Book Review

Comprehensive Clinical Nephrology

N Engl J Med 2000; 342:1843June 15, 2000

Article

Comprehensive Clinical Nephrology
By Richard J. Johnson and John Feehally. Approximately 700 pp., illustrated. St. Louis, Mosby, 2000. $189. ISBN: 0-7234-3117-5

How many pages are needed to cover the relevant topics in Comprehensive Clinical Nephrology? Johnson and Feehally convincingly show that in about 700 pages a book can comprehensively deal with all important aspects of clinical nephrology. The authors have succeeded in creating a book that differs from other excellent textbooks, monographs, and handbooks in nephrology, especially in its format and design. Comprehensive Clinical Nephrology is richly illustrated and impressive throughout because of its concise text, informative flow diagrams and tables, and carefully selected and artfully drawn figures. A major strength of the book is the way it presents the complexity of the subject in an easily understandable way without being simplistic.

The book consists of 17 sections and 96 chapters. It covers the entire field of nephrology, from renal anatomy and physiology to investigative procedures, fluid and electrolyte disorders, hypertension, dialysis, and transplantation. Complex topics are divided into several parts and illustrated by several figures. This approach greatly enhances the usefulness of the book. A detailed system of cross-references places all information in its broad context. Despite the large number of contributors to the book, the information is presented concisely, with a consistent format and little overlap in content.

Another strength of the book is the emphasis on pathophysiology. Complex pathophysiologic interactions are described concisely but adequately, thus enabling the reader to understand clinical manifestations and treatment options. General and special recommendations for therapy are given. The discussion of the various treatment options includes careful consideration of the results of recent clinical trials. Instructive tables provide an excellent overview of current studies and guidelines. This format enables nephrologists to gather information that is detailed enough to use in making or rapidly confirming their own decisions in everyday practice.

Comprehensive Clinical Nephrology moves from the laboratory bench to the bedside in a way that is optimal for a comprehensive textbook. I think this book is outstanding. It could well become a standard textbook for practicing nephrologists, trainees, and internal-medicine specialists.

Hans Köhler, M.D.
University of the Saarland, 66421 Homburg/Saar, Germany

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