Why physicians don't use physical examinations anymore?
Wien Klin Wochenschr. 2023 Sep 29. doi: 10.1007/s00508-023-02289-y. Online ahead of print.NO ABSTRACTPMID:37773540 | DOI:10.1007/s00508-023-02289-y (Source: Wiener Klinische Wochenschrift)
Source: Wiener Klinische Wochenschrift - September 29, 2023 Category: General Medicine Authors: Volodymyr Berezutskyi Source Type: research
ELIMINATE: a PCR record-based macroelimination project for systematic recall of HCV-RNA-positive persons in Austria
CONCLUSION: This ELIMINATE project based on systematic assessment of HCV-RNA PCR-records, identified 6006 persons with potential persisting HCV viremia. Invalid contact data and missed visits for treatment evaluation were the main barriers towards HCV elimination within this project. Importantly, many subjects with HCV viremia lost to follow-up were successfully linked to care and started antiviral treatment.PMID:37773541 | DOI:10.1007/s00508-023-02275-4 (Source: Wiener Klinische Wochenschrift)
Source: Wiener Klinische Wochenschrift - September 29, 2023 Category: General Medicine Authors: Caroline Schwarz David Bauer Livia Dorn Mathias Jachs Lukas Hartl David Chromy Lukas Weseslindtner Nikolaus Pfisterer Barbara Hennlich Annika St ückler Robert Strassl Astrid Voill-Glaninger Wolfgang H übl Martin Willheim Karin K öhrer Sonja Jansen-Skou Source Type: research
Publisher Correction to: "Goodbye to a great clinician, scientist and role model: Winfried Graninger (1956-2023)" and "MUW researcher of the month"
Wien Klin Wochenschr. 2023 Sep 29. doi: 10.1007/s00508-023-02274-5. Online ahead of print.NO ABSTRACTPMID:37773542 | DOI:10.1007/s00508-023-02274-5 (Source: Wiener Klinische Wochenschrift)
Source: Wiener Klinische Wochenschrift - September 29, 2023 Category: General Medicine Source Type: research
Why physicians don't use physical examinations anymore?
Wien Klin Wochenschr. 2023 Sep 29. doi: 10.1007/s00508-023-02289-y. Online ahead of print.NO ABSTRACTPMID:37773540 | DOI:10.1007/s00508-023-02289-y (Source: Wiener Klinische Wochenschrift)
Source: Wiener Klinische Wochenschrift - September 29, 2023 Category: General Medicine Authors: Volodymyr Berezutskyi Source Type: research
ELIMINATE: a PCR record-based macroelimination project for systematic recall of HCV-RNA-positive persons in Austria
CONCLUSION: This ELIMINATE project based on systematic assessment of HCV-RNA PCR-records, identified 6006 persons with potential persisting HCV viremia. Invalid contact data and missed visits for treatment evaluation were the main barriers towards HCV elimination within this project. Importantly, many subjects with HCV viremia lost to follow-up were successfully linked to care and started antiviral treatment.PMID:37773541 | DOI:10.1007/s00508-023-02275-4 (Source: Wiener Klinische Wochenschrift)
Source: Wiener Klinische Wochenschrift - September 29, 2023 Category: General Medicine Authors: Caroline Schwarz David Bauer Livia Dorn Mathias Jachs Lukas Hartl David Chromy Lukas Weseslindtner Nikolaus Pfisterer Barbara Hennlich Annika St ückler Robert Strassl Astrid Voill-Glaninger Wolfgang H übl Martin Willheim Karin K öhrer Sonja Jansen-Skou Source Type: research
Publisher Correction to: "Goodbye to a great clinician, scientist and role model: Winfried Graninger (1956-2023)" and "MUW researcher of the month"
Wien Klin Wochenschr. 2023 Sep 29. doi: 10.1007/s00508-023-02274-5. Online ahead of print.NO ABSTRACTPMID:37773542 | DOI:10.1007/s00508-023-02274-5 (Source: Wiener Klinische Wochenschrift)
Source: Wiener Klinische Wochenschrift - September 29, 2023 Category: General Medicine Source Type: research
Consensus recommendations for the diagnosis and therapy of glomerulonephritides of the Austrian Society of Nephrology ( ÖGN) - 2023
Wien Klin Wochenschr. 2023 Aug;135(Suppl 5):619-620. doi: 10.1007/s00508-023-02259-4. Epub 2023 Sep 20.NO ABSTRACTPMID:37728646 | DOI:10.1007/s00508-023-02259-4 (Source: Wiener Klinische Wochenschrift)
Source: Wiener Klinische Wochenschrift - September 20, 2023 Category: General Medicine Authors: Andreas Kronbichler Marcus D S äemann Source Type: research
Diagnosis and Treatment of IgA Nephropathy-2023
Wien Klin Wochenschr. 2023 Aug;135(Suppl 5):621-627. doi: 10.1007/s00508-023-02257-6. Epub 2023 Sep 20.ABSTRACTImmunoglobulin A nephropathy (IgAN) is the most common glomerulonephritis. It leads to end-stage kidney disease in about a third of the patients within 10 to 20 years. The pathogenesis of IgAN is incompletely understood. It is believed that a dysregulation of the mucosal immune system leads to undergalactosylation of IgA, followed by formation of IgG autoantibodies against undergalactosylated IgA, circulation of these IgG-IgA immune complexes, deposition of the immune complexes in the mesangium, ultimately resulti...
Source: Wiener Klinische Wochenschrift - September 20, 2023 Category: General Medicine Authors: Judith Schimpf Andreas Kronbichler Martin Windpessl Emanuel Zitt Kathrin Eller Marcus D S äemann Karl Lhotta Michael Rudnicki Source Type: research
Diagnosis and treatment of Minimal Change Disease in adults-2023
Wien Klin Wochenschr. 2023 Aug;135(Suppl 5):628-637. doi: 10.1007/s00508-023-02258-5. Epub 2023 Sep 20.ABSTRACTMinimal change disease is a glomerulopathy that clinically manifests as acute onset nephrotic syndrome. A diagnosis is made by renal biopsy, implying the absence of glomerular lesions on light microscopy but detection of extensive podocyte foot process effacement on electron miscroscopy. Considering the typically excellent response to immunosuppressive measures (especially to glucocorticoids), an autoimmune pathogenesis is assumed. Although general prognosis is overall beneficial, steroid-dependent, steroid-resist...
Source: Wiener Klinische Wochenschrift - September 20, 2023 Category: General Medicine Authors: Philipp Gauckler Heinz Regele Kathrin Eller Marcus D S äemann Karl Lhotta Emanuel Zitt Irmgard Neumann Michael Rudnicki Balazs Odler Andreas Kronbichler Martin Windpessl Source Type: research
Diagnosis and treatment of focal-segmental glomerulosclerosis-2023
Wien Klin Wochenschr. 2023 Aug;135(Suppl 5):638-647. doi: 10.1007/s00508-023-02260-x. Epub 2023 Sep 20.ABSTRACTThe histopathological term focal-segmental glomerulosclerosis comprises different pathogenic processes with the unifying features of a high proteinuria and the name-giving glomerular lesion pattern seen on light microscopy. A differentiation according to the underlying cause into primary, secondary and genetic forms is therefore of utmost importance. The pathogenesis of primary focal-segmental glomerulosclerosis remains unknown but, like minimal-change disease, an autoimmune-mediated process leading to podocyte da...
Source: Wiener Klinische Wochenschrift - September 20, 2023 Category: General Medicine Authors: Philipp Gauckler Emanuel Zitt Heinz Regele Kathrin Eller Marcus D S äemann Karl Lhotta Irmgard Neumann Michael Rudnicki Balazs Odler Andreas Kronbichler Johannes Zschocke Martin Windpessl Source Type: research
Diagnosis and therapy of membranous nephropathy-2023
Wien Klin Wochenschr. 2023 Aug;135(Suppl 5):648-655. doi: 10.1007/s00508-023-02261-w. Epub 2023 Sep 20.ABSTRACTMembranous nephropathy (MN) is an immune-complex glomerulonephritis and is one of the most common causes of nephrotic syndrome in adults and is also one of the autoimmune kidney diseases with the highest rate of spontaneous remission. The most common autoantigen (> 70% of cases) is directed against the phospholipase A2 receptor (PLA2-R) and, with its detection and clinical course, allows for excellent diagnostics as well as optimal therapy monitoring. Other autoantigens are constantly being published and will e...
Source: Wiener Klinische Wochenschrift - September 20, 2023 Category: General Medicine Authors: Marcus D S äemann Balazs Odler Martin Windpessl Heinz Regele Kathrin Eller Irmgard Neumann Michael Rudnicki Philipp Gauckler Andreas Kronbichler Maarten Knechtelsdorfer Source Type: research
Diagnosis and therapy of granulomatosis with polyangiitis and microscopic polyangiitis-2023: consensus of the Austrian society of nephrology ( ÖGN) and Austrian society of rheumatology (ÖGR)
Wien Klin Wochenschr. 2023 Aug;135(Suppl 5):656-674. doi: 10.1007/s00508-023-02262-9. Epub 2023 Sep 20.ABSTRACTANCA-associated vasculitides (AAV) are rare, complex systemic diseases that are often difficult to diagnose, because of unspecific clinical symptoms at presentation. However, the clinical course may be very dramatic and even life-threatening, necessitating prompt diagnosis and treatment.Therefore, it is important to increase disease awareness among physicians and support colleagues who are not confronted with these rare diseases on a regular basis. Here, the Austrian Society of Nephrology (ÖGN) and the Austrian S...
Source: Wiener Klinische Wochenschrift - September 20, 2023 Category: General Medicine Authors: Balazs Odler Martin Windpessl Kathrin Eller Marcus D S äemann Karl Lhotta Irmgard Neumann Gregor Öberseder Christina Duftner Christian Dejaco Michael Rudnicki Philipp Gauckler Rainer Hintenberger Jochen Zwerina Jens Thiel Andreas Kronbichler Source Type: research
Diagnostic and therapy of lupus nephritis - 2023
Wien Klin Wochenschr. 2023 Aug;135(Suppl 5):675-687. doi: 10.1007/s00508-023-02263-8. Epub 2023 Sep 20.ABSTRACTThe manuscript summarizes the consensus of the Austrian Society of Nephrology on the diagnosis and therapy of lupusnephritis, which is built on existing studies and literature. We discuss in detail the immunosuppressive treatment in proliferative forms of lupusnephritis (III and IV ± V) and in pure lupusnephritis V with nephrotic-range proteinuria. Furthermore, the supportive medication in lupusnephritis is summarized in the consensus. The figures were designed to provide the reader a guidance through the therape...
Source: Wiener Klinische Wochenschrift - September 20, 2023 Category: General Medicine Authors: Balazs Odler Marion J Pollheimer Andreas Kronbichler Marcus D S äemann Martin Windpessl Philipp Gauckler Michael Rudnicki Emanuel Zitt Irmgard Neumann Karl Lhotta Kathrin Eller Source Type: research
Diagnosis and treatment of glomerular diseases with a membranoproliferative glomerulonephritis (MPGN) pattern of injury
Wien Klin Wochenschr. 2023 Aug;135(Suppl 5):688-695. doi: 10.1007/s00508-023-02264-7. Epub 2023 Sep 20.ABSTRACTMembranoproliferative glomerulonephritis (MPGN) represents a heterogeneous group of diseases. The common feature of a membranoproliferative lesion pattern in the kidney biopsy can either be idiopathic/primary or-much more frequently-have a secondary cause. The historical classification into MPGN types I to III has largely been abandoned and replaced in recent years by a pathogenesis-oriented classification. A MPGN with C1q, C3 and/or C4 deposits on light microscopy is referred to as immune complex GN (IC-GN), whil...
Source: Wiener Klinische Wochenschrift - September 20, 2023 Category: General Medicine Authors: Michael Rudnicki Martin Windpessl Kathrin Eller Balazs Odler Philipp Gauckler Irmgard Neumann Emanuel Zitt Heinz Regele Andreas Kronbichler Karl Lhotta Marcus D S äemann Source Type: research
General recommendations for the management of glomerular diseases-2023
Wien Klin Wochenschr. 2023 Aug;135(Suppl 5):696-704. doi: 10.1007/s00508-023-02265-6. Epub 2023 Sep 20.ABSTRACTGlomerular diseases are associated with extrarenal complications, such as thromboembolism, cardiovascular events and particularly infections. A thorough knowledge of the various immunosuppressants and their associated toxicity profile is therefore of great importance. While nephrologists usually have extensive experience with calcineurin inhibitors and antimetabolites, two other compounds (rituximab, in severe cases cyclophosphamide) are used comparatively infrequently and will be discussed in more detail. Moreove...
Source: Wiener Klinische Wochenschrift - September 20, 2023 Category: General Medicine Authors: Martin Windpessl Philipp Gauckler Emanuel Zitt Karl Lhotta Cihan Ay Kathrin Eller Balazs Odler Irmgard Neumann Michael Rudnicki Andreas Kronbichler Marcus D S äemann Source Type: research