December 2017 Issue of Renal And Urology News

December 2017 Issue of Renal And Urology News

Renal & Urology News Nov-Dec 2017 Issue

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Nephrology Cover Articles

'Clinically Negligible' Residual Kidney Function Still Beneficial

Even at very low levels, residual kidney function in hemodialysis patients clears uremic solutes.

Predialysis Anemia Treatment May Cut Mortality After HD Initiation

HD patients with untreated or ineffectively treated anemia prior to dialysis initiation were more likely to die than those who had consistently well-treated anemia.

New Guidelines Redefine Hypertension

Updated recommendations lower the blood pressure threshold for a hypertension diagnosis from 140/90 to 130/80 mm Hg.

Urology Cover Articles

Active Surveillance Required After Prostate Cancer Focal Ablation

In a small but meaningful number of patients, Gleason pattern 4 disease missed by MRI and systematic biopsy is present outside the focal ablation zone.

Testosterone Therapy May Lower Prostate Cancer Incidence

Hypogonadal men who received testosterone replacement therapy had a lower incidence of prostate cancer than those who did not, and their cancers were less severe.

FDA Approves Sunitinib for Adjuvant Treatment of RCC

At 5 years, 59.3% of patients treated with sunitinib were free from recurrence versus 51.3% who received placebo.

News in Brief

Recurrent UTIs Worsen Kidney Transplant Outcomes

Kidney transplant recipients who experience recurrent urinary tract infections are at increased risk of graft failure and death.

RCC Subtypes Affect Post-Surgery Cancer-Related Mortality Risk

Patients with papillary versus clear cell renal cell carcinoma have a 24% decreased risk of dying from their cancer.

Ferric Citrate Approved for Anemia in CKD Patients

Study results show that the phosphate binder was superior to placebo in raising hemoglobin levels in non-dialysis-dependent CKD patients with iron-deficiency anemia.

Feature

Evaluating Business Opportunities

Physicians need a good understanding of a potential partner, regardless of the business model being considered.

Practice Management

Trimming Costs to Increase Income

Shopping around for less expensive medications and buying used medical supplies and equipment can boost the bottom line.

General News

Prostate Cancer Risk Lower in NSAID Users

In a case-control study, men who had ever used non-steroid anti-inflammatory drugs had a 23% decreased risk of prostate cancer.

IMRT for Prostate Cancer Radiation Therapy Soars

Use of intensity-modulated radiation therapy for prostate cancer increased from 3.5% to 64% from 2002 to 2012.

Overuse of Prostate Cancer Scans May Be Easing

Efforts by physician groups in recent years to discourage inappropriate use of radiologic imaging for the initial staging of men with newly diagnosed low-risk disease ...

High Rates of Infective Endocarditis Found Among ESRD Patients

Hemodialysis patients had higher rates of infective endocarditis than peritoneal dialysis and kidney transplant patients.

Prostate Cancer Hormone Therapy Ups Cardiac Risks

Exposure to androgen-deprivation therapy was associated with a nearly 2-fold increased risk of heart failure among men without pre-existing cardiovascular disease.

Dialysis Care in an Emergency: Lessons From Hurricane Harvey

Staff shortages and lack of medical records surface as problems.

Stone Risk Greater In Wetter Climates

New study may redefine the "stone belt" in the United States.

Second-Line Enzalutamide May Benefit Some mCRPC Patients

In a prospective study, mCRPC patients placed on enzalutamide after their disease progressed while on abiraterone therapy had a median radiographic progression-free survival of 8.1 ...

Post-Dialysis Survival Odds Better After CABG vs PCI

US veterans who underwent coronary artery bypass grafting versus percutaneous coronary intervention prior to starting dialysis had a 28% lower risk of death.

In-Hospital Mortality Linked to High, Low Phosphorus

Admission serum phosphorus levels below 2.5 and 4.9 mg/dL and above are associated with increased odds of dying in the hospital.

Resistant Hypertension Ups Risks of Cardiovascular Events, ESRD

Study of U.S. veterans found that patients with resistant hypertension had 23%, 31%, and 144% higher risk of myocardial infarction, stroke, and end-stage renal disease, ...

Hypertension, Diabetes at Hemodialysis Initiation Increasing

From 1995 to 2015, the prevalence of hypertension and diabetes among patients starting hemodialysis increased from 67.9% to 87.6% and from 43.1% to 59.6%, respectively.

Tolvaptan Slows Renal Function Decline in Later-Stage ADPKD

Patients with autosomal dominant polycystic kidney disease treated with tolvaptan experienced a 35% decrease in the annual rate of decline in eGFR.

Phosphate Binder Reduces FGF23 in CKD Patients

Patients with non-dialysis chronic kidney disease and iron deficiency anemia treated with ferric citrate experienced significant declines in FGF23 regardless of change in serum phosphorus.

Surgery vs Radiation for High-Risk Prostate Cancer

Physicians who treat patients with high-risk prostate cancer remain uncertain as to the optimal treatment approach, in part due to difficulty in interpreting study data.

Point-of-Care Ultrasound Helps Detect Stones

Complication rates were no higher with point-of-care ultrasound than CT.

Water Ablation for BPH Lessens Risk of Ejaculatory Dysfunction

A novel approach called "Aquablation" provides results comparable to TURP, but with a decreased likelihood of retrograde ejaculation.

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