May 2, 2026 · Mayo Clinic proceedings · DOI: 10.1016/j.mayocp.2026.04.018

Consensus Recommendation: Real World Insights on Attitudes and Treatment of Hyperkalemia

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The authors aimed to identify barriers to guideline-directed medical therapy (GDMT) for hyperkalemia and explore real-world solutions to improve patient management. Through a panel discussion involving nephrology experts, they reviewed the epidemiology of hyperkalemia, current treatment guidelines, and management pathways, ultimately concluding that prescriptive protocols and potassium-restrictive diets are inadequate treatment strategies. The findings highlight the need for enhanced education and alternative approaches to optimize care for patients with hyperkalemia.

Biff F Palmer, Edgar Lerma, Gary G Singer, Amy L Beckrich

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