February 2012 Issue of Renal And Urology News

February 2012 Issue of Renal And Urology News

February 2012

Cover Articles

Race Differences in Dialysis Survival Linked to Inflammation

Differences in the level of inflammation among dialysis patients may explain, in part, why African Americans have better survival than Caucasians, study findings suggest.

Minimally Invasive Surgery for Prostate Cancer Increasing, Offers Better Results

Use of minimally invasive radical prostatectomy (MIRP) for patients with prostate cancer (PCa) increased and the use of retropubic radical prostatectomy (RRP) decreased significantly from ...

Increased Lead Exposure May Raise Kidney Cancer Risk

Higher blood lead levels are associated with an elevated risk of renal cell carcinoma (RCC), according to a study.

New Stone Risk Found in VUR Patients

Children with vesicoureteral reflux have a higher incidence of hypercalciuria, hyperuricosuria.

Commentary

Let Patients Sleep During Rounds

How often do you face with the unpleasant task of waking a sleeping patient during your busy rounds? It happens frequently to many clinicians during ...

Expert Q&A

Better Lithotripsy On the Horizon: Interview with James Lingeman, MD

A leading authority on kidney stone disease, James E. Lingeman, MD, updates Renal & Urology News on the state of urinary stone treatment.

News in Brief

Do you ever order diagnostic tests or scans to protect yourself from malpractice suits rather than because they are medically necessary?

Previous studies have indicated that physicians often practice "defensive medicine," ordering medical tests or scans for patients even though they know that these tests or ...

BP Drugs May Differ in Cardiovascular Benefits

ACE inhibitors and angiotensin receptor blockers (ARBs) confer different cardiovascular benefits in hemodialysis (HD) patients, researchers found.

Kidney Cancer Tied to Red Meat Intake

Greater intake of red meat may increase the risk of renal cell carcinoma (RCC).

Antibiotic Lock Reduces Catheter-Related Problems

An antibiotic catheter lock containing gentamicin in sodium citrate can decrease the incidence of catheter-related bloodstream infections in patients on maintenance hemodialysis (MHD).

Older Age at RP Increases Urinary Incontinence Risk

A man's age at radical prostatectomy (RP) for prostate cancer affects his risk of developing long-term urinary incontinence (UI).

Correcting Anemia Can Protect Renal Allografts

Targeting hemoglobin (Hb) values of 13 g/dL or higher reduces progression of chronic allograft nephropathy in kidney-transplant recipients, a prospective study suggests.

Feature

The Management of Patients After Renal Transplantation

Patients who undergo renal transplantation require complex care that involves a diligent, multidisciplinary approach.

Malpractice News

Diagnosticians Face Higher Malpractice Suit Risk

Physicians who regularly order diagnostic tests for their patients may be at an increased risk of medical malpractice suits, according to a recent study.

National Practitioner Data Bank Closed to the Public

The Department of Health and Human Services (HHS) has shut down public access to its National Practitioner Data Bank (NPDB).

Electronic Health Records May Increase Malpractice Risk

A recent report suggests that the rush to move to EHRs may result in inadequate EHR software, according to a white paper published by the ...

Renal Nutrition Update

Exercise Enhances Body Composition, Nutritional Status in Dialysis Patients

Research has shown that individuals who exercise have lower risk for chronic diseases than individuals who do not exercise.

General News

Neutrophil/Lymphocyte Ratio Can Upstage Bladder Cancer Patients Prior to Surgery

SAN FRANCISCO—Prior to radical cystectomy for bladder cancer, preoperative neutrophil/lymphocyte ratio (NLR) can identify patients at risk for having non-organ-confined disease and who may benefit ...

Biopsies May Predict Renal Outcomes in Patients with Lupus Nephritis

CHICAGO—Certain features at the time of renal biopsy are associated with a particular class of lupus nephritis (LN) and may independently predict good renal outcomes, ...

Renal Function Declines in Living Kidney Donors

PHILADELPHIA—Substantial proportions of living kidney donors have diminished renal function one year following their nephrectomy, investigators reported at Kidney Week 2011.

High PTH and FGF-23 Predict Vascular Calcification

PHILADELPHIA—Elevated levels of serum parathyroid hormone (PTH) and fibroblast growth factor-23 (FGF-23) are associated with an increased likelihood of progression of vascular calcification (VC) in ...

Renal and Death Risks Lower with Metformin than Sulfonylureas

PHILADELPHIA—Initiating treatment of type 2 diabetes with sulfonylurea drugs is associated with an increased risk of renal function decline, end-stage renal disease (ESRD), or death ...

Worsening Post-Transplant CKD Predicts Higher Graft Failure Risk

PHILADELPHIA—Worsening of chronic kidney disease (CKD) stage in the first year following renal transplantation is associated with an increased risk of graft failure, researchers reported ...

Abatacept May Benefit Some Lupus Nephritis Patients

CHICAGO—Adding abatacept to mycophenolate mofetil (MMF) and steroids does not significantly improve the time to complete renal response in patients with lupus nephritis (LN), according ...

Diabetes Increases Bladder Ca Recurrence, Progression Risk

Diabetes mellitus (DM) appears to be an independent predictor of disease recurrence and progression among patients with non-muscle invasive bladder cancer (NMIBC), according to investigators.

Supplemental Vitamin D Helps Black Hypertensives

ORLANDO—Vitamin D supplementation may reduce blood pressure (BP) in African-American patients with hypertension in a dose-dependent manner, regardless of the intensity of antihypertensive treatment, researchers ...

ADT Use Declining, Patterns of Use Changing

Initiation of androgen deprivation therapy (ADT) for prostate cancer (PCa) is declining and patterns of use are changing, according to recently published data from a ...

MMF Found Superior for Lupus Nephritis

Mycophenolate mofetil (MMF) is more effective than azathioprine as maintenance therapy for patients with active lupus nephritis (LN) who responded to induction therapy, researchers reported.

High Fiber Intake Reduces Inflammation, Death Risk in CKD Patients

High intake of dietary fiber is associated with decreased inflammation and all-cause mortality in patients with chronic kidney disease (CKD), according to researchers.

Smaller Bladder Tumors Less Like to Recur After Surgery

Non-muscle-invasive bladder tumors 15 mm or less in diameter are associated with a lower risk of recurrence after surgical treatment compared with larger tumors, according ...

Triple-Regimen Benefits Men with Intermediate-Risk Prostate Cancer

Combined external beam radiation therapy (EBRT) with a brachytherapy boost plus androgen deprivation therapy (ADT) is associated with excellent disease-free survival among men with intermediate-risk ...

PSA Threshold for Biopsy Remains Stable

A widely used PSA threshold for recommending prostate biopsy (4.0 ng/mL) has remained unchanged over time despite some calls to lower the threshold, according to ...

Enterococcal UTIs May Signal Underlying Urinary Problems in Children

Community-acquired urinary tract infections (UTIs) in children caused by enterococcal bacteria are associated with a high rate of underlying urinary abnormalities, a study found.

Repeated Toxin Injections Safe and Effective for Refractory Overactive Bladder

Repeated injections of botulinum toxin type A (BoNTA) are safe and effective for the medium-term management of refractory overactive bladder (OAB) and idiopathic detrusor overactivity ...

Myocardial Infarctions Frequently Unrecognized in Kidney Disease Patients

Myocardial infarction (MI) often goes unrecognized in patients with chronic kidney disease (CKD), and it is associated with a significantly increased risk of death, according ...

Ultrasound Not Inferior for Sizing Renal Masses

Ultrasound imaging works as well as computed tomography (CT) and magnetic resonance imaging (MRI) for evaluating renal mass size, a new study suggests.

Radiofrequency Ablation, Partial Nephrectomy for RCC Offer Similar Long-Term Outcomes

In appropriately selected patients, radiofrequency ablation (RFA) is an effective minimally invasive treatment for cT1a renal cell carcinoma (RCC) that offers long-term oncologic outcomes comparable ...

Comorbid Illnesses Worsen Post-Cystectomy Outcomes

Greater comorbid illness increases the likelihood of complications after radical cystectomy for bladder cancer among patients older than 70 years, according to German researchers.

African-American Kidneys May Worsen Transplant Outcomes

Recipients of kidneys from African Americans (AA) are at increased risk of all-cause and cardiovascular mortality compared with patients who receive kidneys from non-AA donors.

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