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Clinical Reviews: Amir Said Alizadeh Naderi and Robert F. Reilly Primary Care Approach to Proteinuria J Am Board Fam Med 2008; 21: 569-574 [Abstract] [Full text] [PDF]

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Publishing ologist propaganda

Brian Crownover   (12 November 2008)

Publishing ologist propaganda 12 November 2008
Brian Crownover, Program Director FMR Nellis AFB Send response to journal: Re: Publishing ologist propaganda bkcrown{at}hotmail.com Brian Crownover	While I appeciate expert advice on managing selected conditions, overt derogatory manuscripts do not merit publication in mainline journals like JABFM. The nephrologist author titles this review "Primary Care Approach to Proteinuria"; do primary care physicians need a different (less sophisticated) approach to evaluating proteinuria than nephrologists? Despite the title I would not have given it much attention, except I read the clinical algorithm in Figure 1. It recommends primary care physicians refer ALL cases of proteinuria in patients > 30 years age to Nephrology, as if the only etiology of proteinuria we can investigate is orthostatic proteinuria. Family physicians are better served to reference the NKF/DOQI guidelines directly (http://www.kidney.org/professionals/kdoqi/guidelines_ckd/p5_lab_g5.htm) or other reviews written by family physicians (http://www.aafp.org/afp/20000915/1333.html).