July 2015 Briefing - Urology

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Here are what the editors at HealthDay consider to be the most important developments in Urology for July 2015. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

AMA Wants Doctor Input on EHRs, Meaningful Use

FRIDAY, July 31, 2015 (HealthDay News) -- The American Medical Association (AMA) is encouraging clinicians to share their perspectives on electronic heath records (EHRs) and the meaningful use program.

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U.S. Health Spending Projected to Rise 5.8 Percent By 2024

FRIDAY, July 31, 2015 (HealthDay News) -- From 2014 to 2024, U.S. health spending growth is projected to increase by about 6 percent, according to a report published online July 28 in Health Affairs.

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Cranberry Juice Capsules Cut UTI Risk After Gynecological Surgery

THURSDAY, July 30, 2015 (HealthDay News) -- Cranberry juice capsules reduce the rate of urinary tract infection (UTI) in women undergoing elective benign gynecological surgery involving urinary catheterization, according to a study published in the August issue of the American Journal of Obstetrics & Gynecology.

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Patients Report Improved Care Access, Better Health With ACA

TUESDAY, July 28, 2015 (HealthDay News) -- Millions more Americans have affordable health insurance, access to a personal doctor, and feel they are in better health following the first two open-enrollment periods of the Affordable Care Act (ACA), a new analysis shows. The results are published in the July 28 issue of the Journal of the American Medical Association.

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Delays Noted in the Reporting of Serious Patient Harms to FDA

MONDAY, July 27, 2015 (HealthDay News) -- About 10 percent of cases where a drug does serious harm are not reported to the U.S. Food and Drug Administration within the required 15-day period, according to a new analysis published online July 27 as a research letter in JAMA Internal Medicine.

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Cancer Patients Lack Awareness of Fertility Preservation Options

MONDAY, July 27, 2015 (HealthDay News) -- Many young cancer patients -- especially females -- have limited awareness about options to preserve their fertility, according to a study published online July 27 in Cancer.

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Improved Care Transitions Needed Post Ambulatory Surgery

MONDAY, July 27, 2015 (HealthDay News) -- Patients age 70 or older are at greater risk of unanticipated hospital admission within 30 days of ambulatory surgery, even after adjusting for comorbidities, according to a study published online July 22 in the Journal of the American Geriatrics Society.

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Expansion of High-Deductible Plans to Impact Physician Care

FRIDAY, July 24, 2015 (HealthDay News) -- As a result of the increasing popularity of high-deductible health care plans, patients now have more financial responsibility for medical services, which is impacting physician practices, according to an article published in Medical Economics.

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No Link Found Between Testosterone Therapy and VTE

WEDNESDAY, July 22, 2015 (HealthDay News) -- Testosterone therapy doesn't appear to increase the risk of venous thromboembolism (VTE), according to a study published online July 20 in the Mayo Clinic Proceedings.

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Targeted Prophylaxis Effective in Post-Prostate Biopsy Sepsis

TUESDAY, July 21, 2015 (HealthDay News) -- For patients undergoing transrectal prostate biopsy, targeted prophylaxis is similarly effective to empirical prophylaxis for prevention of post-biopsy sepsis, according to a study published in the August issue of The Journal of Urology.

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Prostate Cancer Interacts With Comorbidity to Increase VTE Rate

MONDAY, July 20, 2015 (HealthDay News) -- For men with prostate cancer (PC), the rate of venous thromboembolism (VTE) is increased with high comorbidity, according to a study published online July 6 in Cancer.

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More Radiation Doesn't Up Survival in Low-Risk Prostate CA

FRIDAY, July 17, 2015 (HealthDay News) -- Higher doses of radiation may improve survival in men with intermediate- and high-risk prostate cancers, but it does not do the same for those with low-risk disease, according to a study published online July 16 in JAMA Oncology.

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Clinicians May Harbor Biases About Sexual Orientation

FRIDAY, July 17, 2015 (HealthDay News) -- Clinicians may be biased when it comes to the sexual orientation of patients, new research suggests. The study was published online July 16 in the American Journal of Public Health.

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Antibiotic Stewardship Program Improves Antibiotic Use in China

FRIDAY, July 17, 2015 (HealthDay News) -- An antibiotic stewardship program with pharmacist participation can promote improved antibiotic use and decrease costs in clean urological procedures, according to a study published in the August issue of the Journal of Clinical Pharmacy and Therapeutics.

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Many Low-Risk Prostate Cancer Cases Upgraded at Prostatectomy

FRIDAY, July 17, 2015 (HealthDay News) -- Many clinically low-risk prostate cancer patients are upgraded at prostatectomy, according to a study published in the August issue of The Journal of Urology.

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AMA Suggests Ways to Encourage Use of Patient Portals

THURSDAY, July 16, 2015 (HealthDay News) -- Measures can be taken to encourage patients to use patient portals to help ensure practices meet current Stage 2 meaningful use requirements, according to an article published by the American Medical Association (AMA).

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Extracorporeal Shock Wave Lithotripsy Best at 90 Pulses/Min

THURSDAY, July 16, 2015 (HealthDay News) -- For ureteral stones, extracorporeal shock wave lithotripsy delivered at a shock wave delivery rate of 90 pulses per minute is associated with excellent outcomes, according to a study published in the August issue of The Journal of Urology.

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Choosing Wisely: How to Implement in Clinical Practice

THURSDAY, July 16, 2015 (HealthDay News) -- Strategies should be adopted to help with implementation of the Choosing Wisely program, which was designed to address the problem of medical overuse, according to an article published in the July/August issue of Family Practice Management.

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Hospital Volume Impacts Peds Post-Urologic Op Complications

WEDNESDAY, July 15, 2015 (HealthDay News) -- For pediatric patients hospitalized for urological procedures, the risk of postoperative complications is increased at non-high volume hospitals, according to research published in the August issue of The Journal of Urology.

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Progress in Reporting Conflict of Interest Among IRB Members

TUESDAY, July 14, 2015 (HealthDay News) -- Among institutional review board (IRB) members, there has been positive progress in the reporting and management of conflicts of interest, according to a study published online July 13 in JAMA Internal Medicine.

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Arts Observation Curriculum May Be Beneficial for Medical Students

TUESDAY, July 14, 2015 (HealthDay News) -- Use of an arts observation curriculum can help students learn to observe objectively and articulate their observations, which are important traits for clinical practice, according to an article published online July 3 in Academic Medicine.

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Testosterone Tx Offers Little Help for Ejaculatory Dysfunction

FRIDAY, July 10, 2015 (HealthDay News) -- Testosterone supplements don't improve ejaculatory function in men with low testosterone, according to research published online July 9 in the Journal of Clinical Endocrinology & Metabolism.

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Depression Up Among Men With Borderline Testosterone

WEDNESDAY, July 8, 2015 (HealthDay News) -- Men with borderline testosterone levels frequently have depression and depressive symptoms, according to a study published online June 30 in the Journal of Sexual Medicine.

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Surveillance Becoming More Common for Prostate Cancer

TUESDAY, July 7, 2015 (HealthDay News) -- More U.S. physicians are sparing their low-risk prostate cancer patients from prostatectomy, radiation, and androgen deprivation monotherapy in favor of active surveillance/watchful waiting, according to a research letter published in the July 7 issue of the Journal of the American Medical Association.

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No 'Downside' With Residents Assisting During Surgery

TUESDAY, July 7, 2015 (HealthDay News) -- Patients undergoing brain or spine surgery are at no greater risk if residents assist during the operation, a new study indicates. The findings were published recently in the Journal of Neurosurgery.

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Court Upholds Medical Liability Damages Cap

TUESDAY, July 7, 2015 (HealthDay News) -- The non-economic damages cap under the Medical Injury Compensation Reform Act (MICRA) has been upheld again in a California court of appeal, according to a report published by the American Medical Association.

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Despite Risk to Patients, Health Providers Often Work While Sick

MONDAY, July 6, 2015 (HealthDay News) -- Many health care professionals work when they are sick, putting their patients at risk for serious illness or even death, according to a study published online July 6 in JAMA Pediatrics.

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Mortality Rates Declining for Many Cancers

MONDAY, July 6, 2015 (HealthDay News) -- For many cancers, mortality rates are declining and are expected to meet Healthy People 2020 (HP2020) targets, according to a study published online July 2 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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New Evidence Can Help Informed Choice in Incontinence Surgery

MONDAY, July 6, 2015 (HealthDay News) -- An intervention review indicates that mid-urethral sling (MUS) operations are a highly effective treatment for stress urinary incontinence (SUI) in women; however, complication rates and long-term need for repeat surgery are factors for patients to consider when choosing a procedure, according to the authors. The review was published online July 1 in The Cochrane Library.

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Disorganized Documentation Ups Peri-Op Communication Failures

MONDAY, July 6, 2015 (HealthDay News) -- Communication failures in the perioperative setting often result from inaccurate or inaccessible documentation, as well as document overload, according to a study published in the July issue of the Journal of Clinical Nursing.

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Types/Timing of Physical Activity May Up Incontinence Risk

WEDNESDAY, July 1, 2015 (HealthDay News) -- For middle-aged women, substantially increased overall lifetime physical activity is associated with slightly increased odds of moderate/severe stress urinary incontinence (SUI), and greater strenuous activity during the teen years may modestly increase SUI risk. The findings were published in the July issue of the American Journal of Obstetrics & Gynecology.

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Nocturia, Need for Reassurance Key Drivers for Men Seeking Care

WEDNESDAY, July 1, 2015 (HealthDay News) -- For men with lower urinary tract symptoms (LUTS), reasons for seeking medical care include wanting reassurance about not having prostate cancer and the nuisance of symptoms, according to a study published online June 24 in the Journal of Evaluation in Clinical Practice.

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Public Opinion Sought on New Licensure for Assistant Physicians

WEDNESDAY, July 1, 2015 (HealthDay News) -- New classification of licensure for assistant physicians has been created, and public opinion is being sought by the Missouri State Board of Registration for the Healing Arts prior to filing these rules with the Secretary of State's Office and the Joint Committee on Administrative Rules.

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