December 2009 Issue of Renal And Urology News

December 2009 Issue of Renal And Urology News

December 2009

Cover Articles

A New Look at High Hb Goals

Heart failure and diabetes could make reported risks clinically undetectable.

Undetectable PSA Possible With Radiation

After a median of 32 months, PSA was undetectable in 12% of patients.

ED, Rheumatoid Arthritis Could Be Linked

PHILADELPHIA—Erectile dysfunction (ED) is more common in patients with rheumatic disease—especially rheumatoid arthritis (RA)—than in the general population, according to new findings by an Irish ...

News in Brief

Fistulas, Grafts Lower Mortality in Hemodialysis Patients

Hemodialysis (HD) patients who switch their vascular access from a catheter to a fistula or graft have improved survival, a study of 79,545 HD patients ...

Alcohol Use May Cut Diabetes Risk

Moderate alcohol consumption is associated with a decreased risk of developing type 2 diabetes, new findings confirm.

PSA Testing Rate Highest in Blacks

A study of a large multiethnic cohort found that African-American men had a higher prevalence of PSA screening than white and Latino men.

Renal Cell Carcinoma with Capsular Invasion Predicts Worse Outcomes

Renal capsular invasion in patients with localized clear-cell renal cell carcinoma (RCC) is associated with an increased risk of cancer recurrence and cancer-related death after ...

Drug Found to Benefit Men With Peyronie's Disease

Pentoxifylline sustained-release (PTX-SR) is moderately effective reducing penile curvature and plaque volume in men suffering from early Peyronie's disease, researchers concluded.

Delayed Graft Function, Vitamin D Deficiency Linked

Renal transplant recipients who are deficient in 1,25-dihydroxyvitamin D are at higher risk of delayed graft function (DGF), according to a Polish study published in ...

CKD in Men With BPH-Related LUTS

Decreased peak flow rate and a history of hypertension and/or diabetes are significantly associated with CKD in men with lower urinary tract symptoms (LUTS) secondary ...

Feature

An 'HbA1c' for Phosphate Management?

FGF-23 may improve assessment of phosphate balance, but too many questions remain unanswered.

Legal Issues

Patient Blames Physician for Foot Amputation

Dr K, 58, was a sole practitioner in an area with a high prevalence of diabetes. His practice was heavy on patient education and stressed ...

Renal Nutrition Update

Nutrition for Malnourished Hemodialysis Patients

Enteral nutrition has many benefits and would preferable to any form of parenteral nutrition.

General News

Higher Dietary Phosphorus Intake Raises Mortality Risk

Higher dietary phosphorus intake is associated with increased mortality in patients on maintenance hemodialysis, data show.

Avoiding Nephrotoxicity from Chemotherapy

Nephrologist offers prevention advice related to the use of cisplatin, gemcitabine, and other agents.

Endocrine Therapy for Prostate Cancer May Hike Cardiovascular Disease Risk

Study reveals an increased risk of MI and other heart problems.

Salvage Brachytherapy Is An Option

Promising results demonstrated in men whose prostate cancer returned after external beam radiotherapy.

A Possible Reason for ESA Resistance

Investigators believe elevated levels of endogenous soluble erythropoietin receptors may have a role.

Hepcidin Predicts Hemoglobin Response to Iron Loading

Researchers also show that administration of erythropoietin is followed by marked reductions in circulating hepcidin.

CKD, Anemia, Microalbuminuria Increase Death Risk

SAN DIEGO—Anemia, CKD, and microalbuminuria are each independently associated with an increased risk of all-cause mortality, regardless of the presence of cardiovascular disease (CVD).

Ferric Citrate Promising as a Phosphate Binder

A lower pill burden for patients may be possible, researcher says.

Residual Renal Function Benefits Hemodialysis Patients

Study shows that they have lower serum phosphate levels, reduced need for ESAs.

Transplant Get-Togethers May Boost Donations

SAN DIEGO—Get-togethers with a kidney disease patients' family and friends may improve their willingness to consider donation, according to a new report.

Higher Hemoglobin Found Beneficial

After 36 months of follow-up, patients were 26% less likely to die or start dialysis, study finds.

Drugs Not Equal in Phosphate Lowering

In a study, lanthanum carbonate provided significantly greater reductions than sevelamer hydrochloride.

Vitamin D Plus a Phosphorus Binder Improves Survival

SAN DIEGO—A study of Japanese dialysis patients demonstrated that a combination of oral vitamin D and a phosphorus binder is associated with lower mortality.

Earlier May Not Be Better For Preemptive Transplant

SAN DIEGO—Pre-dialysis transplant recipients with a high level of kidney function do not appear to benefit from their transplant more than pre-dialysis recipients with a ...

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