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Aging Urology Workforce Could Limit Care to Aging Population
More than half the urologists practicing in the United States are older than 53 years, and 23 percent are older than 65, according to a first-of-its-kind survey conducted by the American Urological Association. The aging workforce, combined with limited funding for urology residencies, "means that over time, we'll have fewer urologists available to take care of an aging population," said AUA data committee chair Quentin Clemens, M.D., from the University of Michigan at Ann Arbor.
Blood-Based Biomarkers May Predict Bladder Cancer Outcomes
Renal & Urology News
Blood-based tumor markers may be useful tools for follow-up of non-muscle invasive urothelial bladder carcinoma, according to research presented at the 2015 American Urological Association annual meeting. Predictive blood-based biomarkers may reduce the burden of invasive tests, said lead researcher Daher Chade, M.D., of São Paulo Cancer Institute at the University of Sao Paulo in Brazil.
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Endo Pharmaceuticals Supports Efforts to Bring 1st Ever Treatment Guidelines for Peyronie's Disease
Endo Pharmaceuticals Inc., a subsidiary of Endo International plc, supports efforts to bring the medical community the first ever treatment guidelines for Peyronie's Disease, a condition in which collagen plaque, or scar tissue, develops on the shaft of the penis, and may harden and reduce flexibility. The company also announced today that it has presented encore data at a key medical meeting evaluating the efficacy of XIAFLEX (collagenase clostridium histolyticum) treatment for PD as well as the impact of PD on erectile dysfunction (ED) and female partners.
Smoking Adversely Affects Urologic Surgery Outcomes
Renal & Urology News
Current and former smokers may be at increased risk of adverse perioperative outcomes following radical prostatectomy and cystectomy compared with non-smokers, according to study data presented at the 2015 American Urological Association annual meeting. The study, led by Akshay Sood, M.D., of the Vattikuti Urology Institute, Henry Ford Hospital, Detroit, examined 30-day post-surgical morbidity and mortality in a cohort of 9,014 patients who underwent radical prostatectomy (RP), radical cystectomy, or nephrectomy.
Robotic-Assisted Prostatectomy Offers Favorable Long-Term Prostate Cancer Control
Cancer Therapy Advisor
Robotic-assisted laparoscopic radical prostatectomy appears to be associated with long-term cancer control comparable to open surgery, study findings presented at the American Urological Association annual meeting suggest. Firas Abdollah, M.D., of the Vattikuti Urology Institute at Henry Ford Hospital in Detroit, and colleagues analyzed outcomes of 7,105 men who underwent RALP with or without adjuvant treatment and pelvic node dissection from 2002 to 2013 at 3 tertiary care centers.
Managing Autosomal Dominant Polycystic Kidney Disease
Autosomal dominant polycystic kidney disease (ADPKD) is one of the most common inherited kidney diseases. It's also one of the most common reasons that people require dialysis or transplantation.
European-wide figures suggest that about 10 percent of people receiving dialysis or transplantation have ADPKD. Therefore, there are many more people being followed-up with this condition or who remain undiagnosed because they haven't yet developed symptoms or kidney failure.
Telemedicine Gets a Lift from UnitedHealthcare
Telemedicine is ready for takeoff, and UnitedHealth Group is banking on it.
The commercial payer Goliath, which provides healthcare benefits coverage for more than 40 million people through the company's UnitedHealthcare division, recently announced an ambitious initiative to offer coverage for telemedicine doctor visits in 47 states and the District of Columbia.
84 Percent of Medical Specialties Lack Clinical Registry Affiliation
Of the clinical registries that exist in the United States, only a handful are up to snuff, and a lot of care isn't being tracked at all, according to a study published in the Journal for Healthcare Quality. It not only found that most U.S. clinical registries that collect data on patient outcomes are substandard, but also that the vast majority of recognized medical specialties in the United States have no national clinical registry.
Soaring Medicaid Enrollment Could Hit State Budgets
The Fiscal Times
Under the Affordable Care Act's Medicaid expansion, enrollment in the program is soaring past expectations in a handful of states, raising some concerns about whether states will have trouble covering the costs down the road. So far, some 12 million people have enrolled in Medicaid through the expansion — with most states that expanded their program seeing sign-ups significantly surpass their expectations.
AMA Backs House Bill Aimed to Freeze ICD-10 Implementation
Earlier this month, the House proposed a new bill, H.R. 2126, the Cutting Costly Codes Act of 2015, aimed at freezing ICD-10 CM/PCS implementation. The bill intends to prohibit Sylvia M. Burwell, Secretary of the Department of Health and Human Services, from substituting the currently implemented International Classification of Diseases, 9th revision (ICD-9) diagnostic code set with ICD-10. H.R. 2126 additionally mandates the Government Accountability Office to execute research on how to best alleviate the financial burden of this decision on healthcare providers.
Only 1.4 percent of Physicians Are Ready to E-Prescribe Controlled Substances, Report Finds
As deaths involving prescription opioids increase, prescribers look toward other ways to curb patient overdoses. One fairly new solution in the medical community is to prescribe controlled substances electronically, but just how far along is this revolutionary approach, and will it help combat the ever-growing opioid epidemic in the country?
Why Hospitals Must Educate Nurses About Healthcare Costs
Nurses are often completely unaware of the costs of care in their inpatient or outpatient settings. Few staff nurses have any background or education in healthcare finance, and often resist the idea that they need to think about the cost of nursing care. However, in these times of rapid change and ever more scarce resources, it's time for nurses to realize that their performance affects not only their patients' health but the financial health of their institution.
What's Best for Doctors Is Best for Patients? Maybe Not
Los Angeles Times
In September 2013, just as Covered California was preparing to enroll a million new patients in the state's healthcare system, the state Senate caved to pressure from the California Medical Association and voted down a bill that would empower nurse practitioners to see patients without supervision by a medical doctor. Recently, it corrected its error, passing a similar bill despite renewed opposition from the state doctors' guild, which whined, as it has for years, that allowing nurse practitioners to operate independently would put patients at risk.
Floor Vote Next for Nurse Practitioner Bill
A bill that would allow nurse practitioners in California to practice without physician supervision under certain circumstances passed the Senate Committee on Appropriations in a 5-0 vote on Monday and now heads to the Senate floor.
Mercury News Editorial: California Must Raise Medi-Cal Reimbursement Rates
San Jose Mercery News
California is serving as the national model for President Barack Obama's healthcare reforms, but that won't continue unless the state does something about its abysmal Medi-Cal reimbursement rates for doctors and hospitals caring for the 12 million Californians with Medi-Cal coverage.
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