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Management of Low-grade Upper Tract Urothelial Carcinoma: An Unmet Need. 低级别上尿路上皮癌的治疗:一个未满足的需求。
Reviews in urology Pub Date : 2020-01-01
Jay Raman, Neal D Shore
{"title":"Management of Low-grade Upper Tract Urothelial Carcinoma: An Unmet Need.","authors":"Jay Raman,&nbsp;Neal D Shore","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Upper tract urothelial cancers (UTUC) are frequently managed by radical nephroureterectomy (RNU), a major operative procedure that may entail short-term morbidity and long-term decline in renal function. Kidney-sparing procedures offer a less invasive alternative to RNU for low-risk, low-grade UTUC (LG-UTUC). They are associated with similar disease-specific survival rates and better long-term renal function, albeit with a potentially increased risk of recurrence. Strategies to decrease LG-UTUC recurrence include improved risk stratification and enhanced endoscopic instrumentation. Chemoablation may represent an alternative, innovative kidney-sparing approach for LG-UTUC.</p>","PeriodicalId":21185,"journal":{"name":"Reviews in urology","volume":" ","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265178/pdf/RiU022001_0001.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38031418","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}
引用次数: 0
Implementation of a Centralized, Cost-effective Call Center in a Large Urology Community Practice. 在一个大型泌尿外科社区实践中建立一个集中的、具有成本效益的呼叫中心。
Reviews in urology Pub Date : 2020-01-01
Stephen F Kappa, Chris McClain, Krista Wallace, Paul Cinquina, Don Lawson, Mary M Smith, Earl Walz, Brooke Edwards, Gary M Kirsh
{"title":"Implementation of a Centralized, Cost-effective Call Center in a Large Urology Community Practice.","authors":"Stephen F Kappa,&nbsp;Chris McClain,&nbsp;Krista Wallace,&nbsp;Paul Cinquina,&nbsp;Don Lawson,&nbsp;Mary M Smith,&nbsp;Earl Walz,&nbsp;Brooke Edwards,&nbsp;Gary M Kirsh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Call centers provide front-line care and service to patients. This study compared call-answering efficiency and costs between the implementation of an internal, centralized call center (January to July 2019) and previously outsourced call-center services (January to July 2018) for a large urology community practice. Retrospective review of call metrics and cost data was performed. Internal call-center leadership, training, and culture was examined through survey of staff and management. A total of 299,028 calls with an average of 5751 calls per week were answered during the study periods. The Average Speed of Answer (ASA) was 1:42 (min:s) for the outsourced call center and 0:14 for the internal call center (<i>P</i> < 0.001), with 70% of outsourced calls answered under 2 minutes compared with 99% of calls for the internal call center (<i>P</i> < 0.001). The Average Handle Time (AHT) for each outsourced call was 5:32 versus 3:41 for the internal call center (<i>P</i> < 0.001). The total operating expenses were 7.7% lower for the internal call center. Surveys revealed the importance of engaged leadership and staff training with feedback, simplified work algorithms, and expanded clinical roles. We found that internal, centralized call centers may provide a call-answering solution with greater efficiency and lower total operating expense versus an outsourced call center for large surgical practices. A culture that emphasizes continuous improvement and empowers call-center staff with expanded clinical roles may ultimately enhance patient communication and service.</p>","PeriodicalId":21185,"journal":{"name":"Reviews in urology","volume":"22 2","pages":"67-74"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7393684/pdf/RiU022002_0067.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38233588","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}
引用次数: 0
Failing to Prepare Is Preparing to Fail. 不做好准备就是在准备失败。
Reviews in urology Pub Date : 2020-01-01
Kathleen A Latino, Deepak A Kapoor
{"title":"Failing to Prepare Is Preparing to Fail.","authors":"Kathleen A Latino,&nbsp;Deepak A Kapoor","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21185,"journal":{"name":"Reviews in urology","volume":"22 3","pages":"91-92"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7672497/pdf/RiU022003_0091.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38642285","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}
引用次数: 0
The Impact of Systematic Safety Precautions on COVID-19 Risk Exposure and Transmission Rates in Outpatient Healthcare Workers. 系统安全防范对门诊医护人员COVID-19风险暴露和传播率的影响
Reviews in urology Pub Date : 2020-01-01
Deepak A Kapoor, Kathleen Latino, Gillian Hodes, Ann E Anderson, Jonathan Anderson, Marcus Cognetti, Chiraag Patel
{"title":"The Impact of Systematic Safety Precautions on COVID-19 Risk Exposure and Transmission Rates in Outpatient Healthcare Workers.","authors":"Deepak A Kapoor,&nbsp;Kathleen Latino,&nbsp;Gillian Hodes,&nbsp;Ann E Anderson,&nbsp;Jonathan Anderson,&nbsp;Marcus Cognetti,&nbsp;Chiraag Patel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We evaluated the impact of safety protocols, including rapid testing and contact tracing, on coronavirus disease 2019 (COVID-19) risk exposure and transmission rates amongst healthcare workers in the outpatient care setting. Over an 11-week period, a total of 254 employees representing 38% of our total workforce had potential COVID-19 exposure and underwent voluntary COVID-19 testing. Data was stratified based on severity of risk exposure and job description. During this period, the probability of a COVID exposure being high risk decreased in Administrative (-93.0%; <i>P</i> < 0.01) and Clinical (-77.0%; <i>P</i> < 0.01) staff; simultaneously, viral transmission rates declined in Administrative (-73.4%; <i>P</i> = 0.03) and Clinical (-69.9%; <i>P</i> = 0.04) staff as well. Systematic safety protocols effectively reduce exposure risk and transmission rates in outpatient healthcare workers and should be ubiquitously adopted.</p>","PeriodicalId":21185,"journal":{"name":"Reviews in urology","volume":"22 3","pages":"93-101"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7672502/pdf/RiU022003_0093.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38642286","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}
引用次数: 0
Genetic Mutations Associated With Prostate Cancer and Normal Serum PSA and DRE-Implications for Prostate Cancer Screening and Management: NYU Case of the Month, November 2020. 与前列腺癌相关的基因突变和正常血清PSA和re对前列腺癌筛查和管理的影响:纽约大学本月病例，2020年11月
Reviews in urology Pub Date : 2020-01-01
James S Wysock
{"title":"Genetic Mutations Associated With Prostate Cancer and Normal Serum PSA and DRE-Implications for Prostate Cancer Screening and Management: NYU Case of the Month, November 2020.","authors":"James S Wysock","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21185,"journal":{"name":"Reviews in urology","volume":"22 4","pages":"177-181"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8058916/pdf/RiU022004_0177.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38865835","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}
引用次数: 0
Erratum: Author's Name Correction for "From Radical to Partial Nephrectomy in the Setting of Solitary Functioning Kidney: Neoadjuvant Treatment of Renal Cell Carcinoma". 勘误:作者姓名更正“从完全到部分肾切除术在孤立功能肾的设置:肾细胞癌的新辅助治疗”。
Reviews in urology Pub Date : 2020-01-01
David D Watson, Nicole G Farha, K James Kallail, Shaker Dakhil, A J Farha
{"title":"Erratum: Author's Name Correction for \"From Radical to Partial Nephrectomy in the Setting of Solitary Functioning Kidney: Neoadjuvant Treatment of Renal Cell Carcinoma\".","authors":"David D Watson,&nbsp;Nicole G Farha,&nbsp;K James Kallail,&nbsp;Shaker Dakhil,&nbsp;A J Farha","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>[This corrects the article on p. 126 in vol. 22, PMID: 33239972.].</p>","PeriodicalId":21185,"journal":{"name":"Reviews in urology","volume":"22 4","pages":"186"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8058919/pdf/RiU022004_0186.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38865837","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}
引用次数: 0
Obesity and Its Impact on Kidney Stone Formation. 肥胖及其对肾结石形成的影响。
Reviews in urology Pub Date : 2020-01-01
William Poore, Carter J Boyd, Nikhi P Singh, Kyle Wood, Barbara Gower, Dean G Assimos
{"title":"Obesity and Its Impact on Kidney Stone Formation.","authors":"William Poore,&nbsp;Carter J Boyd,&nbsp;Nikhi P Singh,&nbsp;Kyle Wood,&nbsp;Barbara Gower,&nbsp;Dean G Assimos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The prevalence of obesity is rising and places this cohort at risk for developing kidney stones. Some of the pathophysiologic responses that link obesity and kidney stone formation have been identified. Herein, we review the involved mechanisms driving this relationship and the impact of various weight loss strategies on kidney stone risk.</p>","PeriodicalId":21185,"journal":{"name":"Reviews in urology","volume":"22 1","pages":"17-23"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265184/pdf/RiU022001_0017.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9337750","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}
引用次数: 0
Benchmarking-We've Come a Long Way. 基准-我们已经走了很长的路。
Reviews in urology Pub Date : 2020-01-01
Richard Gerald Harris
{"title":"Benchmarking-We've Come a Long Way.","authors":"Richard Gerald Harris","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21185,"journal":{"name":"Reviews in urology","volume":" ","pages":"30-31"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265181/pdf/RiU022001_0030.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38031420","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}
引用次数: 0
Cryptozoospermia Associated With Genital Tucking Behavior in a Transwoman. 异性别女性的隐精子症与生殖器折叠行为有关。
Reviews in urology Pub Date : 2020-01-01
James T Trussler, Robert J Carrasquillo
{"title":"Cryptozoospermia Associated With Genital Tucking Behavior in a Transwoman.","authors":"James T Trussler,&nbsp;Robert J Carrasquillo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Transwomen may elect to pursue fertility preservation prior beginning hormonal treatment or proceeding with gender-affirming surgery. To date, there has been little research specifically investigating factors influencing fertility and preservation thereof among transwomen. Here, we review the case of a transwoman who engaged in genital tucking behavior presenting with severe oligospermia, and we review the literature regarding transgender fertility preservation and the role of the heat stress hypothesis with regards to this common behavior.</p>","PeriodicalId":21185,"journal":{"name":"Reviews in urology","volume":"22 4","pages":"170-173"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8058914/pdf/RiU022004_0170.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38865833","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}
引用次数: 0
The Role of Varicocelectomy and Diagnostic Testis Biopsy in Men With Non-obstructive Azoospermia: NYU Case of the Month, July 2020. 精索静脉曲张切除术和诊断性睾丸活检在男性非阻塞性无精子症中的作用:纽约大学本月病例，2020年7月。
Reviews in urology Pub Date : 2020-01-01
Bobby B Najari
{"title":"The Role of Varicocelectomy and Diagnostic Testis Biopsy in Men With Non-obstructive Azoospermia: NYU Case of the Month, July 2020.","authors":"Bobby B Najari","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21185,"journal":{"name":"Reviews in urology","volume":"22 3","pages":"130-132"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7672499/pdf/RiU022003_0130.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38306005","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}
引用次数: 0
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