401
|
Meyer C, Sood A, Abdollah F, Sammon J, Vetterlein M, Löppenberg B, Hanske J, Leow J, Cole A, Kibel A, Sun M, Menon M, Trinh QD. MP69-11 MINIMALLY INVASIVE VS. OPEN RADICAL PROSTATECTOMY: AN ANALYSIS OF 30-DAY POSTOPERATIVE COMPLICATIONS, UNPLANNED READMISSIONS, AND MORTALITY. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.1389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
402
|
Raup V, Lu P, Loeppenberg B, Vetterlein M, Meyer C, Trinh QD, Eswara J. MP87-10 PERIOPERATIVE COMPLICATIONS OF ARTIFICIAL URINARY SPHINCTER PLACEMENT AMONG THE ELDERLY. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.2360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
403
|
Gelpi-Hammerschmidt F, Rodriguez D, Tinay I, Allard C, Hanna N, Chang S, Trinh QD, Preston M. MP01-18 THE POTENTIAL IMPACT OF NEOADJUVANT CHEMOTHERAPY ON PATIENTS UNDERGOING RADICAL CYSTECTOMY FOR NON-UROTHELIAL MUSCLE INVASIVE BLADDER CANCER. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.1848] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
404
|
Cole A, Meyer C, Vetterlein M, Löppenberg B, Kibel A, Abdollah F, Leow J, Seisen T, Zavaski M, Sun M, Sammon J, Trinh QD. MP21-07 THE AFFORDABLE CARE ACT AND PSA SCREENING PRACTICES: ANALYSIS OF RACIAL SUBGROUPS. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
405
|
Dalela D, Loeppenberg B, Sood A, Sammon J, Karabon P, Sun M, Trinh QD, Jeong W, Peabody J, Menon M, Abdollah F. MP39-14 IMPACT OF THE 2012 UNITED STATES PREVENTIVE SERVICES TASK FORCE RECOMMENDATION AGAINST PROSTATE SPECIFIC ANTIGEN SCREENING ON PROSTATE CANCER RISK GROUP STRATIFICATION. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.139] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
406
|
Abdollah F, Dalela D, Sood A, Meyer C, Hansen M, Han P, Sun M, Trinh QD, Menon M, Sammon J. PD15-01 THE IMPACT OF 2011 UNITED STATES PREVENTIVE SERVICES TASK FORCE PANEL UPDATE ON PSA SCREENING PRACTICE: A NATIONWIDE, AND STATE-BY-STATE LEVEL ANALYSES. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.1127] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
407
|
Meyer C, Trinh QD, Vetterlein M, Löppenberg B, Adollah F, Seisen T, Hanske J, Leow J, Sammon J, Menon M, Kibel A, Chang S, Choueiri T, Sun M. PD04-05 TRENDS OF METASTASECTOMY FOR METASTATIC RENAL CELL CARCINOMA AND THEIR IMPACT ON OVERALL SURVIVAL. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.2410] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
408
|
Abdollah F, Sun M, Sammon JD, Choueiri TK, Menon M, Weissman JS, Trinh QD. Prevalence of Nonrecommended Screening for Prostate Cancer and Breast Cancer in the United States. JAMA Oncol 2016; 2:543-5. [DOI: 10.1001/jamaoncol.2015.5871] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
|
409
|
Li H, Hanske J, Meyer C, Abdollah F, Choueiri T, Kibel A, Han P, Menon M, Sammon J, Trinh QD. MP25-08 DETERMINANTS OF PROSTATE CANCER SCREENING IN ASIAN AMERICANS. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
410
|
Hanna N, Meyer C, Vetterlein M, Cole A, Seisen T, Leow J, Cheng P, Gelpi-Hammerschmidt F, Zavaski M, Chang S, Choueiri T, Sun M, Trinh QD. MP03-15 TRENDS IN TREATMENT STRATEGIES FOR METASTATIC RENAL CELL CARCINOMA. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.1908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
411
|
Abdollah F, Dalela D, Sood A, Sammon J, Karabon P, Meyer C, Sun M, Choueiri T, Menon M, Trinh QD. MP21-05 TEMPORAL TRENDS IN PROSTATE CANCER RISK GROUP STRATIFICATION FOLLOWING THE 2008 UNITED STATES PREVENTIVE SERVICES TASK FORCE RECOMMENDATIONS. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
412
|
Löppenberg B, Dalela D, Karabon P, Sood A, Sammon J, Trinh QD, Meyer C, Sun M, Peabody J, Menon M, Abdollah F. MP50-12 THE IMPACT OF LOCAL TREATMENT ON OVERALL MORTALITY IN PATIENTS DIAGNOSED WITH PRIMARY METASTATIC PROSTATE CANCER. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.446] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
413
|
Valdivieso R, Meyer C, Hueber PA, Meskawi M, Alenizi A, Trinh QD, Misrai V, Rutman M, Te A, Chughtai B, Barber N, Emara A, Munver R, Zorn K. MP42-16 ASSESSMENT OF ENERGY DENSITY USAGE DURING 180W LITHIUM TRIBORATE LASER PHOTO-SELECTIVE VAPORIZATION OF THE PROSTATE FOR BENIGN PROSTATIC HYPERPLASIA. IS THERE AN OPTIMAL AMOUNT OF KILO-JOULES PER GRAM OF PROSTATE? J Urol 2016. [DOI: 10.1016/j.juro.2016.02.204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
414
|
Meyer C, Mullane S, Bellmunt J, Hanna N, Menon M, Sammon J, Seisen T, Leow J, Preston M, Kibel A, Sun M, Trinh QD. MP63-06 RACIAL DISPARITIES IN QUALITY METRICS OF MUSCLE INVASIVE BLADDER CANCER. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
415
|
Rosen D, Hanske J, Reznor G, Allard C, Meyer C, Eswara J, Chang S, Sun M, Nguyen P, Kibel A, Trinh QD, Preston M. MP57-19 THE INFLUENCE OF BOARD CERTIFICATION ON OUTCOMES AFTER RADICAL PROSTATECTOMY. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
416
|
Meyer CP, Hollis M, Cole AP, Hanske J, O‘Leary J, Gupta S, Löppenberg B, Zavaski ME, Sun M, Sammon JD, Kibel AS, Fisch M, Chun FK, Trinh QD. Complications Following Common Inpatient Urological Procedures: Temporal Trend Analysis from 2000 to 2010. Eur Urol Focus 2016; 2:3-9. [DOI: 10.1016/j.euf.2015.10.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2015] [Revised: 10/09/2015] [Accepted: 10/19/2015] [Indexed: 11/16/2022]
|
417
|
Zavaski ME, Meyer CP, Sammon JD, Hanske J, Gupta S, Sun M, Trinh QD. Differences in Prostate-Specific Antigen Testing Among Urologists and Primary Care Physicians Following the 2012 USPSTF Recommendations. JAMA Intern Med 2016; 176:546-7. [PMID: 26857148 DOI: 10.1001/jamainternmed.2015.7901] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
|
418
|
Raup V, Lu P, Meyer C, Loeppenberg B, Vetterlein M, Trinh QD, Eswara J. MP36-10 ARTIFICIAL URINARY SPHINCTER REINTERVENTION: OUTCOMES FROM A NATIONAL PROSPECTIVE DATABASE. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.1644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
419
|
Gelpi-Hammerschmidt F, Leow J, Rodriguez D, Tinay I, Allard C, Hanna N, Krasnow R, Meyer C, Zavaski M, Kibel A, Preston M, Trinh QD, Chang S. MP01-04 ONCOLOGIC AND PERIOPERATIVE OUTCOMES OF “CYTOREDUCTIVE” RADICAL CYSTECTOMY FOR PATIENTS WITH METASTATIC BLADDER CANCER IN THE UNITED STATES. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.1834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
420
|
Meyer CP, Allard CB, Sammon JD, Hanske J, McNabb-Baltar J, Goldberg JE, Reznor G, Lipsitz SR, Choueiri TK, Nguyen PL, Weissman JS, Trinh QD. The impact of Medicare eligibility on cancer screening behaviors. Prev Med 2016; 85:47-52. [PMID: 26763164 DOI: 10.1016/j.ypmed.2015.12.019] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2015] [Revised: 12/14/2015] [Accepted: 12/24/2015] [Indexed: 11/15/2022]
Abstract
INTRODUCTION Lack of health insurance limits access to preventive services, including cancer screening. We examined the effects of Medicare eligibility on the appropriate use of cancer screening services in the United States. METHODS We performed a cross-sectional analysis of the 2012 Behavioral Risk Factor and Surveillance System (analyzed in 2014). Univariable and logistic regression analyses were performed for participants aged 60-64 and 66-70 to examine the effects of Medicare eligibility on prevalence of self-reported screening for colorectal, breast, and prostate cancers. Sub-analyses were performed among low-income (<$25,000 annual/household) individuals. RESULTS Medicare-eligible individuals were significantly more likely to undergo all examined preventive services (colorectal cancer OR: 1.90; 95% CI 1.79-2.04; prostate cancer OR: 1.29; 95% CI 1.17-1.43; breast cancer OR: 1.23; 95% CI 1.10-1.37) and the effect was most pronounced among low-income individuals (colorectal cancer OR: 2.04; 95% CI 1.8-2.32; prostate cancer OR: 1.39; 95% CI 1.12-1.72; breast cancer OR: 1.42, 95% CI 1.20-1.67). Access to a healthcare provider was the strongest independent predictor of undergoing appropriate screening, ranging from OR 2.73 (95% CI 2.20-3.39) for colorectal cancer screening in the low-income population to OR 4.79 (95% CI 3.95-5.81) for breast cancer screening in the overall cohort. The difference in screening prevalence was most pronounced when comparing Medicare-eligible participants to uninsured Medicare-ineligible participants (+33.2%). CONCLUSIONS Medicare eligibility impacts the prevalence of cancer screening, likely as a result of increased access to primary care. Low-income individuals benefit most from Medicare eligibility. Expanded public insurance coverage to these individuals may improve access to preventive services.
Collapse
|
421
|
Meyer C, Sammon J, Löppenberg B, Leow J, Hanna N, Hanske J, Cole A, Abdollah F, Menon M, Sun M, Trinh QD. MP21-10 THE IMPACT OF MEDICARE ELIGIBILITY ON PROSTATE CANCER SCREENING BEHAVIORS. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
422
|
Cole A, Leow J, Chang S, Meyer C, Hanna N, Kibel A, Menon M, Sammon J, Abdollah F, Chung B, Sun M, Trinh QD. PI-04 SURGEON AND HOSPITAL VARIATION IN THE COSTS OF ROBOT-ASSISTED RADICAL PROSTATECTOMY IN THE UNITED STATES. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.1209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
423
|
Schmid M, Krishna N, Ravi P, Meyer CP, Becker A, Dalela D, Sood A, Chun FKH, Kibel AS, Menon M, Fisch M, Trinh QD, Sun M. Trends of acute kidney injury after radical or partial nephrectomy for renal cell carcinoma. Urol Oncol 2016; 34:293.e1-293.e10. [PMID: 27033047 DOI: 10.1016/j.urolonc.2016.02.018] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2015] [Revised: 01/23/2016] [Accepted: 02/22/2016] [Indexed: 12/01/2022]
Abstract
OBJECTIVES To investigate the prevalence, temporal trends, and predictors of postoperative acute kidney injury (AKI) in a large cohort of patients with renal cell carcinoma treated with radical or partial nephrectomy. METHODS Between January 1998 and December 2010, patients who underwent radical or partial tumor nephrectomy were identified within the Nationwide Inpatient Sample. First, prevalence and temporal trends of AKI were analyzed. Second, predictors of AKI were identified using multivariable regression analyses. Third, associations between AKI and in-hospital complications, length of stay, hospital costs, and in-hospital mortality were evaluated using logistic regression models adjusted for clustering. RESULTS Of total 253,046 patients, 5.5% (14,303 in radical and 3,525 in partial nephrectomy) experienced AKI. Rates of AKI significantly increased from 2.0% in 1998 to 10.4% in 2010 (P<0.001). Predictors of AKI included male sex, radical nephrectomy, more contemporary years (2004-2010), older age, black race, higher comorbidities, higher preoperative chronic kidney disease stage, Medicare insurance status, and nephrectomy at urban hospitals (all P<0.01). Postoperative AKI during hospitalization was associated with an increased rate of in-hospital mortality, any complications, transfusion, prolonged length of stay, and higher hospital costs (all P<0.001). CONCLUSIONS Rising rates of in-hospital AKI after radical and partial nephrectomy were observed. Increasing awareness of AKI, identification of patients at risk before surgery, early postoperative AKI diagnosis, collaboration with nephrologists, implementation of renoprotective strategies, long-term renal functional follow-up, and a well-designed prospective study, may be warranted.
Collapse
|
424
|
Cole AP, Abdollah F, Trinh QD. Observational Studies to Contextualize Surgical Trials. Eur Urol 2016; 70:231-2. [PMID: 26992277 DOI: 10.1016/j.eururo.2016.02.062] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2016] [Accepted: 02/26/2016] [Indexed: 11/19/2022]
|
425
|
Leow JJ, Chang SL, Trinh QD. Accurately determining patients who underwent robot-assisted surgery: limitations of administrative databases. BJU Int 2016; 118:346-8. [PMID: 26800034 DOI: 10.1111/bju.13423] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|