August 2014 Briefing - Urology
Here are what the editors at HealthDay consider to be the most important developments in Urology for August 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.
Report Highlights Progress, Challenges in Health IT
FRIDAY, Aug. 29, 2014 (HealthDay News) -- Progress has been made toward widespread adoption of electronic health records (EHRs), although there are still barriers to adoption of advanced use of EHRs, according to a report published by the Robert Wood Johnson Foundation.
Poor Prostate Cancer Knowledge Ups Decisional Conflict
FRIDAY, Aug. 29, 2014 (HealthDay News) -- For economically disadvantaged men with newly diagnosed prostate cancer, poor knowledge about prostate cancer is associated with increased decisional conflict and lower perceived effectiveness of decision-making, according to a study published in the Sept. 1 issue of Cancer.
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AMGA: Physician Turnover Still High in 2013
THURSDAY, Aug. 28, 2014 (HealthDay News) -- For the second year running, physician turnover remains at the highest rate since 2005, according to a report published by the American Medical Group Association (AMGA).
Doctors Frequently Experience Ethical Dilemmas
THURSDAY, Aug. 28, 2014 (HealthDay News) -- For physicians trying to balance various financial and time pressures, ethical dilemmas are common, according to an article published Aug. 7 in Medical Economics.
Cancer Patients With Depression Often Untreated
THURSDAY, Aug. 28, 2014 (HealthDay News) -- Patients with cancer and depression frequently do not receive effective treatment; however, an integrated program is effective in patients with cancer, and specifically lung cancer, according to three studies published online Aug. 28 in The Lancet Psychiatry, The Lancet, and The Lancet Oncology.
Abstract - Walker
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Abstract - Sharpe
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Abstract - Walker
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Team Approach Improves Practice Efficiency
WEDNESDAY, Aug. 27, 2014 (HealthDay News) -- The increasing administrative requirements of a medical practice are requiring a team-based approach to care, and physicians must learn to manage the team, according to an article published Aug. 7 in Medical Economics.
Restrictive, Non-Solicitation Covenants Are Valid
MONDAY, Aug. 25, 2014 (HealthDay News) -- Restrictive and non-solicitation covenants are valid and can be enforced, according to an article published Aug. 5 in Medical Economics.
Organizations Can Help Docs Retain Their Independence
FRIDAY, Aug. 22, 2014 (HealthDay News) -- Ways for physicians to remain in independent practice are highlighted in an article published Aug. 7 in Medical Economics.
Organized Processes Help Practices Hire Well
WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- A defined process is necessary to help physicians hire the right staff for their practice, according to an article published July 24 in Medical Economics.
More Preventable Deaths With Outpatient Urology Surgery
WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- There has been a shift from inpatient to outpatient surgery for commonly performed urological procedures, which has coincided with increasing rates of failure to rescue (FTR) mortality, according to a study published online Aug. 19 in BJU International.
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Active Surveillance Works Well for Stage I Testicular Cancer
WEDNESDAY, Aug. 20, 2014 (HealthDay News) -- Active surveillance for clinical stage I (CSI) testis cancer leads to excellent outcomes, according to a study published online Aug. 18 in the Journal of Clinical Oncology.
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Docs Must Consider Liability When Ordering Screening Tests
TUESDAY, Aug. 19, 2014 (HealthDay News) -- Physicians and health care providers must be aware of their potential liability when ordering screening tests, according to an article published July 24 in Medical Economics.
Boxed Warnings Are Common in Novel Therapeutics
TUESDAY, Aug. 19, 2014 (HealthDay News) -- Boxed warnings are common on recent drug approvals, and many occur years after approval, according to a research letter published online Aug. 15 in JAMA Internal Medicine.
Cancer Screening Common in Those With Low Life Expectancy
MONDAY, Aug. 18, 2014 (HealthDay News) -- Cancer screening is common among those with limited life expectancy, and more frequent colorectal cancer screening than recommended does not provide benefit, according to two studies published online Aug. 18 in JAMA Internal Medicine.
Abstract - Royce
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Abstract - van Hees
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Gender Gap Seen in Desire for Living Kidney Transplant
MONDAY, Aug. 18, 2014 (HealthDay News) -- Black women undergoing hemodialysis are less likely to want a living donor kidney transplantation (LDKT), despite being more likely to receive unsolicited offers for kidney transplant, compared with black men, according to a study published online Aug. 14 in the Clinical Journal of the American Society of Nephrology.
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Phthalate Exposure May Lower Testosterone Levels
FRIDAY, Aug. 15, 2014 (HealthDay News) -- Exposure to phthalates, chemicals that are commonly found in plastics and personal care products, may reduce testosterone levels in men, women, and children, according to research published online Aug. 14 in the Journal of Clinical Endocrinology & Metabolism.
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Peptide Deficiency May Contribute to Male Infertility
THURSDAY, Aug. 14, 2014 (HealthDay News) -- Low levels of human β-defensin 1 (DEFB1) in sperm may explain some of the common causes of male infertility, according to research published in the Aug. 13 issue of Science Translational Medicine.
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Extra Time Spent Counseling, Coordinating Care Billable
WEDNESDAY, Aug. 13, 2014 (HealthDay News) -- Extra time spent counseling patients and coordinating care can be billed using evaluation and management (E/M) and prolonged service codes, according to an article published July 24 in Medical Economics.
Meta-Analysis Strategy Impacts Estimation of Tx Outcome
TUESDAY, Aug. 12, 2014 (HealthDay News) -- Estimation of treatment outcome varies with the meta-analysis strategy, according to a study published in the Aug. 13 issue of the Journal of the American Medical Association.
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EHR Adoption Increasing, But Stage 2 Criteria Often Not Met
MONDAY, Aug. 11, 2014 (HealthDay News) -- Most U.S. hospitals and office-based physicians have adopted electronic health records (EHR), according to two studies published in the August issue of Health Affairs.
Abstract - Adler-Milstein
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Abstract - Furukawa
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Intervention Cuts Catheter-Related Pediatric UTIs
MONDAY, Aug. 11, 2014 (HealthDay News) -- Enactment of a quality improvement prevention bundle at a tertiary care children's hospital significantly reduced the rate of catheter-associated urinary tract infections (CAUTIs), according to research published online Aug. 11 in Pediatrics.
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Issues to Consider With Integration of Telemedicine
FRIDAY, Aug. 8, 2014 (HealthDay News) -- Integrating telemedicine raises various considerations, including operational and legal issues, according to an article published July 24 in Medical Economics.
Antibiotic Prophylaxis Cuts UTIs in Congenital Hydronephrosis
FRIDAY, Aug. 8, 2014 (HealthDay News) -- Continuous antibiotic prophylaxis (CAP) reduces the risk of febrile urinary tract infection (UTI) in children with asymptomatic antenatal hydronephrosis (ANH), according to a study published online July 22 in the Journal of Pediatric Urology.
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Nomogram Predicts Risk of Second Kidney Stone Episode
FRIDAY, Aug. 8, 2014 (HealthDay News) -- The Recurrence of Kidney Stone (ROKS) nomogram identifies patients with kidney stones who are at high risk for a second symptomatic episode, according to research published online Aug. 7 in the Journal of the American Society of Nephrology.
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VA Health Care Reform Bill Signed Into Law
THURSDAY, Aug. 7, 2014 (HealthDay News) -- A bill signed into law Thursday by President Barack Obama is meant to provide veterans with easier access to government-paid health care.
Health Highlights: Aug. 7, 2014
Study Confirms Lasting Drop in Prostate Cancer Death With PSA
THURSDAY, Aug. 7, 2014 (HealthDay News) -- Prostate-specific antigen (PSA) screening is associated with a lasting reduction in prostate cancer mortality, with increased effect at 13 years compared with nine or 11 years, according to a study published online Aug. 7 in The Lancet.
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Many Physicians Have Secondary Income
MONDAY, Aug. 4, 2014 (HealthDay News) -- Many physicians report earning income from sources other than their primary practice/employer, according to an article published July 24 in Medical Economics.
Model Can Predict Risk of Renal Scarring in Children
MONDAY, Aug. 4, 2014 (HealthDay News) -- A model including temperature, ultrasonographic findings, and etiologic organisms is able to predict renal scarring in children with a first urinary tract infection, according to research published online Aug. 4 in JAMA Pediatrics.
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CMS Recognizes Telehealth in New Physician Fee Schedule
FRIDAY, Aug. 1, 2014 (HealthDay News) -- Earlier this month, the Centers for Medicare & Medicaid Services issued proposed rules for updates to the Physician Fee Schedule and will accept comments until Sept. 2, according to an article published July 7 in Medical Economics.
Guidelines Issued for Cardiac Management of Noncardiac Sx
FRIDAY, Aug. 1, 2014 (HealthDay News) -- Recommendations have been developed for perioperative cardiovascular management of patients undergoing noncardiac surgery. These revised guidelines were published online Aug. 1 in the Journal of the American College of Cardiology.
More Than Half of General Surgery Residents Want to Quit
FRIDAY, Aug. 1, 2014 (HealthDay News) -- A majority of categorical general surgery residents seriously consider leaving residency, according to a study published online July 30 in JAMA Surgery.
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