Here are what the editors at HealthDay consider to be the most important developments in Urology for December 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.
Urogenital Health Issues Seen in Girls Years After Sexual Abuse
THURSDAY, Dec. 28, 2017 (HealthDay News) — Girls sexually abused in childhood have more urinary and genital health problems, even years after the abuse, than those in the general population, according to a study published online Dec. 15 in The Journal of Pediatrics.
Out-of-Pocket Costs Correlate With Receipt of Cancer Care
THURSDAY, Dec. 28, 2017 (HealthDay News) — Across cancers, higher out-of-pocket (OOP) costs are associated with higher rates of oral prescription abandonment and delayed initiation, according to a study published online Dec. 20 in the Journal of Clinical Oncology.
Early-Stage Cancer Diagnoses Up With ACA’s Medicaid Expansions
THURSDAY, Dec. 21, 2017 (HealthDay News) — In their first year, the 2014 Medicaid expansions, facilitated by the Affordable Care Act, were associated with an increase in cancer diagnoses, particularly at the early stage, according to a study published online Dec. 21 in the American Journal of Public Health.
Findings Support Comprehensive Approach for Seniors With Cancer
THURSDAY, Dec. 21, 2017 (HealthDay News) — Addressing persistent symptoms, managing comorbidities, promoting leisure-time physical activity, and addressing financial challenges are key in optimizing health-related quality of life (HRQOL) in older adults with cancer, according to a study published online Dec. 18 in Cancer.
Cancer Therapies May Trigger Aging Phenotypes in Survivors
TUESDAY, Dec. 19, 2017 (HealthDay News) — Cancer therapies have direct effects on telomere length, epigenetic modifications, and microRNA, which can mimic phenotypes of aging, according to a review published online Dec. 18 in ESMO Open.
Male U.S. Doctors Receive Higher Values of Industry Payments
MONDAY, Dec. 18, 2017 (HealthDay News) — Male physicians in the United States received higher values of general payments from industry than females in 2015, according to a research letter published online Dec. 18 in JAMA Internal Medicine.
Year One Results Out for Value-Based Payment Modifier Program
MONDAY, Dec. 18, 2017 (HealthDay News) — Almost 30 percent of eligible practices failed to register and report data in the first year of the Physician Value-Based Payment Modifier program, according to a report published in the December issue of Health Affairs.
Doctors Must Report on at Least 1 Patient, 1 Measure for MACRA
FRIDAY, Dec. 15, 2017 (HealthDay News) — In order to meet the 2017 Medicare and CHIP Reauthorization Act (MACRA) participation reporting deadline and avoid a Medicare payment penalty in 2019, physicians must report on at least one patient and one measure by Dec. 31, and submit to Medicare no later than Feb. 28, 2018, according to a report from the American Medical Association (AMA).
Making Insurers Participate in Marketplace Could Cut Volatility
THURSDAY, Dec. 14, 2017 (HealthDay News) — Requiring insurers that participate in Medicare or Medicaid to also participate in Marketplaces in the same geographic area could improve access to insurance, according to a study published in the December issue of Health Affairs.
Recent Change in Spectrum of HIV-Linked Kidney Disease
THURSDAY, Dec. 14, 2017 (HealthDay News) — The spectrum of HIV-associated kidney disease has changed with the improvement of therapy for HIV infection, according to a review article published in the Dec. 14 issue of the New England Journal of Medicine.
Amount of Opioids Prescribed After Hospital Discharge Varies
WEDNESDAY, Dec. 13, 2017 (HealthDay News) — For postoperative patients there is considerable variation in the amount of opioids prescribed at hospital discharge, according to research published online Dec. 13 in JAMA Surgery.
Urinary Tract Injury Incidence Low in Gynecologic Laparoscopy
WEDNESDAY, Dec. 13, 2017 (HealthDay News) — The incidence of lower urinary tract injuries is 0.33 percent for patients undergoing gynecologic laparoscopy for benign indications, according to a review published online Dec. 4 in Obstetrics & Gynecology.
C. Difficile + Kidney Injury Admissions Are Up
WEDNESDAY, Dec. 13, 2017 (HealthDay News) — Hospital admissions of patients with Clostridium difficile infection (CDI) and accompanying acute kidney injury (AKI) are increasing, according to a study published online Dec. 4 in the Journal of Gastroenterology and Hepatology.
USPSTF Recommends Against Hormone Tx Post Menopause
TUESDAY, Dec. 12, 2017 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) recommends against use of hormone therapy for preventing chronic conditions in postmenopausal women. These findings form the basis of a final recommendation statement published in the Dec. 12 issue of the Journal of the American Medical Association.
Recommendation Statement
Evidence Report
Editorial 1
Editorial 2
Editorial 3
Deceleration in Health Care Spending Growth in 2016
MONDAY, Dec. 11, 2017 (HealthDay News) — Health care spending growth slowed in 2016 following faster growth in 2014 and 2015, according to research published online Dec. 6 in Health Affairs.
No Increase in Seizure Incidence With Enzalutamide in mCRPC
FRIDAY, Dec. 8, 2017 (HealthDay News) — For patients with metastatic castration-resistant prostate cancer (mCRPC) with at least one risk factor for seizure at baseline, treatment with enzalutamide is not associated with increased incidence of seizure, according to research published online Dec. 7 in JAMA Oncology.
CVS-Aetna Merger Has Implications for Doctors’ Offices
TUESDAY, Dec. 5, 2017 (HealthDay News) — CVS Health’s planned purchase of insurance giant Aetna, a $69 billion deal, was announced Sunday.
More Information – NYT
More Information – HealthDay
Risk of Persistent Opioid Use a Concern for Youth After Surgery
MONDAY, Dec. 4, 2017 (HealthDay News) — Adolescents and young adults are at risk for persistent opioid use after surgery, and this represents an important pathway to consider in the epidemic of prescription opioid misuse, according to a study published online Dec. 4 in Pediatrics.
Nivolumab May Induce Successful Depletion of HIV Reservoir
MONDAY, Dec. 4, 2017 (HealthDay News) — Nivolumab treatment for non-small-cell lung cancer may induce successful depletion of HIV reservoir, according to a letter to the editor published online Dec. 1 in the Annals of Oncology.
>40% of Cancers, Cancer Deaths Due to Modifiable Risk Factors
FRIDAY, Dec. 1, 2017 (HealthDay News) — An estimated 42.0 percent of all incident cancers and 45.1 percent of cancer deaths in the United States are attributed to potentially modifiable risk factors, according to a study published online Nov. 21 in CA: A Cancer Journal for Clinicians.
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