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CROWNWeb Improves Data Entry Efforts and Support Automation of CMS Forms

CROWNWeb Improves Data Entry Efforts and Support Automation of CMS Forms

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Centers for Medicare & Medicaid Services (CMS) has worked with members of its CROWNWeb support teams to review federal rules and regulations.

Living Kidney Donor Dilemma: Willing But Unable to Donate

Living Kidney Donor Dilemma: Willing But Unable to Donate

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Barriers to donation may explain why living donor kidney transplantation has been declining.

Shared Decision Making in Managing Idiopathic and Neurogenic OAB

Communicating effectively about appropriate options and eliciting patient input for overactive bladder (OAB) can improve outcomes.

The Challenge of Dialysis at the End of Life

The Challenge of Dialysis at the End of Life

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Dialysis is not necessarily in the patient's best interest, clinicians and ethicists say.

Kidney Function Assessment: The Need for a Confirmatory Test

Confirmation of creatinine-based eGFR should be performed in select circumstances using, where appropriate, either measured GFR or cystatin C.

Omega-3s and Prostate Cancer: What to Advise Patients

Omega-3s and Prostate Cancer: What to Advise Patients

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Some researchers are not convinced that high blood levels of omega-3 fatty acids are associated with an increased PCa risk.

Guidelines and the Older Patient with CKD

Guidelines and the Older Patient with CKD

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Geriatric patients with CKD are at high risk for morbidity and mortality from the potential side effects of treatments.

Controversies in Blood Pressure: Management in Hemodialysis

Controversies in Blood Pressure: Management in Hemodialysis

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A majority of patients on HD have hypertension, and CVD is the leading cause of death in these patients.

PCA3: What Is Its Role in Prostate Cancer Screening?

Although several biomarkers show promise, PCA3 has garnered substantial attention following FDA approval and its role in the diagnosis of PCa will grow.

Non-Medical Treatments for Kidney Stones: What Nephrologists Need to Know

Non-Medical Treatments for Kidney Stones: What Nephrologists Need to Know

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The surgical treatment of urolithiasis has undergone a marked evolution over the past 30 years.

New Ablative Techniques in Urologic Oncology

Innovative approaches offer the potential for effective treatments to limited target 
areas with improved side effect profiles.

Bladder Cancer in the Elderly: Balancing Disease and Surgical Risk

Elderly patients face greater perioperative risks and postoperative mortality, so careful selection of surgical candidates is imperative.

Dietary Interventions for Treating Progressive Chronic Kidney Disease

The type and amount of ingested protein affects clinical outcomes such as protein-energy wasting, kidney function and even survival.

OAB: Current and Emerging Therapies for Optimal Individualized Treatment

Keeping abreast of the most current treatments for idiopathic OAB can lead to improved outcomes and quality of life.

Update on the Medical Management of Kidney Stones

The first step in prevention is adequate and quantitative counseling regarding fluid intake, which is effective and inexpensive.

Managing Bone Loss Associated with Androgen Deprivation Therapy

While bone loss and reduction in bone mineral density are well known consequences of ADT, the main concern is increased risk of osteoporotic fractures.

Medical and Surgical Management of Bladder Outlet Obstruction

Treatment of LUTS secondary to BPH has evolved from surgical therapy to medical monotherapy, and now combination therapy.

Adrenal Masses: Often Incidental, Not Always Insignificant

Given the frequency with which these lesions are found, urologists and nephrologists should be familiar with their evaluation.

Uric Acid and the Kidney - Is There a Role for Urate Lowering?

Uric Acid and the Kidney - Is There a Role for Urate Lowering?

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Many but not all cohort studies examining the relationship between hyperuricemia and CKD outcomes suggest they may be intertwined.

Thyroid Functional Disease in Dialysis Patients

Emerging data suggest that thyroid hormone deficiency may be associated with 
greater cardiovascular morbidity and mortality in this population.

The Pros and Cons of Vitamin D Supplementation

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In both nutritional and activated forms, vitamin D may have side effects that are as yet under-appreciated.

Transplants Candidates: How Much Does Size Matter?

Transplants Candidates: How Much Does Size Matter?

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Obese individuals often are rejected as renal transplant candidates in large part because of their increased risk for surgical complications and adverse outcomes.

Pre-treatment Percutaneous Biopsy of Small Renal Masses

Urologists typically treat a renal cortical mass without biopsy, but this should be re-evaluated in the era of the incidental small renal cortical neoplasm.

The Association Between Kidney Failure and Renal Cell Carcinoma

Scientific speculation suggests that uremic toxins, viral mediators, and immune ­inhibition could play a role in malignant transformation.

Current Controversies Surrounding PSA Screening

It is hoped that selective screening, selective biopsy, and selective therapy will 
further decrease the morbidity associated with screening.

Nonmuscle Invasive Bladder Cancer: Guidelines for Treatment

The routine incorporation of NMIBC clinical practice guidelines will reduce variation in care by closing the gap on inappropriate delivery, whether over- or underuse.

Fabry Disease: The Nephrologist's Role

Fabry Disease: The Nephrologist's Role

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The complex disease requires regular follow up and assessment of the ongoing response to therapy.

The Evaluation and Treatment of Resistant Hypertension

With increased incidence of obesity—and higher caloric and salt intake—in the general population, resistant hypertension is more prevalent than ever.

Adrenal Hypertension: A Current Guide to Diagnosis

Given the intimate anatomical and physiological relationship of the adrenals to the kidney, an understanding of adrenal disease is imperative for urologists and nephrologists alike.

An Update: Radiation or Surgery for Prostate Cancer

The management of patients with high-risk prostate cancer represents one of the ­biggest challenges today, with little consensus on optimal treatment.

Part II: Current Treatment Options for Neurogenic Bladder Dysfunction

Clinicians need to keep abreast of the most current treatment options for NGB, which can result in improved patient outcomes and quality of life.

Renal Protection Through BP Control

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Despite recent advances in the treatment of hypertension, the majority of patients with chronic kidney disease (CKD) still remain above current blood pressure (BP) targets.

Part III: Clinical Challenges and Renal Considerations in Managing Gout

A case study involving a 58-year-old man with acute gout attacks and multiple ­comorbidities, including hypertension and hypercholesterolemia.

An Update on the Management of Lupus Nephritis

Approximately 30%-50% of SLE patients have clinically evident renal disease at ­presentation, but renal involvement occurs in up to 60% of patients overall.

Part I: Assessment and Diagnostic Strategies for Neurogenic Bladder

Diagnostics and treatment options for NGB are continually advancing, and clinicians need to remain up-to-date to accurately assess and optimally manage patients

Managing Bone Disease in Kidney Transplant Recipients

Pre-existing renal osteodystrophy at the time of transplantation, reduced renal 
function, and transplantation-specific therapies are the main contributing factors.

Setting Up a Home Hemodialysis Program

Setting Up a Home Hemodialysis Program

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As you develop and grow a home HD program, not only will you have wonderful successes, but there will also be challenges and disappointments.

Part II: Clinical Challenges and Renal Considerations in Managing Gout

A case study involving a 65-year-old man with chronic kidney disease and acute attacks of pain, swelling, and erythema in the first metatarsophalangeal joint.

The Impact of Bundling on Clinical Practice

The Impact of Bundling on Clinical Practice

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This is the title of a scheduled May 12 session at the National Kidney Foundation's 2012 Spring Clinical Meetings.

Clinical Challenges and Renal Considerations In Managing Gout

A case study examines the treatment of hyperuricemia and gout in a 57-year-old postmenopausal renal transplant recipient with intermittent gout attacks.

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.

The Management of Patients After Renal Transplantation

Patients who undergo renal transplantation require complex care that involves a diligent, multidisciplinary approach.

An Update on Robotic-Assisted Partial Nephrectomy

Short-term outcomes from early institutional experiences have confirmed the safety and feasibility of RPN, even for anatomically complex tumors.

A Nephrologic Perspective on the Management of Gout

A Nephrologic Perspective on the Management of Gout

Gout is increasingly recognized in patients with chronic kidney disease, but the proper dosing regimen for traditional agents has not been well-studied in this patient group.

CROWNWeb: Expanding Facilities' Ability to Report Patient-Based Data

CROWNWeb: Expanding Facilities' Ability to Report Patient-Based Data

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An overview of how CROWNWeb, CMS' Web-based end-stage renal disease (ESRD) data-collection system, has been updated with vaccination, hospitalization, and infection data to help CMS, the ESRD Networks, and dialysis facilities better analyze patient care efforts.

Examining the Pharmacoeconomics of Advanced Prostate Cancer

Examining the Pharmacoeconomics of Advanced Prostate Cancer

In determining prostate cancer treatment, physicians should discuss preferences, values, and expectations with patients, including life expectancy, adverse events, and costs

Hyponatremia: An Update on the Management of SIADH

Hyponatremia: An Update on the Management of SIADH

Therapeutic options for SIADH have been significantly enhanced with the introduction of specific vasopressin receptor antagonists

PSA Testing: Why the U.S. and Europe Differ

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Solid evidence for a survival benefit from PSA screening for prostate cancer is lacking, but the practice is more widespread in the United States than in many European countries.

Dialysis in the U.S. and Abroad

Dialysis in the U.S. and Abroad

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Four nephrologists weigh in about the substantive differences in dialysis implementation in this country and worldwide.

Issues in Hypertension: Interview with George Bakris, MD

Issues in Hypertension: Interview with George Bakris, MD

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George Bakris, MD, spoke about various aspects of treating hypertension in patients with chronic kidney disease.

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