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Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

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Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
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Chronic Kidney Disease III: Interprofessional Care01:28

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Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
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Chronic Kidney Disease II: Clinical Manifestations01:24

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Acute Kidney Injury II: Pathophysiology01:29

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Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
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Onco-nephrology: current concepts and future perspectives.

Yuichiro Kitai1, Takeshi Matsubara1, Motoko Yanagita2

  • 1Department of Nephrology, Graduate School of Medicine, Kyoto University, Sakyo-ku, Kyoto, Japan.

Japanese Journal of Clinical Oncology
|March 19, 2015
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Onco-nephrology addresses kidney diseases in cancer patients, a growing field due to longer survival rates. Early detection and management of these kidney complications are crucial for better patient outcomes.

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Area of Science:

  • Nephrology
  • Oncology
  • Onco-nephrology

Background:

  • Cancer patients survive longer due to advances in cancer therapies.
  • Cancer and its treatments frequently cause kidney damage, leading to acute and chronic kidney diseases.
  • Kidney complications in cancer patients are linked to poor prognosis, necessitating prompt intervention.

Purpose of the Study:

  • To review the pathophysiology and treatment of kidney complications in cancer patients.
  • To highlight cancer treatment strategies for patients with chronic kidney disease.
  • To emphasize the importance of familiarity with cancer-associated kidney complications for nephrologists and oncologists.

Main Methods:

  • Literature review on onco-nephrology.
  • Analysis of cancer-associated kidney complications.
  • Discussion of treatment strategies for kidney disease in cancer patients.

Main Results:

  • Cancer therapies can cause both acute and chronic kidney diseases.
  • Prompt diagnosis and treatment of kidney complications improve outcomes.
  • There is an increasing incidence of cancer in patients with chronic kidney disease, requiring further research.

Conclusions:

  • Onco-nephrology is a critical subspecialty for managing kidney diseases in cancer patients.
  • Collaboration between nephrologists and oncologists is essential.
  • Further research is needed for effective cancer treatment in patients with chronic kidney disease.