Here are what the editors at HealthDay consider to be the most important developments in Urology for April 2009. 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.
Cancer Society Issues Health Disparities Policy Statement
THURSDAY, April 30 (HealthDay News) -- The American Society of Clinical Oncology (ASCO) is launching an all-out campaign to eliminate cancer health disparities among Hispanics, blacks, Native Americans, and other minorities, who together will account for more than half of the United States' population by the year 2050, according to a policy statement released during a media telebriefing and published online ahead of print April 29 in the Journal of Clinical Oncology.
New Web-based Information Source to Support UK Clinicians
THURSDAY, April 30 (HealthDay News) -- The United Kingdom's National Institute for Health and Clinical Excellence (NICE) has announced the launch of NHS Evidence, a Web-based evidence resource for clinicians, public health professionals of the National Health Service, and others involved in making patient care decisions. The announcement came in the April 30 issue of The Lancet.
Aging, Changing Nation Will Affect New Cancer Diagnoses
THURSDAY, April 30 (HealthDay News) -- Demographic changes in which older adults and minorities account for an increasing share of the population are expected to result in a soaring number of cancer cases in the next 20 years, according to a study released during a media telebriefing and published online ahead of print April 29 in the Journal of Clinical Oncology.
NEJM Commends New Conflict of Interest Proposal
THURSDAY, April 30 (HealthDay News) -- A new proposal to control conflict of interest is notable for its breadth and variety of recommended solutions, according to a Perspective article published online April 29 in the New England Journal of Medicine.
FDA Requires OTC Pain Relievers to Display Warnings
WEDNESDAY, April 29 (HealthDay News) -- Popular over-the-counter (OTC) pain relievers and fever medications containing acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) will be required to display prominent warnings about the risks of liver damage and internal bleeding, under a new rule announced April 28 by the U.S. Food and Drug Administration (FDA).
Consider Heart and Bones With Androgen-Deprivation Therapy
WEDNESDAY, April 29 (HealthDay News) -- Androgen-deprivation therapy for men with prostate cancer carries significant risk for cardiovascular and bone-related side effects, as well as for diabetes, according to a review of the medical literature published online April 27 in the journal Cancer.
Pharmacist Involvement May Decrease Medication Errors
TUESDAY, April 28 (HealthDay News) -- Adding a pharmacist to health care teams may significantly decrease patients' risk of adverse drug events and medication errors, according to a report published in the April 27 issue of the Archives of Internal Medicine. A second study indicates that an interdisciplinary medication reconciliation intervention can also reduce unintentional medication discrepancies with potential for harm.
Steep Copayments Increase Risk of Non-Adherence
TUESDAY, April 28 (HealthDay News) -- In patients who are newly diagnosed with a chronic disease, higher out-of-pocket costs for medications are associated with an increased likelihood of non-treatment, according to a study published in the April 27 issue of the Archives of Internal Medicine.
Grafts Can Improve Outcome For High-Risk Dialysis Patients
FRIDAY, April 24 (HealthDay News) -- Autologous tissue-engineered vascular grafts can help end-stage renal disease patients gain a better outcome from hemodialysis, according to a study published in the April 25 issue of The Lancet.
Two Urologic Conditions Have Similar Economic Impact
THURSDAY, April 23 (HealthDay News) -- Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and interstitial cystitis/painful bladder syndrome (IC/PBS) have a similar and significant economic impact, according to a study published in the April issue of Urology.
Discontinuing Drugs for BPH May Prove Harmful
THURSDAY, April 23 (HealthDay News) -- Discontinuing combination therapy for benign prostate hyperplasia (BPH) leads to increased prostate volume and worsening of symptoms, according to a study in the April issue of Urology.
Having Health Insurance May Not Improve Mortality Risk
THURSDAY, April 23 (HealthDay News) -- People without health insurance have about the same mortality rate as people with health insurance, according to an observational study published online April 21 in Health Services Research.
Stretches Without Health Insurance More Common
WEDNESDAY, April 22 (HealthDay News) -- Periods of uninsurance have become more common in recent decades, particularly among those with less education, according to research published in the April 23 issue of the New England Journal of Medicine.
Continuity of Care Declining for Medicare Beneficiaries
TUESDAY, April 21 (HealthDay News) -- Medicare beneficiaries in the hospital in 2006 were much less likely to be seen there by a familiar physician than those in the hospital a decade earlier, according to a study reported in the April 22/29 issue of the Journal of the American Medical Association.
Transplant Center Distance No Factor in Kidney Transplant
TUESDAY, April 21 (HealthDay News) -- Living in a rural area or far from a kidney transplant center does not significantly affect a patient's chances of getting a transplant, according to a study in the April 22/29 issue of the Journal of the American Medical Association.
Infertility Period Linked to Pregnancy Rate in Varicocele
MONDAY, April 20 (HealthDay News) -- Following varicocelectomy, men with longer periods of infertility achieve lower pregnancy rates, indicating a harmful effect from the varicocele on the testicles over time, according to research published in the April issue of Urology.
Admission Time Affects Surgery for Renal Colic
FRIDAY, April 17 (HealthDay News) -- Patients with renal colic who are admitted on weekends are less likely to receive surgery than those admitted on weekdays; however, in the sickest patients, surgery is performed at the same rate regardless of the time of admission, according to a study published in the April issue of Urology.
Pelvic Cooling Technique Beneficial in Prostatectomy
THURSDAY, April 16 (HealthDay News) -- Hypothermic nerve-sparing radical prostatectomy is a safe and feasible procedure that results in an earlier return to continence, according to a report published in the April issue of Urology.
Antiandrogens Show Potential Against Prostate Cancer
TUESDAY, April 14 (HealthDay News) -- Two compounds that bind to androgen receptors in prostate cancer cells may hold promise as therapies for advanced prostate cancer, according to research published online April 9 in Science.
Intensive Bladder Cancer Care May Not Improve Mortality Risk
MONDAY, April 13 (HealthDay News) -- Intensive treatment in early-stage bladder cancer does not appear to affect patient survival or avert major interventions later, according to a study published online April 7 in the Journal of the National Cancer Institute.
Drugs Effective in Treating Advanced Prostate Cancer
MONDAY, April 13 (HealthDay News) -- Two compounds are effective in treating advanced prostate cancer resistant to first-line treatments, according to research published online April 9 in Science.
Financial Rewards for Healthy Behavior Can Be Effective
FRIDAY, April 10 (HealthDay News) -- Although paying people to engage in healthy behaviors or successfully tackle unhealthy ones can be effective, it may carry unintended consequences, according to an editorial published online April 9 in BMJ.
Electronic Prescribing Online-Learning Tools Launched
THURSDAY, April 2 (HealthDay News) -- U.S. physicians will be able to better evaluate electronic prescribing systems thanks to a new online learning center on ePrescribing launched April 1 by the American Medical Association.
Changes Needed in New-Drug Evaluation Process
WEDNESDAY, April 1 (HealthDay News) -- The evaluation process for new drugs is overdue for an overhaul, which could provide benefits for the public and the pharmaceutical industry, according to a point-counterpoint commentary published online March 31 in BMJ.
New Health Program Leads to Questions in the UK
WEDNESDAY, April 1 (HealthDay News) -- A new British program to improve patient choices and competition in the health care marketplace may lead to excess capacity in some areas and instability in others, according to a commentary published online March 31 in BMJ.
Surgeon Experience Affects Outcomes After Laparoscopy
WEDNESDAY, April 1 (HealthDay News) -- Among prostate cancer surgery patients, lower recurrence rates have been found among those whose surgeon has performed more laparoscopic prostatectomies than among patients with low-volume surgeons, but the learning curve for laparoscopic prostatectomy is slower than for open surgery, according to a report published online April 1 in The Lancet Oncology.
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