News in Brief

How has the HIPAA Privacy Rule affected the care you provide patients?

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The federal HIPAA Privacy Rule was passed to protect the privacy of individually identifiable health information.

Metabolic Factors Boost PCa Mortality, Not Risk

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A large, long-term study found no evidence of an association between a high level of metabolic factors and PCa risk.

Study: Cranberry Juice Does Not to Prevent UTIs

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Cranberry juice is less effective than previously indicated.

Chronic Kidney Disease May Alter Gut Microbes

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Microbial DNA revealed marked differences in the abundance of 190 bacterial OTUs between the two groups.

Clue Found to Dialysis Patients' Heart Risks

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The increased risks for cardiovascular mortality in patients with renal failure may be attributable to an impaired endothelial glycocalyx barrier.

New AUA Guidelines: Do More Vasectomies

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Vasectomy should be considered for permanent contraception much more frequently.

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

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

Detecting High-Grade PCa Improved with Ultrasound

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Contrast-enhanced ultrasound can detect almost three times as many higher-grade prostate cancers using half a many needle biopsies.

Antiandrogen Therapy May Thwart Bladder Cancer

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A protein that confers a worse prognosis in bladder cancer when present in high levels may be regulated by androgens, suggesting a role for antiandrogen agents in the treatment of this disease.

Study: Retinopathy May Reflect Renal Disease

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In an analysis, greater severity of retinopathy was strongly associated with lower estimated glomerular filtration rate.

PET Imaging Agent Detects Recurrent PCa

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The FDA has approved the production and use of Choline C 11 Injection, a PET imaging agent used to help detect recurrent PCa.

Testicular Cancer, Pot Smoking Linked

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Those who had ever smoked marijuana were almost twice as likely as non-users of marijuana to develop the disease.

Carotid Atherosclerosis Seen in Kids with CKD

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Study reveals elevated carotid intima-media thickness.

Many Back Incentives to Boost Kidney Donation

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Funeral expenses for deceased donors and a tax break for living donors were deemed the most acceptable incentives.

Do you think giving patients open electronic access to your visit notes would impede workflow or confuse or worry patients?

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A recently published study examined the effect of allowing patients open electronic access to the visit notes of their primary care physicians (PCPs).

Greater Miconutrient Intake May Improve Sperm DNA

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A survey demonstrated that those with the highest intake of vitamin C had approximately 16% less sperm DNA damage.

RP Outcomes Found to Differ by Race

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Black men undergoing radical prostatectomy (RP) were 33% less likely to use a high-volume surgeon.

Amniotic Stem Cells Can Repair Stress UI

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Periurethral injection of human amniotic fluid stem cells restored the urethral sphincter to apparently normal histology and function.

Aspirin May Lower PCa Mortality

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Anticoagulant use may lower the risk of death from prostate cancer (PCa).

Panel Nixes Routine CKD Screening

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Insufficient evidence exists to recommend routine screening for chronic kidney disease (CKD) in asymptomatic adults.

Generally, do you think it would ever be a good idea to offer payments to people to donate a kidney (outside of reimbursement for medical and certain other expenses, as is currently allowed)?

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The number of individuals in the United States who are on waiting lists for a kidney transplant far exceeds the number of available organs.

New Device Relieves Cystitis/Bladder Pain

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A new device called a continuous LiRIS provided relief to 16 women with IC/BPS.

Hospitalization Costs Higher with Robotic Prostatectomy

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Researchers suggest that hospitals may be billing more to recoup the cost of buying and maintaining the robot.

Test Detects CMV in Transplant Patients

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The FDA has granted premarket approval to a test that assesses a patient's viral load of CMV.

Common Viruses Present in PCa

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Both gene sequences were identified in a high and approximately equal proportion of 100 normal, benign, and prostate cancer (PCa) specimens.

Rituximab Treats Kidney Disorder

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During a median follow-up of 29 months, 65 of 100 consecutive patients with idiopathic membranous nephropathy achieved complete remission.

Lifetime ESRD Risk Higher for Men

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Among middle-aged individuals, men have a 2.6% risk of developing end-stage renal disease during their lives compared with 1.76% risk for women.

Frailty at Dialysis Initiation Linked to Higher eGFR

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A higher eGFR at dialysis initiation was associated with a 44% increased odds of frailty.

Slower Shock Wave Delivery to Stones Better

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Higher treatment success rate found with 60 rather than 120 shocks per minute.

When performing shock wave lithotripsy to treat kidney stones, which shock wave delivery rate do you usually use?

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Researchers in China recently reported on a prospective, randomized study comparing the effect of different shock wave delivery rates on outcomes in patients with unilateral kidney stones.

New Equation Could More Accurately Diagnose CKD

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A new equation that uses both creatinine and cystatin C measurements provides a more accurate estimate of kidney function than either marker alone, according to a new study that included data from diverse populations totaling 5,352 participants across 13 studies.

RAS Dilatation Does Not Improve Renal Perfusion

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Revascularization of renal artery stenosis in patients with atherosclerotic renovascular disease has no effect on renal perfusion.

Selenium May Lower Prostate Cancer Risk

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A meta-analysis of 12 studies with a total of 13,254 participants and 5,007 cases of prostate cancer (PCa) showed that prostate cancer (PCa) risk decreased with increasing plasma/serum selenium up to 170 ng/mL.

Study: Gout Affects 4% of Americans

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Data from 5,707 participants of the National Health and Nutrition Examination Survey (NHANES) 2007-2008 show that gout now affects 4% of Americans (8.3 million individuals), and hyperuricemia, 21% (43.3 million).

CRP May Predict Sunitinib Response

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C-reactive protein (CRP) is a significant prognostic indicator in patients with advanced renal cell carcinoma (RCC) treated with sunitinib.

CME Proposes Increased Payments to ESRD Facilities

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Payment rates are expected to rise by 2.5% in 2013.

Diabetes Drug May Raise Risk of Bladder Cancer

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A British study of 115,727 patients with type 2 diabetes who became new users of oral hypoglycemic agents from 1988 through 2009.

CKD-EPI Equation Is More Accurate for Estimating GFR

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A meta-analysis of data from 1.1 million adults from 25 general-population cohorts, seven high-risk cohorts (of vascular disease).

Blacks Less Likely To Get a Living Donor Kidney

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African Americans are less likely to receive a kidney from a living donor at all 275 transplant centers in the United States.

Obesity Raises AKI Risk in Heart Surgery

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Obesity independently predicts acute kidney injury (AKI) after cardiac surgery, and oxidative stress may partially mediate this association.

ED Drug Helps Kids With Cardiac Defects

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A six-week course of sildenafil 200 mg three times daily significantly improved echocardiographic measures of ventricular performance in a study of 27 youths (mean age 14.9 years) with single-ventricle defects.

Robotic Prostate Surgery Costs More

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A cost analysis of 115 robotic-assisted laparoscopic radical prostatectomies (RARPs) and 358 open radical retropubic prostatectomies (RRPs).

Fish Oil Taken After AV Graft Creation Beneficial

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Fish oil supplementation is associated with cardiovascular benefits in patients with stage 5 chronic kidney disease.

Failing Donor Kidney Regains Function in Second Recipient

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A renal allograft was removed from a 27-year-old man on post-transplantation day 14 and donated to a 66-year-old man on the waiting list after the first patient suffered persistent proteinuria.

E. coli Ciprofloxacin Resistance Rising

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U.S. outpatient urine samples containing Escherichia coli isolates showed that the bacterium's resistance to ciprofloxacin rose from 3% to 17.1%.

Aliskiren Warnings Being Updated

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Labels for are being updated to warn against the use of the drug with angiotensin receptor blockers (ARBs) or ACE inhibitors.

Study Demonstrates RARP Advantages

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An analysis comparing 11,889 men who underwent robot-assisted radical prostatectomy (RARP).

Spread of Bladder Cancer To Lungs Tied to a Protein

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Versican—a protein involved in cancer cell migration—is a driver of lung metastasis in bladder cancer.

New Erectile Dysfunction Drug Approved

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Avanafil (Stendra) is the first drug to be approved for the condition in nearly 10 years.

RCC Subtype Is Associated With Low Recurrence Rate

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Patients with papillary renal cell carcinoma (pRCC) have a low risk of tumor recurrence and cancer-related death after surgery.