Here are what the editors at HealthDay consider to be the most important developments in Urology for April 2015. 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.
Sodium Nitrate, Citric Acid Effective for Anogenital Warts
THURSDAY, April 30, 2015 (HealthDay News) — For patients with anogenital warts, high-dose topical treatment (sodium nitrite, 6 percent, with citric acid, 9 percent) is more effective than placebo, according to a study published online April 29 in JAMA Dermatology.
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Physician Compensation Up for Most Specialties
TUESDAY, April 28, 2015 (HealthDay News) — Physician compensation has gone up for almost all specialties, according to a 2015 report published by Medscape.
CDC: Surveillance System Can Help Reduce Health Care Injuries
TUESDAY, April 28, 2015 (HealthDay News) — A surveillance system for health care facilities can be used to identify and help reduce the number of preventable injuries among health care personnel, according to research published in the April 24 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
Less Urinary Incontinence After Total Abdominal Hysterectomy
FRIDAY, April 24, 2015 (HealthDay News) — At five years after surgery, women undergoing subtotal abdominal hysterectomy (SAH) were more likely to have urinary incontinence (UI) than those undergoing total abdominal hysterectomy (TAH), according to a study published in the May issue of BJOG: An International Journal of Obstetrics and Gynaecology.
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More Evidence Needed to Assess Impact of Duty Hour Policies
FRIDAY, April 24, 2015 (HealthDay News) — Evidence is necessary to assess the safety of duty hour limit policies for surgical residents, according to a viewpoint piece published online April 22 in JAMA Surgery.
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Second Primaries for Over 25% With Metastatic Prostate Cancer
THURSDAY, April 23, 2015 (HealthDay News) — More than one-quarter of patients with metastatic prostate cancer present with a synchronous second primary malignancy, according to a review published in the April issue of The Journal of Urology.
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EHR Data Mining Helps With Quality Improvement
WEDNESDAY, April 22, 2015 (HealthDay News) — Electronic health records (EHRs) are a valuable source of data that can be mined to help practices with quality improvement performance, according to a study published in Medical Economics.
EHR Decision Support Ups Radiologic Test Appropriateness
TUESDAY, April 21, 2015 (HealthDay News) — Computerized clinical decision-support (CCDS) capabilities of electronic health records may improve appropriate use of diagnostic radiologic test ordering and reduce test use, according to a review published in the April 21 issue of the Annals of Internal Medicine.
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Under and Over Imaging Suspected in Prostate CA Care
TUESDAY, April 21, 2015 (HealthDay News) — For men with nonmetastatic (M0) castration resistant prostate cancer who have a negative bone scan after diagnosis, factors associated with a second bone scan include higher prostate-specific antigen (PSA), shorter PSA doubling time, and faster PSA velocity; however, there may be under imaging in those at high risk and over imaging in those at low risk, according to a study published in the April issue of the The Journal of Urology.
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Regular Walking Can Boost Quality of Life With Prostate CA
TUESDAY, April 21, 2015 (HealthDay News) — Engaging in a regular walking regimen can improve well-being for men with prostate cancer, according to new research published online April 16 in the Journal of Cancer Survivorship: Research and Practice.
Guidance Offered for Managing Conflict With Patients
MONDAY, April 20, 2015 (HealthDay News) — Good communication is key to managing conflict with patients, according to an article published April 1 in Medical Economics.
Obesity Raises Prostate Cancer Risk Even Higher for Black Men
MONDAY, April 20, 2015 (HealthDay News) — Compared to white men, black men appear to have up to four-fold greater risk of developing prostate cancer as their body mass index (BMI) increases, according to a study published online April 16 in JAMA Oncology.
HLA Expression Tied to Penile Cancer Outcomes
MONDAY, April 20, 2015 (HealthDay News) — Human leukocyte antigen (HLA) expression appears to be tied to clinical outcomes in penile cancer, according to a study published in the April issue of The Journal of Urology.
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Clinician-Referred Exercise Program Beneficial in Prostate CA
FRIDAY, April 17, 2015 (HealthDay News) — For men with prostate cancer, clinician referral to and participation in an exercise program has a positive impact on mental health, according to a study published online April 15 in Cancer.
Suboptimal Prescribing Attitudes Could Signal Personal Distress
FRIDAY, April 17, 2015 (HealthDay News) — Medical students in personal distress may be more likely to have suboptimal attitudes about self-prescribing and personal responsibility for reporting impaired colleagues, according to a study published in the April issue of Academic Medicine.
Ethical Implications for Looking Up Applicants on Facebook
THURSDAY, April 16, 2015 (HealthDay News) — Looking up students on Facebook and other social networking sites (SNS) is associated with ethical concerns, according to a perspective piece published in the March issue of the Journal of Graduate Medical Education.
Prolonged ADT Ups Diabetes, CVD Risk for Older Men
THURSDAY, April 16, 2015 (HealthDay News) — For men diagnosed with prostate cancer aged older than 70 years, prolonged androgen deprivation therapy is associated with increased risk of diabetes and cardiovascular disease, especially among those with comorbidities, according to a study published in the April issue of The Journal of Urology.
Medicare Spending Down in Year One of Pioneer ACO
THURSDAY, April 16, 2015 (HealthDay News) — Medicare spending is down in year one of the Pioneer accountable care organization (ACO) program, according to a study published online April 15 in the New England Journal of Medicine.
AMA Announces End of Sustainable Growth Rate Formula
WEDNESDAY, April 15, 2015 (HealthDay News) — Recently adopted legislation has repealed the sustainable growth rate (SGR) formula, according to a report published by the American Medical Association (AMA).
Survey Looks at Patient Attitudes Regarding Informed Consent
WEDNESDAY, April 15, 2015 (HealthDay News) — Most U.S. adults would prefer to be asked for permission to participate in studies assessing usual medical practices, according to a study published online April 14 in the Annals of Internal Medicine.
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Security Breaches of Health Records Up Over Past Decade
TUESDAY, April 14, 2015 (HealthDay News) — Breaches in data security exposed more than 29 million health records to potential criminal misuse between 2010 and 2013, according to a new study. Security breaches involving hacking have nearly doubled in recent years, rising to 8.7 percent in 2013 compared with 4.7 percent in 2010, according to the study, published as a research letter in the April 14 issue of the Journal of the American Medical Association.
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Placebo Response May Depend on Individual DNA
TUESDAY, April 14, 2015 (HealthDay News) — The strength of the placebo effect may depend on particular DNA, according to a report published online April 13 in Trends in Molecular Medicine.
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Quality Improvement Intervention Cuts Lost OR Time
TUESDAY, April 14, 2015 (HealthDay News) — Significant reductions can be made in operating room (OR) time lost due to cancellation on the day of surgery (DoSC), according to a study published online April 13 in Pediatrics.
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Aspirin Use Not Found to Benefit Prostate Cancer Mortality
TUESDAY, April 14, 2015 (HealthDay News) — Aspirin use does not appear to reduce the risk of mortality associated with prostate cancer, according to research published in the April issue of The Journal of Urology.
SHBG Predicts Erectile Dysfunction Risk in Young Men
TUESDAY, April 14, 2015 (HealthDay News) — High levels of free testosterone (FT) and bioavailable testosterone (BT), and low levels of sex hormone-binding globulin (SHBG), are tied to a decreased risk of erectile dysfunction (ED) in young men, according to a study published online March 20 in the Journal of Sexual Medicine.
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Repeat Prostate Biopsy Rounds Yield Cancer Cases
MONDAY, April 13, 2015 (HealthDay News) — Among a group of men with an initial negative prostate biopsy, clinically significant cancer is still found in subsequent repeat sampling rounds, according to a study published in the April issue of The Journal of Urology.
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Only High Exercise Levels Tied to Better Erectile, Sexual Function
MONDAY, April 13, 2015 (HealthDay News) — High weekly exercise levels are tied to better erectile/sexual function in men, whereas exercise at lower levels is not, according to a study published online March 20 in the Journal of Sexual Medicine.
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Medical Debt Burden Higher in Texas, Florida
FRIDAY, April 10, 2015 (HealthDay News) — Significantly more adults in Florida and Texas struggle to pay medical bills or pay off medical debt over time compared with residents of New York and California, according to a new Commonwealth Fund report released Friday.
Many Doctors Haven’t Started Dealing With ICD-10 Revision
FRIDAY, April 10, 2015 (HealthDay News) — Most physicians have barely begun to deal with issues relating to documentation associated with the transition to the International Classification of Diseases, 10th Revision (ICD-10), according to an article published in Medical Economics.
Art Program Hones Med Students’ Visual Observation Skills
FRIDAY, April 10, 2015 (HealthDay News) — An innovative interdisciplinary program, Art Rounds, is effective for improving medical and nursing students’ physical observation skills, according to a study published in the April issue of the Journal of Nursing Education.
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Pharmacists Raise Concerns for Patient Access to Generic Drugs
THURSDAY, April 9, 2015 (HealthDay News) — Nearly all pharmacists have experienced upswings in the acquisition costs of generic drugs, with price spikes reported to be worse since 2013, according to a report published by the National Community Pharmacists Association (NCPA).
Limited Time Available to Review Sunshine Act Data
WEDNESDAY, April 8, 2015 (HealthDay News) — Physicians have only 45 days to review and dispute reports regarding their financial ties to drug and medical device manufacturers reported under the Physician Payments Sunshine Act, according to the American Medical Association (AMA).
Med Students, Residents Rarely Perform Stethoscope Hygiene
TUESDAY, April 7, 2015 (HealthDay News) — Stethoscope hygiene is rarely performed by trainee physicians, according to a research letter published online April 2 in the Journal of Hospital Medicine.
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Semen Quality Linked to Fruit, Veggie Pesticide Residue
TUESDAY, April 7, 2015 (HealthDay News) — High-pesticide residue fruit and vegetable intake correlates with poorer semen quality, according to a study published online March 30 in Human Reproduction.
Article Highlights Legal Issues Linked to Physician Extenders
FRIDAY, April 3, 2015 (HealthDay News) — The use of physician extenders (PEs; mainly physician assistants and nurse practitioners) may bring added legal risks to a practice, according to an article published in Medical Economics.
Patients May Be Modifying Meds Due to Trouble Swallowing
THURSDAY, April 2, 2015 (HealthDay News) — Some patients experience difficulties swallowing and modify medication dosage forms, without necessarily consulting health professionals, according to research published in the March issue of the Journal of Pharmacy Practice and Research.
Legal Issues of Removing Patient From Practice Explored
WEDNESDAY, April 1, 2015 (HealthDay News) — The legal and ethical responsibilities of removing a patient from practice are discussed in an article published March 16 in Medical Economics.
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