October 2009 Issue of Renal And Urology News

October 2009 Issue of Renal And Urology News

October 2009

Cover Articles

Managing 'Burnt-Out' Diabetes

In diabetic CKD patients, strict glycemic control may be harmful.

Study: PET/CT Finds Recurrent PCa Earlier

Italian study shows that this technique is more sensitive than conventional imaging in finding lesions.

Donor ARF Need Not Stop Renal Transplants

Acute renal damage may resolve in the absence of the underlying cause.

Commentary

Bundling: A Venture into the Unknown

Many nephrologists feel increasingly bewildered by heightened discussion about the upcoming bundling system for dialysis patients. The dialysis industry is a unique and giant enterprise ...

From Cleveland Clinic

Optimal Use of the Electronic Medical Record in CKD

The electronic medical record (EMR) has enabled creation of a CKD registry, a database that contains demographic information, clinical parameters, and outcome measurements of more ...

How a 'Glomerulonephritis Board' Can Help Improve Patient Care

Considering the advancement in the diagnosis and treatment of glomerular disease, we formed a Glomerulonephritis Board (GN Board) at Cleveland Clinic that brings together key ...

Partial Nephrectomy for Larger Renal Masses

Partial nephrectomy has been the procedure of choice for patients with poor renal function, tumors in solitary kidneys or bilateral renal tumors.

Changes in the In-Hospital Dialysis Unit

The provision of in-hospital dialysis services over the next decade will necessitate a rethinking of the unit infrastructure.

News in Brief

Rituximab Eases Lupus Nephritis

Rituximab is an effective treatment for lupus nephritis that enables reductions in maintenance steroids, data show.

Skin to Stone Distance Predicts SWL Success

Skin to stone distance (SSD) predicts stone-free status in patients after shock wave lithotripsy (SWL), independent of stone size, location, and density, according to researchers.

Kidney Recipients Do Well When Spouses Are the Donor

Renal transplants from spousal donors have long-term outcomes similar to those of transplants from other living unrelated donors (LUD), even though spousal donors have more ...

Androgen Levels Change After Radical Prostatectomy

Radical prostatectomy (RP) leads to significant changes in the levels of some androgens, Swedish investigators reported in The Prostate (2009; published online ahead of print).

Potency Linked to Glycemic Control

Glycemic control is independently and inversely associated with erectile dysfunction in men with type 2 diabetes, researchers reported in the International Journal of Impotence Research ...

Hyponatremia, Fractures Linked

Hyponatremia in elderly patients is associated with large-bone fractures, researchers have concluded.

Long-Term Results Support TVT Use

Long-term outcomes of the tension-free vaginal tape (TVT) procedure for treating female stress urinary incontinence (SUI) support the use of the procedure, according to researchers ...

Feature

Next NKF Chief Outlines Objectives

A year from now—in October 2010—Lynda Anne Szczech, MD, MSCE, a member of the Renal & Urology News editorial advisory board, will become the first ...

FDA News

FDA Approves Aliskiren/Valsartan Combination Pill

FDA has approved Valturna (aliskiren and valsartan) tablets, which the drug's maker, Novartis, of East Hanover, N.J., said is the first and only product to ...

Orally Dissolving Tablets for Diabetic Gastroparesis Cleared

Salix Pharmaceuticals has receiving marketing clearance for Metozolv (metoclopramide HCl) ODT (orally dissolving tablets) 5 mg and 10 mg orally disintegrating tablets for the relief ...

Anti-CMV Drug Cleared for Pediatric Transplant Patients

The FDA has approved Valcyte (valganciclovir hydrochloride) for the prevention of cytomegalovirus (CMV) disease in pediatric kidney and heart transplant recipients (aged four months to ...

Patent is Filed for Device To Ease Catheter Insertion

Urovalve, of Newark, N.J., has filed a patent for a device that facilitates insertion of catheters, such as Foley catheters, the company said.

Valrubicin Is Reintroduced for the Treatment of CIS

Endo Pharmaceuticals, of Chadds Ford, Pa., has reintroduced Valstar (valrubicin) for the treatment of carcinoma in situ (CIS) of the urinary bladder that is refractory ...

Legal Issues

A Patient Dies Because of Doctors' Assumptions

A 41-year-old patient, Mr. E, visited Dr. L, a family physician, for an influenza shot. While in the office, he asked the doctor for a ...

Malpractice News

Medical Malpractice TV Ads Skyrocket

Television advertising by lawyers soliciting plaintiffs in medical malpractice cases has increased nearly 1400% since 2004, a recent study found.

Adoption of Patient Safety Reforms Urged

Patient safety measures could save 85,000 lives and $35 billion a year, according to a report issued by the consumer interest group Public Citizen.

Honesty and Apologizing Reduce Malpractice Lawsuits

Honesty really is the best policy, especially when it comes to taking responsibility and avoiding lawsuits. That is what the University of Michigan Health System ...

Renal Nutrition Update

Carnitine in HD Patients: An Update

Carnitine treatment can improve erythropoietin resistance and other parameters, new data suggest.

General News

Novel Botox Therapy May Work for Idiopathic Refractory OAB

Researchers have reported encouraging results from a small study examining intravesical instillation of a botulinum toxin/dimethyl sulfoxide (DMSO) solution as a treatment for refractory idiopathic ...

Breath Test May Detect Renal Failure

Preliminary findings may set the stage for development of a breath test to identify patients with renal failure, according to Israeli investigators.

Albuminuria Risk, Alcohol Use Linked

Moderate to heavy ethanol consumption increases the five-year risk, an Australian study shows.

Wider Use of Radiofrequency Ablation Possible

Radiofrequency ablation of small renal tumors in otherwise healthy patients preserves renal function.

Taller Men Are At Higher Risk for Aggressive Prostate Cancer

The association is especially strong among men younger than 65 years, according to researchers.

Sodium Bicarbonate Does Not Decrease CIN Risk

A recent study shows that sodium bicarbonate is no better than saline in preventing contrast-induced nephropathy (CIN).

TAE Effective for Polycystic Kidney and Liver

Transcatheter polycystic embolization was well-tolerated, and no deaths occurred as a result.

First-Degree Relatives of CKD Patients Are at Higher CKD Risk

New findings make a case for renal disease screening of family members who have risk factors.

Sling Eases Male SUI After Surgery

Retrourethral transobturator sling associated with a treatment success rate of 77.1% at one year.

Preop Chemotherapy Could Aid Prostate Cancer Treatment

About half of men with high-risk localized tumors were disease-free five years after radical surgery.

OAB Meds Not Equal When It Comes To Adverse Effects

Solifenacin-treated patients experienced less dry mouth than those taking oxybutynin immediate release.

Oral Suspension Manages Phosphorus in Hemodialysis Patients

Sevelamer carbonate powder is similar in efficacy to sevelamer hydrochloride tablets in CKD patients .

Paricalcitol Cuts Protein Excretion

Paricalcitol treatment is associated with a significant reduction in protein excretion in patients with proteinuric renal disease, according to researchers.

TNM Staging System for Renal Cell Carcinoma Is Imprecise

The number and density of positive nodes provide more accurate survival predictions.

Bladder Tumor Substaging May Improve Outcome Predictions

TORONTO—Substaging of bladder cancer tumors provides important prognostic information that could help guide patient management decisions, according to researchers.

Review articles

Preventing Nephrogenic Systemic Fibrosis

Exposure to gadolinium-based contrast agents should be minimized in patients with advanced CKD.

Managing Anti-HIV Drug Toxicities

Clinicians should consider the possibility that HIV patients have both renal and cardiac disease.

Hypertension: A Public Health Challenge

Hypertension rates are expected to rise due to a growing prevalence of obesity and other risk factors.

New Biomarkers of Diabetic Nephropathy

Cell adhesion molecules may be potential targets for therapeutic intervention to delay CKD progression.

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