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Here's the latest review of Acute Renal Failure:

Acute renal failure: definitions, diagnosis, pathogenesis, and therapy

Robert W. Schrier, Wei Wang, Brian Poole and Amit Mitra

J. Clin. Invest. 114:5-14 (2004). doi:10.1172/JCI200422353.

http://www.jci.org/cgi/content/full/114/1/5

Anyone interested in extracting the good info from this review ? -- PFHLai 19:26, 2004 Jul 2 (UTC)

Hey, you noticed it as well! The historical stuff is very nice. The material about pathogenesis still needs to be worked into this article. JFW | T@lk 21:47, 27 July 2005 (UTC)

Contents 1 Lancet 2 Edits 3 Merging Renal shutdown 4 pre-renal, renal, post-renal -- ARF & CRF 5 RRT in ARF 6 Acute Kidney Disease 7 What and how to RRT

Lancet

When I get the time, I will cite more from the Lancet review. It doesn't really matter if it's free or not - it is the best review I've read on ARF for years. JFW | T@lk 06:47, 28 July 2005 (UTC)

Contrary to your claim, it does matter. The article I found had exactly the same information.

Since Wikipedia is a free-for-all in terms of who can edit it-- I think references that are available to the general public are a huge bonus, as checking a fact is just a click or two. Also, citing open journals is a small way to encourage more journals to open up. Biomed central has gone open. The CMAJ (which is #5, after JAMA, N Engl J Med, Lancet & BMJ) is totally open-- no registration & no sign-in. BMJ was open... but decided to close-up again.

I don't think one should compromise quality for politics; so, by all means use the Lancet article. That said, I think you should keep an eye open for free... information wants to be free.

Have you taken a look at emedicine? eMedicine - Renal Failure, Acute : Article by Richard Sinert, DO (from Jan) eMedicine - Acute Renal Failure : Article by Mahendra Agraharkar MD (from April) eMedicine is free, peer-review and, I think you'll agree, fairly good. Also, the format of all the emedicine articles is pretty much standard, which makes 'em easy to read if you've seen a few of 'em. Nephron

Nephron, you are free to include whatever you like. When I work on clinical articles I usually go by one good systematic review. Whether that is free-access or not is immaterial. If you want to ditch the Lameire review in favour of a free resource I will not stop you. The Schrier review is free, and covers pretty much everything as well. JFW | T@lk 18:57, 28 July 2005 (UTC)

Edits

I've made some minor changes, about renal biopsy-which is often performed for ARF in renal units (rather than on ITU) I've added acute GN to the intra-renal causes, and removed hyperparathyroidism for a cause of ARF (which is preposterously obscure),I've also removed the partial list of specific blood tests, which vary from place to place and are irrelevant in terms of the content of the article.Felix-felix 17:39, 15 January 2006 (UTC)

Some blood tests should be mentioned. JFW | T@lk 13:25, 16 January 2006 (UTC)

Merging Renal shutdown

I think the two ought to be merged. Renal shutdown is used in the medical literature.[1][2][3] As far as I know it is the same thing as acute renal failure, (see [4]) which is used much more frequently. Ergo Merge Renal shutdown into Acute renal failure. Nephron  T|C 02:12, 12 June 2006 (UTC)

• Agree - David Ruben ^Talk 03:07, 12 June 2006 (UTC)
• Agree. Is a lay term for the former. JFW | T@lk 07:21, 12 June 2006 (UTC)
• Agree - Nmg20 17:45, 13 June 2006 (UTC)
• Agreed 'Renal shutdown' is silliness...Felix-felix 16:15, 19 June 2006 (UTC)
• Agree RainbowCrane 06:03, 2 August 2006 (UTC)

pre-renal, renal, post-renal -- ARF & CRF

I think the pre-renal, renal, post-renal subdivision is not that useful in CRF. Also, a discussion of how to diagnose/categorize CRF is not relevant to the article. Nephron  T|C 15:57, 16 September 2007 (UTC)

RRT in ARF

http://jama.ama-assn.org/cgi/content/abstract/299/7/793

The conclusions from this review are basically that filtration and dialysis are equally effective as long as CVVHF is provided at reasonable rates. But trial data is not great. JFW | T@lk 16:10, 24 February 2008 (UTC)

Acute Kidney Disease

I would be in favor of rewriting using the term Acute Kidney Disease. The severity of the disease depends on GFR, etc. only Acute Kidney Disease Stage 5 is Acute Renal Failure. If someone presents (poisoning) with a GFR of 40 they would have Acute Kidney Disease Stage 3. Acute Renal failure is sometimes used in that situation but it is not entirely accurate. BillpSea (talk) 05:03, 18 March 2008 (UTC)

Do you have a source for this classification? If anything is hard, it is measuring the GFR in someone with sudden fluid shifts and oliguria/anuria. The RIFLE criteria seem to have a much wider support base. JFW | T@lk 12:49, 24 March 2008 (UTC)

What and how to RRT

A systematic review on RRT modalities: http://jama.ama-assn.org/cgi/content/abstract/299/7/793?etoc

It turns out the evidence is limited. JFW | T@lk 12:49, 24 March 2008 (UTC)

In AKI in acutely ill patients, intensive RRT doesn't make much difference compared to less-intensive RRT. doi:10.1056/NEJMoa0802639 JFW | T@lk 05:39, 25 May 2008 (UTC)

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