June 2010 Issue of Renal And Urology News

June 2010 Issue of Renal And Urology News

June 2010

Cover Articles

AKI Need Not Rule Out Kidney Donation

SAN DIEGO—Deceased donor kidneys with acute kidney injury (AKI) offer excellent short term patient and graft survival, investigators reported here at the 2010 American Transplant ...

Histrelin Implant Works Long Term

BARCELONA—Investigators say they have confirmed the long-term efficacy and tolerability of an annual histrelin acetate implant in men with advanced prostate cancer.

Renal Outcomes Linked to LVMI

NEW YORK—In men at high risk of cardiovascular events, left ventricular mass index (LVMI) may help better predict renal outcomes, including the need for hemodialysis ...


Nephrology In Canada Is Well Supported

Many Americans harbor fears about the Canadian health care system, and I would like to clear up some misconceptions.

News in Brief

Vitamin B Could Have a Down Side in Patients with Diabetic Nephropathy

Patients with diabetic nephropathy should avoid taking high doses of B vitamins to lower homocysteine levels.

Proteins May Be Renal Cancer Sign

Two proteins excreted in the urine appear to be sensitive and specific biomarkers of renal cancers of proximal tubule origin, possibly allowing for early screening ...

Anti-Rejection Therapies Carry Similar Cancer Risks

The increased risk of cancer among renal transplant patients is similar across various immunosuppressant therapies, according to an Australian study published online in the Journal ...

Red Meat Lovers May Have Higher Bladder Cancer Risk

A 12-year study of 1,762 individuals found that the risk of bladder cancer is about 1.5 times higher among people who eat the most red ...

Prostatitis Linked to Periodontitis

Men with the most severe form of prostatitis also showed signs of periodontitis, raising the possibility that the inflammation characterizing the two conditions may be ...

Weekend AKI Hospitalization Found to Raise Death Risk

Patients with acute kidney injury (AKI) are more likely to die if they are admitted to a hospital on a weekend rather than a weekday, ...


Curtailing Unnecessary Imaging

This article is the second in a two-part series on the expanding use of imaging studies.

Imaging-Related Malpractice: View from a Plaintiff's Attorney

In an interview with Renal & Urology News, Robert D. Kreisman, JD, of Kreisman Law Offices in Chicago, shares some insights on legal issues related ...

FDA News

New Device May Facilitate Kidney Cancer Diagnosis

Cook Medical, of Bloomington, Ind., has introduced BIGopsy Backloading Biopsy Forceps, a device that has a 4 mm3 biopsy cup to obtain large renal or ...

Lower Dosage Strength Sirolimus Tablets Available

A lower dosage strength sirolimus (Rapamune) tablet is now commercially available, according to the drug's maker, Pfizer Inc., of New York.

Company Introduces Its Novel Male Sling for SUI

San Francisco-based Coloplast has announced the debut of a new sling for treating male stress urinary incontinence (SUI).

Home Hemodialysis Safety Device Approved

The Redsense safety device, which is designed to detect venous needle displacement during hemodialysis (HD), has received FDA approval for home/self use during home HD, ...

GnRH Agonist Safety Is Under Review

The FDA is conducting a safety review of gonadotropin-releasing hormone (GnRH) agonists, a class of drugs used primarily as a treatment for prostate cancer.

Intranasal Ketorolac Cleared for Pain Management

A novel prescription intranasal formulation of ketorolac tromehtamine (Sprix Nasal Spray), a non-steroidal anti-inflammatory drug, has been approved for the short-term management of acute moderate ...

Legal Issues

Urologist Sued After Failing to Order a CT Scan

Dr. K, 64, had a busy urological practice that he shared with a younger partner. The practice was thriving, but after 30 years, Dr. K ...

Malpractice News

Nurse Settles Case, Then Is Found Not Liable

In a surprising twist in a major medical malpractice case in New York, a nurse was found not liable a week following her decision to ...

Complaints to Maine Medical Board Rise Dramatically

Maine's Board of Licensure in Medicine has reported a dramatic increase in complaints—up 50% over the past 10 years.

Study: Interrupted Nurses Make More Mistakes

Nurses who are interrupted are more likely to make procedural and clinical errors, according to a new study published in Archives of Internal Medicine (2010;170:63-690).

Medical Malpractice Suits Drop by 39% in Pennsylvania

Two changes to the medical malpractice laws in 2003 have had a major impact on how many lawsuits are initiated in Pennsylvania and where they ...

Renal Nutrition Update

Dialysis Patients May Benefit from Omega-3 Fatty Acids

Supplementation could provide a low-cost way to protect against cardiovascular events.

Practice Management

CROWNWeb and its Impact on Vascular Access Data Collection

The Centers for Medicare & Medicaid Services (CMS) is evaluating clinical data entered into its CROWNWeb system by participating Phase 2 facilities against that provided ...

Your Money

Making Avoiding Poorly-Timed Trades with Track Records

In the rollercoaster markets of recent years, many fund investors engaged in self-destructive trading. As markets approached their trough in March 2009, shareholders panicked and ...

General News

Lower Blood Pressure Goal in Diabetics Does Not Translate to Improved Outcomes

ATLANTA—The goal systolic blood pressure (SBP) of less than 130 mm Hg for patients with diabetes should be reconsidered.

ESA Resistance Linked to Variant Hemoglobin in African Americans

Variant hemoglobin phenotypes, including sickle cell trait and hemoglobin C trait, may be associated with resistance to treatment with erythropoietin-stimulating agents (ESAs) among African Americans ...

Lanthanum Carbonate Provides Long-Term Phosphate Control

Lanthanum carbonate provides sustained long-term reduction of serum phosphorus in dialysis patients, according to a study presented at the National Kidney Foundation 2010 Spring Clinical ...

Monthly Monitoring of Parathyroid Hormone May Be Optimal

Monthly rather than quarterly monitoring of parathyroid hormone (PTH) may be better for chronic hemodialysis (HD) patients.

Effect of Obesity and Metabolic Syndrome on CKD Measures May Differ by Race

Obesity and metabolic syndrome may influence CKD measures differently among African Americans and whites.

Lanthanum Carbonate Rapidly Reduces Phosphorus Levels

Lanthanum carbonate rapidly reduces serum phosphorus levels in dialysis patients, according to an analysis of data from four clinical trials reported at the National Kidney ...

Low Vitamin D After Renal Transplantation May Be Underrecognized

Low serum 25-hydroxyvitamin D (25 D) levels may be playing a role in bone disease among renal transplant recipients, researchers reported here at the National ...

Post-Dialysis Dosing of Cinacalcet May Address Noncompliance

Although daily dosing of cinacalcet may be an optimal treatment for secondary hyperparathyroidism (SHPT) compared with other dosing regimens, thrice-weekly post-dialysis dosing may be a ...

Paricalcitol-Treated Hemodialysis Patients May Require Less Erythropoietin

Long-term hemodialysis (HD) patients who receive paricalcitol as treatment for secondary hyperparathyroidism (SHPT) may require less erythropoietin than those who receive no SHPT treatment, according ...

Study Explores Novel Markers of CKD Anemia

Mitochondrial DNA copy number (mtDNA) and plasma levels of hepcidin hold promise as novel markers of anemia in CKD patients, suggest data introduced at the ...

Catheters Are the Most Common Vascular Access Type after Renal Allograft Failure

Central venous catheters are the most prevalent access type in patients who initiated hemodialysis (HD) following a failed renal transplant.

Alfuzosin Improves Ejaculatory Dysfunction

BARCELONA—Alfuzosin 10 mg once-daily (OD) improves ejaculatory dysfunction in sexually active men with lower urinary tract symptoms (LUTS) suggestive of benign prostatic hyperplasia (BPH), according ...

Cryoablation Useful For Renal Tumors

TAMPA, Fla.—Cryoablation guided by magnetic resonance (MR) imaging is safe and effective for treating solid renal tumors, even those up to 7 cm in diameter, ...

Post-Transplant Weight Gain May Be Unrelated to Dietary Intake

SAN DIEGO—Patients who undergo renal transplantation can experience significant weight gain in the first six months after the procedure, and the reason may not be ...

New-Onset Diabetes Linked to Post-Transplant Hypomagnesemia

SAN DIEGO—Hypomagnesemia in the first three months following renal transplantation may be a risk factor for the development of rapid new-onset type 2 diabetes (NODAT), ...

Stick with Quinolones for Prostate Biopsies

Using penicillin instead may result in a higher risk of sepsis, according to British researchers.

Low-Dose Fluconazole Prophylaxis After Renal Transplantation is Safe and Effective

SAN DIEGO—Low-dose fluconazole is safe and highly effective for antifungal prophylaxis after kidney transplantation, according to a study conducted by researchers at University of Utah ...

ECD Factors Affecting Graft Outcomes Identified

SAN DIEGO—Recipients of kidneys from expanded criteria donors (ECDs) with elevated terminal creatinine may be at higher risk for delayed graft function (DGF) and primary ...

Mortality Linked to Duration of Delayed Graft Function

SAN DIEGO—The duration of delayed graft function (DGF) influences mortality risk among renal transplant recipients surviving 90 days after transplantation, a study found.

Donor Race May Affect Survival of HCV-Infected Renal Transplant Patients

SAN DIEGO—Non-black renal transplant patients infected with the hepatitis C virus (HCV) have better survival if they receive a kidney from a non-black rather than ...

RALP May Be Better than Active Surveillance

BARCELONA—Prostate cancer patients who are eligible for active surveillance may actually benefit from robotic-assisted laparoscopic prostatectomy (RALP), according to data announced at the 25th Anniversary ...

Donor Kidney Volume May Predict Post-Tx Function at One Year

SAN DIEGO—Donor kidney volume is a major determinant of allograft kidney function one year after renal transplantation, according to researchers.

Kidney Cancer Linked to Hepatitis C Virus

Chronic infection with hepatitis C virus (HCV) increases a person's risk for renal cell carcinoma (RCC), a study found.

Microalbuminuria Found to Increase Risk of Chronic Kidney Disease

Increased levels of protein in urine may indicate a higher risk of developing kidney and cardiovascular problems among individuals with hypertension.

Bladder Neck Contracture Rate Is Low After Radical Prostatectomy

Robotic-assisted laparoscopic prostatectomy (RALP) and open radical prostatectomy (ORP) are associated with low rates of bladder neck contracture (BNC), according to investigators.

SHPT Treatment May Have CAC Benefit

Cinacalcet plus low-dose vitamin D for secondary hyperparathyroidism yielded encouraging results

Thrice-Weekly Post-Dialysis Cinacalcet A Viable Option

New approach may ease problems with noncompliance, according to researchers.

CIN Prevention Strategies Similarly Effective

Researchers find no difference between saline and sodium bicarbonate.

Obesity Does Not Alter RALP Outcomes

Obese and non-obese patients had comparable continence and potency rates one year after surgery.

Study Examines Impact of Ergocalciferol on Markers of Bone and Mineral Metabolism

Weekly (50,000 units) and monthly doses (50,000 units) of ergocalciferol treatment does not significantly impact markers of mineral metabolism (MM) in chronic hemodialysis (HD) patients, ...

HIFU Shows Promise As a Prostate Cancer Therapy

AMSTERDAM—High-intensity focused ultrasound (HIFU) shows promise as a treatment for early-stage prostate cancer, according to interim study results presented here at the 7th Meeting of ...

New Varicocele Technique Shows Promise

Recurrence rates after percutaneous embolization are similar to those of surgery, researcher says.

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