Recent urology treatment studies have improved the reporting of harms in randomized trials, addressing adverse events, side effects, and complications. The analysis found a significant increase in reporting harms criteria from 2012 to 2020, with more than three-fourths of items addressed by 2020.
A study published in Medical Care reveals that Black Medicare beneficiaries are less likely to be referred for home health care, even when they have similar readiness for discharge scores. The disparity appears greatest among those with low readiness scores, raising concerns about systemic injustice in healthcare settings.
A recent study published in Plastic and Reconstructive Surgery reports that men prefer a moderately enhanced, well-proportioned appearance for their buttocks. The findings suggest that ratings from men and women were similar in terms of preferred proportions, with a focus on symmetry and avoiding a flat or protruding shape.
The study analyzed 31,700 breast augmentation cases and found changing practice patterns in surgical technique over time. The use of inframammary incisions increased, while peri-areolar incisions decreased. Submuscular implant placement also became more common, reflecting the latest research evidence.
A study of 452 Black pregnant patients found that 62% reported depression in combination with anxiety or stress. Prenatal screening for mental health concerns is necessary to address these co-occurring issues.
A special issue of Medical Care journal highlights the need to study economic impacts on patient outcomes, including trade-offs in family decision-making about health care. The studies aim to improve data collection and infrastructure to measure nonmedical economic outcomes and track economic well-being over longer periods.
A new conceptual model distinguishes between malleable and unmalleable factors, as well as pre- and post-diagnosis factors, to identify patients at risk of chemical coping with opioids. The model recommends universal screening, patient education, and mental health care to mitigate overdoses and deaths.
A study in the October issue of Plastic and Reconstructive Surgery found higher rates of mutilating hand injuries and amputations with side-by-side UTVs compared to all-terrain vehicles. UTV riders had three times the amount of mutilating injuries and nearly ten times the amount of amputations.
The journal publishes articles promoting solution-based approaches at individual, hospital, and policy levels to address DEI. The themed edition aims to eliminate healthcare disparities by fostering meaningful change and progress.
The National Association of Neonatal Nurses (NANN) survey results suggest that over 90% of its members believe the organization should pursue racial equity work. The organization has received specific suggestions for a strategic plan, including prioritizing research initiatives, providing continuing education credits, and increasing di...
A study by Grady Health System found that less than a quarter of employees could define health equity, emphasizing the need for education and clear communication. The hospital has established a new Chief Health Equity Officer to promote awareness and action on this critical issue.
Neurological soft signs (NSS) can distinguish people with schizophrenia from healthy individuals. Smartphone sensing technology offers a standardized assessment method, reducing subjective rating systems' barriers.
A study published in The Journal of Urology found that effective treatment for lower urinary tract symptoms in men aged 50 or older is associated with a lower risk of death over the next few years. For each one-point reduction in symptom score, the relative likelihood of death decreased by 4%, indicating a significant decrease in morta...
The journal's October 2023 issue addresses racism in reproductive health through a transdisciplinary approach, featuring articles on disparities, community engagement, and research. The special issue aims to promote health equity and inclusion, providing a safe space for historically marginalized people.
Researchers have successfully performed robotic bladder transplantation in human cadaver models and beating-heart donors. The technique aims to reduce surgical times and improve outcomes for patients with terminal bladder conditions.
A new article collection from Medical Care provides in-depth information on the costs of implementing evidence-based programs into routine clinical practice. The study, which received Implementation Award funding from PCORI, reports cost findings for various projects and healthcare sites.
Research suggests that psilocybin can lead to lasting reductions in depression symptoms by increasing openness to experience and promoting brain network flexibility. Clinical trials have demonstrated positive effects of psilocybin in treating psychiatric disorders, including major depressive disorder and treatment-resistant depression.
A beauty salon-based intervention improved knowledge and awareness of pre-exposure prophylaxis (PrEP) among Black cisgender women, increasing their trust in it. However, uptake was not affected, highlighting the need for re-evaluation of messaging to move women from intention to action.
Patients taking non-selective beta-blockers for knee pain have a 54% reduced risk of undergoing total knee arthroplasty. Prolonged use and high adherence to treatment also showed strong protective effects.
The CDC's Adapting Clinical Guidelines for the Digital Age (ACG) initiative introduces a new integrated process for developing written and computable clinical practice guidelines. This approach allows for feedback from clinicians and can save time and costs. The goal is to achieve a seamless, efficient, accurate, and consistent transla...
A recent study found that patients over 90 have higher complication and mortality rates after total hip arthroplasty (THA), but the risks can be minimized through careful patient selection and adequate preparation. Comorbidity has a major impact on THA risks, with certain conditions increasing the risk of complications and mortality.
The series emphasizes the importance of anesthesiologists in addressing unmet needs of patients with Substance Use Disorder (SUDs) in the perioperative period. Anesthesiologists are urged to adopt a broader approach to effective disease management, incorporating trauma-informed patient care and increased collaboration with addiction me...
A recent study found that around 80% of patients with erectile dysfunction (ED) have insurance coverage for penile implants, which is an evidence-based treatment option. However, some employer-sponsored health plans specifically exclude this treatment, leading to lower coverage rates and potential barriers to care.
A randomized trial found that the Optilume BPH Catheter System improves urinary symptoms while preserving sexual function in men with benign prostatic hyperplasia. The minimally invasive procedure, approved by the FDA earlier this year, offers a safe and effective treatment option for men with BPH.
A study analyzing films shows that characters with facial disfigurement who undergo successful plastic surgery are more likely to have happy endings. The researchers found that 67% of characters had fortunate or happy endings, while the rest had misfortunate endings.
A study in The Journal of the Association of Nurses in AIDS Care (JANAC) found that people with HIV who smoke have higher rates of comorbid health problems, particularly cardiovascular disease and mental health disorders. These comorbidities are associated with demographic factors such as age, race/ethnicity, and socioeconomic status.
The Multicultural Psychology Consultation Team (MPCT) fosters a network of clinicians and leaders interested in increasing access for people with rising identities. The team's efforts focus on building cultural humility, multiculturally responsive clinical care, and supporting providers delivering care.
A nurse researcher has developed new methods to detect bruises in patients with darker skin tones, providing a vital tool for improving diagnosis and treatment. The innovative approaches include the use of alternate light sources to identify bruises across a spectrum of skin tones.
Patients undergoing bilateral total knee arthroplasty are at a higher risk of complications such as pulmonary embolism, stroke, and blood loss anemia compared to those undergoing unilateral TKA. The study found that the risks of these complications were approximately doubled in the bilateral TKA group.
A study found that 79 patients experienced high financial toxicity, with 89% reporting hardship, and highlighted patient characteristics and coping strategies. Patients made personal sacrifices to remain compliant with treatments, including reducing spending and borrowing money.
A study published in Neurosurgery found that surgical stabilization of odontoid fractures is associated with better outcomes, including lower rates of nonunion, myelopathy, and mortality. The study used propensity score analysis to compare surgical stabilization with nonoperative treatment and found significant benefits in both surviva...
Infants with Medicaid are less likely to receive helmet therapy for deformational plagiocephaly (DP) than those with private insurance, according to a new study. Delayed treatment is also more common among Medicaid patients, who are about three times more likely to experience delayed evaluation and treatment.
A second-generation all-inside meniscal repair system demonstrates a high successful repair rate of 84-88% at 10 years, with low failure rates and no correlation to patient characteristics or surgical techniques. Patient-reported outcomes improve after meniscal repair and ACL reconstruction.
Researchers found that treatment with tranexamic acid (TXA) is associated with a decreased incidence of heterotopic ossification (HO), a common complication of abnormal bone formation. The study showed a significant reduction in HO risk, with an odds ratio of 0.49 and a 50% lower risk compared to patients not receiving TXA.
A survey study found that patients with health insurance, a primary care provider, and ongoing health needs are more likely to use online patient portals. Portal users tend to have higher levels of education and live in urban areas, while non-users cite lack of awareness and technical issues as reasons for not using the platforms.
A combination of intravenous and periarticular corticosteroids improves rehabilitation measures after knee replacement, but not pain relief. The study found that patients who received both IV and PA corticosteroids had better knee movement and walking distances compared to those who received either medication alone.
A combination of microneedling and cupping therapies has been found to significantly improve skin thickness and increase collagen levels in a study published in Plastic and Reconstructive Surgery. The experimental study examined the effects of adding cupping therapy to microneedling on skin regeneration and scar healing.
Researchers found bacterial DNA in surgical specimens of patients with hip and knee arthritis, revealing a microbiome in previously assumed sterile sites. The most common bacteria were Escherichia, Cutibacterium, Staphylococcus, Acinetobacter, and Pseudomonas.
A novel approach called theta-burst stimulation (TBS) offers a more convenient and efficient treatment option, reducing time burdens on patients and clinicians. The study concludes that accelerated delivery of TMS is safe and effective in treating MDD.
A study published in The Journal of Bone & Joint Surgery reports high 10-year implant survival and patient satisfaction rates for robotic-assisted medial knee arthroplasty. The procedure showed excellent outcomes, with over 90% of patients remaining satisfied without revision.
A study found that primary arthroscopy significantly improved symptoms and hip function in young adults with borderline hip dysplasia. The procedure showed a low rate of conversion to total hip replacement, with most patients experiencing long-term benefits.
A multicenter study found stereotactic radiosurgery to be highly effective in controlling vestibular schwannoma growth in NF2 patients while maintaining serviceable hearing. The procedure was also shown not to cause radiation-related tumor development or malignant transformation, addressing long-standing concerns.
Researchers at Mayo Clinic Arizona have developed a new intravesical chemotherapy delivery system called TAR-200, which is safe and shows initial evidence of effectiveness in treating muscle-invasive bladder cancer (MIBC) in frail patients. The treatment has been shown to limit cancer growth while minimizing toxic effects.
Patients with low sodium levels before or after total knee or hip arthroplasty are at increased risk of complications and adverse outcomes. Postoperative hyponatremia was linked to longer hospital stays, higher rates of discharge to rehabilitation centers, and readmission within 90 days.
A rapid genetic testing model identified pathogenic variants in 51 patients with advanced prostate cancer, leading to discussions of possible treatment changes for 22 patients. The streamlined approach detected actionable gene variants eligible for newer targeted therapies in nearly half of patients with these variants.
Researchers describe a new approach to constructing a nose in two young patients with congenital arhinia, a rare genetic disorder that causes the absence of the nose. The staged technique involves augmenting the underlying bones of the face and creating an external nose using tissue expansion and grafts.
A donation of nearly 120 rechargeable hearing aids has been made to address the hearing health care crisis among Ukrainian refugees in Poland. The Heart of Hearing team, led by King Chung, PhD, conducted a successful otoscopy exam and fitting session for approximately 66 individuals who needed hearing aids for the first time.
A study found that telemedicine visits did not adversely affect the quality of care for patients with major depression, and even improved some aspects of care. The transition to virtual visits also led to increased adherence to measurement-based care practices.
A seven-component treatment program, including prompt medical assessment and co-constructing a formulation with the child and family, has been successful in managing FND in children and adolescents. Most healthcare professionals can easily add an FND-informed skill set to their current clinical practice.
A randomized trial found that CBD oil did not reduce pain scores after surgical treatment and stent placement for patients with urinary stones. The study involved 90 patients who received either CBD oil or a placebo, with no significant difference in pain reduction or opioid use between the two groups.