Commentary

Hemoglobin Levels Fall, Transfusions On the Rise

Hemoglobin Levels Fall, Transfusions On the Rise

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

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?

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

Physicians: Managers of Risk

Physicians: Managers of Risk

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

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

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

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

Obama, Romney Debate Health Care in NEJM

Obama, Romney Debate Health Care in NEJM

President Obama and Mitt Romney square off on American health reform in the New England Journal of Medicine.

A Rising Epidemic of Foamy Urine

A Rising Epidemic of Foamy Urine

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?

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

How About Twice-Weekly Hemodialysis?

How About Twice-Weekly Hemodialysis?

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

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

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

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?

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.