Commentary

New Discoveries Provide Insights Into Calciphylaxis

New Discoveries Provide Insights Into Calciphylaxis

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It is unclear to physicians why some patients develop calciphylaxis while others do not.

Clinical Trials in Surgery: A New Paradigm

Clinical Trials in Surgery: A New Paradigm

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Randomized clinical trials are often considered the highest level on which medical care should be based.

The Looming Battle for ESRD Fountains

The Looming Battle for ESRD Fountains

As the rate of acceleration in ESRD incidence decline, physicians should expect heightened battles for the ESRD fountains.

The Psychological Impact of Prostate Cancer

The Psychological Impact of Prostate Cancer

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Patients diagnosed with prostate cancer often struggle with their diagnosis.

Adjuvant Therapies: Time to Fold or Double Down?

Adjuvant Therapies: Time to Fold or Double Down?

Benjamin T Ristau, MD, and Robert G. Uzzo, MD, FACS, examine why adjuvant therapies have been so ineffective.

Artificial Kidney Technology Moves Forward

Artificial Kidney Technology Moves Forward

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If ESRD patients face increasing difficulty getting a kidney transplant in coming years, they may see an artificial kidney as the next best alternative.

Important Prostate Cancer Advances of the Last 10 Years

Important Prostate Cancer Advances of the Last 10 Years

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Advances in prostate cancer screening, management and therapeutics have vastly improved patient care.

Therapeutic Non-adherence: An Ongoing Problem

Therapeutic Non-adherence: An Ongoing Problem

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No matter how much pharmacologic therapy advances, patient behavior will remain a significant factor in the outcomes achieved.

Should We Always Treat Edema?

Should We Always Treat Edema?

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We may feel good treating a patient's edema, but is fluid retention always harmful?

Whatever Happened to the AIDS Crisis?

Whatever Happened to the AIDS Crisis?

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Chronic diseases such as end-stage renal disease (ESRD) have now surpassed opportunistic infections as the leading cause of death among HIV-infected patients.

Uncomplicated UTIs: A Case for Standardization

Uncomplicated UTIs: A Case for Standardization

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Physicians recognize the need for standards and process improvement in medicine. Case in point: Urinary Tract Infections.

Prostate Cancer Genetics: Ready for Clinical Use?

Prostate Cancer Genetics: Ready for Clinical Use?

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For decades, prostate cancer risk (PCa) stratification was based primarily on the architectural pattern of the tumor.

The Renal & Urology News Top 5 Lists for 2014

The Renal & Urology News Top 5 Lists for 2014

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Among the most important challenges in producing a medical newspaper is deciding what studies or topics on which to report.

Emerging MRA-Based Treatments for End-Stage Renal Disease (ESRD) Patients on Dialysis

Emerging MRA-Based Treatments for End-Stage Renal Disease (ESRD) Patients on Dialysis

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Recently, increasing attention focused on mineralocorticoid receptor antagonists (MRAs) in treating chronic kidney disease (CKD).

Offer Ebola Victims Dialysis If They Need It

Offer Ebola Victims Dialysis If They Need It

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Dr. Kalantar-Zadeh: Patients with Ebola deserve to be offered renal replacement therapy, even if odds of survival are slim.

Physicians and the Medical-Industrial Complex

Physicians and the Medical-Industrial Complex

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Eisenhower warned Americans to beware of the "military-industrial complex" as it can overwhelm us.

The Ebola Threat: Why Not an Outbreak Here?

The Ebola Threat: Why Not an Outbreak Here?

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The separation of continents no longer provides a secure buffer against the spread of communicable diseases from far-flung places.

Big Data, Transparency and Accountability

Big Data, Transparency and Accountability

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We crave clinical and scientific data, yet we grieve the performance-based data increasingly directed toward us.

"Doc, Did You Check My Cholesterol?"

"Doc, Did You Check My Cholesterol?"

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Many patients still insist that I need to check and manage their cholesterol.

Medicare Payments Exposed

Medicare Payments Exposed

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For the first time, the federal CMS has made public a database showing what it pays out to individual physicians.

Nutrition Advice Challenged — Again

Nutrition Advice Challenged — Again

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Human beings are unique in the animal kingdom when it comes to nutrition.

Personalized Medicine in 2014

Personalized Medicine in 2014

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The term "personalized medicine" remains an overused promise to apply specific treatment plans.

Nephrologists Woefully Underpaid in U.S vs. Canada

Nephrologists Woefully Underpaid in U.S vs. Canada

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This higher level of dialysis care in Canada is partly owed to substantially higher reimbursement fees for nephrologists.

Why Not A Federal Medical License?

Why Not A Federal Medical License?

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When we move from one state to another, typically we must obtain a driver's license from the state to which we are relocating.

Placing Very Elderly Patients on RRT

Placing Very Elderly Patients on RRT

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As a venue for presenting important research on kidney disease to the world, Kidney Week never disappoints.

Medical Research and the Federal Shutdown

Medical Research and the Federal Shutdown

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After the end of 16-day federal shutdown in October, media headlines touted the financial impact on America and the cost of restarting the government.

The Future of Dialysis in the U.S.

The Future of Dialysis in the U.S.

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Over the past 10 years the annual ESRD incidence rate per million U.S. population has remained stagnant or even shown sporadic downward trends.

Genetic Risk and PCa Treatment: A New Era Dawning

Genetic Risk and PCa Treatment: A New Era Dawning

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For men at risk of developing prostate cancer (PCa), prophylactic prostatectomy seems almost irrational for several reasons

Another Nutritional Warning: Omega-3s

Another Nutritional Warning: Omega-3s

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Once again, a study offers evidence that one of the keys to good nutrition is avoiding excess.

Self-Cannibalizing for Peritoneal Dialysis Growth?

Self-Cannibalizing for Peritoneal Dialysis Growth?

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In the nephrology community, there have been heightened discussions and apparent enthusiasm about the revival of PD as the prototype for home dialysis.

Let's End the Small Renal Mass Dilemma

Let's End the Small Renal Mass Dilemma

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The vow never to treat SRMs may seem hard to believe and self-defeating.

Hemoglobin Levels Fall, Transfusions On the Rise

Hemoglobin Levels Fall, Transfusions On the Rise

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Two studies presented at the recent NKF Spring Clinical Meetings provide more evidence of a trend toward decreasing use of ESAs and decreasing hemoglobin levels.

Reflections on the EAU Annual Congress

Reflections on the EAU Annual Congress

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Having just returned from the always-stimulating European Association of Urology annual congress, I'd like to share a few impressions.

Why Not 24/7 Dialysis Urgent Care?

Why Not 24/7 Dialysis Urgent Care?

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Almost half a million Americans depend on chronic dialysis therapy to survive.

Physicians: Managers of Risk

Physicians: Managers of Risk

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Physicians are more often defined by their ability to diagnose, treat, and research a disease than their willingness to manage its spectrum of risk.

The Rise of the Coffee Shop Doctor

The Rise of the Coffee Shop Doctor

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How often have you met for business in a Starbucks, Coffee Bean, or any other coffee shop?

Highlights of Kidney Week 2012

Highlights of Kidney Week 2012

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Kidney Week 2012, held in San Diego, is now history and as usual I like to reflect on the world's biggest and most prestigious meeting for kidney specialists.

Obesity and Prostate Cancer Risk

Obesity and Prostate Cancer Risk

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Although data suggest that cancer rates are also higher in obese patients, the associations are largely based on observational/population studies.

A Rising Epidemic of Foamy Urine

A Rising Epidemic of Foamy Urine

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Historically, foamy urine is considered a warning sign for probable kidney disease.

CT and Stones: Can We Do Better with Less?

CT and Stones: Can We Do Better with Less?

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Cross-sectional imaging now substitutes for physical diagnosis in most emergency rooms.

How About Twice-Weekly Hemodialysis?

How About Twice-Weekly Hemodialysis?

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In recent trips to India, China, Brazil, and other countries, I was intrigued by large numbers of patients with end-stage renal disease who underwent hemodialysis (HD) less frequently than three times a week.

Outlook Brightens for CRPC Patients

Outlook Brightens for CRPC Patients

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In the past few years, urologists have seen some significant developments related to the treatment of metastatic castration-resistant prostate cancer (CRPC).

Put Women Back on the Research Agenda

Put Women Back on the Research Agenda

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Unfortunately, in the past few years, very few studies have looked at issues regarding gender and CKD, and of most concern, looking at response to therapy.

Prostate Cancer Screening: Moving Beyond PSA

Prostate Cancer Screening: Moving Beyond PSA

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More than 1 million prostate biopsies are performed annually in the United States, predominantly driven by elevations in PSA.

Is U.S. Nephrology Lagging Behind?

Is U.S. Nephrology Lagging Behind?

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As practicing clinicians in the United States, we generally feel privileged, with access to a highly developed and pioneering medical care system along with an advanced and cutting-edge technology in the world's largest economy.

Highlights of the GU Cancers Symposium

Highlights of the GU Cancers Symposium

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The March issue features coverage of the 2012 Genitourinary (GU) Cancers Symposium, which was held in San Francisco.

Let Patients Sleep During Rounds

Let Patients Sleep During Rounds

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How often do you face with the unpleasant task of waking a sleeping patient during your busy rounds? It happens frequently to many clinicians during their inpatient rounds in the hospital.

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