Der Urologe. Ausg. APub Date : 2022-02-01Epub Date: 2021-10-06DOI: 10.1007/s00120-021-01649-8
Rainer Borowitz, Ulrich Breitkopf
{"title":"[57/m-Increasing pain and penile alterations : Preparation for the medical specialist examination: part 13].","authors":"Rainer Borowitz, Ulrich Breitkopf","doi":"10.1007/s00120-021-01649-8","DOIUrl":"https://doi.org/10.1007/s00120-021-01649-8","url":null,"abstract":"","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":"61 Suppl 2","pages":"33-36"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39489522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Der Urologe. Ausg. APub Date : 2022-02-01Epub Date: 2021-12-16DOI: 10.1007/s00120-021-01729-9
Jann-Frederik Cremers
{"title":"[31/m with hypogonadism and desire to have children : Preparation for the medical specialist examination: part 30].","authors":"Jann-Frederik Cremers","doi":"10.1007/s00120-021-01729-9","DOIUrl":"https://doi.org/10.1007/s00120-021-01729-9","url":null,"abstract":"","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":"61 Suppl 2","pages":"113-115"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39607446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J Lehmann, C W Kluike, A Haider, K S Haider, S Baumann, M Flesch, M Gedamke, D Kägebein
{"title":"[Factors influencing the choice of androgen deprivation therapy for patients with hormone-sensitive prostate cancer : Results of the ProComD study].","authors":"J Lehmann, C W Kluike, A Haider, K S Haider, S Baumann, M Flesch, M Gedamke, D Kägebein","doi":"10.1007/s00120-021-01620-7","DOIUrl":"https://doi.org/10.1007/s00120-021-01620-7","url":null,"abstract":"<p><strong>Background: </strong>Androgen deprivation therapy (ADT) with a GnRH agonist or the GnRH antagonist degarelix is a central component in the treatment of prostate cancer (PCa). Little is currently known regarding the decision criteria. Knowledge of these could improve the success of treatment in the future.</p><p><strong>Objectives: </strong>To identify factors influencing the treatment decision in patients with hormone-sensitive prostate cancer receiving ADT and to determine the incidence of concomitant disease in both treatment groups.</p><p><strong>Methods: </strong>The two-arm, prospective, non-interventional study \"ProComD\" was conducted from September 2014 to June 2019 at 80 study centers in Germany. After the therapy decision was made, patients with hormone-sensitive prostate cancer needing ADT were included in the study. Data were collected during routine visits.</p><p><strong>Results: </strong>Data from 413 patients were evaluated (degarelix N = 268; GnRH agonists N = 145). Key factors influencing the therapy decision for both treatment options included comorbidities (42% of all patients), compliance (64%), and age (81%). The source of information consulted most frequently regarding existing comorbidities was the patient's medical history conducted by the treating urologist themselves (65% in both groups). For patients with pre-existing cardiovascular diseases, the doctor's letter (45.8% degarelix vs. 38.9% GnRH agonists) or the medical history questionnaire (38.9% degarelix vs. 20% GnRH agonists) was additionally taken into account.</p><p><strong>Conclusion: </strong>Comorbidities along with age and compliance are among the key factors influencing the treatment decisions made by urologists.</p>","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":"61 2","pages":"173-182"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00120-021-01620-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10611945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Der Urologe. Ausg. APub Date : 2022-02-01Epub Date: 2021-12-22DOI: 10.1007/s00120-021-01742-y
M Peredin, S Baur
{"title":"[Use of medical archives for research and patient care].","authors":"M Peredin, S Baur","doi":"10.1007/s00120-021-01742-y","DOIUrl":"https://doi.org/10.1007/s00120-021-01742-y","url":null,"abstract":"<p><p>In recent years, technology in healthcare has experienced a dynamic increase, with the collection of data being a central component. In particular, artificial intelligence (AI), such as machine learning and deep learning, makes it possible to perform comprehensive analyses of large amounts of data and to draw conclusions based on correlations and pattern recognition. This paper describes the benefits and challenges of big data in patient care.</p>","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":" ","pages":"142-148"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39837858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Der Urologe. Ausg. APub Date : 2022-02-01Epub Date: 2021-10-06DOI: 10.1007/s00120-021-01655-w
Tanja Hüsch, André Reitz, Laila Schneidewind, Jennifer Kranz
{"title":"[32/f with lower urinary tract symptoms : Preparation for the medical specialist examination: part 19].","authors":"Tanja Hüsch, André Reitz, Laila Schneidewind, Jennifer Kranz","doi":"10.1007/s00120-021-01655-w","DOIUrl":"https://doi.org/10.1007/s00120-021-01655-w","url":null,"abstract":"","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":"61 Suppl 2","pages":"56-62"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39489029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Der Urologe. Ausg. APub Date : 2022-02-01Epub Date: 2021-12-16DOI: 10.1007/s00120-021-01728-w
Herbert Sperling
{"title":"[54/m with increasing erectile dysfunction : Preparation for the medical specialist examination: part 29].","authors":"Herbert Sperling","doi":"10.1007/s00120-021-01728-w","DOIUrl":"https://doi.org/10.1007/s00120-021-01728-w","url":null,"abstract":"","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":"61 Suppl 2","pages":"109-112"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39607445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Der Urologe. Ausg. APub Date : 2022-02-01Epub Date: 2021-12-23DOI: 10.1007/s00120-021-01739-7
Nadine Binder, J Franz, A Sigle, C Gratzke, A Miernik
{"title":"[Learning from coding data-surgical treatment of benign prostatic syndrome : Big data for BPS].","authors":"Nadine Binder, J Franz, A Sigle, C Gratzke, A Miernik","doi":"10.1007/s00120-021-01739-7","DOIUrl":"https://doi.org/10.1007/s00120-021-01739-7","url":null,"abstract":"<p><p>Benign prostatic syndrome (BPS) is one of the most common urological diseases. Currently, there are numerous surgical methods to treat BPS. The digitalisation of medicine enables new study approaches in healthcare research using digital data from individual treatment pathways. In the present work, BPS-specific longitudinal trend analyses were performed. Treatment-related figures, both with regard to the therapy methods and predefined patient cohorts, could be examined after validating the datasets. This meant that information on relevant characteristics of surgical BPS treatment could be read and calculations made that reflect the overall impact of these processes. In the future, it is expected that increasingly comprehensive, higher-quality digital datasets on different clinical pictures will be available for analytical purposes. Intensification of research projects in this field is desirable. The results thus obtained enable further optimisation steps of certain treatment actions and provide important key figures for the strategy development of a medical facility.</p>","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":" ","pages":"149-159"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39637080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Der Urologe. Ausg. APub Date : 2022-02-01Epub Date: 2022-02-17DOI: 10.1007/s00120-022-01772-0
Ulrike Necknig, Maurice Stephan Michel
{"title":"[Specialist training in urology-the second special issue is available].","authors":"Ulrike Necknig, Maurice Stephan Michel","doi":"10.1007/s00120-022-01772-0","DOIUrl":"https://doi.org/10.1007/s00120-022-01772-0","url":null,"abstract":"","PeriodicalId":11123,"journal":{"name":"Der Urologe. Ausg. A","volume":"61 Suppl 2","pages":"19-20"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39931893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}