March 2015 Issue of Renal And Urology News

March 2015 Issue of Renal And Urology News

March 2015

Nephrology Cover Articles

With Donor Kidneys, Every Hour of Cold Ischemia Time Matters

The longer a kidney is without a blood supply, the greater the risk of graft failure and death, according to a new study.

Hypothyroidism Risk Rises with Declining Kidney Function

The risk increases by 18% with each 10 mL/min/1.73 m2 lower estimated glomerular filtration rate.

Fistula Use Increasing in U.S. Dialysis Population

Still, approximately 70% of patients initiate dialysis with a catheter.

Urology Cover Articles

Partial Nephrectomy for Kidney Cancer Lowers ESRD Risk

Nephron-sparing approach is associated with a 56% decreased risk of postoperative end-stage renal disease versus radical surgery.

Higher-Risk Prostate Cancer On the Rise

The proportion of men diagnosed with intermediate- or high-risk disease rose 6% from 2011 to 2013, study finds.

Nerve Wrap May Hasten Potency Return

The average time to return of continence and potency following prostatectomy was significantly shorter in the allograft than no-allograft group.

Commentary

Uncomplicated UTIs: A Case for Standardization

Physicians recognize the need for standards and process improvement in medicine. Case in point: Urinary Tract Infections.

Men's Health Update

Tramadol Appears Effective for Premature Ejaculation

Clinicians should prescribe the medication cautiously because it may cause breathing difficulty and addiction.

Marijuana Use Found to Lower Bladder Cancer Risk in Men

Smoking pot decreased the likelihood of the malignancy by 45%, whereas smoking tobacco only increased the likelihood by 52%.

Recreational Marathon Training Good for Middle-Aged Men's Hearts

Study reveals favorable myocardial adaptations, including enhanced left ventricular diastolic function.

Reducing Sedentary Time May Cut BPH Risk

Men with lower levels of sedentary time had a significantly lower risk of benign prostatic hyperplasia (BPH).

Testosterone Found to Boost Efficacy of PDE5 Inhibitors

The authors recommend consideration of testosterone assays in men who fail to respond to PDE5 inhibitors in an effort to optimize outcomes.

Sleep Disorders Linked to Central Obesity in Middle-Aged Men

Among the overweight men, the groups with sleep disorders had higher fat mass in the trunk and android regions.

News in Brief

Prostate Cancer Not More Common in Hemophiliacs

Patients with hemophilia, however, do have a higher incidence of cancers overall.

Women with Type 1 Diabetes Fare Worse Than Men

Among the increased risks, women with the disease had an 86% higher chance of dying from cardiovascular disease than men.

Lycopene May Lower Kidney Cancer Risk in Older Women

In a study of post-menopausal women, the highest quartile of lycopene intake was associated with a significant 39% decreased risk of renal cell carcinoma versus ...

Prospective Study Supports Active Surveillance for Small Renal Masses

Data reveal no significant differences in overall and cancer-specific survival at 5 years.

Statins Cut Death Risk in Non-Obstructive CAD

Statin use is associated with a decreased risk of all-cause mortality among patients with non-obstructive coronary artery disease (CAD).

Extranasal S. aureus Common In Maintenance HD Patients

Extranasal Staphylococcus aureus is a common cause of healthcare-associated infections in hemodialysis patients.

Feature

Diagnosing and Managing Low Testosterone in CKD

Low testosterone in men with CKD should not be treated routinely, but can be considered on an individual basis in some cases.

Practice Management

Providing Health Insurance Under the Affordable Care Act

Experts review ACA provisions that practices should weigh when deciding on employee medical benefits.

General News

Large Study Offers Insights in AMH Management

In a study of nearly 57,000 Korean patients, 6.2% had asymptomatic microscopic hematuria.

More Provider Visits Do Not Improve Dialysis Vascular Access Outcomes

The frequency of visits to physicians and advanced practitioners by hemodialysis patients had no significant effect on their graft or arteriovenous fistula survival.

Kidney Disease Linked to Worse Pregnancy, Fetal Outcomes

Study reveals increased risk of preterm delivery and delivery of low-birth-weight infants.

Updated Hypertension Guidelines Could Save 13,000 Lives Yearly

The 2014 recommendations also could prevent an estimated 56,000 cardiovascular events annually and save costs.

Study Highlights Survival Benefit of Solid-Organ Transplants

Kidney transplants alone saved nearly 1.4 million life-years in the United States over a 25-year period.

Kidney Stone Formers Have Worse Vascular Calcification, BMD

New finding may explain reported associations between nephrolithiasis and cardiovascular disease.

Infection Linked to Non-Dialysis CKD Among Diabetics

Investigators found the strongest associations for sepsis, followed by pneumonia and other lower respiratory tract infections.

Silodosin May Ease Passage of Distal Ureteral Stones

The rate of stone passage was about 23% higher with silodosin compared with placebo.

Urinary Stone Complication Risk Higher in IBD Sufferers

They are more likely to have urinary tract infections and sepsis than urinary stone formers without inflammatory bowel disease.

Penile Cancer Prognosis Not Linked to BMI

The researchers found no significant association between BMI and penile cancer stage at diagnosis.

Risk Factors for Late RCC Recurrence Identified

Patients with these risk factors should be followed up for the rest of their lives, according to the researchers.

IMRT Used Less in Black Prostate Cancer Patients

African American patients are less likely than Caucasians to receive intensity-modulated radiation therapy for localized prostate cancer.

Horseshoe Kidney May Raise UTI Risk in Kids

Children with horsehoe kidney might be examined for additional urologic and nonurologic abnormalities, researchers suggest.

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