Urology Practice最新文献_第10页

Wesley Adam Mayer, MD. 本月泌尿外科实践评论员。

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Urology Practice Pub Date : 2024-11-01 Epub Date: 2024-08-28 DOI: 10.1097/UPJ.0000000000000680

Wesley Adam Mayer

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Editorial Commentary. 社论评论。

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Urology Practice Pub Date : 2024-11-01 Epub Date: 2024-06-21 DOI: 10.1097/UPJ.0000000000000651

Delaney J Orcutt, Kristen R Scarpato

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Reply by Authors. 作者回复。

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Urology Practice Pub Date : 2024-11-01 Epub Date: 2024-07-17 DOI: 10.1097/UPJ.0000000000000682

Courtney Yong, Alexander Kim, James E Slaven, Ronald S Boris, Chandru P Sundaram

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Outcomes and Cost of Donor Nephrectomy Across Surgical Specialties and Operative Approaches. 不同外科专科和手术方法的供体肾切除术的结果和成本。

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Urology Practice Pub Date : 2024-11-01 Epub Date: 2024-07-17 DOI: 10.1097/UPJ.0000000000000673

Jack C Millot, Ilon Weinstein, Camilo Arenas-Gallo, Adithya Balasubramanian, Stephen Rhodes, Mollie Goldman, Shany Picciotto, Jonathan E Shoag

{"title":"Outcomes and Cost of Donor Nephrectomy Across Surgical Specialties and Operative Approaches.","authors":"Jack C Millot, Ilon Weinstein, Camilo Arenas-Gallo, Adithya Balasubramanian, Stephen Rhodes, Mollie Goldman, Shany Picciotto, Jonathan E Shoag","doi":"10.1097/UPJ.0000000000000673","DOIUrl":"10.1097/UPJ.0000000000000673","url":null,"abstract":"Introduction: Live donor nephrectomy (LDN) is performed by various specialty surgeons, including urologists, general surgeons, and transplant surgeons. However, national practice patterns and outcomes associated with surgeon specialty have not been previously explored. Here, we investigate surgeon specialty trends, perioperative complications, hospital length of stay, cost, and charge for LDN according to surgeon specialty.Methods: Patients who underwent LDN from 2000 to quarter 1 of 2020 were identified in the Premier Healthcare Database. Associations between physician specialty and 3-month complications, hospital length of stay, institutional cost, and patient charge for LDN procedures were examined using multivariable regression.Results: We identified 11,418 patients who underwent LDN. Of these cases, 3387 (29.7%) were performed by urologists, 3127 (27.4%) by transplant surgeons, 3928 (34.4%) by general surgeons, and 976 (8.5%) by other specialties. In 2000, urologists performed 35.92% of LDNs, decreasing to 18.91% by 2019 (P < .001 for trend). In the last 5 years, we found no significant difference in complications or length of stay according to surgeon specialty. LDNs performed by a urologist ($57,289, 95% CI $49,292-$66,582) were associated with lower patient charges than those performed by a general surgeon ($68,501, 95% CI $59,090-$79,412) or transplant surgeon ($62,639, 95% CI $53,993-$72,670).Conclusions: From 2000 to 2019, the proportion of LDNs performed by urologists significantly decreased, while the proportion for transplant surgeons significantly increased, with no significant differences in complications or length of stay across specialties. However, surgeries performed by urologists cost hospitals less and had lower charges for patients.","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"921-929"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142086319","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}

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Editorial Commentary. 社论评论。

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Urology Practice Pub Date : 2024-11-01 Epub Date: 2024-07-12 DOI: 10.1097/UPJ.0000000000000681

Meera R Chappidi, John L Gore

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Editorial Commentary. 社论评论。

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Urology Practice Pub Date : 2024-11-01 Epub Date: 2024-07-15 DOI: 10.1097/UPJ.0000000000000678

Bradley C Gill

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Editorial Commentary. 社论评论。

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Urology Practice Pub Date : 2024-11-01 Epub Date: 2024-07-25 DOI: 10.1097/UPJ.0000000000000687

Reza Ghavamian

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Initial Experience With Inpatient Hospital Care at Home for Urologic Disease. 泌尿系统疾病患者在家接受住院治疗的初步经验。

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Urology Practice Pub Date : 2024-11-01 Epub Date: 2024-07-03 DOI: 10.1097/UPJ.0000000000000647

Kunal Hanchate, Ram A Pathak, David D Thiel, Raymond Pak, Michael Maniaci, Timothy D Lyon

{"title":"Initial Experience With Inpatient Hospital Care at Home for Urologic Disease.","authors":"Kunal Hanchate, Ram A Pathak, David D Thiel, Raymond Pak, Michael Maniaci, Timothy D Lyon","doi":"10.1097/UPJ.0000000000000647","DOIUrl":"10.1097/UPJ.0000000000000647","url":null,"abstract":"Introduction: In 2020, Mayo Clinic launched Advanced Care at Home (ACH), a hospital-at-home program that cares for high-acuity inpatients via remote monitoring and in-person care. Herein, we describe our initial experience utilizing ACH for patients with urologic problems.Methods: We identified ACH patients treated at Mayo Clinic Florida from July 2020 to August 2022. Records were reviewed to identify those with urologic problems, defined as genitourinary infections, urinary tract obstruction, bleeding, or complications following urologic surgery within 90 days of admission. Demographics, Charlson Comorbidity Index, ACH interventions, length of stay, and hospital readmission were assessed.Results: We identified 563 ACH admissions involving 537 patients, of whom 51 (9%) had illnesses with urologic etiology and 3 (0.6%) were admitted for nonurologic postoperative complications following urologic surgery. Admitting diagnoses included pyelonephritis (n = 51, 91%) and epididymoorchitis (n = 2, 4%). Postoperative diagnoses included cellulitis (n = 1, 2%), congestive heart failure (n = 1, 2%), and diverticulitis (n = 1, 2%). Median Charlson Comorbidity Index of admitted patients was 4 (interquartile range: 3-6.8). Twenty-five patients (46%) underwent 38 urologic procedures within 90 days of admission. Interventions included IV antibiotics (n = 51, 91%), IV fluids (n = 12, 21%), IV antifungals (n = 2, 4%), and oral diuretic therapy (n = 1, 2%). Median length of stay was 3 days (interquartile range: 2-4), and 9 patients (16%) were readmitted within 30 days. A total of 216 inpatient hospital days were saved by utilizing ACH.Conclusions: ACH appeared to be a feasible alternative to brick-and-mortar inpatient care for patients with genitourinary infections requiring IV antimicrobials.","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"975-981"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142086364","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}

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Association of Age and Patient Satisfaction Scores: A Systematic Review. 年龄与患者满意度评分的关系：系统回顾

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Urology Practice Pub Date : 2024-11-01 Epub Date: 2024-06-28 DOI: 10.1097/UPJ.0000000000000660

Blake Harp, Cornelia de Riese, Werner T W de Riese

{"title":"Association of Age and Patient Satisfaction Scores: A Systematic Review.","authors":"Blake Harp, Cornelia de Riese, Werner T W de Riese","doi":"10.1097/UPJ.0000000000000660","DOIUrl":"10.1097/UPJ.0000000000000660","url":null,"abstract":"Introduction: Patient satisfaction surveys, used as a quality indicator, play a role in determining reimbursement. Quality-based payments have been used by Medicare for physician reimbursement since 2015. Numerous papers report a scoring bias associated with nonmodifiable patient demographics, such as age or gender. Our systematic review across multiple specialties determines if patient age influences patient satisfaction scores.Methods: A focused literature search using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was performed using the PubMed database. Odds ratios (ORs), fixed-effects modeling, and presence of publication bias were calculated for an overall summary.Results: Out of 387 reviewed papers, 12 articles were selected for this systematic review resulting in a total of 174,558 patients. Selected studies included hospital level and surgical specialty data of patient satisfaction scores of their physician providers only. Overall, our analysis revealed an OR of 1.36 (95% CI 1.23-1.50; I2 = 99.4%; P < .0001). The inpatient setting showed an OR of 1.18 (1.07-1.30; I2 = 99.1%; P < .001). The outpatient setting showed an OR of 1.38 (1.24-1.55; I2 = 99.5%; P < .001). Funnel plot and bias test did not show publication bias in both the inpatient and outpatient settings (P = .242, and .139, respectively).Conclusions: A positive and statistically significant relationship exists between patient age and satisfaction scores with their physicians, meaning that older patients are more satisfied with their physician providers. This relationship was more pronounced in the outpatient setting.","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"906-914"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142086345","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}

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Editorial Commentary. 社论评论。

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Urology Practice Pub Date : 2024-11-01 Epub Date: 2024-06-21 DOI: 10.1097/UPJ.0000000000000662

James M Cummings

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