AUA to launch nationwide clinical data registry
October 25th 2013The AUA said it will launch a national, specialty-wide urologic registry designed to measure and report health care quality and patient outcomes as well as provide data to help identify patterns and trends in the diagnosis and treatment of prostate cancer and eventual outcomes related to treatment options.
Intensity-modulated radiation therapy study reignites urologist self-referral controversy
October 25th 2013The publication of data in the New England Journal of Medicine (2013; 369:1629-37) showing an increase in intensity-modulated radiation therapy utilization among self-referring urologists has reignited the self-referral controversy.
PSA testing still common in men >75 years
October 21st 2013Many physicians continue to administer the PSA test to even their oldest patients despite the fact that no medical organization recommends routine prostate cancer screening in men older than 75 years of age, according to recently published research.
Prognostic model predicts survival in advanced prostate cancer
October 21st 2013Researchers at the Duke Cancer Institute in Durham, NC say they have developed a tool to forecast the potential survival of individual prostate cancer patients, enabling physicians to better assess whether to try additional rounds of treatment or seek clinical trials.
Agent shows promise in slowing papillary kidney cancer
October 21st 2013The first phase II study to investigate the use of the targeted therapy everolimus (Afinitor) for the initial treatment of advanced papillary kidney cancer has shown that it is successful in slowing or preventing the spread of the disease.
Chemokines may predict response to neuromodulation
October 18th 2013Urinary measurement of inflammatory chemokines may offer a noninvasive method for evaluating treatment response to sacral neuromodulation (InterStim Therapy, Medtronic, Inc., Minneapolis) in patients with interstitial cystitis/painful bladder syndrome, says Michael Chancellor, MD.
Primary androgen deprivation therapy linked to lower survival in American men
October 18th 2013Primary androgen deprivation therapy for localized prostate cancer is associated with significantly better survival outcomes in a Japanese cohort compared with an American population, according to a recent study.
Do ‘urine drop-offs’ make sense in your practice?
October 16th 2013In this article, I examine and question the phenomenon of “the urine drop-off”-having the patient with suspected UTI collect a urine sample at home and drop it off at the practice-in the context of best clinical practice, common sense, and basic office efficiency.
Long-term life insurance comes in several forms
October 16th 2013Permanent insurance needs are met through varying types of whole life and universal life insurance policies designed to stay in force throughout one’s lifetime. Unlike term insurance, where premiums generally increase as the insured ages, most permanent life insurance premiums remain level.
Sipuleucel-T viable during abiraterone treatment
October 8th 2013Data from a phase II study suggest that the potency of sipuleucel-T (Provenge) and immunologic prime-boost responses are maintained when the immunotherapy is administered concurrently or sequentially with abiraterone acetate (ZYTIGA) plus prednisone.
Ureteroscopy vs. shock wave lithotripsy: Advances spell positive future for both
October 3rd 2013In this interview, Brian R. Matlaga, MD, MPH, discusses factors to consider in the decision to utilize ureteroscopy versus shock wave lithotripsy, how to counsel patients on the optimal approach, how to minimize the morbidity of each modality, and why younger urologists are more likely to perform ureteroscopy.
How the bundling model could change how urologists are paid
October 3rd 2013The bundled payment model for episodes of care is a major player in what could be sweeping changes to the physician payment system that will likely see traditional fee for service taper off. Bundling has already made inroads in some surgical specialties, and it may very well apply to inpatient urologic procedures as well.