September 2015 Briefing - Urology

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

Online Follow-Up Feasible for Most Surgery Patients

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Online postoperative care is preferred over in-person care by a majority of patients who have routine, uncomplicated surgery, according to research published online Sept. 22 in the Journal of the American College of Surgeons.

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Negative Spiritual Belief Linked to Worse Health Outcomes

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Any degree of negative spiritual belief is associated with worse health outcomes, regardless of positive spiritual beliefs, according to a study published in the Journal of Spirituality in Mental Health.

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Thermal-Based Laser May Treat Stress Urinary Incontinence

TUESDAY, Sept. 29, 2015 (HealthDay News) -- Noninvasive erbium:yttrium-aluminum-garnet (Er:YAG) laser treatment appears promising for stress urinary incontinence (SUI) in women, according to a study published online Sept. 21 in Lasers in Surgery and Medicine.

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Vasectomy Not Tied to Decrease in Sexual Frequency

TUESDAY, Sept. 29, 2015 (HealthDay News) -- Vasectomy is not associated with decreased sexual frequency, according to a study published in the September issue of the Journal of Sexual Medicine.

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Stone Removal Helps Half of Patients With Recurrent UTI

FRIDAY, Sept. 25, 2015 (HealthDay News) -- Half of patients with recurrent urinary tract infections and asymptomatic renal calculi can be rendered infection-free with stone extraction, according to a study published in the October issue of The Journal of Urology.

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Age, Obesity Affect Gene Expression in Symptomatic BPH

FRIDAY, Sept. 25, 2015 (HealthDay News) -- Age and obesity affect gene regulation in men with symptomatic benign prostatic hyperplasia, according to a study published in the October issue of The Journal of Urology.

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Surveillance Beats Radical Nephrectomy for Small Masses

THURSDAY, Sept. 24, 2015 (HealthDay News) -- Patients with small renal masses who have a radical nephrectomy are significantly more likely to experience up staging to a more advanced chronic kidney disease stage based on glomerular filtration rate ranges, compared to those undergoing partial nephrectomy, active surveillance, or cryoablation, according to a study published in the October issue of The Journal of Urology.

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Health Insurance Deductibles Rising Faster Than Wages

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Health insurance deductibles have risen more than six times faster than American workers' average wages since 2010, a Kaiser Family Foundation report says.

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Shorter Antibiotic Prophylaxis Doesn't Raise Infection Rates

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Compliance with American Urological Association (AUA) guidelines for shorter antibiotic prophylaxis does not result in higher rates of infection among patients undergoing percutaneous nephrolithotomy, according to a study published in the October issue of The Journal of Urology.

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IOM: Most U.S. Patients Will Experience Diagnostic Error

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- A new report commissioned by the U.S. government contends that most Americans will encounter at least one diagnostic error in their lifetime, sometimes with severe consequences for their physical and mental health.

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Medical Schools Teaching Students About Costs of Care

TUESDAY, Sept. 22, 2015 (HealthDay News) -- Many medical schools are integrating discussions of cost, value, and effectiveness into their curricula, according to Kaiser Health News.

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Radiation Tx Impact Varies With Comorbidity in Prostate Cancer

TUESDAY, Sept. 22, 2015 (HealthDay News) -- For men with unfavorable-risk prostate cancer, the impact of radiotherapy (RT) versus RT plus androgen deprivation therapy (ADT) varies with comorbidity, according to a research letter published in the Sept. 22/29 issue of the Journal of the American Medical Association.

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Docs in Productivity Models Likely to Encounter Compensation Caps

MONDAY, Sept. 21, 2015 (HealthDay News) -- Physicians, especially those working in a productivity model, need to understand compensation caps, which are set at a specific percentile of national pay based on surveys, according to a report in Medical Economics.

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Mid-Morning May Be Best Time for Workday Break

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Choosing preferred activities for a work break and taking a break earlier in the shift are linked to more resource recovery after a break, according to a study published online Aug. 10 in the Journal of Applied Psychology.

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2012 Office Visits 57% Higher for Women than Men, Ages 1864

FRIDAY, Sept. 18, 2015 (HealthDay News) -- In 2012 there were an estimated 301 physician office visits per 100 persons, with higher rates for females and adults aged 65 years and older, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Volunteer Doctors Need to Check Liability Coverage

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Physicians who volunteer their medical expertise should consider their legal risks, according to an article published online Sept. 3 in Medical Economics.

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EHR Triggers Cut Time to Diagnostic Cancer Evaluation

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Electronic health record-based triggers may cut time to diagnostic evaluation of colorectal and prostate cancer, according to a study published online Aug. 24 in the Journal of Clinical Oncology.

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Women Less Likely to Be Full Professors Than Men

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- In academic medicine, women are less likely to be full professors than men and have less startup funding than men, according to two studies published in the Sept. 15 issue of JAMA.

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For Pharma Reps, Access to Physicians Continuing to Drop

FRIDAY, Sept. 11, 2015 (HealthDay News) -- Physician access for pharmaceutical representatives is continuing to decline, with access restricted to some degree for more than half of physicians, according to an AccessMonitor survey published by ZS.

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Physician Re-Entry Program Set to Redress Physician Shortage

THURSDAY, Sept. 10, 2015 (HealthDay News) -- An online educational program aims to help physicians get back to work and reduce the nation's physician shortage, according to an article published by the American Academy of Family Physicians (AAFP).

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4% Increase in Population of Actively Licensed Physicians

THURSDAY, Sept. 10, 2015 (HealthDay News) -- The total population of actively licensed physicians in the United States and the District of Columbia has increased by 4 percent since 2012, according to a report published in the Journal of Medical Regulation.

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Vaginal Mesh Surgery Concerns May Be Overstated

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Only one out of every 30 women who receive a synthetic vaginal mesh sling to treat stress urinary incontinence will suffer a complication that requires a second surgery, according to a decade-long follow-up study of nearly 60,000 Canadian women. The findings were published online Sept. 9 in JAMA Surgery.

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Post-Op Delirium Diminishes Recovery in Older Patients

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Patients with delirium following major surgery are more likely to have worse outcomes, including lower quality of life, disability, or even death, according to a study published online Sept. 9 in JAMA Surgery.

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Management, Treatment of Chronic Disease Up With ACA

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- More Americans are getting health insurance as a result of the Affordable Care Act, which may lead to many more people getting diagnosed and treated for chronic conditions, such as diabetes, a new study contends. The findings were published in the September issue of Health Affairs.

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Accelerated MD Program Doesn't Mar Academic Performance

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- An accelerated baccalaureate (BA)/doctor of medicine (MD) program does not impair the academic performance of medical students, according to a study published online July 3 in Academic Medicine.

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EHR Vendors Not Adhering to Usability Certification Standards

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Among electronic health record (EHR) products, there is a lack of adherence to the U.S. Department of Health and Human Services' Office of the National Coordinator for Health Information Technology (ONC) standards, according to a research letter published in the Sept. 8 issue of the Journal of the American Medical Association.

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ACP Supports Expanded Role of Telemedicine for Health Care

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Telemedicine can be beneficial, within the framework of an established physician-patient relationship, according to a position paper published online Sept. 8 in the Annals of Internal Medicine.

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Suggested Response Provided for In-Flight Medical Emergencies

FRIDAY, Sept. 4, 2015 (HealthDay News) -- In a review article published online Sept. 3 in the New England Journal of Medicine, guidance is offered for physicians providing emergency in-flight medical care.

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Mushroom Powder Shows Potential in Prostate Cancer

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- For patients with biochemically recurrent prostate cancer, treatment with white button mushroom (WBM) powder may reduce prostate-specific antigen (PSA) levels, according to a study published in the Sept. 1 issue of Cancer.

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