UrologiePub Date : 2025-04-01Epub Date: 2025-02-21DOI: 10.1007/s00120-025-02536-2
H Schülke, C Süfke, A J Gross
{"title":"[Ensuring the patient does not become an adversary-a \"how to\" guide for handling allegations of medical malpractice].","authors":"H Schülke, C Süfke, A J Gross","doi":"10.1007/s00120-025-02536-2","DOIUrl":"10.1007/s00120-025-02536-2","url":null,"abstract":"<p><p>If there is an allegation of medical malpractice, it significantly strains the physician-patient relationship. To avoid a conflict-ridden dispute with the patient, it is crucial to internally analyze the course of treatment. The legal focus is on whether the patient's complaints are attributable to medical misconduct or if they stem from an inevitable complication that is part of the treatment's risk spectrum. Additionally, the insights gained from the internal review help establish operating procedures and responsibilities. Open communication promotes the recognition of any misconduct and contributes to its prevention in the future. If medical malpractice is suspected, the competent departments should be informed early, and the documentation of the hospital treatment should be checked for completeness and plausibility. Moreover, a transparent explanation of the treatment course-regardless of fault-alleviates patient's fears and concerns, which can help to avoid potential conflict situations.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":"335-343"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
UrologiePub Date : 2025-04-01DOI: 10.1007/s00120-025-02561-1
{"title":"Mitteilungen der DGU.","authors":"","doi":"10.1007/s00120-025-02561-1","DOIUrl":"https://doi.org/10.1007/s00120-025-02561-1","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":"64 4","pages":"387-393"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
UrologiePub Date : 2025-03-18DOI: 10.1007/s00120-025-02565-x
Jessica Rührup
{"title":"[\"Die Ärzte für Afrika e. V.\"-urological missions and training in Ghana].","authors":"Jessica Rührup","doi":"10.1007/s00120-025-02565-x","DOIUrl":"https://doi.org/10.1007/s00120-025-02565-x","url":null,"abstract":"","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
UrologiePub Date : 2025-03-11DOI: 10.1007/s00120-025-02557-x
Laila Schneidewind, Barbara Sommerhalder, Dario Willi, Cindy Rönnau, Annemarie Uhlig, Bernhard Kiss
{"title":"[Association of glitazones and bladder cancer: a rapid review].","authors":"Laila Schneidewind, Barbara Sommerhalder, Dario Willi, Cindy Rönnau, Annemarie Uhlig, Bernhard Kiss","doi":"10.1007/s00120-025-02557-x","DOIUrl":"https://doi.org/10.1007/s00120-025-02557-x","url":null,"abstract":"<p><strong>Background: </strong>Since the authorization of glitazones as oral antidiabetics, there has been a controversial debate as to whether they increase the risk of bladder cancer or accelerate its progression. Recent data have shown that glitazones can upregulate the expression of Nectin4.</p><p><strong>Objectives: </strong>These results make a renewed detailed examination of the topic unavoidable. Consequently, we conducted a rapid evidence analysis. The primarily aim was to identify systematic reviews investigating this relationship. Second, translational studies that describe the molecular biological background were identified.</p><p><strong>Materials and methods: </strong>A rapid evidence analysis was conducted with a literature search in MEDLINE via PubMed for the period July 2000 (first approval of glitazones in the European Union) to the date of the last search (15 July 2024).</p><p><strong>Results: </strong>The primary literature search yielded 860 hits and ultimately 14 studies were included. Of these, 6 were systematic reviews (5 including meta-analyses) and 8 were translational studies. In the reviews, the data situation regarding the association of glitazones with bladder cancer remains ambiguous, particularly due to the heterogeneity of the underlying studies and numerous confounding factors such as age or smoking history. Experimental evidence of a causal relationship between glitazones and bladder cancer could not be demonstrated. Two included studies even see a possible therapeutic benefit of the preparations in these patients.</p><p><strong>Conclusion: </strong>It remains unclear whether glitazones play a relevant role in the development of bladder cancer. The possible therapeutic benefit should be urgently investigated further.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}