February 2017 Issue of Renal And Urology News

February 2017 Issue of Renal And Urology News

Renal & Urology News Jan-Feb 2017 Issue

Nephrology Cover Articles

Office-Based Renal Mass Biopsy Safe

In a study, only 3 of 108 patients experienced complications, all of which were minor and required no hospitalization or further intervention.

Frequent Hemodialysis Improves Health-Related QoL

Patients feel better and recovery times are shorter with 6 hemodialysis sessions per week rather than 3, researchers report.

Copeptin Predicts IgA Nephropathy Outcomes

Copeptin, a surrogate marker for arginine vasopressin (AVP), showed prognostic value of established risk markers.

Urology Cover Articles

Aggressive Prostate Cancer Diagnoses Declining in US

Study of men diagnosed with PCa from 2008 to 2013 found declining incidence among whites, blacks, Hispanics, and Asian/Pacific Islanders.

Prostate Cancer AS Patients May Benefit From MRI/Fusion Biopsy

In patients undergoing confirmatory biopsy for active surveillance, MRI can increase detection of clinically significant tumors compared with standard systematic biopsy.

Normal Testosterone Range Defined

The normal range for total testosterone is 264 to 916 ng/dL for healthy men ages 19 to 39 with a body mass index below 30 ...

Commentary

Nephrology in Crisis: Trainees in Short Supply

Efforts should be directed at making nephrology more appealing to recruit more trainees.

News in Brief

Post-Transplant Kidney Stones Characterized

Only 1% of patients develop kidney stones after kidney transplantation.

Benign Disease Found in 14% of PN Cases

The most common types of benign pathology were oncocytoma, angiomyolipoma, and complex cysts.

Black Gout Sufferers Have Worse HRQoL

Blacks had significantly higher median baseline serum urate levels compared to whites.

Aortic Calcification in CKD Patients Linked to Nutrition

The median aortic calcification index (ACI) decreased significantly with increasing geriatric nutritional risk index tertile.

Use of 5-ARIs May Reduce Blood Loss During TURP

The finasteride and dutasteride recipients had significantly less mean blood loss than the placebo group.

Long-Term BoNT-A Therapy Compliance Low Among Men

Only a quarter of men receiving injections of BoNT-A comply with the treatment long-term.

Practice Management

Physician Burnout: Common but Manageable

Exhaustion, low energy, increases in absenteeism, and drops in productivity are among the signs of burnout.

General News

Prostate Cancer Progression Risk Lower With Initial Degarelix Use

Pooled analysis shows initial use of degarelix versus LHRH agonists was associated with improved PSA progression-free survival.

More Produce, Less Meat May Prevent Kidney Stones

New study also finds a reduction in kidney stone risk among individuals with the highest potassium intake.

ACP Releases New Gout Guidelines

The guidelines recommend treatment strategies and state that evidence is insufficient to support therapy to lower uric acid to target levels.

PCa Cryoablation Achieves Acceptable Outcomes

In a study, the 5-year estimated biochemical failure-free survival rate, based on the Phoenix definition, was 84%.

Pre-dialysis CKD Is a Risk Factor for Serious Infection

Lower eGFR and higher ACR are associated with an elevated risk of infection-related hospitalization and infection-related death.

Standard TRUS Prostate Biopsy Needed Despite Negative MRIs

Magnetic resonance imaging of the prostate missed 13% of high-grade cancers that were later found on transrectal ultrasound-guided biopsy.

Robotic Nephrectomy for Localized RCC On The Rise

In 2013, nearly one third of all minimally invasive radical nephrectomies were performed with robotic assistance.

Radium-223 Reduces Hospital Usage for Skeletal Events

CRPC patients treated with radium-223 spent fewer days in the hospital both before and after a skeletal event compared with placebo recipients.

Prostate Cancer Active Surveillance Criteria May Need Updating

When MRI-US fusion biopsy is added to the standard 12-core biopsy, the number of men eligible for active surveillance decreases, study finds.

Chemotherapy Use for Upper Tract Urothelial Carcinoma Increasing

The proportion of patients receiving neoadjuvant chemotherapy in the United States rose from 0.6% to 2.7% between 2004 and 2013.

Secondary Hyperparathyroidism Ups Risk of Kidney Allograft Loss

Increased fractional excretion of phosphate also found to increase risk of allograft loss.

New Prostate Cancer Grading System Validated

Proposed 5-tiered system found to predict the risk of prostate cancer-specific mortality.

Obesity Ups ESRD Risk Among Living Kidney Donors

End-stage renal disease is nearly 1.9 times more likely to develop in donors with a body mass index of 30 kg/m2 or higher.

Calciphylaxis Linked to Low Vitamin K

An enzyme that inhibits vascular calcification depends on the vitamin for conversion to its active form.

ESRD Risk Higher in SLE Patients Hospitalized for Infections

End-stage renal disease is 5-fold more likely to develop in patients with 3 or more infection-related hospitalizations versus none.

ESRD Risk Factors in IgAN Patients Identified

Predictors of renal failure within 10 years include Oxford M1 disease and low eGFR at biopsy.

US Service Men Incurred Genitourinary Injuries at High Rate

The majority of injuries involved the external genitalia, including the scrotum, testes, penis, and/or urethra.

Prostatic Enlargement Linked to Obesity

Benign prostatic hyperplasia is more likely to develop among men with larger waist circumference and body mass index and higher leptin levels.

Allopurinol May Benefit The Kidneys

The allopurinol group had a significant 0.10 mg/dL lower final creatinine level than controls.

Statins May Slow CKD Progression

Statin use was associated with a significant decrease in all-cause mortality risk.

Antidiabetic Drug Use May Cut PCa Risk

The results suggest that hyperinsulinemia may be a risk factor for prostate cancer.

Sign Up for Free e-newsletters