Features

Dietary Fat and Prostate Cancer Risk

Delicia Honen Yard March 09, 2010

Studies provide conflicting results on the influence of dietary fat, but caloric intake may be the key, researcher says.
 

Drug-Resistant Pathogens Threaten ESRD Patients

Jody A. Charnow February 05, 2010

According to researchers, they are responsible for a growing proportion of bloodstream infections in dialysis and renal transplant patients.
 

Achieving Competence in RP: The Role of Experience

Delicia Honen Yard January 12, 2010

How many radical prostatectomies does a urologist need to perform to be proficient?
 

Commentary

Relief for Haiti's ESRD Patients

Jody A. Charnow February 16, 2010

As this issue goes to press, thousands of rescue personnel from the United States and other countries throughout the world are engaged in relief efforts in earthquake-ravaged Haiti, where the death toll exceeded 100,000.
 

If Fat is Good, Is Muscle Better?

Kamyar Kalantar-Zadeh, MD, MPH, PhD January 27, 2010

One of recent challenges in nephrology and other internal medicine subspecialties is providing care to an increasing number of patients with chronic disease states and wasting syndrome.
 

The '30-20-10' Rule for Renal Care

Kevin E. Chan, MD, MSc, Raymond M. Hakim, MD, PhD, Joseph Pulliam, MD January 22, 2010

Nephrologists propose critical action eGFR thresholds to guide management of kidney disease patients.
 

Ongoing Clinical Trials

Ongoing Clinical Trials

July 15, 2008

The following listings of clinical trials are based on information from the ClinicalTrials.gov Web site maintained by the National Institutes of Health. Only trials that are currently enrolling patients are included.
 

Legal Issues

A doctor referred a man with an elevated PSA level to a urologist, but did not follow-up and ask him if he went

Ann W. Latner, JD March 11, 2010

It turns out that the patient had prostate cancer and died from metastatic disease.
 

When a patient refuses to follow advice, should his or her physician be held liable for adverse outcomes?

Ann W. Latner, JD February 05, 2010

This case revolves around a 63-year-old female cardiac patient whose open-heart surgery yielded an infection in her sternum.
 

Vasectomy Patient Fathers A Child, Sues His Urologist

Ann W. Latner, JD January 12, 2010

Mr. W, 38, was referred to Dr. R, a practicing urologist of nearly 30 years. The patient, who had learning disabilities, had three young children with various birth defects. Mr. W had been advised to get a vasectomy due to the high risk that any other child he fathered would also have birth defects.
 

Malpractice News

Medical Malpractice Suits Drop Sharply in Tennessee

Ann W. Latner, JD March 02, 2010

By the middle of the first decade of this century, Tennessee was declared a medical liability "crisis state" by the American Medical Association.
 

Tort Reform Hangs In The Balance in Georgia

Ann W. Latner, JD March 02, 2010

Lawyers and legislators are anxiously awaiting decisions on two cases in Georgia that may affect the state's tort reforms.
 

Annual Report Highlights Six 'Judicial Hellholes'

Ann W. Latner, JD March 02, 2010

According to the American Tort Reform Foundation (ATRF), a "judicial hellhole" is a place where judges systematically apply laws and court procedures in an unfair and unbalanced manner, gen­erally against defendants in civil lawsuits.
 

FDA News

Company Grants License to Its Diabetes Biomarkers

Jody A. Charnow March 02, 2010

Intrinsic Bioprobes, of Tempe, Ariz.,a privately held biotechnology company, has licensed two novel biomarkers for diabetes to Ortho-Clinical Diagnostics, Inc., of Raritan, N.J.
 

Gambro Acquires Medical Device Company

Jody A. Charnow March 02, 2010

Gambro, which has its U.S. headquarters in Lakewood, Colo., has acquired CHF Solutions, a privately held medical device company in Brooklyn Park, Minn., that manufactures and distributes ultrafiltration devices to treat fluid overload, both companies announced recently.
 

Fresenius Buys the Company That Sells Acumen nEHR

Jody A. Charnow March 02, 2010

Fresenius Medical Care North America (FMCNA), headquartered in Waltham, Mass., has acquired Nashville-based Health IT Services Group and its portfolio of products, including Acumen nEHR, a nephrology-specific electronic health record.
 

World Literature Review

Pulmonary Hypertension in HD Patients Increases Death Risk

Jody A. Charnow June 18, 2009

Pulmonary hypertension (PHT) independently predicts greater mortality in hemodialysis (HD) patients, Israeli researchers report.
 

Hip-Fracture-Related Death Linked to CKD in the Elderly

Jody A. Charnow June 18, 2009

Among older individuals, an estimated glomerular filtration rate (eGFR) below 45 mL/min/1.73 m2 is associated with a nearly twofold increased risk of hip-fracture-related mortality, according to British researchers.
 

Intermittent Hormonal Therapy for PCa May Have Benefits

Jody A. Charnow June 18, 2009

Intermittent hormonal therapy (IHT) for men with locally advanced and metastatic prostate cancer is associated with no reduction in disease progression or survival, according to a European study.
 

Renal Nutrition Update

DASH Diet Variation May Help Lower Blood Pressure

Alison Steiber, PhD, RD, LD March 11, 2010

Clinicians might want to consider prescribing a diet that includes lower-potassium fruits and vegetables, with close monitoring of serum potassium, parathyroid hormone, and phosphorus.
 

Fish Oil As First-Line Therapy in CKD Patients

Alison Steiber, PhD, RD, LD February 05, 2010

Recent studies have revealed some significant effects of omega-3 supplementation on cardiovascular parameters in hemodialysis patients.
 

Using Weight Loss As Treatment for CKD

Alison Steiber, PhD, RD, LD January 12, 2010

BMI is a standard parameter in all clinical settings—both inpatient and outpatient. It is used in the pediatric population, in young and older adults, and in the chronically ill as a marker of health.
 

Meetings Calendar

Your Money

When you invest in companies with advantages competitors cannot duplicate, they tend to be relatively resilient in downturns

Stan Luxenberg March 02, 2010

Warren Buffett has often talked about investing in companies that are protected by "wide moats." Such businesses dominate their markets for years because of advantages that competitors cannot duplicate.
 

The Risks and Rewards of Owning Gold

Stan Luxenberg November 23, 2009

Investors incur risks when they own precious metals, but the returns can outpace the S&P 500.
 

Concentrated Funds Can Be Good Choices

Stan Luxenberg September 18, 2009

To get solid results, pick one with a strong long-term record and then hold on to it for years.
 

Your Practice

CROWNWeb: Next-Generation CPM Reporting

Oniel Delva December 22, 2008

For more than four decades, the Centers for Medicare and Medicaid Services (CMS) has had as its mission the advancement of effective, up-to-date health-care coverage and the promotion of quality care for beneficiaries. Toward this end, CMS will launch a new data-collection system called CROWNWeb that allows end-stage renal disease (ESRD) facilities to report relevant data in an accurateand timely manner.
 

MD Recruiting: Finding the Right Fit

May 06, 2008

FOR NEPHROLOGY practices bringing a new physician on board and physicians searching for a practice, success ultimately is measured in terms of establishing a long-term relationship that meets the most critical needs of all involved and results in a seamless integration of new clinical staff.
 

Negotiating HMO and PPO Agreements

November 01, 2007

When it comes to negotiating a physician agreement with a third-party payer, knowledge is power. There is a direct correlation between your level of success and how well-informed you are about payers' needs, their knowledge, and their bargaining strategies.
 

Reviews

Glycemic Control in Diabetic ESRD Patients

Mark E. Williams, MD, FACP, FASN March 11, 2010

The expected benefits of tight glycemic control in the presence of advanced kidney disease need to be weighed against the risk involved.
 

Counteracting Muscle Wasting in Dialysis Patients

T. Alp Ikizler, MD January 22, 2010

Anabolic interventions focus on enhancing protein synthesis and decreasing protein catabolism .
 

How Bundling Could Affect Nephrology Training

Suzanne E. Watnick, MD November 06, 2009

Nephrology fellows may gain insight as a result of a new Medicare payment system for dialysis.
 
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