ACS 2018: Scrutinizing Medicare Payments to the Highest Paid Urologists Utilizing the Centers for Medicare and Medicaid Services Public Use Dataset

Boston, Massachusetts ( Yousef M. Abu-Salha, provided an overview of recent cost control efforts have focused on “hot-spotting,” or identifying the patients contributing the most cost within a community. They studied if “hotspotting” could be applied to clinicians to identify potential areas for improvement. They examined the public use dataset available from CMS for the calendar year 2015.

ACS 2018: Extra-Regional Travel for Urologic Surgery: Opportunities for Improving Access

Boston, Massachusetts ( Bradley D. Figler presented a review and their assessment of extra-regional travel (ERT) for surgery as an indicator of low access to urologic surgery. They analyzed inpatient and ambulatory urologic surgeries for patients ≥18 years old in the 2010-2014 Florida (FL) and North Carolina (NC) ambulatory/inpatient surgery databases, capturing 100% of ambulatory and inpatient procedures.

ACS 2018: Impact of Surgeon Age on Preference for Open vs. Laparoscopic/Robotic Partial and Radical Nephrectomy: Potential Implications of an Aging Workforce

Boston, Massachusetts ( Jason R. Lomboy, MD analyzed recent American Board of Urology recertification case logs to identify the presence of a statistically significant difference and trends in surgeon age for open versus laparoscopic/robotic partial and radical nephrectomy over the last 10 years. They extracted 5 CPT codes representing partial and radical nephrectomy and divided them into 4 groups to represent each approach. They analyzed the mean surgeon age of each surgery and approach annually over a 10-year period (2008-2017). Statistical significance was demonstrated by comparing 95% confidence intervals.

ACS 2018: Modified Marshall-Marchetti-Krantz Urethral Suspension During Robot Assisted Laparoscopic Prostatectomy: Is Postoperative Urinary Continence Affected?

Boston, Massachusetts ( Lukas Hockman, studied the effect of modified MMK vesico-urethral suspension into  Robot Assisted Laparoscopic Prostatectomy (RALP) . This study compared patients who had MMK suspension and those who did not to determine whether postoperative urinary continence was affected. No other changes in technique were incorporated during this time period assessed.

ACS 2018: Surgical Sterilization Among Men and Women in the U.S. with Employer-Based Insurance

Boston, Massachusetts ( Amir I. Khan aimed to assess the sociodemographic variability in the use of surgical sterilization. They queried the MarketScan Commercial Claims database using CPT, ICD9, and HCPCS codes to identify 658,509 individuals who underwent male or female sterilization between 2009-2014 and examined differences in age, geographic distribution, and family size.

ACS 2018: Profiling the Urinary and Gastrointestinal Microbiota in Male Children Presenting to Urology with or Without Prior Exposure

Boston, Massachusetts ( Borna Kassiri, a medical student from Johns Hopkins School of Medicine, presented preliminary work characterizing the urinary microbiome in a pediatric population. They hypothesized that the urinary microbiota begin colonizing the urinary tract in childhood. They aimed to 1) begin to assess the microbial composition of urine and stool from infants through young adults and 2) compare the urinary and gastrointestinal (GI) microbiome in children with or without antibiotic exposure.

ACS 2018: Benchmark Early Compliance Utilizing the Enhanced Recovery After Surgery Interactive Audit System in Collaboration with the International ERAS Society

Boston, Massachusetts ( William M. Worrilow performed real time data monitoring of 21 cystectomy specific variables across three phases. They sought to evaluate compliance across three phases (pre, intra, and postoperative periods) that ultimately constitute overall compliance per ERAS society guidelines.
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