IF 2.1 3区医学

Urology Pub Date : 2025-06-20 DOI: 10.1016/j.urology.2025.06.043

Ali Alabdullah, Ammar Al Homsi, Omer A Raheem

引用次数: 0

State Medicaid insurance barriers to vasectomy coverage are associated with restrictive abortion laws. 国家医疗补助保险对输精管切除术的限制与限制性堕胎法有关。

IF 2.1 3区医学

Urology Pub Date : 2025-06-20 DOI: 10.1016/j.urology.2025.06.031

Emily Clennon, Anna Geduldig, Nicholas H Chakiryan, Jason C Hedges, Casey A Seideman

{"title":"State Medicaid insurance barriers to vasectomy coverage are associated with restrictive abortion laws.","authors":"Emily Clennon, Anna Geduldig, Nicholas H Chakiryan, Jason C Hedges, Casey A Seideman","doi":"10.1016/j.urology.2025.06.031","DOIUrl":"10.1016/j.urology.2025.06.031","url":null,"abstract":"Objective: To determine if state populations have equitable access to vasectomy under Medicaid and evaluate the relationship between accessibility of Medicaid-covered vasectomy and state abortion restrictions.Methods: Individual state-based Medicaid rules were assessed by publicly available data for all 50 states and Washington D.C. A novel scoring system quantifying restrictions to Medicaid coverage for vasectomy was developed utilizing state-specific Medicaid income eligibility criteria, presence or absence of extended family planning benefits, and any additional prohibitive vasectomy coverage policies (0-4 points; 0 no restrictions - 4 most restrictions).  Abortion access was quantified using the Guttmacher Institute's ranking of state abortion policy restrictions (1 most protective, 7 most restrictive). Fisher's exact test (α < 0.05) was used to evaluate the relationship between vasectomy access score and abortion access.Results: Fifty-one Medicaid regions (50 states and Washington DC) were analyzed. For vasectomy access, each had a point assigned for a mandatory 30-day waiting period. Eighteen states (35%) had only 1 point assigned, 25 (49%) had 2, and 7 (14%) had 3 points. Texas was the only state to receive 4 points, correlating with the greatest number of barriers to vasectomy, due an additional consent form beyond the conventional paperwork. There was a statistically significant relationship between state Medicaid vasectomy coverage and restrictions on abortion access (p=0.01). States with more barriers to Medicaid vasectomy coverage were more likely to have laws restricting abortion.Conclusions: Access to vasectomy under Medicaid varies greatly by state. States with the most limited access to coverage also had the most restrictive abortion laws.","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reply to Editorial Comment on "Artificial Intelligence Based Augmented Reality Navigation in Minimally Invasive Partial Nephrectomy". 回复“基于人工智能的增强现实导航在微创部分肾切除术中的应用”

IF 2.1 3区医学

Urology Pub Date : 2025-06-20 DOI: 10.1016/j.urology.2025.06.046

Xiaolei Shi, Chao Zhang

引用次数: 0

Reply to Letters to the Editor on "Association Between Kidney Stones and Subsequent Risk of Upper Tract Urothelial Carcinoma: A Systematic Review and Meta-Analysis". 回复关于“肾结石与上尿路上皮癌后续风险之间的关系：一项系统综述和荟萃分析”的致编辑的信。

IF 2.1 3区医学

Urology Pub Date : 2025-06-20 DOI: 10.1016/j.urology.2025.06.039

Othmane Zekraoui, Aamer Alghamlas, Kelven W Chen, Larry E Miller, Samir Bhattacharyya, Ben H Chew, Oliver Traxer, Naeem Bhojani

引用次数: 0

Letter to the Editor on "Development and Internal Validation of a Novel Nomogram to Predict the Risk of Postoperative Acute Kidney Injury Following Robot-assisted Partial Nephrectomy". 致编辑的信“一种新型Nomogram预测机器人辅助部分肾切除术后急性肾损伤风险的发展和内部验证”。