Medicare Population

Author : Tariq Shafi
Publisher :
ISBN 13 :
Total Pages : 57 pages
Book Rating : 4.:/5 (971 download)

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Book Synopsis Renal Denervation in the Medicare Population by : Tariq Shafi

Download or read book Renal Denervation in the Medicare Population written by Tariq Shafi and published by . This book was released on with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Renal denervation refers to catheter-based radiofrequency ablation of renal sympathetic nerves, which may reduce blood pressure in patients with resistant hypertension, but data on its effectiveness are conflicting. PURPOSE: The purpose of this technical brief is to evaluate the effectiveness of renal denervation for resistant hypertension, and determine its applicability to the Medicare population. METHODS: We searched for relevant studies using PubMed and input from Key Informants and the experts on our team. Study eligibility criteria were defined in terms of population, intervention, comparison, outcomes, timing, and study design. Two reviewers independently reviewed each article. We reviewed articles if they reported a randomized controlled trial (RCT), a comparative cohort with at least 10 patients in each arm, or a non-comparative cohort with at least 25 patients. We defined between-group differences in 24-hour ambulatory systolic blood pressure as the primary metric for effectiveness of renal denervation. FINDINGS: We retrieved 1,233 unique citations from our literature search. We selected 83 studies (published in 98 articles) for abstraction; 9 were RCTs, 8 were comparative cohorts, and 66 were non-comparative cohorts. The study populations were only partially comparable to the Medicare-eligible population. In patients with resistant hypertension who continue to receive antihypertensive medications, renal denervation reduced 24-hour ambulatory systolic blood pressure, but the mean absolute change (between-group difference) was small in RCTs (range: -8.0 mm Hg to +2.1 mm Hg). The within-group differences in office systolic blood pressure were higher than the between-group differences for renal denervation in RCTs and comparative cohorts (-42.0 mm Hg to -8 mm Hg) as well as in non-comparative cohorts (range -58.2 mm Hg to 12 mm Hg), likely overestimating the effect of renal denervation due to white coat effect, observation bias, and placebo effect. Data were scant on clinical endpoints, such as stroke, myocardial infarction, kidney events, hospitalization, or death. Adverse effects were uncommon but potentially serious, and included hematomas, pseudoaneurysms, and renal artery interventions.

Renal Denervation in the Medicare Population

Author :
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (111 download)

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Book Synopsis Renal Denervation in the Medicare Population by :

Download or read book Renal Denervation in the Medicare Population written by and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Chronic Renal Disease

Author : Paul L. Kimmel
Publisher : Academic Press
ISBN 13 : 0128158778
Total Pages : 1392 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis Chronic Renal Disease by : Paul L. Kimmel

Download or read book Chronic Renal Disease written by Paul L. Kimmel and published by Academic Press. This book was released on 2019-08-28 with total page 1392 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic Renal Disease, Second Edition, comprehensively investigates the physiology, pathophysiology, treatment and management of chronic kidney disease (CKD). This translational reference takes an in-depth look at CKD with no coverage of dialysis or transplantation. Chapters are devoted to the scientific investigation of chronic kidney disease, the most common problems faced by nephrologists in the management of chronic kidney disease, specific illnesses in the CKD framework, and how the management of CKD in a polycystic kidney disease patient differs from other CKD patients. This award-winning reference features a series of case studies, covering both clinical aspects and pathophysiology. Questions are open ended, progressively more difficult, and repetitive across different patient clinical problems and different chapters. The cases and questions included will be useful for medical students, residency board reviews, and clinician teaching or conference preparation. - Includes case studies and questions which can be used as a teaching tool for medical students and resident - Provides coverage of classification and measurement, epidemiology, pathophysiology, complications of CKD, fluid/electrolyte disorders in CKD, CKD and systemic illnesses, clinical considerations, therapeutic considerations, and special considerations

Molecular Mechanisms in Chronic Kidney Disease

Author : Claudia Torino
Publisher : Frontiers Media SA
ISBN 13 : 2889712583
Total Pages : 282 pages
Book Rating : 4.8/5 (897 download)

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Book Synopsis Molecular Mechanisms in Chronic Kidney Disease by : Claudia Torino

Download or read book Molecular Mechanisms in Chronic Kidney Disease written by Claudia Torino and published by Frontiers Media SA. This book was released on 2021-09-02 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Cardio-Nephrology

Author : Janani Rangaswami
Publisher : Springer
ISBN 13 : 3319560425
Total Pages : 426 pages
Book Rating : 4.3/5 (195 download)

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Book Synopsis Cardio-Nephrology by : Janani Rangaswami

Download or read book Cardio-Nephrology written by Janani Rangaswami and published by Springer. This book was released on 2017-07-31 with total page 426 pages. Available in PDF, EPUB and Kindle. Book excerpt: Extending from the outpatient management of cardiovascular and kidney disease, to hospital-based decision making in patients with cardio-renal disease and complex interfaces such as hemodialysis in patients with ventricular assist device support, this book serves as a single reference point for cardiology and nephrology clinicians and researchers dealing with the significant overlap areas between these two specialties. Chapters cover the physiology, biomarkers, therapeutic agents and full spectrum of these comorbidities and feature separate sections on cardiovascular and CKD evaluations, stratification of kidney transplant patients, lipid management in CKD, interventional strategies and hypertension. Leaders in cardiology, nephrology, hypertension and lipidology bring together the latest evidence with their collective clinical experience into this invaluable resource.This textbook is an essential resource for physicians and allied professionals practicing cardiology, nephrology, students and physician trainees, to deepen their understanding of this crucial field.

Diabetes and Kidney Disease

Author : Edgar V. Lerma
Publisher : Springer
ISBN 13 : 149390793X
Total Pages : 258 pages
Book Rating : 4.4/5 (939 download)

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Book Synopsis Diabetes and Kidney Disease by : Edgar V. Lerma

Download or read book Diabetes and Kidney Disease written by Edgar V. Lerma and published by Springer. This book was released on 2014-05-09 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes and Kidney Disease reviews the most up-to-date research on diabetic nephropathy, the current understanding of its pathophysiology, renal structural alterations and clinical features and summarizes recent evidence-based clinical treatment modalities for the prevention and management of diabetic kidney disease. General clinical aspects are covered, as well as an overview to the novel approaches being designed by leading researchers in the field. A convenient compendium for physicians involved in the care of diabetic patients with varying degrees of kidney involvement, Diabetes and Kidney Disease is also a handy resource for medical residents and students interested in the current status and future approaches to reducing the burden of diabetes and diabetic kidney disease.

Pain Management and the Opioid Epidemic

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309459575
Total Pages : 483 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Pain Management and the Opioid Epidemic by : National Academies of Sciences, Engineering, and Medicine

Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Hypertension - E-Book

Author : George L. Bakris
Publisher : Elsevier Health Sciences
ISBN 13 : 0323931723
Total Pages : 643 pages
Book Rating : 4.3/5 (239 download)

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Book Synopsis Hypertension - E-Book by : George L. Bakris

Download or read book Hypertension - E-Book written by George L. Bakris and published by Elsevier Health Sciences. This book was released on 2023-08-29 with total page 643 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the renowned Braunwald family of references, Hypertension: A Companion to Braunwald’s Heart Disease provides today’s clinicians with clear, authoritative guidance on every aspect of managing and treating patients who suffer from hypertensive disorders. An invaluable resource for cardiologists, endocrinologists, and nephrologists, this one-stop reference covers all the latest developments from basic science to clinical trials and guidelines related to the treatment of common to complex hypertension. Now fully updated from cover to cover, the 4th Edition offers unparalleled coverage of hypertension in an accessible and user-friendly manner. Thoroughly covers new treatment guidelines related to recent research and the latest physiologic understanding for a wide range of patients with hypertension and related co-morbidities. Includes new chapters on Hypertension in Women, Mineralocorticoid Receptor Antagonists, Exercise and Hypertension, and Telemedicine/Digital Health. Contains new or expanded content on epidemiology, pathophysiology, immunology, clinical findings, laboratory testing, invasive and non-invasive testing, risk stratification, clinical decision-making, prognosis, and management. Provides new chapter summaries and a new focus on clinical and actionable content using a streamlined, narrative format. Covers behavior management and prevention as an integral part of hypertensive and pre-hypertensive treatment plans. Highlights combination drug therapies and management of chronic complications of hypertension. Offers expert guidance from worldwide experts in cardiology, endocrinology, and nephrology, and integrates the most recent guidelines from leading organizations around the world. Any additional digital ancillary content may publish up to 6 weeks following the publication date.

Neurobionics

Author : Robert K. Shepherd
Publisher : John Wiley & Sons
ISBN 13 : 111881603X
Total Pages : 376 pages
Book Rating : 4.1/5 (188 download)

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Book Synopsis Neurobionics by : Robert K. Shepherd

Download or read book Neurobionics written by Robert K. Shepherd and published by John Wiley & Sons. This book was released on 2016-08-29 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: Technological advances have greatly increased the potential for, and practicability of, using medical neurotechnologies to revolutionize how a wide array of neurological and nervous system diseases and dysfunctions are treated. These technologies have the potential to help reduce the impact of symptoms in neurological disorders such as Parkinson’s Disease and depression as well as help regain lost function caused by spinal cord damage or nerve damage. Medical Neurobionics is a concise overview of the biological underpinnings of neurotechnologies, the development process for these technologies, and the practical application of these advances in clinical settings. Medical Neurobionics is divided into three sections. The first section focuses specifically on providing a sound foundational understanding of the biological mechanisms that support the development of neurotechnologies. The second section looks at the efforts being carried out to develop new and exciting bioengineering advances. The book then closes with chapters that discuss practical clinical application and explore the ethical questions that surround neurobionics. A timely work that provides readers with a useful introduction to the field, Medical Neurobionics will be an essential book for neuroscientists, neuroengineers, biomedical researchers, and industry personnel.

Handbook of Life Course Health Development

Author : Neal Halfon
Publisher : Springer
ISBN 13 : 3319471430
Total Pages : 667 pages
Book Rating : 4.3/5 (194 download)

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Book Synopsis Handbook of Life Course Health Development by : Neal Halfon

Download or read book Handbook of Life Course Health Development written by Neal Halfon and published by Springer. This book was released on 2017-11-20 with total page 667 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is open access under a CC BY 4.0 license. This handbook synthesizes and analyzes the growing knowledge base on life course health development (LCHD) from the prenatal period through emerging adulthood, with implications for clinical practice and public health. It presents LCHD as an innovative field with a sound theoretical framework for understanding wellness and disease from a lifespan perspective, replacing previous medical, biopsychosocial, and early genomic models of health. Interdisciplinary chapters discuss major health concerns (diabetes, obesity), important less-studied conditions (hearing, kidney health), and large-scale issues (nutrition, adversity) from a lifespan viewpoint. In addition, chapters address methodological approaches and challenges by analyzing existing measures, studies, and surveys. The book concludes with the editors’ research agenda that proposes priorities for future LCHD research and its application to health care practice and health policy. Topics featured in the Handbook include: The prenatal period and its effect on child obesity and metabolic outcomes. Pregnancy complications and their effect on women’s cardiovascular health. A multi-level approach for obesity prevention in children. Application of the LCHD framework to autism spectrum disorder. Socioeconomic disadvantage and its influence on health development across the lifespan. The importance of nutrition to optimal health development across the lifespan. The Handbook of Life Course Health Development is a must-have resource for researchers, clinicians/professionals, and graduate students in developmental psychology/science; maternal and child health; social work; health economics; educational policy and politics; and medical law as well as many interrelated subdisciplines in psychology, medicine, public health, mental health, education, social welfare, economics, sociology, and law.

The Management of Pain in Older People

Author : Patricia Schofield, PhD, RGN
Publisher : John Wiley & Sons
ISBN 13 : 9780470065488
Total Pages : 226 pages
Book Rating : 4.0/5 (654 download)

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Book Synopsis The Management of Pain in Older People by : Patricia Schofield, PhD, RGN

Download or read book The Management of Pain in Older People written by Patricia Schofield, PhD, RGN and published by John Wiley & Sons. This book was released on 2007-04-04 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book will enable readers to understand the principles underpinning the management of pain which a particular emphasis upon the care of the older adult. The chapters will explore concepts that are recognised to be involved in the pain experience but each author will then add their own unique perspective by applying the principles to their specialist area of practice and the care of the older adult. It is structured to include the aims and outcomes of the chapter at the beginning so that readers can track their progress, and provides chapter outlines and further reading suggestions foir this unique topic area.

Renal Denervation

Author : Richard R. Heuser
Publisher : Springer
ISBN 13 : 1447152239
Total Pages : 203 pages
Book Rating : 4.4/5 (471 download)

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Book Synopsis Renal Denervation by : Richard R. Heuser

Download or read book Renal Denervation written by Richard R. Heuser and published by Springer. This book was released on 2014-11-11 with total page 203 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hypertension remains the leading cause of cardiovascular morbidity and mortality in spite of current medical therapies. It has been estimated that 50% of Western civilization has hypertension and approximately 20% of patients have resistant hypertension. Renal denervation (RDN) is a minimally invasive, endovascular catheter based procedure using radiofrequency ablation aimed at treating resistant hypertension. Early studies show a high degree of effectiveness in renal denervation to treat hypertension. This book examines renal pathophysiology and the rationale for renal denervation, as well as possible long term benefits and risks of this new therapy. The myriad of devices involved in the evolution of this therapy are discussed and the book concludes with analyses of the cost effectiveness and future applications.

Adherence to Long-term Therapies

Author : Eduardo Sabaté
Publisher : World Health Organization
ISBN 13 : 9789241545990
Total Pages : 232 pages
Book Rating : 4.5/5 (459 download)

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Book Synopsis Adherence to Long-term Therapies by : Eduardo Sabaté

Download or read book Adherence to Long-term Therapies written by Eduardo Sabaté and published by World Health Organization. This book was released on 2003 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report is based on an exhaustive review of the published literature on the definitions, measurements, epidemiology, economics and interventions applied to nine chronic conditions and risk factors.

Economics of Critical Care Medicine, An Issue of Critical Care Clinics

Author : Donald Chalfin
Publisher : Elsevier Health Sciences
ISBN 13 : 1455742724
Total Pages : 154 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Economics of Critical Care Medicine, An Issue of Critical Care Clinics by : Donald Chalfin

Download or read book Economics of Critical Care Medicine, An Issue of Critical Care Clinics written by Donald Chalfin and published by Elsevier Health Sciences. This book was released on 2012-01-28 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: Topics include: Why Economics Matters to Critical Care Clinicians, Overview of Health Economics: Basics Concept for Clinicians;Health Economic Methods; Costs of Critical Care Medicine; Economic Aspects of Sepsis and Severe Infections; Economic Aspects of Renal Failure and Acute Kidney Injury; Economic Aspects of Cardiovascular Disease; Economics of Mechanical Ventilation and Respiratory Failure and Comparative Effective Research and Health Care Reform.

An Essay on the Shaking Palsy

Author : James Parkinson
Publisher :
ISBN 13 :
Total Pages : 86 pages
Book Rating : 4.A/5 ( download)

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Book Synopsis An Essay on the Shaking Palsy by : James Parkinson

Download or read book An Essay on the Shaking Palsy written by James Parkinson and published by . This book was released on 1817 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Index Medicus

Author :
Publisher :
ISBN 13 :
Total Pages : 1812 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Index Medicus by :

Download or read book Index Medicus written by and published by . This book was released on 2003 with total page 1812 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.

Geriatric Emergency Medicine

Author : Joseph H. Kahn
Publisher : Cambridge University Press
ISBN 13 : 1107677645
Total Pages : 383 pages
Book Rating : 4.1/5 (76 download)

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Book Synopsis Geriatric Emergency Medicine by : Joseph H. Kahn

Download or read book Geriatric Emergency Medicine written by Joseph H. Kahn and published by Cambridge University Press. This book was released on 2014-01-16 with total page 383 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive volume provides a practical framework for evaluation, management and disposition of this growing vulnerable patient population.