Commentary

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.

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.

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.

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.

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

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.

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.

Obama, Romney Debate Health Care in NEJM

Obama, Romney Debate Health Care in NEJM

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

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.

Lessons from "The Hemodialysis Marathon Man"

Lessons from "The Hemodialysis Marathon Man"

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An impressive story of a dialysis survivor who watched his daughters grow and getting married, and had the joy of knowing several grandchildren.

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.

Highlights of 2011, The Promise of 2012

Highlights of 2011, The Promise of 2012

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The start of 2012 is a good time to look back on the previous year to see the current state of nephrology. What have been the important findings that occurred in the past year, and what do we have to look forward to in the year ahead?

Dialysis Care in the  Post-Bundling Era

Dialysis Care in the Post-Bundling Era

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For the ninth straight year, I came away from Kidney Week (formerly Renal Week), the annual scientific meeting of the American Society of Nephrology, feeling badly that Renal & Urology News can only report on a fraction of the thousands of studies presented at the meeting.

Kidney Stone Prevention: 'Fact versus Fiction'

Kidney Stone Prevention: 'Fact versus Fiction'

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According to current estimates, kidney stones will develop in one in 10 people during their lifetime. This translates into nearly 30 million people in the United States. Clearly, prevention is paramount when dealing with kidney stones.

ACOs and Productivity Metrics in Medicine

ACOs and Productivity Metrics in Medicine

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Individuals, businesses and nations grapple with how to measure success. Are similar productivity measures warranted in medicine?

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