Here are what the editors at HealthDay consider to be the most important developments in Urology for March 2012. 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.
Better Short-Term Outcomes for Private Prostatectomies
FRIDAY, March 30 (HealthDay News) -- For men undergoing radical prostatectomies (RPs), private health insurance coverage is linked with fewer complications, less in-hospital recovery time, and decreased mortality, compared to public coverage, according to a study published in the April 1 issue of Cancer.
Post-Radical Cystectomy Discharge Patterns Described
THURSDAY, March 29 (HealthDay News) -- In the past decade there has been a decrease in prolonged length of stay following radical cystectomy in the United States, while rates of transfer to a facility have remained stable, with insurance status and the surgical institution affecting discharge patterns, according to a study published in the April issue of The Journal of Urology.
Bevacizumab Doesn't Up Overall Survival in Prostate Cancer
MONDAY, March 26 (HealthDay News) -- For men with metastatic castration-resistant prostate cancer (mCRPC), the addition of bevacizumab (B) to docetaxel plus prednisone (DP) is not associated with improved overall survival (OS), but does improve progression-free survival (PFS) and objective response (OR), according to a study published online March 26 in the Journal of Clinical Oncology.
Living Donor Age Has Little Impact on Kidney Survival
FRIDAY, March 23 (HealthDay News) -- Living donor age has minimal impact on the survival of a donated kidney, except for those recipients aged 18 to 39 years, according to research published online March 22 in the Clinical Journal of the American Society of Nephrology.
Glycolytic Enzyme Plays Role in Prostate Cancer Survival
THURSDAY, March 22 (HealthDay News) -- An enzyme that balances the use of glucose for energy generation with the synthesis of antioxidants is important for the growth and survival of prostate cancer, according to a study published online March 22 in Cancer Discovery.
Health Care Team Members Key for Antimicrobial Stewardship
THURSDAY, March 22 (HealthDay News) -- Antimicrobial stewardship programs (ASPs) that use health care epidemiologists (HEs) and infection preventionists (IPs) have a crucial role to play in the effort to combat health care-associated infections (HAIs), including those caused by multidrug-resistant organisms (MDROs), according to the Association for Professionals in Infection Control and Epidemiology and the Society for Healthcare Epidemiology of America position paper published in the March issue of the American Journal of Infection Control.
Survey Describes Docs' Online Professionalism Violations
TUESDAY, March 20 (HealthDay News) -- Most medical licensing authorities receive and act upon reports of physicians' online professionalism violations, according to a research letter published in the March 21 issue of the Journal of the American Medical Association.
Antimicrobial Stewardship Saves Millions of Dollars
TUESDAY, March 20 (HealthDay News) -- Antimicrobial stewardship programs save hospitals millions of dollars, according to a study published in the April issue of Infection Control and Hospital Epidemiology.
Poorer Health Literacy Linked to Increased Mortality
FRIDAY, March 16 (HealthDay News) -- A considerable proportion of older adults in England have medium or low health literacy, which is associated with increased mortality, according to a study published online March 15 in BMJ.
Analgesic Use After Surgery Linked to Long-Term Use
THURSDAY, March 15 (HealthDay News) -- Older patients prescribed opioids or nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief after short-stay surgery appear to be at increased risk for becoming long-term analgesic users, according to a study published in the March 12 issue of the Archives of Internal Medicine.
Prostate Cancer Screening Does Not Reduce All-Cause Mortality
WEDNESDAY, March 14 (HealthDay News) -- Screening men for prostate-specific antigen (PSA) levels significantly reduces their risk of death from prostate cancer, but not their overall risk of death, according to a study in the March 15 issue of the New England Journal of Medicine.
Men's Dietary Fat Intake Linked to Sperm Quality
WEDNESDAY, March 14 (HealthDay News) -- The type of fats men eat affects their sperm quality, according to a study published online March 13 in Human Reproduction.
Personal Mobile Computers Improve Resident Efficiency
WEDNESDAY, March 14 (HealthDay News) -- The use of personal mobile computers (Apple iPads) by internal medicine residents improves efficiency, according to a research letter published in the March 12 issue of the Archives of Internal Medicine.
Higher Spending by Hospitals Improves Outcomes
TUESDAY, March 13 (HealthDay News) -- Hospitals that are part of the universal health care system in Canada that spend more on inpatient care have lower rates of deaths and hospital readmissions, according to a study published in the March 14 issue of the Journal of the American Medical Association.
U.S. Mortality Rates Dropped 60 Percent From 1935 to 2010
TUESDAY, March 13 (HealthDay News) -- From 1935 to 2010, the death rate in the United States decreased considerably, although the single-year improvements in mortality were often small, according to a March data brief issued by the National Center for Health Statistics (NCHS).
Circumcision Reduces Risk of Prostate Cancer
MONDAY, March 12 (HealthDay News) -- Circumcision prior to first sexual intercourse correlates with a reduced risk of prostate cancer (PCa), according to a study published online March 12 in Cancer.
Flu Vaccine Up Among Medical Staff When They Believe It Works
FRIDAY, March 9 (HealthDay News) -- Hospital health care workers (HCWs) are more likely to receive the seasonal influenza vaccination if they believe it works and are committed to preventing this highly contagious virus, according to research published in the April issue of Occupational & Environmental Medicine.
Surrogates Tend to Misinterpret Poor Prognosis Information
FRIDAY, March 9 (HealthDay News) -- Surrogate decision makers for critically ill patients interpret prognostic statements expressing a low risk of death accurately, but interpret statements conveying poor prognosis optimistically, according to a study published in the March 6 issue of the Annals of Internal Medicine.
Buprenorphine Maintenance Therapy Not Recommended
THURSDAY, March 8 (HealthDay News) -- Opioid substitution therapy with buprenorphine is not recommended for opioid-addicted health care professionals (HCPs), according to research published in the March issue of the Mayo Clinic Proceedings.
Financial Burden of Medical Care Affects One in Three
WEDNESDAY, March 7 (HealthDay News) -- In the first half of 2011, one in three individuals was in a family that experienced the financial burden of medical care in the United States, according to the results of the National Health Interview Survey published March 7 by the National Center for Health Statistics (NCHS).
Double Gloving Prevents Exposure to Pathogens in OR
WEDNESDAY, March 7 (HealthDay News) -- Double gloving during surgery reduces the risk for transmission of bloodborne pathogens to medical personnel as well as minimizing the transfer of health care-associated infections to patients, according to a study published in the March issue of the AORN Journal.
Dutasteride Doesn't Alter Anabolic Effects of Testosterone
TUESDAY, March 6 (HealthDay News) -- Men receiving testosterone supplementation who also receive dutasteride, which blocks the conversion of testosterone to its potent metabolite 5α-dihydrotestosterone (DHT), do not experience a significant difference in changes in muscle-related measures or sexual function compared to men receiving testosterone without dutasteride, according to a study published in the March 7 issue of the Journal of the American Medical Association.
Electronic Test Result Access Does Not Reduce Test Ordering
TUESDAY, March 6 (HealthDay News) -- For office-based physicians, electronic access to patient imaging and laboratory test results does not decrease -- and may actually increase -- the number of diagnostic tests ordered, according to research published in the March issue of Health Affairs.
PISQ-12 Validated for Patients With Pelvic Organ Prolapse
FRIDAY, March 2 (HealthDay News) -- The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) has been shown to be a valid measure of sexual function in patients who undergo surgical mesh implantation for treatment of pelvic organ prolapse, according to research published online Feb. 21 in The Journal of Sexual Medicine.
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