March 2018 Briefing - Urology

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Here are what the editors at HealthDay consider to be the most important developments in Urology for March 2018. 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.

Non-Invasive Test Can Detect Urothelial Cancer

THURSDAY, March 29, 2018 (HealthDay News) -- UroSEEK, which uses DNA recovered from cells shed into urine, can detect urothelial cancer, according to a study published online March 20 in eLife.

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Dining Out Linked to Phthalates Exposure in U.S. Population

THURSDAY, March 29, 2018 (HealthDay News) -- Among the U.S. population, dining out is associated with exposure to phthalates, according to a study published online March 28 in Environment International.

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Novel Interstitium Has Been Identified in Human Tissues

THURSDAY, March 29, 2018 (HealthDay News) -- A previously unrecognized interstitium has been identified in human tissues, according to a study published online March 27 in Scientific Reports.

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Low-Dose Abiraterone Acetate Noninferior for Prostate Cancer

WEDNESDAY, March 28, 2018 (HealthDay News) -- For castration-resistant prostate cancer (CRPC), low-dose abiraterone acetate (AA) with a low-fat breakfast is noninferior to standard dose with fasting in terms of the mean change in prostate-specific antigen (PSA), according to a study published online March 28 in the Journal of Clinical Oncology.

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EHR Usability Contributes to Possible Patient Harm Events

TUESDAY, March 27, 2018 (HealthDay News) -- Electronic health record (EHR) usability may contribute to possible patient harm events, according to a research letter published in the March 27 issue of the Journal of the American Medical Association.

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Inactivity, Prolonged Sitting Tied to Urinary Tract Infections in Men

TUESDAY, March 27, 2018 (HealthDay News) -- Prolonged sitting time and low physical activity levels are tied to higher incidence of lower urinary tract symptoms (LUTS) in men, according to a study published online March 20 in BJU International.

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Ethical Duties ID'd for Short-Term Global Health Experiences

MONDAY, March 26, 2018 (HealthDay News) -- In a position paper published online March 27 in the Annals of Internal Medicine, ethical obligations have been detailed for physicians participating in short-term global health experiences (STEGHs).

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Lean Approach May Help Tackle Burnout in Health Care Providers

FRIDAY, March 23, 2018 (HealthDay News) -- The Lean approach, which emphasizes reducing waste and improving customer value by focusing on the big picture, can be used to address physician burnout, according to a report published in Medical Economics.

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Increase in Patient Load Linked to Poorer Urologist Ratings

FRIDAY, March 23, 2018 (HealthDay News) -- Academic urologists have higher mean weighted ratings than their nonacademic peers, and those with increased patient load have poorer ratings, according to a research letter published online March 21 in JAMA Surgery.

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Unique Risks Associated With Texting Medical Orders

THURSDAY, March 22, 2018 (HealthDay News) -- Despite the popularity, convenience, and speed of texting medical orders, there are unique and alarming risks associated with the practice, according to a report published in Drug Topics.

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Blueprint Being Developed to Address Physician Burnout

WEDNESDAY, March 21, 2018 (HealthDay News) -- A new, three-pronged approach is being applied to develop a blueprint for addressing physician burnout, according to a report published in Medical Economics.

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Personal Health Info Found in Recycling at Five Hospitals

TUESDAY, March 20, 2018 (HealthDay News) -- A considerable amount of personal health information (PHI) and personally identifiable information (PII) was found in the recycling at five Canadian teaching hospitals, according to a research letter published in the March 20 issue of the Journal of the American Medical Association.

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Nurse-Supported Post-Stroke Voiding Program Appears Helpful

MONDAY, March 19, 2018 (HealthDay News) -- Participants in a systematic voiding program for post-stroke incontinence found it to be helpful, according to a study published online March 8 in the Journal of Clinical Nursing.

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Prior Authorization Negatively Impacts Clinical Outcomes

MONDAY, March 19, 2018 (HealthDay News) -- The burdens associated with prior authorization (PA) are high and include a negative impact on clinical outcomes, reported by 92 percent of physicians, according to the results of a survey conducted for the American Medical Association (AMA).

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Dose-Escalated Radn Does Not Up Survival in Localized Prostate CA

FRIDAY, March 16, 2018 (HealthDay News) -- Dose escalation from 70.2 to 79.2 Gy is not associated with improved overall survival (OS) in intermediate-risk prostate cancer, according to a study published online March 15 in JAMA Oncology.

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Drug Copayments Often Exceed Prescription Drug Costs

WEDNESDAY, March 14, 2018 (HealthDay News) -- Drug copayments frequently exceed prescription drug costs, with overpayments affecting 23 percent of all prescriptions, according to a research letter published in the March 13 issue of the Journal of the American Medical Association.

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U.S. Spends Twice As Much for Similar Health Care Utilization

TUESDAY, March 13, 2018 (HealthDay News) -- Spending on health care is much higher in the United States than other high-income countries, but utilization rates are similar, according to a study published in the March 13 issue of the Journal of the American Medical Association.

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Three-Pronged Approach Can Improve Physician Engagement

MONDAY, March 12, 2018 (HealthDay News) -- The three-pronged approach implemented by one practice successfully improved physician engagement, according to an article published in Medical Economics.

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Doctors Facing Challenge to Help Needy While Protecting Practices

FRIDAY, March 9, 2018 (HealthDay News) -- Physicians are increasingly being challenged to protect their practice finances while helping patients without insurance, according to an article published in Medical Economics.

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Sustained Collaboration Meets Needs for Bladder Exstrophy

FRIDAY, March 9, 2018 (HealthDay News) -- International collaboration focused on treating bladder exstrophy-epispadias complex (BE) and penopubic epispadias (PE) in India is associated with acceptable outcomes, according to a study published online March 7 in JAMA Surgery.

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Vascular Risk Factors Tied to Increased Incontinence Risk

THURSDAY, March 8, 2018 (HealthDay News) -- Many factors, including vascular risk factors, may play a role in the development of urgency urinary incontinence (UUI) in older men and women, according to a study published online March 7 in the BJU International.

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Postpartum Abdominoplasty Improves Back Pain, Incontinence

THURSDAY, March 8, 2018 (HealthDay News) -- Abdominoplasty in the postpartum population improves low back pain and urinary incontinence, according to a study published online Feb. 28 in Plastic and Reconstructive Surgery.

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Many PICCs Placed Have Dwell Time of No More Than Five Days

WEDNESDAY, March 7, 2018 (HealthDay News) -- About 25 percent of peripherally inserted central catheters (PICCs) placed have a dwell time of five days or less, and almost 10 percent of patients with a short-term PICC experience a complication, according to a study published in the February issue of the Journal of Hospital Medicine.

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No Benefit for Aggressive Therapy in Metastatic Prostate Cancer

WEDNESDAY, March 7, 2018 (HealthDay News) -- For men with metastatic prostate cancer, there is no survival advantage for aggressive therapy over conservative androgen deprivation therapy only, according to a study published online March 2 in Cancer.

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Single PSA Screening Doesn't Cut Prostate Cancer Mortality

TUESDAY, March 6, 2018 (HealthDay News) -- A single prostate-specific antigen (PSA) screening is not associated with a significant difference in prostate cancer mortality after follow-up of 10 years, but is associated with increased detection of low-risk prostate cancer, according to a study published in the March 6 issue of the Journal of the American Medical Association.

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Determining 'Avoidability' of Nursing Home Transfers Complex

MONDAY, March 5, 2018 (HealthDay News) -- A substantial proportion of acute transfers from nursing facilities to hospitals are potentially avoidable, but symptoms and risk conditions are only weakly predictive of hospital diagnoses, according to a study published online Feb. 13 in the Journal of the American Geriatrics Society.

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U.S. Trends in Gender-Affirming Surgery Explored

THURSDAY, March 1, 2018 (HealthDay News) -- About 11 percent of patient encounters with a diagnosis code of transsexualism or gender identity disorder involve gender-affirming surgery, and more than half are not covered by an insurance plan, according to a study published online Feb. 28 in JAMA Surgery.

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