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Associate Consultant
Department of Medicine and Therapeutics
Chinese University of Hong Kong
Prince of Wales Hospital
Hong Kong, China

Steven G. Coca, DO
Assistant Professor of Medicine
Yale University School of Medicine
New Haven, Connecticut

Fredric L. Coe, MD
Professor of Medicine
University of Chicago Pritzker School of Medicine
Chicago, Illinois

Rosie M. Connor, MPH

Medical Sciences Institute
Charles R. Drew University
Los Angeles, California

Jonathan C. Craig, MD, PhD

Professor of Clinical Epidemiology
School of Public Health
University of Sydney,
Centre for Kidney Research
Children’s Hospital at Westmead
Sydney, Australia

John T. Daugirdas, MD
Clinical Professor of Medicine
University of Illinois at Chicago
Chicago, Illinois

Jeroen K. J. Deegens, MD, PhD

Assistant Professor of Nephrology
Radboud University Nijmegen Medical Center
Nijmegen, The Netherlands

Christopher deFilippi, MD
Associate Professor of Medicine

8
University of Maryland School of Medicine
Baltimore, Maryland

Stephanie S. DeLoach, MD
Assistant Professor of Medicine
Thomas Jefferson University
Philadelphia, Pennsylvania

Aneet Deo, MD, MS

Fellow in Nephrology
Tufts Medical Center
Boston, Massachusetts

Michelle M. Estrella, MD, MHS

Assistant Professor of Medicine
Johns Hopkins University School of Medicine
Baltimore, Maryland

Derek M. Fine, MD
Associate Professor of Medicine
Johns Hopkins University School of Medicine
Baltimore, Maryland

Denis Fouque, MD, PhD

Professor of Medicine
University Claude Bernard
Hôpital Edouard Herriot
Lyon, France

Allon N. Friedman, MD
Assistant Professor of Medicine
University of Indiana School of Medicine
Indianapolis, Indiana

Krishna Kishhore Gaddam, MD

Cardiology Fellow
Alton Ochsner Heart and Vascular Institute
New Orleans, Louisiana

Diego L. Garcia, MD
Assistant Professor of Medicine

9
La Fundación Universitaria de Ciencias de la Salud
Scientific Coordinator
Fresenius Medical Care Colombia
Bogotá, Colombia

Carolina C. Gonzaga, MD
Research Fellow
Vascular Biology and Hypertension Program
University of Alabama at Birmingham
Birmingham, Alabama

Jane H. Greene, RD, CSR, LDN

Renal Dietitian and CKD Education Coordinator
Vanderbilt University Medical Center
Nashville, Tennessee

Lisa Gutekunst, MSEd, RD, CSR, CDN

Renal Dietitian
Cleve-Hill Dialysis
Buffalo, New York

Allison J. Hahr, MD
Assistant Professor of Medicine
Northwestern University Feinberg School of Medicine
Chicago, Illinois

Brenda R. Hemmelgam, MD
Associate Professor of Medicine and Community Health Services
University of Calgary
Calgary, Alberta, Canada

Jean L. Holley, MD
Clinical Professor of Medicine
University of Illinois, Urbana-Champaign
Carle Physician Group
Urbana, Illinois

Susan Hou, MD
Professor of Medicine
Medical Director, Renal Transplant Program
Loyola University School of Medicine

10
Maywood, Illinois

T. Alp Ikizler, MD
Professor of Medicine
Vanderbilt University School of Medicine
Nashville, Tennessee

Ashley B. Irish, MBBS, FRACP

Physician, Department of Nephrology and Transplantation
Royal Perth Hospital
Perth, Western Australia

James L. Januzzi, MD
Associate Professor of Medicine
Massachusetts General Hospital
Boston, Massachusetts

David W. Johnson, MBBS, FRACP, PhD

Professor of Medicine and Professor of Population Health
University of Queensland
Brisbane, Queensland, Australia

Richard J. Johnson, MD
Professor of Medicine
University of Colorado Denver
Aurora, Colorado

Laurent Juillard, MD, PhD

Professor of Medicine
University Claude Bernard
Nephrologist
Hôpital Edouard Herriot
Lyon, France

Rigas Kalaitzidis, MD
Senior Lecturer
University of Ioannina
Ioannina, Greece

Gregory D. Krol, MD
Division Head, Internal Medicine

11
Sterling Heights Medical Center
Sterling Heights, Michigan

Richard S. Kuk, MD
Fellow in Cardiology
Department of Medicine
University of Maryland Medical Center,
Baltimore, Maryland

Warren Kupin, MD
Professor of Medicine
Division of Nephrology and Hypertension
University of Miami Miller School of Medicine
Miami, Florida

Adrianne Lebner
Medical Student
Schulich School of Medicine and Dentistry
University of Western Ontario
London, Ontario, Canada

Philip Kam-tao Li, MD, FRCP

Chief of Nephrology and Consultant Physician
Honorary Professor of Medicine
Chinese University of Hong Kong
Prince of Wales Hospital
Hong Kong, China

Iain C. MacDougall, MD
Consultant Nephrologist
King’s College Hospital
London, United Kingdom

Mark S. MacGregor, MB, ChB, FRCP(Glas)

Consultant Nephrologist
Clinical Director
NHS Ayrshire and Arran
Kilmarnock, Scotland

Timothy H. Mathew, MBBS, FRACP

Medical Director

12
Kidney Health Australia
Adelaide, Australia

David C. Mendelssohn, MD
Professor of Medicine
University of Toronto
Humber River Regional Hospital
Weston, Ontario, Canada

Shona Methven, Bsc (Med Sci) (Hons), MBChB

Honorary Research Fellow
University of Glasgow School of Medicine
Glasgow, Scotland, United Kingdom

Edgar R. Miller, III, MD, PhD

Associate Professor of Medicine and Epidemiology
Welch Center for Prevention, Epidemiology, and Clinical Research
Johns Hopkins Medical Institutions
Baltimore, Maryland

Emile R. Mohler, III, MD

Associate Professor of Medicine
Cardiovascular Division, Section of Vascular Medicine
University of Pennsylvania School of Medicine
Philadelphia, Pennsylvania

Mark E. Molitch, MD
Professor of Medicine
Northwestern University Feinberg School of Medicine
Chicago, Illinois

Andrew S. Narva, MD
Director, National Kidney Disease Education Program
National Institute of Diabetes and Digestive and Kidney Diseases
National Institutes of Health
Bethesda, Maryland

Keith C. Norris, MD
Professor of Medicine
Charles R. Drew University
Lynwood, California

13
Ann M. O’Hare, MD
Associate Professor of Medicine
University of Washington
Staff Physician, VA Puget Sound Healthcare System
Seattle, Washington

Ali J. Olyaei, PharmD

Professor of Medicine and Pharmacology
Division of Nephrology and Hypertension
Oregon Health and Sciences University
Portland, Oregon

Mark A. Perazella, MD
Professor of Medicine
Yale University School of Medicine
New Haven, Connecticut

Kalyani Perumal, MD
Assistant Professor of Nephrology
University of Illinois at Chicago
Chicago, Illinois

Phuong-Chi T. Pham, MD
Associate Professor of Clinical Medicine
David Geffen School of Medicine at University of California at Los
Angeles
Los Angeles, California

Phuong-Thu T. Pham, MD
Associate Professor of Medicine
David Geffen School of Medicine at University of California at Los
Angeles
Los Angeles, California

Kavitha Potluri, MD
Fellow in Nephrology
Loyola University Medical Center
Maywood, Illinois

Gregory Roberti, PharmD

Pharmacist

14
Portland, Oregon

Mark Sarnak, MD, MS

Professor of Medicine
Clinical Director of Research, Division of Nephrology
Tufts University School of Medicine
Boston, Massachusetts

Franz Schaefer, MD
Professor of Pediatrics
Head, Division of Pediatric Nephrology
Director, KfH Kidney Center for Children and Adolescents
Center for Pediatric and Adolescent Medicine Heidelberg
Heidelberg, Germany

Mohamed Shafiu, MD, MBBS

Nephrologist
Renal Associates, P.A.
Del Rio and San Antonio, Texas

Sandeep S. Soman, MD
Division of Nephrology and Hypertension
Henry Ford Health System
Detroit, Michigan

James E. Tattersall, MD
Department of Renal Medicine
St. James’s University Hospital
Leeds, United Kingdom

Allison Tong, PhD

Research Fellow
School of Public Health
University of Sydney,
Centre for Kidney Research
Children's Hospital at Westmead
Sydney, Australia

Agnes Trautmann, MD
Division for Pediatric Nephrology
Center for Pediatric and Adolescent Medicine Heidelberg

15
Heidelberg, Germany

Sharon Turban, MD, MHS

Assistant Professor of Medicine
Johns Hopkins University School of Medicine
Baltimore, Maryland

Katrin Uhlig, MD, MS

Associate Professor of Medicine
Tufts School of Medicine
Boston, Massachusetts

Jaime Uribarri, MD
Professor of Medicine
Mount Sinai School of Medicine
New York, New York

Roland R. J. van Kimmenade, MD, PhD

Department of Cardiology
University Hospital Maastricht
Maastricht, The Netherlands

Gerald F. Watts, DSc, MD, PhD, FRACP, FRCP

Professor of Medicine
University of Western Australia School of Medicine and Pharmacology,
Metabolic Research Center
Royal Perth Hospital
Perth, Western Australia

Jack F. M. Wetzels, MD, PhD

Professor of Nephrology
Radboud University Nijmegen Medical Center
Nijmegen, The Netherlands

Alan H. Wilkinson, MD
Professor of Medicine
Medical Director, Kidney and Pancreas Transplantation
University of California at Los Angeles
Los Angeles, California

Elaine M. Worcester, MD

16
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Professor of Medicine
University of Chicago Pritzker School of Medicine
Chicago, Illinois

Jerry Yee, MD
Professor of Medicine
Chief, Department of Nephrology and Hypertension
Henry Ford Hospital
Detroit, Michigan

Anna L. Zisman, MD
Instructor of Medicine
University of Chicago Pritzker School of Medicine
Chicago, Illinois

17
 PREFACE

Over the past 10 years, there has been a sea change in emphasis in the field
of kidney disease, from a focus on management of kidney failure with
dialysis or transplantation to identification of early kidney disease with the
goal of increasing survivability by mitigating cardiovascular risk as well as
slowing the rate of chronic kidney disease (CKD) progression. So the time
was propitious to put together this Handbook of Chronic Kidney Disease
Management that emphasizes care of nondialysis CKD patients in stages
1–5.
It was an enormous privilege and an intellectual feast to interact with the
eminent contributors to this Handbook who somehow managed to find
time in their busy schedules to distill for us their knowledge and expertise
regarding all aspects of diagnosing, treating, and preventing progression of
CKD. It was our goal to develop a book that would be useful across the
world, and special effort was made to recruit authors from various parts of
the globe to better reflect the range of practices and problems encountered
in different countries. Strict attention was paid to referencing not only U.S.
guidelines, but also those in the United Kingdom, Europe, Canada, and
Australia, and to express laboratory values using both metric and SI units.
In the course of 44 chapters, I believe that the goals of describing most
aspects of CKD management have been largely achieved. This Handbook
is intended not only for nephrologists, but also for the broad range of
health care practitioners—internists, generalists including nurse
practitioners and physician assistants, cardiologists, and endocrinologists
—who care for early-stage CKD patients. I would like to express my deep
and heartfelt thanks to the many chapter authors who worked so hard to
make this book possible. The thoughtful advice and helpful comments of
Dr. Sheldon Hirsch are gratefully acknowledged. In addition, I would like
to express special thanks to Robert Abajyan for his wonderful cover art.
John T. Daugirdas, MD
Chicago, Illinois

18
CONTENTS

Contributors

Preface
1 Assessing Kidney Function
Mark S. MacGregor and Shona Methven
2 The Global Epidemic of Obesity, Diabetes,
Hypertension, and Chronic Kidney Disease
Pablo J. Aschner and Diego L. García
3 Epidemiology of Chronic Kidney Disease in the United
States
Andrew Narva
4 Screening and Management: Overview
David W. Johnson
5 Smoking, Substance Abuse, and Environmental Hazards
Rosie M. Connor and Keith C. Norris
6 Visceral Adiposity and Controlling Body Weight
through Diet and Exercise
Cheryl A. M. Anderson
7 Sodium and Potassium Intake
Sharon Turban and Edgar R. Miller III
8 Restricting Dietary Sodium and Potassium Intake: A
Dietitian’s Perspective
Jane H. Greene
9 Protein Intake
Denis Fouque and Laurent Juillard
10 Mineral and Bone Disorders
Steven Cheng

19
11 Restricting Protein and Phosphorus: A Dietitian’s
Perspective
Lisa Gutekunst
12 Uric Acid, Fructose, and the Kidney
Mohamed Shafiu and Richard J. Johnson
13 Advanced Glycation End Products
Jaime Uribarri
14 Vitamins, Trace Minerals, and Alternative Medicine
Supplements
T. Alp Ikizler and Allon Friedman
15 Acid-Base Status
Kalyani Perumal and Pushkar Argekar
16 Dyslipidemia
Doris T. Chan, Ashley B. Irish, and Gerald F. Watts
17 Glucose Control in Diabetes Mellitus and Kidney
Disease
Allison J. Hahr and Mark E. Molitch
18 Optimizing Blood Pressure and Reducing Proteinuria
Rigas Kalaitzidis and George L. Bakris
19 Renovascular Disease
Vincent J. Canzanello
20 Resistant Hypertension
Krishna K. Gaddam, Carolina C. Gonzaga, and
David A. Calhoun
21 Peripheral Arterial and Cerebrovascular Disease
Stephanie S. DeLoach and Emile R. Mohler III
22 Diagnosis and Management of Acute Coronary
Syndromes
Richard Kuk and Christopher deFilippi
23 Heart Failure
Roland R. J. van Kimmenade and James L. Januzzi
Jr
24 Hematuria Investigation and Management
20
 Timothy Mathew
25 Nephrotic Range Proteinuria
Jeroen K. J. Deegens and Jack F. M. Wetzels
26 Anemia
Iain C. Macdougall
27 Renal Aspects of Alcoholic Liver Disease and Viral
Hepatitis
Phuong-Chi T. Pham, Phuong-Thu T. Pham, and
Alan H. Wilkinson
28 Use of Iodinated and Gadolinium-containing Contrast
Media
Steven G. Coca and Mark A. Perazella
29 Drug Dosing in Chronic Kidney Disease
Ali J. Olyaei and Gregory Roberti
30 Chronic Kidney Disease in Children
Agnes Trautmann and Franz Schaefer
31 Pregnancy in Chronic Kidney Disease
Kavitha Potluri and Susan Hou
32 Management of Chronic Kidney Disease in the Elderly
Ann M. O’Hare and Brenda R. Hemmelgarn
33 Chronic Kidney Disease in Asia
Philip Kam-tao Li and Kai Ming Chow
34 Evaluation and Management of Stone Disease
Anna L. Zisman, Elaine M. Worcester, and Fredric
L. Coe
35 Hereditary Polycystic Disease
William M. Bennett
36 HIV Infection
Derek M. Fine, Michelle M. Estrella, and Mohamed
G. Atta
37 Pre-emptive Kidney Transplantation
Warren Kupin

21
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 1676. Seegefecht bei Bornholm.
1683. Gründung von Groß-
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8. Juni Beschluß der National-
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