To start this activity, click Begin at the bottom of this pageKidney Function Assessment: The Need for a Confirmatory Test

Release Date: May 2014

Expiration Date: May 2015

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Estimated time to complete the educational activity: 1 hour

This activity is jointly sponsored by Medical Education Resources and Haymarket Medical Education.

Statement of Need: Although adrenal masses are often discovered incidentally, onlyappropriate evaluation can establish these neoplasms as insignificant. Indeed, some data suggestthat more than 15% of lesions may require resection. As such, modern management of so-calledadrenal incidentalomas pivots on informed and individualized treatment choices.

Target Audience: This activity has been designed to meet the needs of urologists,nephrologists, and allied healthcare clinicians who treat patients with adrenal tumors.

Educational Objectives: After completing the activity, the participant should be betterable to:

  • Evaluate the best way to estimated glomerular filtration rate (GFR) in the current era.
  • Identify situations when confirmatory tests for GFR are appropriate.
  • Define the advantages and disadvantages of all GFR estimates.

Accreditation Statement: This activity has been planned and implemented in accordancewith the Essential Areas and Policies of the Accreditation Council for Continuing MedicalEducation (ACCME) through the joint sponsorship of Medical Education Resources (MER) andHaymarket Medical Education. MER is accredited by the ACCME to provide continuing medicaleducation for physicians.

Credit Designation: Medical Education Resources designates this enduring materialfor a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the creditcommensurate with the extent of their participation in the activity.

Disclosure of Conflicts of Interest: Medical Education Resources ensures balance,independence, objectivity, and scientific rigor in all our educational programs. In accordancewith this policy, MER identifies conflicts of interest with its instructors, content managers, andother individuals who are in a position to control the content of an activity. Conflicts are resolvedby MER to ensure all scientific research referred to, reported, or used in a CME activity conformsto the generally accepted standards of experimental design, data collection, and analysis. MERis committed to providing its learners with high-quality CME activities that promote improvementsor quality in health care and not a commercial interest.

The faculty reported the following financial relationships with commercial interests whoseproducts or services may be mentioned in this CME activity:

Name of Faculty Reported Financial Relationship
Lesley A. Inker, MD

Grants/Research Support:
Pharmalink AB, Gilead Sciences, NIH, NKF

The content managers, Jody A. Charnow and Marina Galanakis, of Haymarket Medical Education,and planners from Medical Education Resources have disclosed that they have no relevant financialrelationships or conflicts of interest.

Method of Participation: There are no fees for participating in and receiving CME credit for this activity. During the period May 2014 through May 2015, participants must: 1) read the learning objectives and faculty disclosures, 2) study the educational activity, 3) complete the posttest and submit it online. Physicians may register at, and 4) complete the evaluation form online.

A statement of credit will be issued only upon receipt of a completed activity evaluation form and a completed post-test with a score of 70% or better.