November 2015 Briefing - Urology

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

AAFP Recommends Doctors Explore Use of Social Media

WEDNESDAY, Nov. 25, 2015 (HealthDay News) -- The use of social media channels and associated benefits for physicians are highlighted in a recent article published by the American Academy of Family Physicians (AAFP). And guidelines are provided for physicians wishing to become active in social media.

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C. Difficile Infection Tied to Higher Risk of Post-Op Mortality

WEDNESDAY, Nov. 25, 2015 (HealthDay News) -- Patients at VA hospitals who contracted Clostridium difficile following surgery were five times more likely to die and 12 times more likely to suffer postoperative morbidity, according to findings published online Nov. 25 in JAMA Surgery.

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Music Can Help Doctors Develop Relationships With Patients

TUESDAY, Nov. 24 2015 (HealthDay News) -- For one physician, writing songs has improved her self-awareness and strengthened her relationships with patients, according to an article published by the American Medical Association.

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ACP: Physicians Should Prescribe Generic Meds If Possible

TUESDAY, Nov. 24, 2015 (HealthDay News) -- Physicians should prescribe generic medications whenever possible, keeping in mind that generics have comparable effectiveness to brand name medications and are associated with reduced costs and increased adherence, according to new guidelines published online Nov. 24 in the Annals of Internal Medicine.

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Yoga May Help Maintain Quality of Life for Prostate Cancer Patients

FRIDAY, Nov. 20, 2015 (HealthDay News) -- Yoga may benefit men who are undergoing radiation therapy for prostate cancer, according to a small study. The research was presented at the Society of Integrative Oncology's international conference, held from Nov. 14 to 16 in Boston.

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E-Portfolio Developed to Assess Millennial Med Students

THURSDAY, Nov. 19, 2015 (HealthDay News) -- Electronic portfolios are being used to transform medical students' assessments and track progress as students advance through medical training, according to a report published by the American Medical Association (AMA).

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Diabetes Predicts Worse Survival in Renal Cell Carcinoma

THURSDAY, Nov. 19, 2015 (HealthDay News) -- Diabetes mellitus is associated with worse prognosis in terms of progression-free, overall, and cancer-specific survival in patients with renal cell carcinoma treated surgically, according to a study published in the December issue of The Journal of Urology.

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Strategy Can Up Odds for Intact Sexual Function Post Radiation

THURSDAY, Nov. 19, 2015 (HealthDay News) -- For long-term prostate cancer survivors, sexual dysfunction following radiation therapy (RT) can be classified into three symptom domains: erectile dysfunction, orgasmic dysfunction, and pain, and chances for intact sexual functionality may be increased if dose to the total penile structure can be restricted for these domains in the planning of RT. These findings were published online Nov. 13 in The Journal of Sexual Medicine.

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Burnout Reduces Readiness to Change Teaching Approaches

WEDNESDAY, Nov. 18, 2015 (HealthDay News) -- Occupational burnout appears to reduce clinical faculty members' readiness to change teaching approaches, according to a study published online Nov. 13 in the Journal of Evaluation in Clinical Practice.

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AAFP: Expected 0.5 Percent Pay Increase Reduced to Zero

WEDNESDAY, Nov. 18, 2015 (HealthDay News) -- A small but promised Medicare pay increase has effectively been reduced to zero for all physician specialties, according to the final 2016 Medicare physician fee schedule and a report published by the American Academy of Family Physicians.

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Significant Changes With Sham Sx in Prostatic Hyperplasia

WEDNESDAY, Nov. 18, 2015 (HealthDay News) -- Significant change is seen in symptom scores and maximum urinary flow for sham controlled endoscopic and injection benign prostatic hyperplasia interventions, according to a review published in the December issue of The Journal of Urology.

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Prostate Cancer Screening, Detection Both Down in U.S.

TUESDAY, Nov. 17, 2015 (HealthDay News) -- Fewer U.S. men are being screened for prostate cancer, and fewer cases of the disease are being diagnosed nationwide. These findings, published in the Nov. 17 issue of the Journal of the American Medical Association, suggest that the U.S. Preventive Services Task Force (USPSTF) recommendations have had an impact.

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CDC: Rates of Chlamydia, Gonorrhea, Syphilis Up

TUESDAY, Nov. 17, 2015 (HealthDay News) -- In 2014, 1.4 million cases of chlamydia were reported to the U.S. Centers for Disease Control and Prevention -- a 2.8 percent increase since 2013. This is the highest number of cases of any sexually transmitted disease (STD) ever reported to the CDC, the government researchers said in their annual report.

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MRI-Ultrasound Fusion Improves Prostate Biopsy Cancer Detection

TUESDAY, Nov. 17, 2015 (HealthDay News) -- Magnetic resonance imaging-ultrasound fusion targeted prostate biopsy (MRF-TB) improves detection and risk stratification of high-grade disease and limits detection of clinically insignificant prostate cancer, according to a study published in the December issue of the The Journal of Urology.

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Continuation of Antibiotics for UTI Often Inappropriate

TUESDAY, Nov. 17, 2015 (HealthDay News) -- For patients with urinary tract infections (UTIs), initiation of antibiotics in the emergency department is frequently inappropriate, as is continuation of antibiotics after admission, according to a study published online Nov. 12 in the Journal of Hospital Medicine.

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Emergency Sx Patients Often Readmitted to Different Hospital

THURSDAY, Nov. 12, 2015 (HealthDay News) -- Nearly 17 percent of patients are readmitted to a hospital after having emergency surgery, with one in five of these patients admitted to a hospital other than where the surgery was done, according to a study published online Nov. 11 in JAMA Surgery.

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ACP Issues Guidance on 'Concierge' Practices

TUESDAY, Nov. 10, 2015 (HealthDay News) -- Direct patient contracting practices (DPCPs), in which patients pay out of pocket for some or all services provided by the practice, are growing in popularity, according to a position paper published online Nov. 10 in the Annals of Internal Medicine.

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Study Explores Comfort With Non In-Person Test Results

MONDAY, Nov. 9, 2015 (HealthDay News) -- Patients have different preferences for non in-person receipt of test results, with preferences varying by test, according to a study published in the November-December issue of the Journal of the American Board of Family Medicine.

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Expanding Rooming, Discharge Office Protocols Can Save Time

MONDAY, Nov. 9, 2015 (HealthDay News) -- Expanding protocols for rooming and discharge can allow physicians to free up an hour or more of time per day, according to the American Medical Association (AMA).

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Web-Based CBT Program Cuts Suicidal Ideation in Interns

MONDAY, Nov. 9, 2015 (HealthDay News) -- A web-based cognitive behavioral therapy (wCBT) program is effective for preventing suicidal ideation among medical interns, according to a study published online Nov. 4 in JAMA Psychiatry.

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Specific Genetic Alterations in Papillary Renal-Cell Carcinomas

FRIDAY, Nov. 6, 2015 (HealthDay News) -- Type 1 and type 2 papillary renal-cell carcinomas are characterized by specific genetic alterations, according to a study published online Nov. 4 in the New England Journal of Medicine.

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Updated Checklist for Reporting Diagnostic Accuracy Studies

FRIDAY, Nov. 6, 2015 (HealthDay News) -- An updated list of 30 essential items should be included in every report of a diagnostic accuracy study, according to the Standards for Reporting Diagnostic Accuracy Studies (STARD) 2015. These new guidelines have been published in several journals, including Radiology, Clinical Chemistry, and The BMJ.

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Poll: Americans Want Health Care Costs Kept in Check

THURSDAY, Nov. 5, 2015 (HealthDay News) -- Most Americans now support aggressive regulation to keep health care costs in check -- including price caps on drugs, medical devices, and payments to doctors and hospitals, a new HealthDay/Harris Poll has found.

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Doctors Who Order More Tests Have Fewer Malpractice Claims

THURSDAY, Nov. 5, 2015 (HealthDay News) --The more tests and treatments U.S. doctors order for patients, the less likely they are to be sued for malpractice, according to a study published online Nov. 4 in The BMJ.

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ACP Joins Amicus Curiae Brief to Supreme Court

THURSDAY, Nov. 5, 2015 (HealthDay News) -- The American College of Physicians (ACP) has joined other organizations in an amicus curiae brief to the Supreme Court, urging the court to uphold considerations of race and ethnicity in the medical school admissions process.

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Significant Variation in Tx Costs for Low-Risk Prostate Cancer

THURSDAY, Nov. 5, 2015 (HealthDay News) -- There is significant cost variation between competing treatments for low-risk prostate cancer, according to a study published online Nov. 2 in Cancer.

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Doctors Should Consider Financial Factors Before Career Change

WEDNESDAY, Nov. 4, 2015 (HealthDay News) -- Financial and other factors should be considered before physicians change career direction, according to a report published in Medical Economics.

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AMA: 6 Steps to Help Ensure Patients Get Preventive Care

WEDNESDAY, Nov. 4, 2015 (HealthDay News) -- Panel management, or population health management, can help physicians provide necessary preventive and chronic care to all patients regardless of their visit frequency, according to a report published by the American Medical Association (AMA).

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CDC: Gonorrhea Showing More Resistance to Cefixime

WEDNESDAY, Nov. 4, 2015 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention's latest tracking suggests that although gonorrhea resistance to the antibiotic treatment cefixime declined between 2011 and 2013, it started to rise again in 2014. The study findings are published as a research letter in the Nov. 3 issue of the Journal of the American Medical Association.

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Prescription Medication Use on the Rise in the United States

WEDNESDAY, Nov. 4, 2015 (HealthDay News) -- More Americans than ever are taking prescription drugs, as well as using more of them, according to research published in the Nov. 3 issue of the Journal of the American Medical Association.

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New Electronic Health Record Regulations Released

TUESDAY, Nov. 3, 2015 (HealthDay News) -- New electronic health record (EHR) regulations modify Stage 2 of the meaningful use program and finalize requirements for Stage 3, according to a report published by the American Medical Association (AMA).

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Competition for Fellowships Broke Records in 2015

MONDAY, Nov. 2, 2015 (HealthDay News) -- According to the American Medical Association (AMA), 2015 was a record-breaking year for fellowship applications.

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Prescribing Drugs 'Off-Label' Can Pose Serious Safety Risks

MONDAY, Nov. 2, 2015 (HealthDay News) -- Off-label drug use puts patients at risk for serious side effects, especially when scientific evidence is lacking, according to a study published online Nov. 2 in JAMA Internal Medicine.

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Displaying Prices to Providers Seems to Reduce Order Costs

MONDAY, Nov. 2, 2015 (HealthDay News) -- Displaying order prices to physicians seems to reduce order costs, according to a review published online Oct. 23 in the Journal of Hospital Medicine.

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