CKD and Gout

In this episode, Professor Rob Walker discusses the latest insights into chronic kidney disease and gout, as well as the importance of holistic management strategies. He explores treatment approaches, risk assessment, and debunks common myths to improve patient outcomes.

Topics

Intro.
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Increased awareness of Hyperuricemia and cardiovascular risk.
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Factors affecting urine albumin to creatinine ratio.
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Starting allopurinol in gout with CKD.
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Use of NSAIDs in CKD patients.
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Monitoring kidney function during therapy.
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Risks of NSAIDs and patient selection.
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Metformin safety in CKD.
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Diet and lifestyle in gout and CKD.
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Timing and dosing of diuretics in heart failure.
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Monitoring renal function during ACE/ARB therapy.
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Kidney auto-regulation and blood pressure management.
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Overlooking risks in primary care.
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Take-home messages.
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Take home messages

Health check - Build in BP, uACR test, and urine analysis as routine.
Treat appropriately - don't be afraid to escalate treatment until you reach the targets you want.
Don't get worried about potassium.
Show the results to your patients - education and improving health literacy is key.

Presenter

Rob Walker

Consultant Nephrologist

(MBChB, MD, FRACP, FASN, FAHA)

Rob is currently a professor in the Department of Medicine at the University of Otago, Dunedin, and a consultant Nephrologist for Te Whatu Ora. He is the Director of the ‘Kidney in Health and Disease’ research network based at the University of Otago. He has over 290 peer-reviewed publications. He is an active clinician scientist with translational research projects investigating mechanisms of kidney injury fibrosis and repair. At a clinical level his research interests are cardiovascular risk factors in chronic kidney disease, acute kidney injury and drug induced kidney injury.

Professor Walker is actively involved in the International Society of Nephrology serving ISN South-East Asia Oceania regional board representing the Oceania region, the chair of the ISN Clinical Research Programme committee, a member of the ISN Continuing Medical Education committee and deputy chair ISN Core Programmes committee. He recently stepped down as the Honorary Secretary for the Asia Pacific Society of Nephrology Council but remains on the APSN Executive Committee as chair of the awards subcommittee and is actively involved in the APSN CME committee and its activities. Within the Australia & New Zealand Society of Nephrology, he serves on the Research Advisory Committee and Policy and Quality Committee.

He is also active within the RACP serving on the advanced training committee for nephrology and the RACP grants advisory committees. Professor Walker was awarded the College Medal “hominum, servire, saluti” for outstanding services to medicine and nephrology.