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September 2010 Issue of Renal And Urology News

Cover Articles

Salvage Cryotherapy a Possible Option

CHARLOTTETOWN, Canada—New findings from a Canadian study support the use of salvage cryotherapy for prostate cancer (PCa) patients who experience disease recurrence after radiation treatment.

HbA1c May Miss Diabetes Cases

ORLANDO, Fla.—Despite a recent recommendation that hemoglobin A1c (HbA1c) be used as a standard diagnostic test for diabetes, the proposed diagnostic criteria fail to pick ...

Assess Donors For Metabolic Syndrome

SAN DIEGO—Individuals who donate one of their kidneys experience a faster deterioration of their other kidney if they have metabolic syndrome at the time of ...

News in Brief

Aging Alone Does Not Influence CKD

A study of 2,649 men and women aged 18 years and older has uncovered no evidence that aging alone influences CKD, instead identifying hypertension as ...

High-Fat Diet May Harm the Prostate

A new study provides more evidence that a high-fat diet is a potential cause of prostatic diseases, including benign prostatic hyperplasia and prostate cancer.

Baseline PSA Predicts Prostate Cancer Death Risk

Baseline PSA levels reliably and independently predicts death from prostate cancer, with a baseline reading of 4 ng/mL or higher linked with greater mortality risk.

Bladder Cancer Risk Higher in Painters, Study Shows

A meta-analysis of 41 studies involving more than 2,900 bladder cancer cases or deaths among painters revealed that such workers were 28% more likely than ...

Morning Urine Test Better For Renal Risk Assessment

The albumin:creatinine ratio in the first urine excreted in the morning is better than 24-hour urinary albumin excretion in determining the risk for renal events ...

Blacks' Higher Renal Disease Risk Linked to Gene Variants

Researchers have discovered that variants in the APOL1 gene that raise the risk for renal disease are common in individuals of recent African ancestry, occurring ...

Legal Issues

Nephrologist Sues for An Alleged Antitrust Violation

Dr. V, 52, was a nephrologist with a thriving practice in Middletown, a mid-sized community in the Southwest. For years, patients had been traveling to ...

Malpractice News

Wisconsin Ordered to Repay Medical Malpractice Fund

The Wisconsin Supreme Court recently ruled that the state must repay $200 million that was taken from a medical malpractice fund three years ago to ...

New York Hospitals Test Malpractice Pilot Program

Five New York hospitals will participate in a federally funded pilot program designed to cut back on medical malpractice costs.

Study: Interpreters Improve Satisfaction with ED Visits

A recent study reveals that non-English speaking patients who are provided with a professional interpreter in the emergency department (ED) of a hospital are far ...

Renal Nutrition Update

Low Vitamin D Linked to Higher Risk of Anemia, Death

Vitamin D levels can be affected by season of the year and latitude.

General News

Prostate Surgery Outcomes Similar in Obese Men

Obese patients who undergo radical prostatectomy (RP) for localized prostate cancer fare no worse than normal-sized patients with respect to perioperative complications and oncologic outcomes, ...

CRP Predicts Development of Proteinuria

C-reactive protein (CRP) predicts development of proteinuria in a screened cohort, according to Japanese researchers.

Aspirin Use May Decrease Prostate Cancer Risk

Aspirin use is associated with a significantly decreased risk of prostate cancer, with the greatest reduction in risk found with daily use of low doses ...

Death Risk in Hemodialysis Patients Linked to Potassium

Higher dietary potassium intake is associated with an increased risk of death in long-term hemodialysis (HD) patients, new findings suggest.

Statins Are Underused in Type 2 Diabetics

More than one third of patients eligible to receive the drugs actually do not get a prescription for them.

Metformin Benefits Diabetics with Heart Failure

Patients with both heart failure and type 2 diabetes who are treated with a metformin-based strategy have a lower mortality risk than matched individuals not ...

Gastric Bypass Superior to Diet for Diabetics

It is associated with better improvements in insulin sensitivity and beta-cell function, study shows.

Coronary Heart Disease Linked to Endogenous Testosterone

A greater than twofold increased risk observed in men with the highest versus the lowest levels.

Findings May Improve Use of BotulinumToxin for LUTS

SAN FRANCISCO—Baseline PSA and prostate volume may predict which patients may respond best to botulinum toxin type A (BoNT-A) treatment of lower urinary tract symptoms ...

Lowering the PSA Threshold For Biopsy May Lead to Prostate Cancer Overdiagnosis

Most men with PSA levels of 4 ng/mL or below and who have been diagnosed with prostate cancer have low-risk disease yet undergo aggressive local ...

Antioxidants Boost Insulin Sensitivity

Combining metformin with an antioxidant-rich diet may have a synergistic effect, new findings suggest.

Stomach Hormone May Treat Diabetic Neuropathy

After ghrelin treatment, patients had improvements in nerve conduction velocity of the lower limbs.

Free PSA Screening May Decrease Prostate Cancer Mortality

SAN FRANCISCO—Offering PSA testing for free is associated with a reduction in prostate cancer mortality, according to an Austrian study.

Age Affects Bladder Cancer Treatment Outcomes

Octogenarians with non-muscle-invasive bladder cancer (NMIBC) have the worst outcomes after bladder-preserving treatment, data show.

Culturally Sensitive Diabetes Program Promising

ORLANDO, Fla.—Investigators have reported favorable results with a culturally sensitive diabetes education program "piloted" in diabetics of South Asian origin living in Queens, N.Y.

Clinic Focuses on Tough-To-Treat Diabetes

By six months, nearly 40% of patients had an HbA1c less than 7%, researchers reported.

For Locally Advanced Prostate Cancer, Add Radiation

ADT plus radiation should be the standard treatment approach, new research says.

Drug Shows Promise for Castration-Resistant Prostate Cancer

CHICAGO—Alpharadin, an investigational agent, may relieve pain and improve survival in men with metastatic castration-resistant prostate cancer (CRPC), according to data presented at the American ...

Second-Look Nephroscopy Boosts Stone-Free Rate

CHARLOTTETOWN, Canada—Second-look nephroscopy improves the stone-free rate in patients with renal calculi undergoing single-tract percutaneous nephrolithotomy (PCNL), according to a study presented at the Canadian ...

DVA/DoD Has Highest Arteriovenous Fistula Use

Patients who initiate hemodialysis (HD) within the Department of Veterans Affairs/Department of Defense (DVA/DoD) system are more likely to start treatment with an arteriovenous fistula ...

Imaging Approach May Distinguish Clear Cell Renal Cell Carcinoma

SAN FRANCISCO—For the first time, clinicians may have an imaging tool that can help distinguish clear cell renal cell carcinoma (RCC) from other kinds of ...

Genes Correlate with RCC Recurrence Risk

CHICAGO—Researchers at Cleveland Clinic, in collaboration with Genomic Health, Inc. and Pfizer, say they have demonstrated for the first time a strong correlation between gene ...