December 2015 Issue of Renal And Urology News

December 2015 Issue of Renal And Urology News

Renal & Urology News Nov-Dec 2015 Issue

Nephrology Cover Articles

Kidney Stone Risk in Men Linked to Vitamin C Intake

Elevated risk observed with total and supplemental, but not dietary, vitamin C intake.

Hyperkalemia Increases Death Risk in Hemodialysis Patients

The condition also occurs more frequent on the day after the long interdialytic interval.

Plasma Biomarker Promises Earlier Indication of CKD Risk

High levels of soluble urokinase-type plasminogen activator receptor are associated with an elevated CKD risk in individuals with normal eGFR.

Urology Cover Articles

Interferon + BCG May Be an Alternative to Radical Cystectomy

In a small study, 56% of NMIBC patients who received the dual regimen after failing treatment with BCG alone were tumor free.

Bladder Pain Syndrome/Interstitial Cystitis Linked to Statins

Regular and irregular use of the lipid-lowering medications increased the risk of BPS/IC.

Sunitinib Toxicities May Predict Better mRCC Patient Survival

On-treatment neutropenia and hypertension are independently associated with decreased mortality risk.


Artificial Kidney Technology Moves Forward

If ESRD patients face increasing difficulty getting a kidney transplant in coming years, they may see an artificial kidney as the next best alternative.

News in Brief

Erectile Dysfunction May Improve After Shockwave Therapy

In a placebo-controlled study, 57% of men unable to have intercourse were able to do so without medication after receiving the treatment.

Adding Beta-Lactams to Vancomycin Raises AKI Risk

New studies may clarify the risks associated with antibiotic combinations that include vancomycin, a drug with well-known nephrotoxicities.

FDA Approves Hyperkalemia Drug

Patiromer for oral suspension lowers potassium levels in hyperkalemic patients with chronic kidney disease.

Levocarnitine Improves Cardiac Function in Hemodialysis Patients

Patients also experienced a reduction in left ventricular mass index.

Practice Management

Running a Small Practice? Put Technology to Work

Solo practitioner uses a number of inexpensive electronic tools that boost efficiency and allow her to see more patients.

General News

Urbanization: A Novel Risk Factor for Kidney Stones?

A leading authority on kidney stones proposes that urban "heat islands" may contribute to a growing prevalence of kidney stones.

Researchers Zero In on Cause of 'Mesoamerican Nephropathy'

Study of sugarcane workers in Nicaragua may help to explain a high prevalence of chronic kidney disease in Central America.

Culture-Directed Prophylaxis Cuts Post-Cystectomy Infection Rates

Researchers report a significant drop in 30-day post-operative infection rate.

Antibiotic Prophylaxis Cuts Recurrent UTI Risk by 50%

New meta-analysis also found no significant difference in risk between antimicrobial agents in head-to-head trials.

HD Patient Survival Similar with Grafts, Fistulas

No difference in mortality observed between artiovenous grafts and artiovenous fistulas in hemodialysis patients started on tunneled catheters.

Study Supports Metabolic Syndrome, Bladder Cancer Link

The syndrome is associated with a significant 2-fold increased risk of urothelial carcinoma of the bladder.

Cryotherapy Is a Viable Choice for High-Grade Prostate Cancer

Men who underwent whole-gland cryoablation had an estimated 5-year biochemical progression-free survival rate of 59.1%.

Surgery Better for High-Risk Prostate Cancer

Radical prostatectomy was associated with a higher biochemical recurrence-free survival rate compared with radiotherapy.

Researchers: View Gout as a Warning Sign

Gout is associated with an elevated risk of comorbid conditions, especially hypertension and alcohol abuse.

Robotic Radical Cystectomy Safe, Feasible in the Elderly

The procedure takes longer than open radical cystectomy, but is associated with less blood loss, fewer transfusions, and shorter hospital stays.

TSAT May Better Predict ESA Response

Unlike serum ferritin, transferrin saturation demonstrated an ability to predict the need for intravenous iron and ESA.

High Uric Acid Raises ESRD Risk

The highest vs. lowest quartile of serum uric acid is associated with a 3.4-fold increased risk of end-stage renal disease.

Iron Deficiency Ups Mortality in Renal Transplant Recipients

The association is independent of anemia, according to researchers.

Home Dialysis Use Declines in Wake of Payment Reform

Medicare patients affected by the reform experienced a 12% decrease in the odds of home dialysis use compared those unaffected by the reform.

Tolvaptan May Offer Way to Lower Kidney Stone Risk

Study shows that it increases urine volume and decreases supersaturation with stone-forming calcium salts.

Moderate Ascorbic Acid Supplementation Safe, Effective in HD Patients

Up to 100 mg per day raises plasma concentrations of ascorbic acid without increasing oxalate levels.

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