Editorial Commentary
Publication date: Available online 2 July 2018Source: Urology PracticeAuthor(s): James M. Cummings (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
Charge-to-Cost Ratio Varies among Common Urological Surgery Procedures
Publication date: Available online 2 July 2018Source: Urology PracticeAuthor(s): Tyler R. McClintock, Matthew Mossanen, Mahek A. Shah, Ye Wang, Benjamin I. Chung, Steven L. Chang (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
Editorial Commentary
Publication date: Available online 2 July 2018Source: Urology PracticeAuthor(s): Sarah Krzastek, Randy Vince, Riccardo Autorino (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
Outcomes of Intradetrusor OnabotulinumtoxinA Injection in Adults with Congenital Spinal Dysraphism in Tertiary Transitional Urology Clinic
ConclusionsIntradetrusor onabotulinumtoxinA injection may improve refractory urinary incontinence in selected adults with spinal dysraphism. However, despite improvement in maximum cystometric capacity, bladder compliance does not improve following therapy in patients who had loss of compliance at baseline. (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
Local Antibiogram Predicts Appropriate Antibiotic Selection for Prostate Biopsy Prophylaxis
ConclusionsOverall, resistance patterns in CRE isolates from our study population are consistent with the STVHCS antibiogram therefore; a local antibiogram may be utilized in an implementation strategy for targeted antibiotics or augmentation of fluoroquinolone prophylaxis for TRPB. (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
American Urological Association and Society for Medical Decision Making Quality Improvement Summit 2016: Shared Decision Making and Prostate Cancer Screening
ConclusionsPractitioners should include formal SDM procedures surrounding PSA testing in their practices to ensure that testing is in accordance with patient values and desired outcomes. Tools and strategies like those reviewed in this Quality Improvement Summit are invaluable for alleviating potential burden on providers, ensuring communication, and improving quality of care. (Source: Urology Practice)
Source: Urology Practice - July 5, 2018 Category: Urology & Nephrology Source Type: research
Cost-Effectiveness of Single Versus Confirmatory Urinalysis in the Evaluation of Asymptomatic Microhematuria
ConclusionsUp-front microhematuria workup may be economically justifiable in males, but not females or the overall population. Sex-specific risk stratification and confirmatory urinalyses may play a role in populations with lower urinary tract malignancy risk. (Source: Urology Practice)
Source: Urology Practice - July 5, 2018 Category: Urology & Nephrology Source Type: research
Factors Influencing Prostate-Specific Antigen Testing in the United States
ConclusionsIn the setting of the NHANES program, between 2001 and 2010, the majority of men who were offered prostate cancer screening underwent PSA testing. Black men, a subgroup subject to more aggressive prostate cancer, were more likely to refuse PSA testing. (Source: Urology Practice)
Source: Urology Practice - July 5, 2018 Category: Urology & Nephrology Source Type: research
Predictors of Urology Resident Surgical Skills, Clinical-Communication Skills, Common Sense, and In-Service Scores
ConclusionsAn honors grade in all clinical clerkships during medical school is the strongest feature predictive of excellent surgical skills, clinical-communication skills, and common sense among urology residents. While USMLE scores are associated with in-service scores, they do not predict for clinical skills. (Source: Urology Practice)
Source: Urology Practice - July 5, 2018 Category: Urology & Nephrology Source Type: research
Follow-Up Care after ED Visits for Kidney Stones—A Missed Opportunity
ConclusionsOver half of patients seen acutely in the ED for kidney stones do not receive follow-up care. Given that follow-up care is associated with greater use of stone prevention strategies, efforts to enhance linkages across healthcare settings are needed to provide patients with urinary stone disease higher quality care. (Source: Urology Practice)
Source: Urology Practice - July 5, 2018 Category: Urology & Nephrology Source Type: research
An Intervention to Increase 24-Hour Urine Collection Compliance
ConclusionAn intervention was associated with increased compliance by 18% and eliminated health disparities (age, partner status). Inadequate insurance status resulted in poor compliance despite this intervention. (Source: Urology Practice)
Source: Urology Practice - July 5, 2018 Category: Urology & Nephrology Source Type: research
The July Effect in Urologic Surgery: Myth or Reality?
ConclusionsOur study demonstrated that surgical outcomes are not compromised by having surgery at the beginning of the academic year despite resident turnover representing appropriate oversight during this potentially vulnerable time. (Source: Urology Practice)
Source: Urology Practice - July 5, 2018 Category: Urology & Nephrology Source Type: research
The timing and frequency of infectious complications after radical cystectomy: an opportunity for rescue antibiotic treatment
Publication date: Available online 15 February 2018Source: Urology PracticeAuthor(s): Brian J. Jordan, Kevin C. Lewis, Richard S. Matulewicz, Shilajit KunduAbstractObjectivesTo evaluate the timing, frequency, and antibiotic sensitivity of post-radical cystectomy (RC) urinary tract infections (UTI) in order to guide an infection reduction initiative.MethodsA combined review of all patients undergoing RC in the 2011-2013 ACS-NSQIP database and 100 consecutive patients from our institution was performed. The rates and timing of postoperative UTI and sepsis in addition to associations with readmissions were evaluated. Specific...
Source: Urology Practice - July 5, 2018 Category: Urology & Nephrology Source Type: research
Patient Factors Influencing Decision to Undergo Vasectomy Reversal
ConclusionsThe most common reason for presentation for VR is a joint desire for children. The largest barrier to VR was cost. Individuals with lower incomes, a new partner, and unmarried status were less likely to undergo VR. (Source: Urology Practice)
Source: Urology Practice - July 5, 2018 Category: Urology & Nephrology Source Type: research
