ACS 2018: The Difficult Foley: Factors Predicting Appropriate Urological Consultation

Boston, Massachusetts (UroToday.com) Nina Mikkilineni, MD, New York Presbyterian-Columbia University Medical Center, New York, NY, presented research regarding the identification of predictors between simple and difficult Foley consults and identify areas for educational intervention.

They retrospectively reviewed catheter consults in men from 7/2016-9/2017. Consultation variables included time of year and consulting service. Patient variables included age, known genitourinary (GU) diagnosis and/or surgery. Type of Foley placed and urological trauma was recorded. Each consult was classified as “simple” or “difficult.”

ACS 2018: Trends and Characteristics of Prophylactic Antibiotics for Men Undergoing Prostate Biopsy

Boston, Massachusetts (UroToday.com) Mark Henry evaluated trends in antibiotic use for prostate biopsies and characterized trends in use of oral and parenteral antibiotics. Using a database of private insurance claims (2009 - 2015), they identified men undergoing prostate biopsy. Payments for oral antibiotics in the 30 days prior to, and parenteral antibiotics on the day of the procedure were captured. Antibiotics were identified using the National Drug Code Directory or HCPCS codes linked to pharmaceutical and outpatient service claims. Impact of covariates on antibiotic use was estimated with logistic regression models. 

ACS 2018: Lymphadenectomy for High-Risk Prostate Cancer Patients: What is Going on in Georgia?

Boston, Massachusetts (UroToday.com) Mark Henry, MD evaluated variation in use across 18 geographically-defined cancer registries in the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) Program. He and his colleagues identified all high-risk prostate cancer patients diagnosed between 2010-2014 and treated with radical prostatectomy. Risk stratification was based on D'Amico criteria. We evaluated trends in lymphadenectomy, stratified by cancer registry of residence. 

ACS 2018: Outcomes After Implementation of Enhanced Recovery After Surgery for Radical Cystectomy at the University of Missouri

Boston, Massachusetts (UroToday.com) Dr. Alex A. Henderson presented a single center experience with enhanced recovery after surgery (ERAS) pathway for radical cystectomy (RC). Their primary objectives was to evaluate effects on length of stay (LOS) and hospital costs.

ACS 2018: Risk Factors for Desmopressin-Induced Hyponatremia

Boston, Massachusetts ( UroToday.com) William N. Harris and colleagues aimed to identify new risk factors for desmopressin-induced hyponatremia in nocturia treatment. They evaluated the pooled data from six randomized controlled trials and the corresponding published results.

ACS 2018: Assessing Reasons for Urologist Burnout, Its Implications, and Possible Interventions

Boston, Massachusetts ( UroToday.com) Jyoti Chouhan, DO presented research regarding a survey of practicing urologists as a means of identifying their reasons for burnout, the implications of this and possible interventions. A sixteen question survey was distributed to urologists via their American Urological Association section.

ACS 2018: Correlation of Relative Value Units with Surgical Complexity and Physician Workload in Urology

Boston, Massachusetts ( UroToday.com) Case M. Wood presented research examining the correlation of RVUs with surgical complexity and physician workload in the field of urology. They examined the 2012 through 2016 American College of Surgeons National Surgical Quality Improvement Program (NSQIP) databases to select 56 current procedural terminology (CPT) codes that represent the spectrum of urologic surgery.
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