Does contrast nephropathy exist? Vigorous debate has been ongoing about this dating back to 2013.1 Hundreds of studies on the topic ultimately reveal no convincing evidence that contrast nephropathy exists. However, it's unethical to perform a prospective RCT, so it's impossible to ever prove this. This has left us in an evidentiary limbo – we don't really believe that contrast nephropathy exists, but simultaneously we are also afraid of it.
— Matt Sztajnkrycer (@NoobieMatt) April 21, 2019
Where do we go from here? I queried the twittersphere to see if anyone was aware of high-quality evidence supporting contrast nephropathy. Nobody was.
I've been following this topic with interest since my blog in 2015 on it (which found little evidence to support the concept). Four years of cautiously weighing the evidence and waiting for new data seems like enough. As most folks on twitter felt, it's time to move beyond this dogma.
The IBCC chapter is located here.
- The podcast & comments are below.
Follow us on iTunes
The Podcast Episode
Want to Download the Episode?
Right Click Here and Choose Save-As
Latest posts by Josh Farkas (see all)
- PulmCrit-The Rothman Index:Artificial intelligence or merely a symptom of a broken healthcare system? - January 25, 2020
- IBCC chapter & cast – Toxic Alcohols - January 23, 2020
- PulmCrit – An alternative view of the PEPTIC trial - January 22, 2020