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Acute renal problems in the critically ill cancer patient

Norbert Lameire (UGent) , Wim Van Biesen (UGent) and Raymond Vanholder (UGent)
(2008) CURRENT OPINION IN CRITICAL CARE. 14(6). p.635-646
Author
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Abstract
Purpose of review : This review addresses three major topics relevant for the management of renal problems in the critically ill cancer patient; the assessment of kidney function in patients with cancer, serious water and electrolyte metabolism disturbances and acute kidney injury secondary to hematological and nonhematological malignancies. Recent findings : In all cancer patients, renal function (urinalysis for proteinuria or albuminuria and serum creatinine to estimate glomerular filtration rate) should be tested when they first present, at initiation and change of cancer therapy as well as during follow-up. However, the different proposed formulae for estimation of the glomerular filtration rate should be used with caution. Electrolyte abnormalities associated with the refeeding syndrome are common, yet underappreciated, and occur typically in acutely ill, malnourished hospitalized patients who are administered intravenous or enteral nutrition. Currently available data on acute kidney injury and its consequences suggest that acute kidney injury has the potential to substantially alter the outcome of patients with cancer and jeopardize their chances of receiving optimal cancer treatment and a potential cure. Summary : The complex management of the numerous renal complications of the critically ill cancer patient needs a multidisciplinary approach in which the nephrologist, intensivist and oncologist all play a pivotal role.
Keywords
CONTRAST-INDUCED NEPHROPATHY, IMPROVING GLOBAL OUTCOMES, TUMOR LYSIS SYNDROME, HEMATOPOIETIC-CELL TRANSPLANTATION, ACUTE KIDNEY INJURY, GLOMERULAR-FILTRATION-RATE, malignancies, critically-ill cancer patients, CYSTATIN-C, HEMATOLOGICAL MALIGNANCIES, acute kidney problems and oncology, acute kidney injury, INTENSIVE-CARE, SEPTIC SHOCK

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MLA
Lameire, Norbert, et al. “Acute Renal Problems in the Critically Ill Cancer Patient.” CURRENT OPINION IN CRITICAL CARE, vol. 14, no. 6, 2008, pp. 635–46, doi:10.1097/MCC.0b013e32830ef70b.
APA
Lameire, N., Van Biesen, W., & Vanholder, R. (2008). Acute renal problems in the critically ill cancer patient. CURRENT OPINION IN CRITICAL CARE, 14(6), 635–646. https://doi.org/10.1097/MCC.0b013e32830ef70b
Chicago author-date
Lameire, Norbert, Wim Van Biesen, and Raymond Vanholder. 2008. “Acute Renal Problems in the Critically Ill Cancer Patient.” CURRENT OPINION IN CRITICAL CARE 14 (6): 635–46. https://doi.org/10.1097/MCC.0b013e32830ef70b.
Chicago author-date (all authors)
Lameire, Norbert, Wim Van Biesen, and Raymond Vanholder. 2008. “Acute Renal Problems in the Critically Ill Cancer Patient.” CURRENT OPINION IN CRITICAL CARE 14 (6): 635–646. doi:10.1097/MCC.0b013e32830ef70b.
Vancouver
1.
Lameire N, Van Biesen W, Vanholder R. Acute renal problems in the critically ill cancer patient. CURRENT OPINION IN CRITICAL CARE. 2008;14(6):635–46.
IEEE
[1]
N. Lameire, W. Van Biesen, and R. Vanholder, “Acute renal problems in the critically ill cancer patient,” CURRENT OPINION IN CRITICAL CARE, vol. 14, no. 6, pp. 635–646, 2008.
@article{518914,
  abstract     = {{Purpose of review : This review addresses three major topics relevant for the management of renal problems in the critically ill cancer patient; the assessment of kidney function in patients with cancer, serious water and electrolyte metabolism disturbances and acute kidney injury secondary to hematological and nonhematological malignancies.
Recent findings : In all cancer patients, renal function (urinalysis for proteinuria or albuminuria and serum creatinine to estimate glomerular filtration rate) should be tested when they first present, at initiation and change of cancer therapy as well as during follow-up. However, the different proposed formulae for estimation of the glomerular filtration rate should be used with caution. Electrolyte abnormalities associated with the refeeding syndrome are common, yet underappreciated, and occur typically in acutely ill, malnourished hospitalized patients who are administered intravenous or enteral nutrition. Currently available data on acute kidney injury and its consequences suggest that acute kidney injury has the potential to substantially alter the outcome of patients with cancer and jeopardize their chances of receiving optimal cancer treatment and a potential cure.
Summary : The complex management of the numerous renal complications of the critically ill cancer patient needs a multidisciplinary approach in which the nephrologist, intensivist and oncologist all play a pivotal role.}},
  author       = {{Lameire, Norbert and Van Biesen, Wim and Vanholder, Raymond}},
  issn         = {{1070-5295}},
  journal      = {{CURRENT OPINION IN CRITICAL CARE}},
  keywords     = {{CONTRAST-INDUCED NEPHROPATHY,IMPROVING GLOBAL OUTCOMES,TUMOR LYSIS SYNDROME,HEMATOPOIETIC-CELL TRANSPLANTATION,ACUTE KIDNEY INJURY,GLOMERULAR-FILTRATION-RATE,malignancies,critically-ill cancer patients,CYSTATIN-C,HEMATOLOGICAL MALIGNANCIES,acute kidney problems and oncology,acute kidney injury,INTENSIVE-CARE,SEPTIC SHOCK}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{635--646}},
  title        = {{Acute renal problems in the critically ill cancer patient}},
  url          = {{http://doi.org/10.1097/MCC.0b013e32830ef70b}},
  volume       = {{14}},
  year         = {{2008}},
}
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