March 2013 Issue of Renal And Urology News

March 2013 Issue of Renal And Urology News

March 2013

Cover Articles

Living Donor Smoking Worsens Recipient Survival

Survival rates for recipients of an organ from smokers and nonsmokers were 85% and 90.7% at five years and 67.4% and 76.5% at 10 years, ...

BCG for Bladder Cancer Effective Despite Immunosuppression

Finding is based on a small study of patients with high-grade non-muscle-invasive bladder cancer.

ADT Duration for Prostate Cancer Can Be Cut in Half

No adverse impact observed in men with high-risk disease.

Commentary

Why Not 24/7 Dialysis Urgent Care?

Almost half a million Americans depend on chronic dialysis therapy to survive.

Men's Health Update

Saw Palmetto Has No Effect on PSA

Saw palmetto remains the most common herbal treatment for men with LUTS.

Antibiotics Regimen Beneficial for Prostate Biopsy

Researchers analyzed the effect of implementing an augmented antibiotic prophylaxis regimen in decreasing the rate of post-biopsy infections.

Nocturia May Predict Heart Problems

The prevalence and severity of nocturia, or awakening at least once at night to urinate, tends to increase with age.

News in Brief

Do you think Medicare's plan to reward hospitals financially for better performance will result in a higher quality of patient care?

Researchers reported on a study looking at the effect of a pay-for-performance program instituted among 24 hospitals.

Feature

The Pros and Cons of Vitamin D Supplementation

In both nutritional and activated forms, vitamin D may have side effects that are as yet under-appreciated.

Thyroid Functional Disease in Dialysis Patients

Emerging data suggest that thyroid hormone deficiency may be associated with 
greater cardiovascular morbidity and mortality in this population.

Malpractice News

Surgical 'Never Events' Occur At Least 4,000 Times Annually

Surgeons in the U.S. leave a foreign objects inside a patient after an operation 39 times a week, researchers estimate.

Study Underscores Long Waits to Resolve Malpractice Claims

On average, a physician will spend more than 50 months with an open, unresolved malpractice claim.

Wrestler Hulk Hogan Files $50 Million Malpractice Suit

He is suing for what he alleges were multiple unnecessary endoscopic surgical procedures that destabilized his previously injured back.

Renal Nutrition Update

When Deciding Dietary Restrictions, Assess Uric Acid Levels

Foods that may increase gout flare risk are also dietary factors that may promote further kidney decline in individuals with CKD stages 3-5.

Practice Management

How to Improve Therapeutic Adherence

Patients fail to stick to treatment regimens for a variety of reasons, but there are specific measures doctors can take to encourage patients to follow ...

General News

Bolus Iron Dosing Hikes Risk of Serious Infection

Bolus dosing of intravenous (IV) iron is associated with an elevated risk of infection-related hospitalization among anemic hemodialysis (HD) patients compared with maintenance dosing.

Coronary Disease Raises Death Risk in Renal Failure Patients

It is safe and beneficial to refer these patients for cardiac computed tomography, researcher says.

Radiotherapy Relapse Rare in Stage II Testicular Seminoma

The relapse-free survival at 10 years was 83% and 54% for stage IIA and IIB patients, respectively.

New-Onset Diabetes Linked to Steroid Resumption

Kidney transplant recipients who resume steroid treatment after early withdrawal from steroids following transplant surgery are at increased risk for new-onset diabetes (NODAT) and morbid ...

Lupus Nephritis Patient Genotype May Not Predict MMF Response

Effects of MMF may be influenced by the pathogenesis and/or cellular micro-environments unique to each disease process.

Study: Keep Systolic BP in Therapeutic Range

Values above and below 120-140 mm Hg in hypertensive patients increase mortality risk.

Renal Denervation Device Treats Resistant Hypertension

In a small study, a multi-electrode system provided a rapid and sustained treatment effect.

Curative Therapy Underused for Muscle-Invasive Bladder Cancer

Elderly, blacks, and uninsured less likely to receive aggressive treatment.

Preoperative ESR Predicts Kidney Cancer Survival After Nephrectomy

Preoperative anemia associated with elevated risk of deaths from other illnesses.

Risk Factors for ICU-Treated Acute Kidney Injury Identified

These include hypovolemia, diuretic use, and CKD prior to admission.

Why Internal Medicine Residents Don't Choose Nephrology

The top reason: end-stage renal disease patients are too complicated.

Restless Legs Syndrome Linked to CKD in Kids

The syndrome was present in 15.3% of pediatric CKD patients compared with 5.9% of healthy controls.

FDA Warns About Tolvaptan-Related Liver Injury

In clinical trials, three patients treated with the hyponatremia drug experienced liver injury, which improved after discontinuing treatment.

Exercise Maintains Sexual Interest During Androgen Suppression

Researchers concluded that exercise be considered as an adjunctive therapy in men undergoing androgen suppression.

Sitagliptin, Glipizide Safe, Effective for Diabetic Dialysis Patients

Both drugs significantly decreased HbA1c and fasting plasma glucose levels.

Tadalafil Found to Ease Ejaculatory Problems

The drug, which is approved for treating men with erectile dysfunction, benign prostatic hyperplasia, or both conditions, also improved orgasmic function.

Higher Caffeine Intake Ups Urinary Incontinence Risk in Men

Consumption of 234 mg/day or more was associated with a 72% increased likelihood of urinary incontinence.

Minimal Priapism Risk with AndroGel 1% Use

Researchers reviewed clinical trial and postmarketing data.

Serial Prostate Biopsy May Increase Inflammation

Pilot study of prostate cancer patients on active surveillance finds no association between chronic inflammation and prostate cancer upgrade.

The Role of Renal Tumor Biopsy

With a growing number of small renal masses being detected, renal tumor biopsies should be performed more frequently.

End-Stage Renal Disease Associated with Metabolic Syndrome

Some individual components of the syndrome also found to increase risk.

Kidney Cancer Linked to Acetaminophen, Nonaspirin NSAIDs

Researchers performed a meta-analysis of data from 20 studies that included 8,420 cases of kidney cancer.

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