Here are what the editors at HealthDay consider to be the most important developments in Urology for April 2017. 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.
Meeting Organizers Overlooking Qualified Female Scientists
FRIDAY, April 28, 2017 (HealthDay News) — Invited speakers at medical conferences tend to be disproportionately male, a disparity that can be addressed by actively preparing lists of potential speakers, according to a study published online April 18 in Nature Immunology.
Routine Blood Tests Can Harm Patient Care
FRIDAY, April 28, 2017 (HealthDay News) — Routine blood tests waste money and can damage patient care, according to an opinion piece published online April 27 in the BMJ.
Risk Factors in Six Areas Tied to Physician Burnout
THURSDAY, April 27, 2017 (HealthDay News) — Physician burnout factors include control, whether there is time to deliver excellent care, and whether the workplace is fair, according to a presentation at the Medical Group Management Association/American Medical Association 2017 Collaborate in Practice Conference, held April 9 to 11 in Chicago.
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Single-Payer Health System Bill Moves Forward in California
THURSDAY, April 27, 2017 (HealthDay News) — A proposal to replace private insurance with government-funded health care for all moved forward in California on Wednesday as Democrats on the Senate Health Committee voted to advance the measure.
FDA Warns Companies Selling Fraudulent Cancer Treatments
WEDNESDAY, April 26, 2017 (HealthDay News) — The U.S. Food and Drug Administration (FDA) on Tuesday posted warning letters to 14 companies that are illegally selling more than 65 unproven cancer treatments.
Post-Op hsTnT Linked to 30-Day Mortality After Noncardiac Sx
TUESDAY, April 25, 2017 (HealthDay News) — Peak postoperative high-sensitivity troponin T (hsTnT) is associated with increased risk of 30-day mortality among patients undergoing noncardiac surgery, according to a study published online April 25 in the Journal of the American Medical Association.
PSA Screening Rates Have Leveled Off in U.S.
TUESDAY, April 25, 2017 (HealthDay News) — Rates of prostate-specific antigen (PSA) screening have leveled off after declining for a number of years in the United States, according to a research letter published online April 24 in JAMA Internal Medicine.
Black Men Have Higher Rate of Preclinical Prostate Cancer
MONDAY, April 24, 2017 (HealthDay News) — Black men appear to have a higher incidence of preclinical prostate cancer and a higher risk of metastatic progression than the general population, which may warrant a change in screening approach, according to a study published online April 24 in Cancer.
Surveillance Biopsy Timing Not Tied to Reclassification
FRIDAY, April 21, 2017 (HealthDay News) — Timing of the first active surveillance biopsy is not associated with increased adverse reclassification of prostate cancer, according to a study published in the April issue of The Journal of Urology.
Potential Benefits, Risks of OpenNotes Discussed
WEDNESDAY, April 19, 2017 (HealthDay News) — The benefits of sharing notes with patients include improved patient engagement and empowerment, while potential risks may include more phone calls, questions, and increased documentation time, according to a report published in Medical Economics.
Evaluation Strategies Compared in Microscopic Hematuria
WEDNESDAY, April 19, 2017 (HealthDay News) — The combination of renal ultrasound and cystoscopy is the most cost-effective of four diagnostic approaches for the initial evaluation of asymptomatic microscopic hematuria (AMH), according to a study published online April 17 in JAMA Internal Medicine.
Increase in Prostate Needle Biopsy-Linked Infection in N.Y.
TUESDAY, April 18, 2017 (HealthDay News) — Infectious complications after prostate needle biopsy increased from 2011 to 2014 across New York State, according to a study published in the April issue of The Journal of Urology.
Costs Up With Specialist As Predominant Provider of Care
TUESDAY, April 18, 2017 (HealthDay News) — For older adults with multimorbidity, having a specialist as the predominant provider of care (PPC) is associated with higher spending and lower continuity of care, according to a study published online April 8 in the Journal of the American Geriatrics Society.
Doctors Need to Be Mindful of What They Post on Social Media
MONDAY, April 17, 2017 (HealthDay News) — Young doctors often have unprofessional or offensive content on their Facebook profiles, according to a study published online April 9 in BJU International.
One in Five Post-Op Patients Need Unscheduled Help
MONDAY, April 17, 2017 (HealthDay News) — A sizable minority of patients need to make contact with health services after outpatient surgery, most often due to inadequate pain management, according to a study published online April 10 in Anesthesiology.
Web-Based Platform Better for Delivering Pre-Op Information
FRIDAY, April 14, 2017 (HealthDay News) — Attaining preoperative information from an interactive web-based platform is better than conventional brochure material for children aged 3 to 12 years and their parents, according to a research report published online April 10 in Pediatric Anesthesia.
Yoga Helps Ease Side Effects of Prostate Cancer Treatment
FRIDAY, April 14, 2017 (HealthDay News) — Among prostate cancer patients, novice yoga practitioners experience renewed energy and fewer of the sexual and urinary symptoms tied to radiation treatment, compared with men who don’t practice yoga, according to research published recently in the International Journal of Radiation Oncology, Biology, and Physics.
Cancer Occurrence Differs Among African-Born, U.S.-Born Blacks
THURSDAY, April 13, 2017 (HealthDay News) — Cancer rates differ between African- and U.S.-born black Americans, with cancer rates varying by region of birth in Africa, according to a study published online April 13 in Cancer.
Surgery Often the Starting Point for Opioid Addiction
THURSDAY, April 13, 2017 (HealthDay News) — Certain surgery patients prescribed opioids for postoperative pain relief may face a higher risk for developing a persistent opioid addiction, according to research published online April 12 in JAMA Surgery.
24-Hour Urine Collection of Unclear Benefit in Stone Formers
THURSDAY, April 13, 2017 (HealthDay News) — Despite guidelines, it has not been established whether all recurrent kidney stone formers benefit from 24-hour urine collection, according to a review published in the April issue of The Journal of Urology.
Depressive Disorders Up With Antimuscarinics for OAB
WEDNESDAY, April 12, 2017 (HealthDay News) — Women with overactive bladder (OAB) syndrome treated with antimuscarinics have increased subsequent risk of depressive disorder, according to a study published online April 5 in the Journal of Clinical Pharmacology.
PSA Test Often Occurs Without Discussion of Benefits, Harms
WEDNESDAY, April 12, 2017 (HealthDay News) — Fewer than one in three men screened with the prostate-specific antigen (PSA) test for prostate cancer talked about the risks and benefits of the test with their doctor, according to a study published online recently in Urology.
Doctor Communication Style Key During Bad-News Encounters
TUESDAY, April 11, 2017 (HealthDay News) — Enhanced patient-centered communication (E-PCC) positively impacts patients’ psychological state during bad-news encounters, according to a study published online April 5 in Cancer.
Patient Choice Stressed in Latest USPSTF PSA Screening Recs
TUESDAY, April 11, 2017 (HealthDay News) — The U.S. Preventive Services Task Force is recommending that men aged 55 to 69 have a discussion with their doctor about the pros and cons of prostate-specific antigen (PSA) screening for detecting prostate cancer.
Evidence Review
Draft Recommendation Statement
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Metformin Use Does Not Increase Prostate Cancer Survival
TUESDAY, April 11, 2017 (HealthDay News) — Metformin use in combination with docetaxel chemotherapy does not significantly improve survival in patients with diabetes and metastatic castration-resistant prostate cancer, according to a study published in the April issue of The Journal of Urology.
Integrated E-Prescribing Can Cut Prescribing, Dispensing Errors
MONDAY, April 10, 2017 (HealthDay News) — An integrated electronic medication prescribing (e-prescribing) and dispensing system can reduce prescribing and dispensing errors, according to a study published online March 30 in the Journal of Pharmacy Practice and Research.
Review Explores Botulinum Toxin in Overactive Bladder Treatment
MONDAY, April 10, 2017 (HealthDay News) — Intradetrusor injection of onabotulinumtoxin A is safe and effective for bladder chemodenervation in overactive bladder, with new approaches being developed to increase toxin permeability and avoid intradetrusor injections, according to a review published in the April issue of The Journal of Urology.
MACRA Changes Government Approach to Doctor Payment
FRIDAY, April 7, 2017 (HealthDay News) — Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) has made fundamental changes to the government’s approach to physician payment, according to a March 27 policy brief published in Health Affairs.
CDC: Syphilis Rates Up Among U.S. Men Who Have Sex With Men
FRIDAY, April 7, 2017 (HealthDay News) — Syphilis rates among men who have sex with men (MSM) have increased significantly in the past two decades, according to research published in the April 7 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
CDC: Almost Half of U.S. Men, Women <60 Infected With HPV
THURSDAY, April 6, 2017 (HealthDay News) — Nearly half of American men and women under 60 have a genital human papillomavirus (HPV) infection, according to an April data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS).
Risk Adjustment, Reinsurance Transfer Offer Financial Benefit
THURSDAY, April 6, 2017 (HealthDay News) — Risk adjustment and reinsurance transfer programs seem to have been effective for increasing revenues at the expense of claims costs, according to research published in the March issue of Health Affairs.
Increased Cancer Risk for Childhood Kidney Recipients
WEDNESDAY, April 5, 2017 (HealthDay News) — Childhood kidney recipients have increased cancer risk, according to a study published online March 29 in the American Journal of Transplantation.
Second Opinion Yields Different Diagnosis for 1 in 5 Patients
WEDNESDAY, April 5, 2017 (HealthDay News) — One-fifth of patients who sought a second opinion recently at a single academic medical center had received a different diagnosis from their primary care providers, according to a study published online April 4 in the Journal of Evaluation in Clinical Practice.
Doctors Must Be Wary of HIPAA Violations With Online Reviews
TUESDAY, April 4, 2017 (HealthDay News) — Physicians should be aware that responding to a negative health care review could potentially expose personal medical information, resulting in a Health Insurance Portability and Accountability Act (HIPAA) violation, according to an article published in Medical Economics.
Use of Health Literacy Tools Can Promote Shared Decision Making
MONDAY, April 3, 2017 (HealthDay News) — Use of health literacy tools is encouraged for facilitating shared decision making (SDM), according to an article published in the March issue of the AMA Journal of Ethics.
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