February 2018 Issue of Renal And Urology News

February 2018 Issue of Renal And Urology News

Renal & Urology News Jan-Feb 2018 Issue

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Nephrology Cover Articles

Early RRT for Acute Kidney Injury Not Superior

Early and late initiation of renal replacement therapy for AKI in critically ill patients are associated with similar long-term risks of death, chronic kidney disease, ...

Racial-Ethnic Gap in Living Donor Kidney Transplantation Widens

New findings suggest that national strategies have failed to correct racial/ethnic disparities in live donor kidney transplantation.

Anemia in Dialysis Patients Linked With Hemorrhagic Stroke

Patients with hemoglobin values of 9.7 g/dL or below had more than double the risk for hemorrhagic stroke compared with patients with hemoglobin values of ...

Urology Cover Articles

High-grade Prostate Cancer Risk Again Linked to Cholesterol

Each 10 mg/dL increase in serum levels of total and HDL cholesterol are associated with a significant 5% and 14% increased risk of high-grade PCa, ...

Radical Cystectomy Offers Better Long-term MIBC Patient Survival

Chemoradiation for muscle-invasive bladder cancer is associated with a lower 1-year mortality risk versus radical cystectomy, but at year 2 and beyond, mortality risk is ...

Commentary

Guidelines Disconnect: Patients' Voice Absent

Patient-centeredness should become a core component of clinical practice guidelines, according to Dr Kalantar-Zadeh.

News in Brief

Cytoreductive Nephrectomy Improves Survival in mRCC

Propensity score matching showed a 5.8 month survival advantage for initial CN vs initial systematic therapy.

Obstructive Sleep Apnea, Significant Interdialytic Weight Gain Linked

Researchers find a higher proportion of hemodialysis patients with interdialytic weight gain greater than 2 kg among patients with versus without obstructive sleep apnea.

ED Risk Is Associated With Handgrip Strength

Men with greater handgrip strength have a lower risk of erectile dysfunction (ED), new findings suggest.

Practice Management

The Importance of Nurse Managers

Nurse managers have a direct impact on the quality of care provided by staff nurses.

General News

Clinicians Embrace New Prostate Cancer Grading System

Endorsed by the International Society of Urological Pathology in 2014, the 5-tier Gleason grade group system is used routinely today in pathology reports and physician ...

Warfarin May Decrease Cancer Risk

For this population-based cohort study, researchers analyzed the health outcomes of 1,256,725 patients and separated them into warfarin- and non-warfarin-using subgroups.

Structured Investigation of Outpatient Transperineal Prostate Biopsy

The transperineal approach to prostate biopsy has recently been adopted at many centers as an alternative to TRUS-B.

Acute Kidney Injury in CCU Patients Linked to Cystatin C

Among patients admitted to a coronary care unit, the highest quartile of serum cystatin C levels was associated with a 9.6-fold increased risk of AKI ...

MRI Predicts Outcomes of Prostate Cancer Salvage Radiotherapy

A negative mpMRI is associated with a higher risk for PSA recurrence and metastasis following salvage radiotherapy for recurrent prostate cancer after radical prostatectomy.

Residual Renal Function Not Linked to ESA Requirements

Researchers find no significant difference in the median erythropoietin resistance index between patients with versus without residual renal function.

Optimal Salvage Treatment for Radiorecurrent PCa Still Unclear

Definitive comparative effectiveness data are lacking for salvage prostatectomy or salvage cryotherapy.

Kidney Cancer Bone Metastasis Predictors Id'd

Levels of alkaline phosphatase, calcium, and hemoglobin can independently predict bone metastasis in patients with renal cell carcinoma, Chinese investigators report.

Calciphylaxis in CKD Patients Linked to Hypercoagulable Conditions

In patients with stage 5 chronic kidney disease, lupus anticoagulant and combined thrombophilia occur more frequently in those with versus without calciphylaxis, case-control study shows.

Urologic Cancer Risk Higher in Kidney Failure Patients

Patients with end-stage renal disease (ESRD) have a 6-fold and 4.4-fold increased risk of kidney cancer and urothelial cancers, respectively, than individuals without ESRD.

Shift Workers at Higher Risk for Prostate Cancer

A rotating shift schedule appeared the most risky.

Partial Nephrectomy Improves Survival in cT1b RCC Cases

Partial nephrectomy was associated with decreased odds of death versus radical nephrectomy among patients with cT1b but not cT2 renal cell carcinoma.

Some High-risk Heart Failure Patients Benefit From MRAs

Mineralocorticoid receptor antagonists found to lower hospital readmission risk in patients with heart failure and concomitant diabetes or renal insufficiency.

Novel 3D Printed Prostates Could Improve Preoperative Planning

New technique uses silicone-based polymer inks to create prostate models with the tactile sensation, pliability, and texture of a real prostate.

PSA at 7 Months Prognostic in Treated mHSPC

A study showed longer survival among patients with metastatic hormone-sensitive prostate cancer who achieved a PSA level of 0.2 ng/mL or less 7 months after ...

Robotic Kidney Transplantation Safe, Feasible

Robotic-assisted kidney transplantation is associated with a low complication rate and excellent graft function, European study shows.

Prostate Cancer Gene Testing Guidelines Issued

Clinicians need to ask about cancers among members of the maternal and paternal sides of a family.

Kidney Failure Associated With Low Albumin Levels

End-stage renal disease is more likely to develop in individuals with serum albumin levels of 4.1 g/dL or below than in those with levels of ...

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