We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Critique |

Renal Trauma: Open With Care Comment on “Complications Following Renal Trauma”

Charles A. Adams Jr, MD; William G. Cioffi, MD
Arch Surg. 2010;145(4):381-382. doi:10.1001/archsurg.2010.46.
Text Size: A A A
Published online


Starnes et al report a 14-year, single-center experience of various treatment options for renal trauma. They identified 889 patients with traumatic kidney injuries, of which 227 (25.5%) were high- grade (ie, American Association for the Surgery of Trauma grades IV and V) injuries. Overall, roughly 63.9% of all renal injuries were managed nonoperatively with most owing to blunt mechanisms. This nonoperative group includes many patients with known renal injuries who underwent a laparotomy for other reasons but had no exploration of the renal injury. For the most part, nonoperative management of renal injuries was successful; however, owing to the retrospective nature of the data, it is not known how many patients who were initially managed nonoperatively required a subsequent operation or the complication rate of those patients whose conditions failed to improve with nonoperative management. If these data were available, the clinical usefulness of this data set would be greatly enhanced. Nevertheless, this article provides invaluable data about the likely success of nonoperative management of renal trauma and the natural history of attempted renal salvage surgery.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles