Article
Nursing
Claire Hutchinson, Kate Curtis, Andrea McCloughen
Summary: The aim of this study was to explore the reasons and experiences of patients who make an unplanned return visit to the emergency department. The findings showed that patients' negative experiences and difficulties in managing their condition at home contribute to their decision to return. Nurses and clinicians in the emergency department should prioritize clear communication, timely consultation, and shared decision-making to build patient trust and reduce unnecessary return visits.
JOURNAL OF ADVANCED NURSING
(2023)
Editorial Material
Medicine, General & Internal
David S. Goldfarb
Summary: Asymptomatic kidney stones are often found during screening, and patients are concerned about the possibility of them becoming symptomatic and how to prevent them from getting bigger. However, there is currently a lack of data to support the answers to these questions.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Letter
Medicine, General & Internal
Sandrine D. Lemoine, Laurence R. Derain-Dubourg, Nadia E. Abid
Summary: In a recent study, Sorensen et al. found that the incidence of relapse of kidney stones was lower among patients who underwent endoscopic removal of small, asymptomatic stones. However, the study failed to address long-term complications in the trial groups and raised questions about Figure 3.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Article
Urology & Nephrology
Charles D. Scales, Alana C. Desai, Jonathan D. Harper, H. Henry Lai, Naim M. Maalouf, Peter P. Reese, Gregory E. Tasian, Hussein R. Al-Khalidi, Ziya Kirkali, Hunter Wessel
Summary: The PUSH Study is a randomized trial aimed at increasing and maintaining high fluid intake through a behavioral intervention program for adults and adolescents with a history of stones and low urine volume, in order to reduce stone recurrence and improve urinary symptoms.
AMERICAN JOURNAL OF KIDNEY DISEASES
(2021)
Article
Medicine, General & Internal
Zhi-Cheng Gong, Zhi-Liang Wu, Yao-An Wen, Jie-Peng Zou, Xisheng Wang, Xiaoyan Leng, Anthony J. Bleyer, Chunhua Deng, Michael P. Feloney, Yuanyuan Zhang, Shan-Chao Zhao
Summary: Male patients with bladder stones often experience sexual dysfunction and lower urinary tract symptoms, which can be significantly improved by surgical removal of the stones. Patients with BPH are more likely to have sexual dysfunction.
FRONTIERS IN MEDICINE
(2021)
Article
Medicine, General & Internal
David Gomez, Andrea N. Simpson, Colin Sue-Chue-Lam, Charles de Mestral, Fahima Dossa, Jordan Nantais, Andrew S. Wilton, David Urbach, Peter C. Austin, Nancy N. Baxter
Summary: A study in Ontario, Canada found that emergency department visits decreased during the COVID-19 pandemic, but did not lead to adverse consequences for patients. Visits for appendicitis and miscarriage showed sustained reductions, while presentations for cholecystitis and ectopic pregnancy quickly returned to expected levels. Management strategies and outcomes remained similar across study periods for all conditions.
CANADIAN MEDICAL ASSOCIATION JOURNAL
(2021)
Article
Computer Science, Information Systems
Wongsakorn Preedanan, Kenji Suzuki, Toshiaki Kondo, Masaki Kobayashi, Hajime Tanaka, Junichiro Ishioka, Yoh Matsuoka, Yasuhisa Fujii, Itsuo Kumazawa
Summary: A urinary stone is a common abnormality in the urinary system, and automated segmentation of urinary stones is crucial for early diagnosis and treatment. This study proposes a GAN-based augmentation technique to improve the performance of the segmentation network. By using this method, we achieved good results in the task of segmenting urinary stones.
Article
Medical Informatics
Arielle Selya, Drake Anshutz, Emily Griese, Tess L. Weber, Benson Hsu, Cheryl Ward
Summary: This study developed a machine learning predictive model to predict unplanned medical visits among patients with diabetes and used the findings to design a clinical intervention. The analysis identified blood pressure and HDL as the strongest predictors in the model. Recommendations from the study informed the design of a clinical intervention targeting behavioral changes at a healthcare organization.
BMC MEDICAL INFORMATICS AND DECISION MAKING
(2021)
Article
Medicine, General & Internal
Kellen Thayanne Hangai, Roberto Pecoits-Filho, Peter G. Blake, Daniela Peruzzo da Silva, Pasqual Barretti, Thyago Proenca de Moraes
Summary: Unplanned peritoneal dialysis appears to be a safe and feasible treatment option for non-dialysis end-stage kidney disease (ESKD) patients in urgent need of dialysis.
FRONTIERS IN MEDICINE
(2022)
Article
Urology & Nephrology
Rilwan Babajide, Katerina Lembrikova, Justin Ziemba, James Ding, Yuemeng Li, Antoine Selman Fermin, Yong Fan, Gregory E. Tasian
Summary: The study evaluated the performance of a machine learning algorithm in identifying kidney stones and measuring their characteristics without human input. The algorithm demonstrated 100% sensitivity and specificity in detecting kidney stones, and outperformed human reviewers in accurately measuring stone features. The algorithm also provided more precise stone segmentations compared to human reviewers.
Article
Urology & Nephrology
Matthew H. Byrne, Fanourios Georgiades, Alexander Light, Catherine E. Lovegrove, Catherine Dominic, Josephine Rahman, Senthooran Kathiravelupillai, Tobias Klatte, Kasra Saeb-Parsy, Rajeev Kumar, Sarah Howles, Grant D. Stewart, Ben Turney, Oliver Wiseman
Summary: During the COVID-19 pandemic in the UK, management of ureteric stones saw changes with lower admission rates and fewer invasive procedures. However, these changes did not affect treatment success or outcomes, indicating that the strategies developed during the pandemic can be safely adopted for more conservative treatment.
Article
Urology & Nephrology
Arman Tsaturyan, Piet Bosshard, Elizaveta Bokova, Olivier Bonny, Kevin Stritt, Beat Roth
Summary: Oral chemolysis is an effective treatment option for suspected uric acid upper urinary tract stones, regardless of ureteral stenting. Smaller stone size and lower urine pH at diagnosis increase the efficacy of the treatment.
INTERNATIONAL UROLOGY AND NEPHROLOGY
(2022)
Article
Orthopedics
Kelvin Ng, Madeleine Willegger, Maryse Bouchard
Summary: This retrospective cohort study aimed to determine the rates and predictors of re-operation and re-admission in children with septic arthritis treated at an institution without routine clinical practice guidelines. Analysis showed that discharge CRP level was not significantly associated with re-operation or unplanned visits to the emergency department, but positive joint fluid culture and infection of joints other than the hip increased the likelihood of re-operation. Patients with septic arthritis of the hip were more likely to have unplanned visits to the emergency department after discharge.
INTERNATIONAL ORTHOPAEDICS
(2023)
Article
Endocrinology & Metabolism
Marcio L. Griebeler, W. Scott Butsch, Paloma Rodriguez, Laura Lomeli, Matthew Kampert, Vinni Makin, Ula Abed Alwahab, Elena Borukh, Erin Daigle, James Bena, Kevin M. Pantalone, Bartolome Burguera
Summary: This study compares the effectiveness of telehealth and in-person visits for treating obesity with phentermine and finds that telehealth is noninferior in achieving weight loss. Telehealth shows promising results and noninferiority in obesity pharmacotherapy.
Article
Business
Xuebin Cui, Yacheng Sun, Yubo Chen, Banggang Wu
Summary: This research investigates the impact of mobile social app usage on consumers' decisions to visit offline stores. The study finds a positive effect of social app usage on consumers' visits to brick-and-mortar stores, especially among mobile and high-density offline store areas. The effect lasts up to nine days, indicating a short-term influence likely due to the discovery of product and store information through social apps.
JOURNAL OF INTERACTIVE MARKETING
(2022)
Article
Otorhinolaryngology
David W. Jang, Hui-Jie Lee, Philip G. Chen, Seth M. Cohen, Charles D. Scales
Summary: This retrospective study analyzed data from a national claims database and found wide variations in the management of CRS prior to referral to otolaryngologists. The delayed referral group showed significantly higher healthcare expenditure and resource utilization.
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
(2022)
Article
Computer Science, Information Systems
Fanny Sampurno, Christoph Kowalski, Sarah E. Connor, Anissa Nguyen, Angels Pont Acuna, Chi-Fai Ng, Claire Foster, Gunter Feick, Olatz Garin Boronat, Sebastian Dieng, Silvana Brglevska, Stephanie Ferrante, Steven Leung, Paul Villanti, Caroline M. Moore, Ian D. Graham, Jeremy L. Millar, Mark S. Litwin, Nathan Papa
Summary: The TrueNTH Global Registry (TNGR) aims to improve patient outcomes for localized prostate cancer by collating data from healthcare institutions across multiple countries. A systematic evaluation of supporting documents and consultations with local institutions resulted in four areas of improvement.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Urology & Nephrology
William W. French, Charles D. Scales, Davis P. Viprakasit, Roger L. Sur, David F. Friedlander
Summary: The study found that re-presentation to a different healthcare facility following an initial diagnosis of urinary stone disease is associated with a greater number of healthcare encounters, longer wait times for surgery, and increased costs.
Article
Surgery
Rachel M. Caprini, Michelle K. Oberoi, Dillon Dejam, Candace H. Chan, Hi'ilani M. K. Potemra, Katarina B. J. Morgan, Amy Weimer, Mark S. Litwin, Abie H. Mendelsohn, Justine C. Lee
Summary: This study examines the impact of gender-affirming facial feminization surgery (FFS) on psychosocial outcomes in patients with gender dysphoria. Using validated instruments, the study found that patients who underwent FFS reported improved scores in anxiety, anger, depression, positive affect, meaning and purpose, global mental health, and social isolation. Furthermore, completion of FFS was independently predictive of improved psychosocial functioning. The results of this study suggest that gender-affirming FFS enhances the quality of life in transfeminine patients.
Article
Surgery
Yuqi Zhang, Tyler L. Malone, Charles D. Scales Jr, George H. Pink
Summary: This study evaluated the rates and predictors of surgical bypass among rural residents in the United States. It found that 64.5% of rural patients bypassed their local hospital for elective surgery. Younger age, private insurance, and greater distance to the closest hospital were associated with a higher probability of bypass.
Article
Oncology
Ting Martin Ma, Leslie K. Ballas, Holly Wilhalme, Ankush Sachdeva, Natalie Chong, Sahil Sharma, Tiffany Yang, Vincent Basehart, Robert E. Reiter, Christopher Saigal, Karim Chamie, Mark S. Litwin, Matthew B. Rettig, Nicholas G. Nickols, Stephanie M. Yoon, Lauren Smith, Yu Gao, Michael L. Steinberg, Minsong Cao, Amar U. Kishan
Summary: This study aimed to evaluate the application of stereotactic body radiation therapy (SBRT) in patients with prostate cancer. The study found that SBRT treatment resulted in minimal short-term physician-scored genitourinary (GU) and gastrointestinal (GI) toxicities, and improved patient-reported quality of life.
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
(2023)
Article
Urology & Nephrology
Scott R. Hawken, William French, Hannah Kay, Charles D. Scales, Davis P. Viprakasit, David F. Friedlander
Summary: This study compared the outcomes and cost of simple prostatectomy (SP) and laser enucleation of the prostate (LEP) for the treatment of large gland benign prostatic hyperplasia (BPH). The results showed that there was no significant difference in the 30-day revisit rates between the two operations. Although LEP had a higher cost of index hospital stay, the cost became equivalent to SP in high-volume centers.
JOURNAL OF ENDOUROLOGY
(2023)
Article
Urology & Nephrology
Thomas W. Gaither, Nathan W. Vincent, Eduardo Piqueiras, Devin Barzallo, Allen Siapno, Kristen C. Williams, Marcia Russell, Mark S. Litwin
Summary: This study aimed to assess and describe the subjective role of the prostate as a pleasure center in individuals with diverse receptive anal intercourse (RAI) experiences, and to identify nonprostatic areas that produce erotic sensation and/or pain. The study found that the anorectal region produces various pleasurable sensations during RAI, and identified two distinct categories of pain. The importance of this study lies in its contribution to understanding the location of sexual sensations and sexual functioning after different surgical interventions, as well as providing a language for pleasure and pain during RAI to improve communication between sexual partners and clinicians.
JOURNAL OF SEXUAL MEDICINE
(2023)
Article
Urology & Nephrology
Allen Enrique D. Siapno, Thomas W. Gaither, Megha D. Tandel, Lorna Kwan, Ying-Ying Meng, Sarah E. Connor, Sally L. Maliski, Arlene Fink, Sheba George, Mark S. Litwin
Summary: This study evaluated the impact of transitioning from a disease-focused treatment program to comprehensive health insurance under the Affordable Care Act on the quality of life (QoL) of low-income men previously uninsured. The study found that transitioning to comprehensive health insurance may improve general QoL while maintaining prostate cancer-specific QoL.
Article
Urology & Nephrology
Joaquin Michel, Dhaval Jivanji, Alexander N. Goel, Patrick M. Lec, Andrew T. Lenis, Mark S. Litwin, Karim Chamie
Summary: This study aimed to analyze the factors and costs associated with 30-day readmissions for patients undergoing radical nephrectomy. The findings revealed that factors such as age, comorbidity score, and surgical approach were significantly associated with readmission rates. Gastrointestinal, cardiovascular, urinary tract infections, and wound complications were common reasons for readmission. The study highlights the importance of reducing readmission rates and controlling healthcare costs.
SCANDINAVIAN JOURNAL OF UROLOGY
(2023)
Article
Oncology
Hannah E. Dzimitrowicz, Lauren E. Wilson, Bradford E. Jackson, Lisa P. Spees, Christopher D. Baggett, Melissa A. Greiner, Deborah R. Kaye, Tian Zhang, Daniel George, Charles D. Scales, Jessica E. Pritchard, Michael S. Leapman, Cary P. Gross, Michaela A. Dinan, Stephanie B. Wheeler
Summary: OAAs have improved outcomes for patients with metastatic renal cell carcinoma, but little is known about end-of-life care and systemic therapy use in these patients.
JCO ONCOLOGY PRACTICE
(2023)
Article
Oncology
Deborah R. Kaye, Hui-Jie Lee, Alexander Gordee, Daniel J. George, Peter A. Ubel, Charles D. Scales, M. Kate Bundorf
Summary: This study examined the gross and out-of-pocket payments for first-line drugs for metastatic castrate-resistant prostate cancer (mCRPC). The results showed significant variation in gross payments across different drugs, while out-of-pocket payments were relatively low and varied widely.
JCO ONCOLOGY PRACTICE
(2023)
Article
Surgery
Allison C. Hu, Mengyuan T. Liu, Candace H. Chan, Saloni Gupta, Brian N. Dang, Gladys Y. Ng, Mark S. Litwin, George H. Rudkin, Amy K. Weimer, Justine C. Lee
Summary: An increasing number of nonbinary patients are receiving gender-affirming procedures, but the preferred treatments for nonbinary patients are still not well-described. This study aims to investigate the goals and treatments of nonbinary patients. The results show that the majority of nonbinary patients were assigned male at birth, with most of them receiving hormone therapy and a smaller percentage undergoing surgical intervention.
ARCHIVES OF PLASTIC SURGERY-APS
(2023)
Article
Urology & Nephrology
David Bayne, Johsias Maru, Sudarshan Srirangapatanam, Cameron Hicks, John Neuhaus, Charles Scales, Thomas Chi, Marshall Stoller
Summary: This study explored the relationship between delays in definitive kidney stone surgery and the subsequent need for percutaneous nephrolithotomy (PNL) and/or staged surgical procedures. The findings revealed that delays in definitive stone surgery were associated with an increased likelihood of undergoing complex stone treatment.
JOURNAL OF ENDOUROLOGY
(2023)
Article
Urology & Nephrology
Thomas W. Gaither, Allen E. D. Siapno, Reza Kianian, Nathan Vincent, Kristen C. Williams, Eduardo Piquerias, Marcia M. Russell, Mark S. Litwin
Summary: Despite the stigma, receptive anal intercourse (RAI) has a positive influence on sexual and relationship health. This study aimed to quantify pelvic sensations during RAI and determine how they change with experience. The results showed that lifetime exposure to RAI is associated with increased pleasure and decreased pain and bowel urgency sensations.
JOURNAL OF SEXUAL MEDICINE
(2023)