Access to health care among adults evaluated for CKD: findings from the Kidney Early Evaluation Program (KEEP)Varun Agrawal
Division of Nephrology and Hypertension, Fletcher Allen Health Care, Burlington, VT 05401, USA
Am J Kidney Dis 59:S5-15. 2012
..We performed descriptive analyses using data from the National Kidney Foundation's Kidney Early Evaluation Program (KEEP), a nationwide health screening program for adults at high risk of CKD...
Renal sarcoidosis presenting as acute kidney injury with granulomatous interstitial nephritis and vasculitisVarun Agrawal
Renal Division, Department of Medicine, Baystate Medical Center, Springfield, MA, USA
Am J Kidney Dis 59:303-8. 2012
..Vasculocentric granulomatous interstitial nephritis with granulomatous vasculitis is a rare and under-recognized manifestation of renal sarcoidosis...
In-hospital outcomes with thrombolytic therapy in patients with renal dysfunction presenting with acute ischaemic strokeVarun Agrawal
Renal Division, Baystate Medical Center, Springfield MA, USA
Nephrol Dial Transplant 25:1150-7. 2010
..Its safety and efficacy have not been studied in patients with chronic kidney disease (CKD), who are known to have abnormalities in coagulation and platelet function...
Identification and management of chronic kidney disease complications by internal medicine residents: a national surveyVarun Agrawal
Department of Internal Medicine, William Beaumont Hospital, Royal Oak, MI, USA
Am J Ther 18:e40-7. 2011
..Educational efforts such as instruction on use of CKD clinical practice guidelines may help raise awareness of CKD complications, benefits of early intervention, and improve CKD management...
Anemia management with darbepoetin-alfa in outpatient hemodialysis patients switched from epoetin-alfa: a community hospital experienceVarun Agrawal
Department of Internal Medicine, William Beaumont Hospital, Royal Oak, MI 48073, USA
Am J Ther 17:469-75. 2010
..DA is as effective as EA in treating anemia in hemodialysis outpatients. Dose requirement of DA is greater than 200:1 of the amount of EA and may not translate into cost savings...
Questionnaire instrument to assess knowledge of chronic kidney disease clinical practice guidelines among internal medicine residentsVarun Agrawal
Department of Internal Medicine, William Beaumont Hospital, Royal Oak, MI 48073, USA
J Eval Clin Pract 15:733-8. 2009
..It is not known whether postgraduate training adequately prepares a future internist in CKD management...
Albuminuria and renal function in obese adults evaluated for obstructive sleep apneaVarun Agrawal
Division of Cardiology, Department of Internal Medicine, William Beaumont Hospital, Royal Oak, MI 48073, USA
Nephron Clin Pract 113:c140-7. 2009
..Obstructive sleep apnea (OSA) is associated with hypertension, obesity and metabolic syndrome that are risk factors for cardiovascular and chronic kidney disease. Few data are available regarding renal parameters in patients with OSA...
Impact of treating the metabolic syndrome on chronic kidney diseaseVarun Agrawal
Department of Internal Medicine, William Beaumont Hospital, Royal Oak, MI 48073, USA
Nat Rev Nephrol 5:520-8. 2009
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Contrast-induced acute kidney injury in renal transplant recipients after cardiac catheterizationV Agrawal
Department of Internal Medicine, William Beaumont Hospital, Royal Oak, MI, USA
Clin Nephrol 71:687-96. 2009
..747 (1.101 - yen); p = 0.0381). Contrast-induced AKI was common in RTX recipients after cardiac catheterization. Iso-osmolar contrast was associated with a lower risk of contrast-induced AKI in comparison with low-osmolar contrast...
Cardiovascular implications of proteinuria: an indicator of chronic kidney diseaseVarun Agrawal
Department of Internal Medicine, William Beaumont Hospital, 3601 West 13 Mile Road, Royal Oak, MI 48073, USA
Nat Rev Cardiol 6:301-11. 2009
..Future clinical studies are needed to assess if proteinuria reduction should be a target of treatment to reduce the burden of end-stage renal disease, cardiovascular disease, and improve survival in this high-risk population...
Perception of indications for nephrology referral among internal medicine residents: a national online surveyVarun Agrawal
Department of Internal Medicine, William Beaumont Hospital, 3601 West 13 Mile Road, Royal Oak, MI 48073, USA
Clin J Am Soc Nephrol 4:323-8. 2009
..Late referral to a nephrologist may lead to suboptimal pre-end stage renal disease care and greater mortality. It is not known whether current postgraduate training adequately prepares a future internist in this aspect of CKD management...
Awareness and knowledge of clinical practice guidelines for CKD among internal medicine residents: a national online surveyVarun Agrawal
Department of Internal Medicine, William Beaumont Hospital, Royal Oak, MI 48073, USA
Am J Kidney Dis 52:1061-9. 2008
..It is not known whether current postgraduate training adequately prepares a future internist in CKD management...
Relation between degree of weight loss after bariatric surgery and reduction in albuminuria and C-reactive proteinVarun Agrawal
Department of Medicine, William Beaumont Hospital, Royal Oak, Michigan 48073, USA
Surg Obes Relat Dis 5:20-6. 2009
..We investigated, at a weight control center in a community hospital setting, the relation between degree of surgical weight loss and reduction in the cardiovascular risk markers, albuminuria and hs-CRP...
The effect of weight loss after bariatric surgery on albuminuriaV Agrawal
Department of Internal Medicine, William Beaumont Hospital, Royal Oak, MI 48073, USA
Clin Nephrol 70:194-202. 2008
..Bariatric surgery achieves long-term weight loss in obese adults with improvement of diabetes and hypertension. Little is known about the effect of this weight loss on renal parameters...
Concomitant thrombotic thrombocytopenic purpura and ANCA-associated vasculitis in an adolescentVarun Agrawal
Renal Division, Department of Internal Medicine, Baystate Medical Center, 759 Chestnut Street, Springfield, MA 01199, USA
Pediatr Nephrol 26:1317-20. 2011
..0 mg%). Our case highlights the importance of identifying systemic disorders such as ANCA-associated vasculitis with TTP...
Cardiorespiratory fitness and obstructive sleep apnea syndrome in morbidly obese patientsThomas E Vanhecke
Division of Cardiology, Department of Internal Medicine, William Beaumont Hospital, 3601 W 13 Mile Road, Royal Oak, MI 48073, USA
Chest 134:539-45. 2008
..Conflicting data exist regarding the effects of obstructive sleep apnea syndrome (OSAS) on cardiorespiratory fitness in morbidly obese individuals with normal resting left ventricular function...
Amplification of atherosclerotic calcification and Mönckeberg's sclerosis: a spectrum of the same disease processPeter A McCullough
Department of Medicine, Divisions of Cardiology, William Beaumont Hospital, Royal Oak, MI 48073, USA
Adv Chronic Kidney Dis 15:396-412. 2008
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Accelerated atherosclerotic calcification and Monckeberg's sclerosis: a continuum of advanced vascular pathology in chronic kidney diseasePeter A McCullough
Division of Nutrition and Preventive Medicine, William Beaumont Hospital, 4949 Coolidge, Royal Oak, MI 48073, USA
Clin J Am Soc Nephrol 3:1585-98. 2008
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Review article: Risks of coronary artery calcification in chronic kidney disease: do the same rules apply?Peter A McCullough
Department of Medicine, Division of Cardiology, William Beaumont Hospital, 4949 Coolidge, Royal Oak, MI 48073, USA
Nephrology (Carlton) 14:428-36. 2009
..This paper will review the differences between the CKD and general population with respect to vascular calcification and the observed natural history in observational and interventional studies...