{"title":"Letter: Type 2 diabetes prevention after acute pancreatitis.","authors":"Qi Fan","doi":"10.3949/ccjm.93c.06003","DOIUrl":"https://doi.org/10.3949/ccjm.93c.06003","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 6","pages":"318"},"PeriodicalIF":4.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148142782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rodolfo J Galindo, Diana Soliman, Joshua J Neumiller, Jay H Shubrook, Katherine R Tuttle
{"title":"Managing chronic kidney disease according to KDIGO risk categories: A primer for primary care.","authors":"Rodolfo J Galindo, Diana Soliman, Joshua J Neumiller, Jay H Shubrook, Katherine R Tuttle","doi":"10.3949/ccjm.93a.25072","DOIUrl":"10.3949/ccjm.93a.25072","url":null,"abstract":"<p><p>The increasing prevalence of type 2 diabetes is contributing substantially to chronic kidney and cardiovascular disease. The updated Kidney Disease: Improving Global Outcomes (KDIGO) heat map provides a practical framework for stratifying patient risk, using estimated glomerular filtration rate (eGFR) and albuminuria to facilitate early detection and evidence-based management. However, real-world adoption of the heat map remains limited. Integrating this tool into primary care and other subspecialities beyond nephrology can enhance individualized care. This review highlights the KDIGO guideline updates and provides an approach to implementing the heat map in primary care.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 6","pages":"353-365"},"PeriodicalIF":4.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148142818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pseudocellulitis, a vague term for a specific diagnostic challenge.","authors":"Brian F Mandell","doi":"10.3949/ccjm.93b.06026","DOIUrl":"https://doi.org/10.3949/ccjm.93b.06026","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 6","pages":"313-314"},"PeriodicalIF":4.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148142777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Potassium-competitive acid blockers: Clinical pearls and practical insights.","authors":"Hisham Wehbe, Claire Beveridge","doi":"10.3949/ccjm.93a.25070","DOIUrl":"10.3949/ccjm.93a.25070","url":null,"abstract":"<p><p>Potassium-competitive acid blockers (P-CABs) are a new class of acid-suppressing drugs; to date, only one of them (vonoprazan) has been approved for use in the United States. The authors of this article review how P-CABs (and vonoprazan in particular) differ from proton pump inhibitors (PPIs), evidence supporting their effectiveness, indications for vonoprazan, and ongoing and future studies.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 6","pages":"341-346"},"PeriodicalIF":4.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148142803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hannah Snyder, David Streem, Akhil Anand, Adele C Viguera
{"title":"When risks outweigh benefits: A review of the guideline on benzodiazepine tapering.","authors":"Hannah Snyder, David Streem, Akhil Anand, Adele C Viguera","doi":"10.3949/ccjm.93a.25102","DOIUrl":"10.3949/ccjm.93a.25102","url":null,"abstract":"<p><p>About 1 in 10 adults in the United States report having used benzodiazepines in the past year. These medications carry substantial risks, including falls, cognitive impairment, overdose, and death, particularly when combined with alcohol or opioids. The American Society of Addiction Medicine, in collaboration with 9 other professional societies, has issued recommendations on when and how to taper and discontinue benzodiazepines. The authors of this article summarize important points from the guideline, aimed at all who provide long-term benzodiazepine prescriptions.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 6","pages":"347-352"},"PeriodicalIF":4.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148142832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sindu Iska, María Herrán, You Li, Maria Teresa Bejarano, Chakra P Chaulagain, Chieh-Lin Fu
{"title":"In Reply: Diagnostic challenges in severe autoimmune hemolysis.","authors":"Sindu Iska, María Herrán, You Li, Maria Teresa Bejarano, Chakra P Chaulagain, Chieh-Lin Fu","doi":"10.3949/ccjm.93c.06002","DOIUrl":"https://doi.org/10.3949/ccjm.93c.06002","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 6","pages":"317-318"},"PeriodicalIF":4.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148142765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brennan Gioe, Conrad Fernandes, E Celia Marginean, Stalin Subramanian
{"title":"Hematochezia in a patient with end-stage renal disease.","authors":"Brennan Gioe, Conrad Fernandes, E Celia Marginean, Stalin Subramanian","doi":"10.3949/ccjm.93a.25097","DOIUrl":"https://doi.org/10.3949/ccjm.93a.25097","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 6","pages":"333-338"},"PeriodicalIF":4.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148142767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"KDIGO chronic kidney disease heat map: Let the colors be your guide!","authors":"Crystal Gadegbeku","doi":"10.3949/ccjm.93a.26017","DOIUrl":"https://doi.org/10.3949/ccjm.93a.26017","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 6","pages":"366-367"},"PeriodicalIF":4.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148142811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}