Irish Medical News

A lesser known cause of malnutrition
Thursday, 14 June 2012
THE DRASTIC weight loss and emaciation seen with pancreatic exocrine insufficiency (PEI) is more than obvious, yet the condition itself remains… Read more…
Probiotics: Evidence-based guidelines
Thursday, 02 February 2012
  The term “probiotics” was first introduced in 1965 by Lilly and Stillwell; in contrast to antibiotics, probiotics were defined as… Read more…
New global strategy for COPD
Thursday, 02 February 2012
Early stage COPD carries a significant healthcare burden that is currently underrecognised, underdiagnosed and undertreated. Furthermore, patients at… Read more…
Diagnosing lung cancer: Guideline update
Thursday, 07 July 2011
The long-awaited updated guidance on diagnosing lung cancer was released last week by the National Institute for Clinical Excellence (NICE) in the… Read more…
Advances in treatment of chronic total occlusion
Friday, 17 June 2011
Marie Feely learns of the unique advances in the Mater Private Hospital’s Heart Centre that are improving patients’ lives Read more…
An overview of atopic dermatitis
Tuesday, 26 April 2011
Eczema, or  atopic dermatitis, is a common inflammatory disease of the skin. The condition often has its start in childhood and follows a variable… Read more…
Silver bullet treatments in lung cancer
Wednesday, 13 April 2011
In lung cancer, even patients presenting with early, more manageable disease have a low five-year survival rate. A Scottish analysis reported that 50… Read more…
Ask the specialist: Depression
Thursday, 31 March 2011
Consultant psychiatrist and author Dr Conor Farren answers questions on managing depression in the community Read more…
Complications of chronic kidney disease
Tuesday, 22 March 2011
Chronic kidney disease (CKD) includes any conditions that affect the kidney with the potential to cause either progressive loss of kidney function or… Read more…
Barrett’s oesophagus: Diagnosis and management
Friday, 11 March 2011
Barrett’s oesophagus is a benign condition where the normal (stratified squamous) lining of the oesophagus is replaced by abnormal cells… Read more…
HRT: Panacea or villain?
Thursday, 06 September 2012
Danielle Barron looks at current trends in prescribing hormone replacement therapy       Read more…
ASCO 2012: Spreading innovation
Friday, 22 June 2012
  “ASCO is now a truly international organisation…. It communicates with oncologists all around the world about the best practices, the latest… Read more…
Reducing CV risk using combination therapy
Friday, 22 June 2012
London recently hosted the 22nd European Meeting on Hypertension and Cardiovascular Protection, held by the European Society of Hypertension (ESH)… Read more…
Benign prostatic hyperplasia: A review
Friday, 22 June 2012
  Benign prostatic hyperplasia (BPH) occurs within the prostate of all men as they age. In fact, small BPH nodules develop from about age 30… Read more…
A lesser known cause of malnutrition
Friday, 22 June 2012
The drastic weight loss and emaciation seen with pancreatic exocrine insufficiency (PEI) is more than obvious, yet the condition itself remains… Read more…
Psoriasis: Not just skin deep
Friday, 22 June 2012
Affecting at least two per cent of the population, psoriasis is a common systemic inflammatory disease that can greatly affect sufferer’s lives,… Read more…
What’s coming up at ASCO?
Thursday, 31 May 2012
Tackling the scourge of cancer requires both increased awareness of risk factors but also a knowledge of treatment advances, a number of which will… Read more…
Screening ‘significantly reduces deaths from prostate cancer’
Monday, 23 April 2012
The long-running European Randomised Study of Screening for Prostate Cancer (ERSPC) last week published its 11-year follow-up results, which add… Read more…
Addressing long acting reversible contraception
Tuesday, 10 April 2012
The ICGP is currently developing a new advanced certificate in long acting reversible contraception (LARC). Dr Geraldine Holland, coordinator of the… Read more…
The real impact of mass prostate cancer screening
Thursday, 02 February 2012
New research from the US has produced evidence that annual prostate cancer screening does not translate into a reduction in the amount of deaths from… Read more…

Protect your kidneys, save your heart



In just five years the widespread pessimism of European clinicians has shifted towards increasing optimism about the outlook for newly diagnosed advanced kidney cancer patients, according to survey results released today for World Kidney Day 2011.


Results from a new survey of 372 European oncologists reveal greater positivity amongst doctors treating advanced kidney cancer, with nearly a ten-fold increase in optimism in the five years to 2010 (from 4 per cent to 37 per cent). Almost two-thirds of doctors said the main reason for improved optimism was the development of more targeted treatments for advanced kidney cancer.


Dr Ray McDermott, consultant oncologist at St Vincent’s Hospital Dublin, said: “Advanced kidney cancer is a difficult-to-treat cancer. Only five years ago the prospects for patients were very poor and treatment options were limited. With the introduction of targeted therapies, the treatment of advanced kidney cancer has changed for the better and we are now able to extend the time that many patients live before their disease progresses.”


Prior to 2005, advanced kidney cancer was typically treated with immunotherapy, which had low response rates and substantial toxicity. Newer, more targeted, therapies for advanced kidney cancer have shown clinically relevant and statistically significant advantages over treatment with immunotherapy alone.


Today marks the 6th Anniversary of World Kidney Day, an annual event to raise awareness among the general public and national governments about the dangers of kidney disease, particularly chronic kidney disease (CKD). This is supported by the HSE National Renal Office and endorsed by its Clinical Director, Dr Liam Plant.


CKD increases the risk of CV disease in those with diabetes and high blood pressure. But it also increases this risk even in the absence of these or other known risk factors. This is especially true in older adults, but even in those with an average age of 45 years, the presence of CKD doubles the risk of heart attack, stroke and death from all causes. The risk is even greater in those with protein in their urine.

“Most people with early CKD are undetected. Simple screening tests easily detect CKD.,” said Dr Plant. “These include: A routine urine test for the presence of blood or protein; a routine blood test to measure the level of creatinine; and measurement of blood pressure. These simple tests identify CKD and allow lifestyle modification and medical treatment to reduce the risk of future problems.”



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