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in an article where we are discussing differences in the prevalence of renal

replacement therapy ... that is, dialysis or transplantation, one of the issues

involves medical practices/attitudes, specifically, the extent to which a

nephrologist orders/suggests/proposes dialysis in relation to the extent of

kidney disease, the patient's age and condition (patients older than 85,

patients with so many comorbid conditions that they end up dying within a month

or two of starting dialysis ... and thus whose quality of life may have been

impaired substantially without any good reason). The client originally used the

terms insistent and " incentived " ... which combined with the fact that she was

examining doctors in private practice versus university hospital and other

public doctors led me to think she was referring to the well-known -- in the US,

at least -- practice of referrals for the doctors' financial benefit. That's not

what she means, or at least she doesn't wish to refer to underlying motives, she

says. she's suggested liberal versus conservatives toward RRT, to which i

responded, aggressive versus conservative or individualized, or simply, more or

less aggressive attitudes. in French that would be too strong she says, and she

wants to know if it's too strong in English. I said I'd consult with colleagues.

opinions?

jo ann

Jo Ann Cahn

Traduction et relecture scientifiques

joann.cahn@... joann.cahn@...

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