June 2009 Issue of Renal And Urology News

June 2009 Issue of Renal And Urology News

June 2009

Cover Articles

NSS for Larger Renal Tumors

CHICAGO—Nephron-sparing surgery (NSS) may be an option for renal tumors larger than 4 cm, according to researchers.

CKD Patients Denied CHF Treatments

ORLANDO—Clinicians are less likely to use evidence-based therapies for congestive heart failure (CHF), especially ACE inhibitors or angiotensin receptor blockers (ARBs), when their patients also ...

Study: ARF Risk Greater with CABG

ORLANDO—Acute renal failure (ARF) may be more likely to develop following coronary artery bypass grafting (CABG) than percutaneous coronary intervention (PCI), according to researchers.

Commentary

Bring Kidney Care into the 21st Century

The growth in the number of patients with end-stage renal disease (ESRD) has tapered and is being offset by continuous improvements in survival. The result ...

News in Brief

PD Peritonitis Risk Factors

A Canadian study of 4,247 patients on peritoneal dialysis (PD) found that older age, black race, switching to PD from hemodialysis (HD), and diabetes in ...

Surgery Delay Poses Risk

Bladder cancer patients who undergo partial cystectomy (PC) more than 12 weeks after transurethral resection of bladder tumors are at three times higher risk of ...

ED Following BPH Surgery

Iranian researchers who studied men undergoing prostate surgery for benign prostatic hyperplasia (BPH) found that 12.5% of those without erectile dysfunction (ED) before surgery developed ...

Renal Artery Stenting Offers No Advantage

Renal artery stenting plus medical treatment is no better than medical treatment alone at preventing progression of renal impairment in patients with atherosclerotic renal artery ...

Younger, Older Kids Pass Stones at Similar Rates

Children younger than 10 years are as likely to pass stones as older children, according to a study published in The Journal of Urology (2009;181:2267-2271).

Albuminuria Linked to Higher BMI

Greater BMI and waist circumference are significantly associated with albuminuria in overweight and obese adults with type 2 diabetes, according to findings from the Look ...

Microalbuminuria Hikes VTE Risk

Microalbuminuria is independently associated with an increased risk of venous thromboembolism (VTE), according to a report in the Journal of the American Medical Association (2009;301:1790-1797).

Feature

A Downside to Angiotensin Blockade?

Researcher Macaulay Onuigbo, MD, MSc, proposes that ACE inhibitors and angiotensin receptor blockers can cause renal failure.

World Literature Review

Intermittent Hormonal Therapy for PCa May Have Benefits

Intermittent hormonal therapy (IHT) for men with locally advanced and metastatic prostate cancer is associated with no reduction in disease progression or survival, according to ...

Hip-Fracture-Related Death Linked to CKD in the Elderly

Among older individuals, an estimated glomerular filtration rate (eGFR) below 45 mL/min/1.73 m2 is associated with a nearly twofold increased risk of hip-fracture-related mortality, according ...

Pulmonary Hypertension in HD Patients Increases Death Risk

Pulmonary hypertension (PHT) independently predicts greater mortality in hemodialysis (HD) patients, Israeli researchers report.

Legal Issues

PA's Friendly Warnings Land Him in Court

Mr. Z, 48, had been a physician assistant in the same large clinic for more than 10 years. One reason he stayed was the opportunity ...

Malpractice News

Arizona OKs Qualifications for Expert Witnesses

The Arizona Supreme Court has upheld a law that sets the minimum qualifications for expert witnesses in medical malpractice cases.

Kaiser Permanente Settles Transplant Claims

Kaiser Permanente of Northern California (KPNC) has settled five malpractice claims stemming from its defunct kidney transplant program for a total of $1 million.

Letter to Patients Leads to Lawsuit

Several patients at a South Dakota urology clinic have filed a federal class-action lawsuit against it, charging sloppy practices may have exposed them to disease.

Utah Demands More Proof for Emergency Errors

A new state law raises the standard of proof required for patients claiming errors in Utah emergency department (ED) care. The state legislature has raised ...

Renal Nutrition Update

Vitamin C Supplementation and CKD

Although the healthful effects of vitamin C are well-established, there are concerns about excessive intake of this vitamin by CKD patients.

General News

Urine Test May Predict Aggressive PCa

ORLANDO—A urine test may enable clinicians to predict which men diagnosed with prostate cancer are more likely to have aggressive disease and which men might ...

Delayed Diagnosis Raises Bladder Cancer Death Risk

CHICAGO—Delays in the diagnosis of bladder cancer confer an approximately 30% increased risk of death from the malignancy, researchers found.

Erectile Dysfunction Is Associated with Greater Mortality

CHICAGO—Erectile dysfunction (ED) is associated with an increased risk of death from any cause and from cardiovascular disease (CVD), new findings show.

Dutasteride Found to Lower PCa Risk

CHICAGO—Dutasteride lowers the risk of prostate cancer by 23% in men with an increased risk of the malignancy, new findings show.

Diet May Reduce Hypertension Risk

A diet rich in fruits and vegetables lowers the risk of hypertension, but only among individuals with a low intake of olive oil, according to ...

Delaying LPN Okay for Small Renal Tumors

Delaying laparoscopic partial nephrectomy (LPN) for patients with small renal masses has no significant effect on oncologic and perioperative outcomes.

Greater Fitness Improves Survival in Prehypertensive Men

Improvements in exercise capacity are associated with decreased mortality among prehypertensive men, data show.

Metastasis Rare with Small Renal Tumors

Metastatic disease rarely occurs in patients with renal tumors less than 3 cm in diameter, data show.

Renal Dysfunction Adds to TIMI Score

ORLANDO—For stratifying risk in patients with coronary events, renal dysfunction adds incremental value to the Thrombolysis in Myocardial Infarction (TIMI) score, investigators reported at the ...

HAL Does Not Improve Bladder Cancer Survival

Hexaminolevulinate-enhanced fluorescence (HAL) cystoscopy significantly increased the rate of recurrence-free survival in patients with muscle-invasive bladder cancer in a German study.

Soy Well-Tolerated in PCa Patients

DENVER—Consuming 20 g of soy daily for up to two years is safe and may be beneficial for men at high risk for biochemical failure ...

Partial Nephrectomy Offers Better Survival

Partial nephrectomy (PN) is associated with better overall survival compared with radical nephrectomy (RN) in patients who have benign renal tumors, according to investigators at ...

Study Defines PCa Metastasis Predictors

PSA doubling time (PSADT), Gleason score, and time to PSA progression are strong independent predictors of metastasis-free survival in prostate cancer patients who experience PSA ...

Review articles

Effects of Phosphate Binders on Bone

Hyperphosphatemia is the harbinger of numerous complications in patients with CKD, and these complications become most evident in patients who require dialysis.

Management of Inpatient Hyponatremia

Hyponatremia may be the most common electrolyte disturbance seen in hospitalized patients. It is the most likely to lead to permanent or lethal complications if ...

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