November 2014 Briefing - Urology

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Here are what the editors at HealthDay consider to be the most important developments in Urology for November 2014. 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.

Health Care Organizations See Value of Telemedicine

WEDNESDAY, Nov. 26, 2014 (HealthDay News) -- Health care organizations are developing and implementing telemedicine programs, although many have yet to receive reimbursement, according to a report published by Foley & Lardner.

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Newly Insured Under ACA May Have Trouble Finding Doctors

MONDAY, Nov. 24, 2014 (HealthDay News) -- Millions of Americans bought health insurance coverage through the Affordable Care Act in the past year and physicians may be reluctant to accept these patients.

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Testosterone Testing Has Increased in Recent Years

FRIDAY, Nov. 21, 2014 (HealthDay News) -- There has been a recent increase in the rate of testosterone testing, with more testing seen in men with comorbidities associated with hypogonadism, according to research published online Nov. 10 in the Journal of Sexual Medicine.

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AMA: Gender Inequality Still Exists in Medicine

FRIDAY, Nov. 21, 2014 (HealthDay News) -- Gender inequality still exists in medicine, according to an article published by the American Medical Association (AMA).

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Effect of Interventions to Improve Meds Adherence Vary

FRIDAY, Nov. 21, 2014 (HealthDay News) -- The effects of trials to improve medication adherence are inconsistent, with few studies of the highest quality demonstrating improvement in both adherence and clinical outcome, according to a review published online Nov. 20 in The Cochrane Library.

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Triple Aim Should Be Expanded to Address Physician Burnout

FRIDAY, Nov. 14, 2014 (HealthDay News) -- Expanding the Triple Aim approach -- which includes enhancing patient experience, improving population health, and reducing costs -- to the Quadruple Aim by adding the goal of improving health care provider work life is recommended, according to the authors of an article published in the November/December issue of the Annals of Family Medicine.

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Video Tool Educates Patients About Prostate Health

FRIDAY, Nov. 14, 2014 (HealthDay News) -- A video-based educational tool may improve patient comprehension of common terminology used to describe prostate health, according to research published online Nov. 12 in Cancer.

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Multidisciplinary Approach Benefits Provoked Vestibulodynia

FRIDAY, Nov. 14, 2014 (HealthDay News) -- For women with provoked vestibulodynia (PVD), a multidisciplinary vulvodynia program (MVP) integrating psychological skills training, pelvic floor therapy, and medical management is associated with improvements in dyspareunia and sexual functioning, according to a study published online Oct. 30 in the Journal of Sexual Medicine.

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U.S. Prices Soaring for Some Generic Drugs

THURSDAY, Nov. 13, 2014 (HealthDay News) -- Market forces are dramatically driving up the cost of some generic drugs, prompting U.S. investigations into the pricing of what should be cheap alternatives to brand-name medications.

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Axillary Hair, Deodorant Don't Affect Testosterone Absorption

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- After application of testosterone solution, serum testosterone concentration is unaffected by the presence or absence of axillary hair or by the use of deodorant/antiperspirant, according to a study published in the November issue of the Journal of Sexual Medicine.

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All Vaginal Estrogens Effective for Genitourinary Sx of Menopause

TUESDAY, Nov. 11, 2014 (HealthDay News) -- All vaginal estrogens are effective for women with genitourinary syndrome of menopause, according to a review published online Nov. 5 in Obstetrics & Gynecology.

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PSA Rise With Testosterone Gel Tied to Specific Factors

TUESDAY, Nov. 11, 2014 (HealthDay News) -- Factors predicting greater prostate-specific antigen (PSA) increases with use of testosterone gel (T-gel) include age 60 years and older, baseline testosterone (T) ≤250 ng/dL, and percentage of free PSA <20 percent, according to a study published in the November issue of the Journal of Sexual Medicine.

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Urologist Key to Patient Grasp of Tobacco-Bladder Cancer Link

MONDAY, Nov. 10, 2014 (HealthDay News) -- For patients with bladder cancer, smoking status and primary source of information correlate with awareness of the harms of tobacco use, according to a study published online Nov. 10 in Cancer.

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Want to Be a Leader? Cultivate a Healthy Look

FRIDAY, Nov. 7, 2014 (HealthDay News) -- It's more important for potential business or political leaders to look healthy than intelligent, according to a study published online Nov. 5 in Frontiers in Human Neuroscience.

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Better Physician Communication at Shift Change Reduces Errors

FRIDAY, Nov. 7, 2014 (HealthDay News) -- Changing how doctors communicate during shift changes in hospitals reduces the risk of adverse events in patients by 30 percent, according to a study published in the Nov. 6 issue of the New England Journal of Medicine.

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Docs Spend ~16.6 Percent of Their Time on Administration

FRIDAY, Nov. 7, 2014 (HealthDay News) -- About 16.6 percent of doctors' working hours are spent on administrative work, according to a study published recently in the International Journal of Health Services.

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Sexual Function, Mental Health Linked in Rheumatic Disease

FRIDAY, Nov. 7, 2014 (HealthDay News) -- The presence of anxiety and depression in people with rheumatic diseases may be an independent predictor of sexual dysfunction, according to a study published in the November issue of the Journal of Sexual Medicine.

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ASCO Endorses Guideline for Radiation After Prostatectomy

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- The American Society for Clinical Oncology (ASCO) has endorsed a recent guideline for adjuvant and salvage radiotherapy after prostatectomy. The endorsement was published online Nov. 3 in the Journal of Clinical Oncology.

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Walking Program Feasible, Safe for Older Adults in Hospital

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- A clinical demonstration program of supervised walking for older adults admitted to the hospital is feasible and safe, and its participants are more often discharged directly to home, according to a study published online Oct. 30 in the Journal of the American Geriatrics Society.

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AMA: New Mapping Tool IDs Areas in Need of Physicians

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- A new interactive mapping tool can help physicians and their staff determine locations to establish or expand their practice, according to a report published by the American Medical Association (AMA).

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Urinary Retention Seen in ~5% of Posterior Lumbar Surgeries

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- The risk of developing postoperative urinary retention (POUR) after posterior lumbar spine surgery is approximately 5 percent, with certain patient factors associated with higher risk, according to a study published in the Oct. 15 issue of Spine.

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Opening Visitation Access Boosts Patient, Family Experience

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Opening visitation access across all facilities can improve patient and family experience, according to research published in the July/August issue of the Journal of Nursing Administration.

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HPV Vaccine Not Protective Against Recurrent Warts in Men

TUESDAY, Nov. 4, 2014 (HealthDay News) -- The current quadrivalent human papillomavirus (HPV) vaccine does not have a significant impact on the recurrence of genital warts in men exposed to HPV infection, according to research published in the November issue of the Journal of Sexual Medicine.

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Long-Term Shift Work May Drain the Brain

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Working non-standard hours -- "shift work" -- for many years is not only hard on the body, but may also dull the mind, new research suggests. According to the study, published online Nov. 3 in Occupational & Environmental Medicine, those who do shift work for more than 10 years seem to have the equivalent of an extra 6.5 years of age-related decline in memory and thinking skills.

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ACP Issues Recurrent Kidney Stone Prevention Guidelines

MONDAY, Nov. 3, 2014 (HealthDay News) -- Increased fluid intake is recommended to prevent recurrent nephrolithiasis, with pharmacological monotherapy suggested for patients in whom increased fluid intake fails to reduce stone formation. These clinical practice guidelines were developed by the American College of Physicians (ACP) and published in the Nov. 4 issue of the Annals of Internal Medicine.

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AMA: Absence of Health Insurer Competition in Many Areas

MONDAY, Nov. 3, 2014 (HealthDay News) -- In most metropolitan areas, there is a significant absence of health insurer competition, according to a report published by the American Medical Association (AMA).

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