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By Carlos Rotellar

A quick, transparent, sensible, and funny method of acute renal insufficiency.

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Fifteen per cent of group 1 patients reported the need to pay someone for home help after their admission compared with 0% in group 3 and 6% in group 2. The average amount paid for this care during the course of the study was £403, £82 and £0 for groups 1–3 respectively. Group 1 patients also needed prolonged help from relatives and friends compared with patients in the other two groups. Comment This study does suffer from some methodological flaws. Patient groups were not age-matched and the study had a considerable withdrawal rate (33%).

Although widely used in research, its use in everyday clinical practice is unfortunately less extensive. The key to improving the management of incontinence is the universal use of standardized measures such as the ICIQ, in conjunction with functional measures of incontinence, in order to understand better the effect of incontinence on QoL and thus target treatment appropriately. ✍ Impact of superficial bladder cancer and transurethral resection on general health-related quality of life Yoshimura K, Utsunomiya N, Ichioka K, Matsui Y, Terai A, Arai Y.

Diagnostic accuracy of staging renal cell carcinomas using multidetectorrow computed tomography and magnetic resonance imaging: a prospective study with histopathologic correlation. J Comput Assist Tomogr 2004; 28(3): 333–9. Hallscheidt P, Pomer S, Roeren T, Kauffmann GW, Staehler G. [Preoperative staging of renal cell carcinoma with caval thrombus: is staging in MRI justified? ] Urologe A 2000; 39(1): 36–40. Koga S, Nishikido M, Inuzuka S, Sakamoto I, Hayashi T, Hayashi K, Saito Y, Kanetake H.

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