March 2016 Briefing - Urology

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

Pioglitazone Linked to Increased Risk of Bladder Cancer

THURSDAY, March 31, 2016 (HealthDay News) -- For patients with type 2 diabetes newly treated with antidiabetic drugs, use of pioglitazone is associated with an increased risk of bladder cancer, with duration-response and dose-response correlations, according to a study published online March 30 in The BMJ.

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AMA Addresses Elements of Team-Based Care Model

TUESDAY, March 29, 2016 (HealthDay News) -- The elements of a team-based care model are described in a report published by the American Medical Association (AMA).

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How Can We Fix the Wage Gap Among Female Physicians?

MONDAY, March 28, 2016 (HealthDay News) -- Women doctors can address the gender wage disparity by understanding the reasons why they earn less, according to a report published in Medical Economics.

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Only Conservative Strategy Makes PSA Cost-Effective

MONDAY, March 28, 2016 (HealthDay News) -- Highly conservative use of the prostate-specific antigen (PSA) test and biopsy referral is necessary for PSA screening to be cost-effective, according to a study published online March 24 in JAMA Oncology.

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ASCO Endorses European Guideline on Bladder Cancer

THURSDAY, March 24, 2016 (HealthDay News) -- The American Society of Clinical Oncology (ASCO) has endorsed the European Association of Urology (EAU) guideline on muscle-invasive (MIBC) and metastatic bladder cancer, according to a special article published online March 21 in the Journal of Clinical Oncology.

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FDA: Most Powdered Medical Gloves Should Be Banned in U.S.

MONDAY, March 21, 2016 (HealthDay News) -- The U.S. Food and Drug Administration wants to ban most powdered medical gloves, saying they pose serious health risks to patients and health care providers alike.

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AANA: Men Should Avoid Erectile Dysfunction Meds Prior to Surgery

MONDAY, March 21, 2016 (HealthDay News) -- The American Association of Nurse Anesthetists (AANA) is recommending that men avoid erectile dysfunction medications before surgery.

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Case Before Supreme Court May Expose Doctors to Large Fines

FRIDAY, March 18, 2016 (HealthDay News) -- A case before a state supreme court could potentially expose physicians to large fines based on a legal technicality relating to what they should have known, rather than what they knew, according to the American Medical Association (AMA).

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Case Report: Ceftriaxone-Linked Renal Toxicity in Adult Male

FRIDAY, March 18, 2016 (HealthDay News) -- A case of ceftriaxone-associated renal toxicity in an adult has been documented in a case report published online Feb. 23 in the Journal of Clinical Pharmacy and Therapeutics.

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Spending on Prescription Meds Up About 5 Percent in 2015

THURSDAY, March 17, 2016 (HealthDay News) -- Spending on prescription medications for insured Americans increased about 5 percent in 2015, with the increase half of that seen in 2014, the Associated Press reported.

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Antibiotic Resistance in Pediatric UTIs Up Globally

WEDNESDAY, March 16, 2016 (HealthDay News) -- Many children who develop urinary tract infections (UTIs) tied to the Escherichia coli bacteria are now failing to respond to antibiotic treatment, according to research published online March 15 in The BMJ.

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Disruptive Patients Distract Docs, May Receive Compromised Care

WEDNESDAY, March 16, 2016 (HealthDay News) -- Disruptive patients may get worse care from physicians, according to a study published online March 7 in BMJ Quality & Safety. The findings aren't definitive because the researchers tested how physicians responded in fictional vignettes, instead of real-life encounters. Still, the results suggest that such patients distract physicians from doing their jobs.

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Mayo Clinic Has Established Model to Help Battle Burnout

TUESDAY, March 15, 2016 (HealthDay News) -- In an effort to reduce burnout among physicians, the Mayo Clinic is initiating a model to raise camaraderie and increase collaboration, according to a report published by the American Medical Association (AMA).

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Guidance Offered for Negotiating Higher Rates From Payers

MONDAY, March 14, 2016 (HealthDay News) -- Negotiations to increase payment from insurance companies can be extremely difficult, although it is possible to get a payment increase, according to a report published in Medical Economics.

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E-Consultations Can Improve Access to, Timeliness of Care

MONDAY, March 14, 2016 (HealthDay News) -- Electronic consultation (e-consultation), an asynchronous, non-face-to-face consultation between a primary care physician and a specialist, can improve access to care and reduce wait times, according to a study published in the March/April issue of the Annals of Family Medicine.

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Evidence Links Agent Orange to Bladder Cancer, Hypothyroidism

FRIDAY, March 11, 2016 (HealthDay News) -- There is stronger evidence of a link between the herbicide Agent Orange and bladder cancer and hypothyroidism among U.S. military personnel exposed to the chemical during the Vietnam War, a new Institute of Medicine report shows.

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Disclosure of Sexual Identity Linked to Receipt of HIV Testing

THURSDAY, March 10, 2016 (HealthDay News) -- For rural men who have sex with men, disclosure of sexual identity is associated with increased uptake of HIV testing and hepatitis vaccinations, according to a study published in the March/April issue of the Annals of Family Medicine.

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Physicians' Contracts Can Affect Patients, Professionalism

WEDNESDAY, March 9, 2016 (HealthDay News) -- Problematic clauses in physicians' contracts can impact patient care and professionalism, according to an Ideas and Opinions piece published online March 8 in the Annals of Internal Medicine.

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SCOTUS: States Can't Force Health Care Data Release

WEDNESDAY, March 2, 2016 (HealthDay News) -- The Supreme Court has ruled against state efforts to collect health care data from insurance plans.

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Spouse Education Level May Impact Choice for Rural Practice

WEDNESDAY, March 2, 2016 (HealthDay News) -- Physicians who are married to a highly-educated spouse are less likely to work in rural underserved areas, according to a study published in the March 1 issue of the Journal of the American Medical Association.

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Type 1 Diabetes Linked to Increased Risk of Certain Cancers

WEDNESDAY, March 2, 2016 (HealthDay News) -- Individuals with type 1 diabetes appear to have a higher risk for cancers of the stomach, liver, pancreas, endometrium, ovary, and kidneys, but a reduced risk for prostate and breast cancers, according to research published online Feb. 29 in Diabetologia.

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Prostate Cancer Tied to Higher Colorectal Cancer Risk

TUESDAY, March 1, 2016 (HealthDay News) -- The risk of colorectal cancer is increased after a diagnosis of prostate cancer, according to a study published online Feb. 25 in Cancer.

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Uric Acid Levels Low in Teens With Type 1 Diabetes

TUESDAY, March 1, 2016 (HealthDay News) -- Plasma uric acid (PUA) levels are significantly lower in adolescent patients with type 1 diabetes (T1D) than in healthy control subjects, and there does not appear to be a link between PUA levels and cardiorenal abnormalities in these patients, according to a study published online Feb. 19 in Diabetes Care.

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