August 14, 1991

The Principles and Practice of Nephrology

Author Affiliations

Cook County Hospital Chicago, Ill

Cook County Hospital Chicago, Ill


by Harry R. Jacobson, Gary E. Striker, and Saulo Klahr, 939 pp, with illus, $129, ISBN 1-55664-149-4, Philadelphia, Pa, BC Decker Inc; St Louis, Mo, Mosby-Year Book, distributor, 1991.

JAMA. 1991;266(6):852-853. doi:10.1001/jama.1991.03470060114044

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This book passed its first test on the morning when it arrived for review. A cardiologist happened to come by to ask if he should catheterize a diabetic dialysis patient suffering from precordial chest pain. We used the book to look up the prognosis of diabetics on dialysis and found the answer neatly summarized in the table on page 481:22.7% of such patients died each year. The cardiologist left impressed with the new kidney book but doubtful about the wisdom of aggressive intervention.

The next test was to select a few topics from among the book's 149 chapters. We picked at random cystinosis, acquired cystic disease, vascular access, hypophosphatemia, membranous glomerulonephritis, daily dialysis, and hyperalimentation in acute renal failure. We found the discussions comprehensive and the controversial issues well presented in an informed and objective manner.

The third test, however, was a failure: the book was too heavy to read