June 2013 Issue of Renal And Urology News

June 2013 Issue of Renal And Urology News

June 2013

Cover Articles

CKD Risk Lower in Big Water Drinkers

Chronic kidney disease 2.5 times less likely to develop in those who drink more than 4.3 liters a day versus less than two liters day.

BPH Drug Prescribing Increasing in the U.S.

Alpha blockers are the mostly commonly prescribed drugs to treat LUTS secondary to BPH.

Radical Prostatectomy May Prevent LUTS Progression

Following surgery, symptom severity declined significantly and remained stable over 10 years.

Commentary

Let's End the Small Renal Mass Dilemma

The vow never to treat SRMs may seem hard to believe and self-defeating.

Feature

Managing Bone Loss Associated with Androgen Deprivation Therapy

While bone loss and reduction in bone mineral density are well known consequences of ADT, the main concern is increased risk of osteoporotic fractures.

Malpractice News

Malpractice Award Caps May be Reinstated in Missouri

The proposal puts a $350,000 limit on non-economic damages.

Florida Moves Toward Malpractice Reform

One proposed change would allow only physicians with the same specialty to act as expert witnesses.

Hospital Divulges Medical Errors to Improve Care

Brigham and Women's Hospital reveals mistakes in a newsletter sent electronically to its 16,000 employees.

Renal Nutrition Update

Zinc Protects Against Inflammation, Malnutrition, and Oxidative Damage

Zinc supplementation has been shown to decrease levels of plasma aluminum and reactive oxygen species in dialysis patients.

Practice Management

Group Visits Pay Off for Patients and Doctors

Studies have shown that group therapy can be at least as effective as individual treatment.

General News

Kidney Tumor Ablation Ideal for Selected Patients

British radiologist/researcher discusses her experience with cryotherapy and radiofrequency ablation.

Allopurinol-Induced AEs Linked to Colchicine, Statin Use

Adverse events included skin rash, gastrointestinal problems, and allopurinol hypersensitivity syndrome.

Lithotripsy Suitable for Lower Pole Stones

Total clearance rate of 81% found in patients with solitary stones.

High Phosphorus Levels Increase Renal Failure Risk

Researchers made the discovery in a study of individuals with normal kidney function.

Low UACR Predicts Better Kidney Disease Outcomes

Study reveals reduced risk of progression of chronic kidney disease (CKD) and mortality in patients with moderate and advanced CKD.

High-Potency Statins Raise AKI Risk in Kidney Disease Patients

The absolute risk is small, but data may make a case for the use of low-potency statins when possible.

Drug-Induced Interstitial Nephritis More Common in the Elderly

Antibiotics and proton pump inhibitors are the major causes in this age group.

Restart Warfarin After GI Bleeding in CKD and ESRD Patients

Risk of recurrent bleeding is similar to that of patients with normal kidney function.

Prostate Cancer Need Not Preclude Kidney Transplants

Five-year mortality is lower among PCa patients who receive a transplant rather than stay on dialysis.

Study: Heparin-Free Hemodialysis Not Safer

Risk of death, bleeding, and other complications found to be similar whether or not heparin is used during hemodialysis.

Silodosin Improves Management of Acute Urinary Retention

The drug increases the likelihood of a successful trial without catheter.

Heart Abnormality Tied to High Dietary Phosphorus Intake

Consuming too much phosphorus increases the risk of left ventricular hypertrophy in women, study finds

Preeclampsia, Gestational Hypertension Raise Diabetes Risk

Canadian study of more than one million health records reveals a twofold increased risk.

Hyponatremia Linked to Thiazide Use

Risk is greatest in patients with a lower body mass index and younger age.

Prostate Cancer Severity Not Linked to Obesity

Study reveals no significant association between BMI and prebiopsy PSA, Gleason score, clinical T stage, and D'Amico risk.

Erectile Dysfunction Linked to Restless Legs Syndrome

RLS increases the risk by 38%, data show.

Shock Wave Lithotripsy May Raise Hypertension Risk

SWL is an independent risk factor for hypertension in patients without CKD.

Updated Prostate Cancer Screening Guidelines Announced

Shared decision-making about screening recommended for men aged 55-69 years.

NSS Offers Better Renal Function Preservation

Compared with radical nephrectomy, nephron-sparing surgery shift serum creatinine downward.

Prostate Cancer Risk Not Higher with TRT Use

Researchers studied 850 testosterone-deficient men who received 1,000 mg parenteral testosterone undecanoate six weeks after baseline and then every 12 weeks for up to five ...

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