Expanding Options for Kidney Failure Patients
Gradual transition to dialysis and palliative dialysis should be alternatives offered to patients with advanced chronic kidney disease, according to an editorial.
Commentary
The COVID-19 Pandemic Proves the World Is Small
The rapid spread of coronavirus disease 2019 (COVID- 19) caught the world by surprise. Whatever becomes the new normal, the United States will be a different country from what it was on March 13, when President Donald J. Trump declared a national emergency. At this writing on May 28, more than 100,000 people in the…
Basic Science: The Tail That Wags the RCC Dog
I recently had reason to survey the progress made in renal cell cancer (RCC) over the last 70 or more years. In 1950, a patient who presented with metastatic RCC had a 0%-5% overall response rate (ORR) to the therapies of the time, with an anticipated overall survival (OS) of approximately 10 months. By 2005,…
That Nebulous Concept Called Standard of Care
During a session at the 2019 Genitourinary Cancers Symposium (GUCS) held recently in San Francisco, researchers presented findings from phase 3 studies showing that immunotherapy-based combination regimens are superior to sunitinib alone at improving progression-free survival among patients with previously untreated advanced kidney cancer. One study demonstrated improved overall survival. The study presenters concluded that…
Is ESCO the Future of Dialysis Care?
ESCOs are accountable for clinical quality outcomes and financial outcomes.
Longer Dialysis Time and Patient Suffering
CMS also has upcoming plans to impose fiscal penalties related to dialysis treatment.
Guidelines Disconnect: Patients’ Voice Absent
Patient-centeredness should become a core component of clinical practice guidelines, according to Dr Kalantar-Zadeh.
Nephrology-Urology Teamwork Sensible
A number of patients referred to my faculty ambulatory clinic at the University of California Irvine have urologic disorders, including some who underwent partial or radical nephrectomy. Many patients do not comprehend the distinction between nephrologist and urologist, and refer to both as “kidney doctor.” I often educate these patients, explaining that a urologist is…
Enhanced Cystoscopy Improves the Care of Bladder Cancer Patients
The guidelines state that clinicians should offer blue light cystoscopy, if available, as an adjunct to traditional white light cystoscopy (WLC) to increase tumor detection and decrease recurrence.
New AUA Guidelines Promise Better Care
To avoid CKD, the guidelines now provide detailed review of the risk/benefit profile comparing partial to radical nephrectomy.
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