Urology

Surgeon Gender Linked With 30-Day Mortality

Surgeon Gender Linked With 30-Day Mortality

But surgeon sex is not associated with differences in readmissions or complications.

Reported Penicillin Allergy Ups Surgical Site Infection Risk

Reported Penicillin Allergy Ups Surgical Site Infection Risk

Increased risk of SSI was mediated by patients' receipt of alternative perioperative antibiotic.

Group Proposes Lower <i>P</i>-Value for Statistical Significance

Group Proposes Lower P-Value for Statistical Significance

In a controversial and divisive article, a group of researchers proposes to improve "statistical standards of evidence" by lowering the P value from P <.05 to P <.005 in the fields of biomedical and social sciences.

Tailored SBP Tx Reduces Risk for Post-Op Organ Dysfunction

Tailored SBP Tx Reduces Risk for Post-Op Organ Dysfunction

Findings among patients undergoing major surgery at increased risk of postoperative complications

Universal Sequencing of Cancer-related Genes Beneficial for Tx

Universal Sequencing of Cancer-related Genes Beneficial for Tx

Knowledge of these additional mutations can help guide therapeutic and preventive interventions.

Perioperative Management Crucial in Surgical Resident Malpractice

Perioperative Management Crucial in Surgical Resident Malpractice

Cases more often questioned perioperative medical knowledge, decision making errors, and injuries than intraoperative errors and injuries.

Cancer Trial Participation Up Under ACA

Cancer Trial Participation Up Under ACA

There were no significant changes in insurer approval rates or referral wait times for patients covered by Medicare or Medicaid.

Some Elders With Rectal Cancer Don't Receive Tx

Some Elders With Rectal Cancer Don't Receive Tx

Worse overall survival was seen in association with male sex, older age, worsening comorbidities, and receiving no treatment or undergoing surgery alone.

Interval Training Reduces CVD Risk in Testicular Cancer Patients

Interval Training Reduces CVD Risk in Testicular Cancer Patients

Compared with usual care, HIIT correlated with a 20% reduction in the prevalence of modifiable CVD risk factors.

Subpar Use of Hospice, Imaging in End-of-Life Cancer Care

Subpar Use of Hospice, Imaging in End-of-Life Cancer Care

The researchers found that among 6568 commercially insured patients, 56.3% were hospitalized and 48.6% underwent one or more imaging scans in the last month of life.

Penile Anaerobes May Be HIV Risk Factor

Penile Anaerobes May Be HIV Risk Factor

Modifying the penile microbiome could potentially reduce HIV acquisition in both men and women.

Post-op Pain Assessment Often Inaccurate

Post-op Pain Assessment Often Inaccurate

The researchers found that within the first 24 hours on the ward, pain scores were significantly lower in routine pain measurements than in PAIN OUT questionnaires.

FDA Extends Cooling Cap Use to Patients With Solid Tumors

FDA Extends Cooling Cap Use to Patients With Solid Tumors

The cap should not be used on children, patients with certain cancers, and those having specific kinds of chemotherapy.

High CRP Before and After Surgery Linked to Delirium

High CRP Before and After Surgery Linked to Delirium

The researchers found that postoperative delirium occurred in 24% of participants and that 12% had 2 or more delirium days.

AUA: Managing Nonneurogenic Chronic Urinary Retention

AUA: Managing Nonneurogenic Chronic Urinary Retention

High risk chronic urinary retention was defined as hydronephrosis on imaging, stage 3 chronic kidney disease or recurrent culture proven urinary tract infection or urosepsis.

Young Cancer Survivors Skip Meds Due to Costs

Young Cancer Survivors Skip Meds Due to Costs

The likelihood of reporting not being able to afford medication, asking for lower-cost medication, and using alternative therapies to save money in the previous year was higher among survivors.

Outpatient IPP Surgery on the Rise

Outpatient IPP Surgery on the Rise

By

The Southeast region performed the highest proportion of outpatient surgeries (46.7%), followed by the Midwest, Southwest, West, and Northeast.

Postop HsTnT Tied With Increased Death Risk After Noncardiac Surgery

Postop HsTnT Tied With Increased Death Risk After Noncardiac Surgery

Elevated postoperative hsTnT without an ischemic feature was also associated with 30-day mortality.

Opioid Addiction May Be a Surgical Complication

Opioid Addiction May Be a Surgical Complication

New persistent opioid use represents a common but previously underappreciated surgical complication that warrants increased awareness.

Thrombolytic Did Not Reduce Mortality in Intermediate-Risk PE

Thrombolytic Did Not Reduce Mortality in Intermediate-Risk PE

Approximately 33% of patients report some degree of persistent functional limitation after intermediate-risk PE, but CTEPH is infrequent.

Urinary Retention Frequent After Spinal Stenosis Surgery

Urinary Retention Frequent After Spinal Stenosis Surgery

Improper management of transient POUR leads to bladder overdistension and permanent bladder detrusor damage.

Obstructive Sleep Apnea May Increase Nocturia Risk

Obstructive Sleep Apnea May Increase Nocturia Risk

Researchers found that nocturia was reduced in sleep apnea patients when a CPAP mask was used.

Rivaroxaban Reduces Recurrent VTE Better Than Aspirin

Rivaroxaban Reduces Recurrent VTE Better Than Aspirin

Among patients with venous thromboembolism, the risk of a recurrent event was significantly lower with rivaroxaban than with aspirin, without a significant increase in bleeding rates.

Neurofeedback Effective for Chemo-Induced Nerve Damage

Neurofeedback Effective for Chemo-Induced Nerve Damage

The NFB group demonstrated greater improvement than the controls on the Brief Pain Interval program.

First Drug Approved to Treat Nocturnal Polyuria

First Drug Approved to Treat Nocturnal Polyuria

Noctiva is taken 30 minutes before bed and is designed to increase absorption of water through the kidneys.

Safe Use of MRI Possible for Pacemaker, ICD Users

Safe Use of MRI Possible for Pacemaker, ICD Users

No deaths, lead failures, losses of capture, or ventricular arrhythmias occurred during MRI.

Cancer Survivors Modify Prescription Drug Use to Save Money

Cancer Survivors Modify Prescription Drug Use to Save Money

Recently diagnosed and previously diagnosed cancer survivors were more likely to report any change in prescription drug use for financial reasons.

Testicular Cancer Surgery Recovery Better With Alvimopan

Testicular Cancer Surgery Recovery Better With Alvimopan

Patients receiving alvimopan had a mean hospital length of stay of 4 days compared with 6 days and a median time to return of flatus at 2 days compared with 4 days.

Patient Complaints of Surgeon Attitude Tied to Complications

Patient Complaints of Surgeon Attitude Tied to Complications

Patients whose surgeons have large numbers of unsolicited patient observations in the 24 months prior to the patient's operation are at increased risk of surgical and medical complications.

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