June 2016 Briefing - Urology

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

Testosterone Gel Improves Sexual Function in Older Men

THURSDAY, June 30, 2016 (HealthDay News) -- Older men treated with testosterone gel experience a moderate but significant improvement in their sex drive, sexual activity, and erectile function compared to men given a placebo gel, according to a study published online June 29 in the Journal of Clinical Endocrinology and Metabolism.

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Benefits for Robotic-Assisted Laparoscopic Prostatectomy

WEDNESDAY, June 29, 2016 (HealthDay News) -- Robotic-assisted laparoscopic prostatectomy is associated with reductions in positive surgical margins, postoperative radiation therapy, and 30-day mortality, according to a study published in the July issue of The Journal of Urology.

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Prostate Cancer Diagnoses Down From 2011 to 2013

WEDNESDAY, June 29, 2016 (HealthDay News) -- From 2011 to 2013 there was a decrease in prostate cancer (PC) diagnoses, especially for younger men and low-risk disease, according to a research letter published online June 23 in JAMA Oncology.

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Electronic Record Demands Are Overwhelming Many Physicians

WEDNESDAY, June 29, 2016 (HealthDay News) -- Physicians using electronic practice tools report higher rates of burnout and increased frustration with the amount of computerized paperwork, according to research published online June 27 in the Mayo Clinic Proceedings.

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Few Young Males Receive HIV Testing at Physician Office Visits

TUESDAY, June 28, 2016 (HealthDay News) -- Few young males receive HIV testing during visits to physicians' offices, although the rates are higher for black and Hispanic males than for white males, according to a report published in the June 24 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Guidance Updated for Sedation of Pediatric Patients

TUESDAY, June 28, 2016 (HealthDay News) -- Guidelines have been updated for monitoring and management of pediatric patients before, during, and after sedation, according to a clinical report published online June 27 in Pediatrics.

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Patients Face High Hospital Bills Despite Having Insurance

MONDAY, June 27, 2016 (HealthDay News) -- Costs of hospitalization for privately insured adults rose more than 37 percent over five years, with patients paying more than $1,000 on average by 2013, according to research published online June 27 in JAMA Internal Medicine.

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ADT Plus Radiotherapy Ups Survival in Metastatic Prostate CA

MONDAY, June 27, 2016 (HealthDay News) -- For men with metastatic prostate cancer (mPCa), overall survival (OS) is improved for those treated with androgen deprivation therapy (ADT) and prostate radiotherapy (RT), compared with ADT alone, according to a study published online June 20 in the Journal of Clinical Oncology.

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Vaginal Pessary Beneficial in Pelvic Organ Prolapse

MONDAY, June 27, 2016 (HealthDay News) -- For women with symptomatic pelvic organ prolapse (POP), use of vaginal pessary in addition to pelvic floor exercises is associated with improvements in prolapse symptoms and quality of life, according to a study published in the July issue of Obstetrics & Gynecology.

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Catheter Reduction Programs Do Reduce Use of Catheters

MONDAY, June 27, 2016 (HealthDay News) -- Catheter reduction programs are associated with a reduction in the number of catheter days per 100 patient-days, according to a research letter published online June 17 in the Journal of Hospital Medicine.

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2017 Will Bring Premium Rate Increases Under ACA

FRIDAY, June 24, 2016 (HealthDay News) -- Health insurance premiums under the Affordable Care Act will rise in 2017, analysts and insurance brokers say.

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Failure of Dual Antimicrobial Therapy for Gonorrhea Reported

THURSDAY, June 23, 2016 (HealthDay News) -- In a case report published in the June 23 issue of the New England Journal of Medicine, dual antimicrobial therapy failure is described in the treatment of gonorrhea.

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Use of Patient Navigators Improves Cancer Screening Rates

WEDNESDAY, June 22, 2016 (HealthDay News) -- The use of patient navigators improves cancer screening rates among low-income and ethnic minority patients, according to a study published online June 6 in JAMA Internal Medicine.

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Tips Provided for Leveraging Social Media

TUESDAY, June 21, 2016 (HealthDay News) -- During a presentation at the 2016 American Medical Association Annual Meeting, Kevin Pho, M.D., founder and editor of the popular physician blog KevinMD, shared insights into making a difference in health care through use of social media.

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Study Looks at Recurrence After Laparoscopic Radical Cystectomy

TUESDAY, June 21, 2016 (HealthDay News) -- Early unexpected recurrences after laparoscopic radical cystectomy occur in 8.7 percent of patients with favorable pathological characteristics, according to a study published in the June issue of The Journal of Urology.

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Reset Room Can Help Address Physician Burnout

MONDAY, June 20, 2016 (HealthDay News) -- The creation of a reset room is one of several solutions that can help physicians and medical providers address burnout, according to a report published by the American Medical Association.

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PSA Cut Point of ≥0.4 ng/mL Predicts Progression

MONDAY, June 20, 2016 (HealthDay News) -- A prostate-specific antigen cut point of ≥0.4 ng/mL predicts future disease progression, according to a study published in the June issue of The Journal of Urology.

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Strategy Needed to Address Impending Physician Shortage

FRIDAY, June 17, 2016 (HealthDay News) -- Steps should be taken to combat the impending physician shortage of between 61,700 and 94,700 doctors that the United States is expected to face over the next decade, according to an article published in Medical Economics.

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Race, Procedure Type Impact Morbidity in Pediatric Urologic Sx

FRIDAY, June 17, 2016 (HealthDay News) -- Race and procedure type impact 30-day morbidity in pediatric patients undergoing urologic procedures, according to a study published online June 17 in Pediatrics.

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Laparoscopic Nephrectomy Feasible As Outpatient Surgery

FRIDAY, June 17, 2016 (HealthDay News) -- Laparoscopic nephrectomy can be safely performed as outpatient surgery in select patients, according to a study published in the June issue of The Journal of Urology.

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Potential Impact of Single-Payer Health Care Discussed

THURSDAY, June 16, 2016 (HealthDay News) -- Democratic presidential candidate Bernie Sanders is promoting his version of single-payer health care, although the actual impact of such a system is unclear, according to a report published in Medical Economics.

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Unplanned Readmission for ~8 Percent of Surgical Discharges

THURSDAY, June 16, 2016 (HealthDay News) -- Unplanned readmissions occur in about 8 percent of patients discharged from the general surgical service, according to a study published online June 15 in JAMA Surgery.

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Tasquinimod Improves Radiographic PFS in mCRPC

THURSDAY, June 16, 2016 (HealthDay News) -- For chemotherapy-naive men with metastatic castration-resistant prostate cancer (mCRPC), tasquinimod is associated with improved radiographic progression-free survival (rPFS), according to a phase III study published online June 13 in the Journal of Clinical Oncology.

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Prices for Care Rise Significantly As Multi-Hospital Systems Emerge

THURSDAY, June 16, 2016 (HealthDay News) -- Hospital prices in California increased substantially from 2004 to 2013, with a larger increase in hospitals that are members of multi-hospital systems, according to a study published online June 9 in Inquiry.

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Increased Prevalence of HPV for Men With Phimosis

THURSDAY, June 16, 2016 (HealthDay News) -- Men with phimosis have increased prevalence of human papillomavirus (HPV) and high-risk HPV genotypes compared with asymptomatic men, according to a study published in the June issue of The Journal of Urology.

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No Conclusive Link Between Melanoma Risk, PDE5 Inhibitors

WEDNESDAY, June 15, 2016 (HealthDay News) -- The small apparent increase in risk of melanoma in men prescribed phosphodiesterase type 5 (PDE5) inhibitors may be explained by greater sun exposure, according to new research published online June 14 in PLOS Medicine.

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Four-Step Strategy Suggested for Boosting Practice Quality of Care

WEDNESDAY, June 15, 2016 (HealthDay News) -- Four steps can help doctors improve patient care and office efficiency, according to a report published by the American Medical Association (AMA).

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Midlife PSA Levels Predict Future Lethal Prostate Cancer

TUESDAY, June 14, 2016 (HealthDay News) -- Prostate-specific antigen (PSA) levels in midlife predict future lethal prostate cancer (PCa) risk, according to a study published online June 13 in the Journal of Clinical Oncology.

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SBRT, Proton Beam Therapy Use Increasing for Prostate CA

MONDAY, June 13, 2016 (HealthDay News) -- For men with prostate cancer, the use of stereotactic body radiotherapy (SBRT) and proton beam therapy increased from 2004 to 2011, according to a study published online May 25 in Cancer.

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Sex Disparities in Chemo Use for Advanced Bladder Cancer

FRIDAY, June 10, 2016 (HealthDay News) -- Among patients with stage IV bladder cancer, women are less likely than men to receive systemic chemotherapy, and they have lower overall survival (OS), according to a study published online May 25 in Cancer.

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Patient Experience Linked to Urologic CA Surgical Outcomes

THURSDAY, June 9, 2016 (HealthDay News) -- Patient experience is associated with urologic cancer surgical outcomes, according to a study published online June 2 in Cancer.

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Early Use of Anesthesia Does Not Lead to Cognitive Deficits in Kids

WEDNESDAY, June 8, 2016 (HealthDay News) -- General anesthesia doesn't seem to harm young children's mental development, according to research published in the June 7 issue of the Journal of the American Medical Association.

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15.5 Million Americans Now Surviving Cancer

FRIDAY, June 3, 2016 (HealthDay News) -- Cancer survivors in the United States reached record numbers this year -- 15.5 million -- and the American Cancer Society predicts they'll total more than 20 million in another decade. The report, prepared by the American Cancer Society in collaboration with the U.S. National Cancer Institute, was published online June 2 in CA: A Cancer Journal for Clinicians.

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AMA Module Promotes Training of Medical Assistants

THURSDAY, June 2, 2016 (HealthDay News) -- A new training module can improve training for medical assistants (MAs), according to a report from the American Medical Association (AMA).

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Patients Like to See Physicians Wearing White Coats

THURSDAY, June 2, 2016 (HealthDay News) -- Most patients prefer that physicians wear white coats, according to research published online June 1 in JAMA Dermatology.

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New Program May Help Cut UTIs Associated With Catheter Use

THURSDAY, June 2, 2016 (HealthDay News) -- A new program may help reduce both urinary catheter use and its associated infections, according to research findings published in the June 2 issue of the New England Journal of Medicine.

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