December 2014 Briefing - Urology

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

AMA Identifies Top 10 Issues That Affected Docs in 2014

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- The top 10 issues that affected physicians in 2014 include many regulatory issues relating to Medicare and data release, as well as health issues such as overprescribing of antibiotics and the Ebola crisis, according to a report published by the American Medical Association (AMA).

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Ebola, ACA, VA Scandal Top U.S. Health News for 2014

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- It started as a deadly but little-known outbreak in West Africa, but the lethal and unchecked spread of the Ebola virus dominated U.S. headlines for much of 2014, making it one of the year's top health news features.

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Fiber Intake Tied to Reduced Risk of Kidney Stones

TUESDAY, Dec. 30, 2014 (HealthDay News) -- Greater dietary intake of fiber, fruits, and vegetables is associated with a reduced risk of incident kidney stones in postmenopausal women, according to research published in the December issue of The Journal of Urology.

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Nerve-Sparing Surgery for Cervical CA May Protect Sex Life

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- Nerve-sparing (NS) laparoscopic radical hysterectomy (LRH) impairs sexual function less than conventional LRH in cervical cancer patients, according to a study published in the December issue of the Journal of Sexual Medicine.

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2015 Medicare Fee Schedule Offers Payment for Chronic Care

WEDNESDAY, Dec. 24, 2014 (HealthDay News) -- The 2015 Medicare Fee Schedule includes a Current Procedural Terminology Code that pays for clinical staff time for developing and implementing a care plan for patients with two or more chronic conditions, according to an article published Dec. 18 in Medical Economics.

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FDA Approves Combination Antibiotic Zerbaxa

TUESDAY, Dec. 23, 2014 (HealthDay News) -- The combination antibiotic Zerbaxa (ceftolozane/tazobactam) has been approved by the U.S. Food and Drug Administration to treat adults with complicated intra-abdominal infections and complicated urinary tract infections.

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Thiazide Prophylaxis for Kidney Stones Doesn't Increase DM Risk

MONDAY, Dec. 22, 2014 (HealthDay News) -- The risk of diabetes mellitus is not increased with thiazide diuretic prophylaxis for kidney stones, according to research published in the December issue of The Journal of Urology.

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Tips Offered to Docs, Spouses for Maintaining Happy Marriage

FRIDAY, Dec. 19, 2014 (HealthDay News) -- Simple tips can help physicians and their spouses maintain marital happiness, according to an article published in the American Medical Association (AMA) Alliance magazine Physician Family.

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Good Long-Term Outcomes for Laparoscopic Radical Cystectomy

FRIDAY, Dec. 19, 2014 (HealthDay News) -- For patients with bladder cancer, laparoscopic radical cystectomy (LRC) is associated with good long-term outcomes, according to research published online Dec. 18 in BJU International.

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Viewpoint: Strong Mentorship 'Paramount' in Surgical Training

THURSDAY, Dec. 18, 2014 (HealthDay News) -- The role of mentorship is explored through the career of Alfred Blalock, M.D., in a viewpoint piece published online Dec. 17 in JAMA Surgery.

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CDC: Syphilis Cases Rising Among Gay, Bisexual Men

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- The number of cases of syphilis in the United States jumped 10 percent from 2012 to 2013, with gay and bisexual men accounting for 75 percent of the increase, U.S. health officials reported Tuesday.

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Digital Self-Scheduling Set to Increase Considerably by 2019

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Digital self-scheduling is set to increase considerably in the next five years, according to a report published by Accenture.

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Challenges ID'd in Development of the Physician Compare Website

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Under the Affordable Care Act (ACA), information must be made available to allow the public to compare physicians, although there are considerable challenges surrounding the development of the physician performance website, Physician Compare. These challenges are addressed in a health policy brief published online Dec. 11 in Health Affairs.

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Support for Electronic Health Information Varies With Use

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Consent and purpose are important for public support of secondary uses of electronic health information, according to a study published in the Dec. 16 issue of the Annals of Internal Medicine.

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Condom Use for ≥3 Months Urged for Male Ebola Survivors

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Men who survive Ebola should wear condoms during sex for at least three months after recovering from the disease, according to the authors of a new study published online Dec. 16 in Reproductive Sciences.

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Physicians Reminded of Ethical Obligations Regarding Torture

TUESDAY, Dec. 16, 2014 (HealthDay News) -- With the issuing of the new U.S. Senate report on interrogations, the American Medical Association (AMA) is reminding physicians of their ethical obligations relating to torture and interrogation.

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Urinary Catheters Often Left in Too Long During Hospital Stay

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Even when appropriately used, urinary catheters are often left in place longer than necessary in hospitalized patients, according to a perspective piece published online Dec. 15 in JAMA Internal Medicine.

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Physicians Should Scrutinize Job Offers Before Accepting

MONDAY, Dec. 15, 2014 (HealthDay News) -- Physicians should scrutinize job offers and pay attention to specific issues before accepting a job, according to an article published Dec. 3 in Medical Economics.

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Webcast Scheduled to Discuss Maintenance of Certification

MONDAY, Dec. 15, 2014 (HealthDay News) -- New data relating to Maintenance of Certification (MOC) will be discussed in a free webcast to be held Dec. 17 by the Journal of the American Medical Association (JAMA).

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Tips Offered for Docs to Manage Their Online Reputation

FRIDAY, Dec. 12, 2014 (HealthDay News) -- Physicians can manage their online reputation, according to a report from the American Medical Association (AMA).

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More Students Enrolling in U.S. Medical Schools

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- More students are enrolling in medical schools, and enrollees are more diverse than before, according to a report from the Association of American Medical Colleges (AAMC) published by the American Medical Association (AMA).

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More Docs, Patients Not Speaking Same Language

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- People applying to become medical residents in the United States speak a wide range of non-English languages, but many aren't the languages spoken by patients with limited English skills, according to a research letter published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Statins Not Tied to Male Gonadal, Sexual Dysfunction

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- Statins do not appear to affect male gonadal and sexual function, according to a study published online Nov. 25 in the Journal of Sexual Medicine.

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Higher Paid Docs Earn More Money From More Procedures

TUESDAY, Dec. 9, 2014 (HealthDay News) -- High-income doctors make more money by ordering more procedures for each patient rather than by seeing more patients, according to an analysis of 2012 Medicare data published in a research letter Dec. 8 in JAMA Internal Medicine.

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Docs Trained in High-Cost Areas Practice More Costly Medicine

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Doctors who were trained in high-cost areas of the United States may be more likely to practice expensive medicine, a new study suggests; however, that effect gradually decreases over time. The study was published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Work-Hour Restrictions Have Not Improved Outcomes

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Reducing medical residents' work hours hasn't improved mortality rates, hospital readmission rates, or outcomes of surgery, according to two new studies published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

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Premature Ejaculation Linked to Hypoglycemic Variability in T1DM

MONDAY, Dec. 8, 2014 (HealthDay News) -- Higher glycemic variability in the hypoglycemic domain is associated with premature ejaculation (PE) in young males with type 1 diabetes (T1DM), although prevalence of PE is similar for young males with and without T1DM, according to a study published online Nov. 26 in the Journal of Sexual Medicine.

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Metabolic Abnormalities Tied to Lower Urinary Tract Symptoms

MONDAY, Dec. 8, 2014 (HealthDay News) -- Metabolic abnormalities such as metabolic syndrome and insulin resistance are associated with lower urinary tract symptoms (LUTS), according to two studies published online Dec. 8 in BJU International.

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AMA: Social Determinants of Health to Be Taught in Med School

THURSDAY, Dec. 4, 2014 (HealthDay News) -- A new policy implemented by the American Medical Association (AMA) supports integrating more training on the social determinants of health into undergraduate medical education, according to a report published by the AMA.

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Longer Sugeries May Increase Risk of DVT, PE

THURSDAY, Dec. 4, 2014 (HealthDay News) -- Longer surgery times appear to increase a patient's risk of deep vein thrombosis and pulmonary embolism, according to a new study published online Dec. 3 in JAMA Surgery.

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Too Few Prostate Cancer Patients Get Bisphosphonates

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- Many men on androgen deprivation therapy for prostate cancer aren't getting the bone-strengthening medications they may need, new Canadian research contends. The report was published in the Dec. 3 issue of the Journal of the American Medical Association.

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CDC Releases Draft Guidelines Endorsing Circumcision

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention on Tuesday released draft guidelines on circumcision that recommend doctors counsel parents and uncircumcised males on the health benefits of the procedure.

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Too Much Patient Care Tied to Faculty Members' Intent to Leave

TUESDAY, Dec. 2, 2014 (HealthDay News) -- Spending "far too much/too much" time/effort on patient care is associated with increased intent to leave the institution, according to research published in Academic Medicine.

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Doctor Discusses Ways to Keep Morale in Medicine High

MONDAY, Dec. 1, 2014 (HealthDay News) -- Despite the many frustrations for doctors in medical practice, there are ways to keep morale high, according to an article published Nov. 20 in Medical Economics.

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Testosterone Tx Doesn't Up Prostate CA in Hypogonadal Men

MONDAY, Dec. 1, 2014 (HealthDay News) -- For hypogonadal men, long-term testosterone therapy seems not to be associated with increased incidence of prostate cancer, according to research published in The Journal of Urology.

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Many Physicians Report Their Incomes Have Plateaued

MONDAY, Dec. 1, 2014 (HealthDay News) -- Many physicians report that their personal income has not changed since last year, according to the results of the Physicians Practice 2014 Physicians Compensation Survey.

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