July 2016 Briefing - Urology

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Here are what the editors at HealthDay consider to be the most important developments in Urology for July 2016. 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.

QOL Not Affected by Active Surveillance of Prostate Cancer

FRIDAY, July 29, 2016 (HealthDay News) -- Men with low-risk prostate cancer report a good quality of life after choosing active surveillance as a treatment for their disease, according to research published in the August issue of The Journal of Urology.

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Pancreaticoduodenectomy Costs High at Safety-Net Hospitals

THURSDAY, July 28, 2016 (HealthDay News) -- Pancreaticoduodenectomy (PD) is associated with high costs at safety-net hospitals, according to a study published online July 27 in JAMA Surgery.

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Similar Outcomes for Robot-Assisted, Radical Prostatectomy

THURSDAY, July 28, 2016 (HealthDay News) -- For men with newly diagnosed clinically localized prostate cancer, robot-assisted laparoscopic prostatectomy has similar functional outcomes to radical retropubic prostatectomy, according to a study published online July 26 in The Lancet.

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FDA Strengthens Safety Warnings for Fluoroquinolones

WEDNESDAY, July 27, 2016 (HealthDay News) -- The U.S. Food and Drug Administration announced Tuesday that it's strengthening label warnings on fluoroquinolones because the drugs can lead to disabling side effects, including long-term nerve damage and ruptured tendons.

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American Red Cross Says Blood Donations Needed Urgently

TUESDAY, July 26, 2016 (HealthDay News) -- The American Red Cross says it has an urgent need for blood donations, with less than a five-day supply of blood on hand to help those who need it.

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Medical Students Often Track Progress of Former Patients

TUESDAY, July 26, 2016 (HealthDay News) -- Many U.S. medical students use electronic health records to track the progress of their former patients and confirm the accuracy of their diagnoses, according to research letter published online July 25 in JAMA Internal Medicine.

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CDC Updates Guidelines on Sexual Transmission of Zika

MONDAY, July 25, 2016 (HealthDay News) -- U.S. health officials on Monday updated their Zika virus guidelines, saying that pregnant women could contract Zika from a sex partner of either gender.

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Gut Microbiome Diversity Lower in Chronic Pelvic Pain Syndrome

MONDAY, July 25, 2016 (HealthDay News) -- Gut microbiome diversity is significantly lower in patients with chronic pelvic pain syndrome, with wider clustering, according to a study published in the August issue of The Journal of Urology.

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'Walking Meetings' Feasible Strategy for Employee Wellness

MONDAY, July 25, 2016 (HealthDay News) -- Converting a single weekly meeting to a walking meeting can help raise work-related physical activity levels of white-collar workers, according to a report published online June 23 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Meds Up Hospitalization for Dehydration, Heat-Linked Illness

MONDAY, July 25, 2016 (HealthDay News) -- Among veterans, initiation of many commonly-used medications is associated with increased risk of hospitalization for dehydration or heat-related illness, according to research published online July 4 in the Journal of Clinical Pharmacy and Therapeutics.

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Widely Protective Vaccine Against Chlamydia Appears Promising

FRIDAY, July 22, 2016 (HealthDay News) -- A vaccine to help protect against chlamydia is proving to be effective, according to an experimental study published in the July 25 issue of Vaccine.

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Success Rate High for Varicocele Embolization

THURSDAY, July 21, 2016 (HealthDay News) -- Varicocele embolization has a high rate of technical success, with the results being the same regardless of whether the procedure is performed through the neck or groin, according to a study published online July 11 in the Journal of Medical Imaging and Radiation Oncology.

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Health Expenditures Rising for Middle Class, Wealthy

THURSDAY, July 21, 2016 (HealthDay News) -- While overall U.S. medical spending growth slowed between 2004 and 2013, expenditures rose for middle- and high-income Americans, according to research published in the July issue of Health Affairs.

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Disclosure of Adverse Events May Impact Surgeon Well-Being

THURSDAY, July 21, 2016 (HealthDay News) -- Surgeons who are less likely to discuss the preventability of an adverse event are more likely to be negatively affected by disclosure of these events, according to a study published online July 20 in JAMA Surgery.

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Medicare Spending Up for Decedents Versus Survivors

WEDNESDAY, July 20, 2016 (HealthDay News) -- Medicare per capita spending was much higher for beneficiaries who died during 2014 than for those who survived the entire year, according to a report published by the Kaiser Family Foundation.

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Metastatic Prostate Cancer Cases Increasing in the United States

TUESDAY, July 19, 2016 (HealthDay News) -- New cases of metastatic prostate cancer in the United States have increased 72 percent in the past decade, according to a study published online July 19 in Prostate Cancer and Prostatic Diseases.

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Grindr Feasible for Distributing HIV Self-Tests to High-Risk MSM

TUESDAY, July 19, 2016 (HealthDay News) -- The social networking app Grindr is feasible for distributing HIV self-test kits to men who have sex with men (MSM), according to a study published online recently in Sexual Health.

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X-Rays Have Low Diagnostic Yield for Pulmonary Metastases

TUESDAY, July 19, 2016 (HealthDay News) -- For patients treated for T1a renal cell carcinoma, chest X-rays have low diagnostic yield for detecting pulmonary metastases, according to a study published in the August issue of The Journal of Urology.

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Labor Compensation, Purchased Goods, Service Biggest Spends

TUESDAY, July 19, 2016 (HealthDay News) -- Labor compensation remains the single largest contributor to costs among physicians' offices, hospitals, and outpatient care centers, according to a report published in the July issue of Health Affairs.

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Burnout Can Have Acute Personal, Professional Consequences

MONDAY, July 18, 2016 (HealthDay News) -- Stress and burnout are increasingly prevalent among physicians, with serious personal and professional consequences, according to a report published in Medical Economics.

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MRI Feasible for Predicting Prostate CA in Unselected Sample

MONDAY, July 18, 2016 (HealthDay News) -- Prostate multiparametric magnetic resonance imaging (MRI) is feasible for predicting prostate cancer in an unselected sample of the general population, according to a study published in the August issue of The Journal of Urology.

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CDC Reports First Female-to-Male Sexual Transmission of Zika

FRIDAY, July 15, 2016 (HealthDay News) -- A New York City woman who became infected with the Zika virus on a trip outside the United States passed the infection to her boyfriend during sex, according to research published in the July 15 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Cancer Patients, Oncologists Have Discordant Opinions on Prognosis

FRIDAY, July 15, 2016 (HealthDay News) -- Cancer patients and their oncologists often hold different opinions about the patient's chances for survival and how long they might live, according to a study published online July 14 in JAMA Oncology.

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Growth in U.S. Health Spending Set to Average 5.8 Percent

FRIDAY, July 15, 2016 (HealthDay News) -- Growth in U.S. health spending is expected to average 5.8 percent for 2015 to 2025, according to a study published in the July issue of Health Affairs.

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Red Meat Intake Linked to Increased Risk of ESRD

FRIDAY, July 15, 2016 (HealthDay News) -- Red meat intake is associated with increased risk of end-stage renal disease (ESRD), according to a study published online July 14 in the Journal of the American Society of Nephrology.

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Supreme Court Ruling Could Impact Med School Admissions

THURSDAY, July 14, 2016 (HealthDay News) -- The U.S. Supreme Court's ruling upholding the University of Texas at Austin's consideration of race and ethnicity in college admissions has implications for medical schools, according to the American Medical Association (AMA).

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CV Autonomic Neuropathy Tied to Sexual Dysfunction, Incontinence

THURSDAY, July 14, 2016 (HealthDay News) -- Among women with type 1 diabetes mellitus (T1DM) there are increased odds of female sexual dysfunction (FSD) and urinary incontinence (UI) associated with specific measures of cardiovascular autonomic neuropathy (CAN), according to a study published online June 28 in Diabetes Care.

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Differences in Salary for Male, Female Faculty Physicians

WEDNESDAY, July 13, 2016 (HealthDay News) -- For physicians with faculty appointments at 24 U.S. public medical schools there are significant salary differences between men and women, even after adjustment for confounding variables, according to a study published online July 11 in JAMA Internal Medicine.

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Physicians Need to Be Prepared to Talk Zika

TUESDAY, July 12, 2016 (HealthDay News) -- Physicians need to be prepared to speak to patients about Zika virus, according to an article published in Medical Economics.

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Many Adults 'Hoarding,' Self-Prescribing Antibiotics

TUESDAY, July 12, 2016 (HealthDay News) -- One in every 20 adults have used antibiotics without a doctor's guidance, according to a study published online July 11 in Antimicrobial Agents and Chemotherapy.

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Second, Unrelated Malignancies Strike 1 in 12 Cancer Patients

FRIDAY, July 8, 2016 (HealthDay News) -- A new study indicates that 8 percent of patients -- or one in 12 -- already diagnosed with one form of cancer will develop a second unrelated malignancy. The findings were published online July 5 in Cancer.

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VA Appealing to Physicians to Join Agency

FRIDAY, July 6, 2016 (HealthDay News) -- The U.S. Department of Veterans Affairs (VA) is appealing to physicians to join the agency as part of its recovery from a 2014 scandal linked to excessive wait times, according to a report published by the American Medical Association.

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Nurses, Doctors Report Health Issues Tied to Surgical Smoke

FRIDAY, July 8, 2016 (HealthDay News) -- Nurses and doctors commonly report problems as a result of surgical smoke exposure, but they do not take effective protective measures, according to a study published online June 27 in the Journal of Clinical Nursing.

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CDC: Majority of HPV-Linked Cancers Are Preventable

FRIDAY, July 8, 2016 (HealthDay News) -- The majority of cancers linked to human papillomavirus (HPV) are preventable, according to a report published in the July 8 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Docs Tending Away From Post-Prostatectomy Adjuvant RT

THURSDAY, July 7, 2016 (HealthDay News) -- Compared with 2012, in 2015 urologists based in Australia were less favorable toward adjuvant radiotherapy for men with high-risk pathologic features post-prostatectomy, according to a study published online June 27 in the Journal of Medical Imaging and Radiation Oncology.

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DNA-Repair Gene Mutations ID'd in Metastatic Prostate Cancer

THURSDAY, July 7, 2016 (HealthDay News) -- For men with metastatic prostate cancer, the incidence of germline mutations in genes associated with DNA-repair processes is 11.8 percent, according to a study published online July 6 in The New England Journal of Medicine.

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Many Clinical Trials Are Not Listed in Data-Sharing Repository

WEDNESDAY, July 6, 2016 (HealthDay News) -- Only about half of trials registered at ClinicalTrials.gov are listed in the largest data-sharing repository, according to a research letter published online June 28 in the Journal of the American Medical Association.

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Knowledge of CT Risks Varies Among Health Care Providers

FRIDAY, July 1, 2016 (HealthDay News) -- Radiologists and technologists have better knowledge about the risks associated with medical imaging examinations than referring physicians, according to a study published online June 22 in the Journal of Medical Imaging and Radiation Sciences.

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U.S. Cancer Survivors Aging, Battling Other Chronic Disease

FRIDAY, July 1, 2016 (HealthDay News) -- In 2016, nearly 62 percent of almost 16 million cancer survivors are aged 65 or older; and, by 2040, an estimated 73 percent of 26 million cancer survivors will be 65 or older, according to a report published in the July 1 issue of Cancer Epidemiology, Biomarkers & Prevention.

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