Abstract：
OBJECTIVE:To assess national and regional practice patterns and rates of pathologic specimen identification sent at time of pyeloplasty, as well as project associated costs, we used a national administrative database. The rate at which the excised ureteropelvic junction obstruction (UPJO) is sent for pathologic identification is variable, arguably without a clear clinical purpose. MATERIALS / METHODS:Utilizing a national administrative database of privately insured patients, 1496 individual cases were identified using international classification of diseases (ICD) and Current Procedural Terminology (CPT) coding. Patients from 0-18 years of age were included whose pyeloplasty was performed during 2010-2014. Patients who were and were not billed for pathologic identification at time of surgery were identified. Regional practice patterns and associated costs were determined. RESULTS:One thousand four hundred and ninety-six pyeloplasty cases were identified (68.2% males). Specimens were sent for pathologic identification in 827 cases (55%). Average age was 5.8 years for those without pathology and 4.6 years for those in whom a specimen was billed. Regionally, the Western United States was least likely to bill for surgical pathology (49%). The parental out-of-pocket payment for the encounter was on average $1518 for cases in which pathology was sent and $1398 for those cases for which no pathology bill was identified. CONCLUSION:Pediatric pyeloplasty is a common surgical procedure for which a pathologic specimen is sent in as many as 55% of cases in this cohort. Regional differences exist across the country and there is an associated slightly higher out-of-pocket cost in cases for which pathologic specimens are sent at time of pyeloplasty.
journal_name
Urologyjournal_title
Urologyauthors
Tipton T,Edwards K,Simpson K,Prasad M,Stec Adoi
10.1016/j.urology.2018.08.036subject
Has Abstractpub_date
2018-12-01 00:00:00pages
158-161eissn
0090-4295issn
1527-9995pii
S0090-4295(18)30925-7journal_volume
122pub_type
杂志文章相关文献
UROLOGY文献大全abstract：OBJECTIVES:To determine the preoperative and postoperative predictors of a short prostate-specific antigen (PSA) doubling time (PSADT) after radical prostatectomy for patients diagnosed during the PSA era. METHODS:Between 1989 and 2003, 1785 men underwent radical prostatectomy for 2002 American Joint Committee on Canc...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2004.10.041
更新日期：2005-03-01 00:00:00
abstract：:A 30-year-old man presented with intermittent leak of straw-colored fluid from his left lateral thigh, which on evaluation was diagnosed as prostatocutaneous fistula. Exploration and revision anastomotic urethroplasty was done and the patient remains asymptomatic in follow-up. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2013.04.023
更新日期：2013-08-01 00:00:00
abstract：OBJECTIVE:To investigate the relationship of lower urinary tract symptoms (LUTS) to urinary tract infection, prostatitis, sexually transmitted infection, lifetime sexual partner count, and recreational drug use in a population of men who have sex with men. LUTS in men are a source of considerable morbidity, distress, a...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2011.07.1412
更新日期：2012-01-01 00:00:00
abstract：OBJECTIVE:To determine the prevalence of 24-hour urine collection among first-time pediatric stone formers and investigate factors associated with its use. MATERIALS AND METHODS:Using data from the MarketScan Commercial Claims and Encounters Database (2002-2006), children presenting to the emergency department with an...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2014.04.035
更新日期：2014-08-01 00:00:00
abstract：OBJECTIVE:To evaluate the national patterns of urologic follow up after spinal cord injury (SCI) and the occurrence and predictors of urological complications. MATERIALS AND METHODS:This retrospective cohort study used a 5% sample of Medicare data 2007-2010. The minimum adequate urologic surveillance was defined as a ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2015.06.005
更新日期：2015-09-01 00:00:00
abstract：OBJECTIVES:To determine whether an association exists between C-reactive protein (CRP) levels and lower urinary tract symptoms (LUTS) as assessed by the American Urological Association Symptom Index (AUA-SI) among both men and women, and to determine the association of CRP levels with the individual urologic symptoms c...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.12.012
更新日期：2009-05-01 00:00:00
abstract：OBJECTIVE:To analyze whether strains positive for extended-spectrum β-lactamase (ESBL) affected the clinical course and progression to chronic prostatitis in patients with postbiopsy acute prostatitis. METHODS:From 2002 to 2011, 3657 patients underwent transrectal ultrasound-guided biopsy of the prostate, and 33 patie...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2013.02.040
更新日期：2013-06-01 00:00:00
abstract：:We present our experience with 2 spinal-injury patients tested for urinary incontinence via implanted sacral nerve electrodes. In each patient, spinal injury occurred at the T-12 level, with presentation of spontaneous detrusor activity. Associated weakness of the voluntary sphincter mechanism was evident urodynamical...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(91)80072-f
更新日期：1991-01-01 00:00:00
abstract：:The urinary sediment cytology is described in a case of malakoplakia involving the urinary bladder and the renal pelvis. The cytologic alterations are unique and can replace the invasive procedure such as biopsy. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(82)90136-4
更新日期：1982-11-01 00:00:00
abstract：:Between 1975 and 1985 132 patients underwent bilateral pelvic lymphadenectomy and insertion of Iodine 125 seeds for biopsy-proved localized carcinoma of the prostate. Surgical stages were A2 9 percent, B 64 percent, C 9 percent, and D1 18 percent. Operative mortality was zero. Short and long-term complications were le...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(93)90160-c
更新日期：1993-02-01 00:00:00
abstract：OBJECTIVE:To investigate the perception and value of virtual open houses for urology applicants in the COVID-19 era, since students can no longer attend subinternships and all interviews will be conducted virtually. METHODS:A Twitter survey was sent to 230 likely urology applicants connected through the UroResidency p...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.08.077
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVES:To determine whether men with chronic prostatitis/chronic pelvic pain syndrome have evidence of an autoimmune response to prostatic proteins. We examined men with a history of chronic prostatitis/ chronic pelvic pain syndrome for evidence of T lymphocyte reactivity to seminal plasma. METHODS:Patients underw...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/S0090-4295(97)00456-1
更新日期：1997-12-01 00:00:00
abstract：:Use of α-blockers for medical expulsive therapy (MET) has been the subject of huge debate in urology. Moreover, there have been a number of randomized controlled trials with differing results. We conducted a systematic review and meta-analysis of randomized controlled trials investigating the efficacy of α-blockers fo...
journal_title：Urology
pub_type： 杂志文章,meta分析
doi：10.1016/j.urology.2018.03.028
更新日期：2018-09-01 00:00:00
abstract：:We report 2 cases of concordant prune belly syndrome occurring in monozygotic twins. In addition to suggesting a genetic basis for this disease, our 12-year follow-up of these cases illustrates that these patients with an otherwise poor prognosis can have normal growth, development, and renal function with appropriate...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(00)00452-0
更新日期：2000-06-01 00:00:00
abstract：:Maximal androgen blockade (MAB), the eradication of the effects of adrenal androgens on prostate cancer cells after castration, has been used with differing success in the treatment of prostatic carcinoma. The aim of this randomized phase III study was to compare the efficacy and side effects of bilateral orchiectomy ...
journal_title：Urology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/0090-4295(93)90634-m
更新日期：1993-08-01 00:00:00
abstract：OBJECTIVE:To evaluate the effectiveness of cystoscopic lithotripsy, we performed Amplatz sheath technique using Ho: YAG laser. Maheshwari first reported the use of an Amplatz sheath in the female urethra in 1998, and Okeke et al reported the use of an Amplatz sheath for male patients during cystolithotripsy in 2004. Th...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2012.07.046
更新日期：2012-11-01 00:00:00
abstract：OBJECTIVES:To determine the incidence of urinary incontinence in men with prostate cancer treated with definitive external-beam radiation therapy and to analyze the impact of various patient and treatment variables on the development of urinary incontinence. METHODS:The records of all 758 men who received definitive e...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(96)00085-4
更新日期：1996-07-01 00:00:00
abstract：:A 78-year-old man with coagulopathy and lower urinary tract symptoms secondary to benign prostatic hyperplasia underwent transurethral prostate ethanol gel injection. Six months after the injection, the patient presented with irritative symptoms and hematuria. Ultrasonography revealed a 5-cm intravesical calculus. Cys...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2004.12.007
更新日期：2005-05-01 00:00:00
abstract：INTRODUCTION:We present our technique for clipless antegrade neurovascular bundle preservation during robotic laparoscopic radical prostatectomy, along with short-term follow-up of our patients' sexual function. TECHNICAL CONSIDERATIONS:Using the da Vinci three-arm robotic system, we performed robotic laparoscopic rad...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.03.015
更新日期：2005-08-01 00:00:00
abstract：OBJECTIVE:To evaluate asymptomatic men with elevated serum prostate-specific antigen (PSA) to determine whether a 6-week course of fluoroquinolone antibiotics lowers serum PSA and affects recommendations for prostate biopsy. MATERIALS AND METHODS:A randomized, single-center prospective trial of 150 men with an initial...
journal_title：Urology
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.urology.2015.11.046
更新日期：2016-04-01 00:00:00
abstract：:Percutaneous nephrostomy is a safe and highly effective means of urinary diversion. We report a case of unusual complications: severe peritonitis and massive intraperitoneal dissemination of carcinoma. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(85)90497-2
更新日期：1985-04-01 00:00:00
abstract：OBJECTIVES:To assess, using an Internet-based survey, the practice patterns of primary care physicians in the management of prostate disease and to assess the differences between family physicians and general internists. Prostate cancer and benign prostatic hyperplasia are common in the elderly population. The optimal ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(01)01504-7
更新日期：2002-02-01 00:00:00
abstract：OBJECTIVES:To investigate the effects of Uro-Vaxom, an oral vaccine against Escherichia coli urinary tract infections, on human monocyte-derived dendritic cells (moDCs). Dendritic cells (DCs) are important antigen-presenting cells of the immune system. DCs are considered promising cellular adjuvants for inducing immuni...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(02)01767-3
更新日期：2002-09-01 00:00:00
abstract：OBJECTIVES:To determine patient satisfaction with testicular prostheses (TP) for testicular cancer. Reconstruction represents an important part of surgical oncology, yet placement of TP following orchiectomy is infrequently performed. Improved data on patient satisfaction with TP would help in counseling patients with ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.12.006
更新日期：2018-04-01 00:00:00
abstract：OBJECTIVES:Positive margins predict an adverse outcome after radical retropubic prostatectomy (RRP). The effect of initial incision of the lateral pelvic fascia prior to urethral transection on positive margins rates is assessed. METHODS:The rate of positive margins in 350 consecutive RRPs is compared in two groups wi...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(97)00713-9
更新日期：1998-05-01 00:00:00
abstract：:We herein describe a case of adrenal hemorrhage on the right side in a forty-five-year-old woman. Her medical history did not show any evidence of an acute bleeding. The hematoma was removed and adrenalectomy performed. A veinectasis and a localized vasculitis are discussed as causes of bleeding. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(88)90320-2
更新日期：1988-08-01 00:00:00
abstract：OBJECTIVES:Contemporary audits and reviews of outcome after transurethral resection of the prostate (TURP) make little reference to failure to void following catheter removal after this operation. There have been few reports of the likelihood of a successful trial without a catheter after TURP related to mode of presen...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(98)00515-9
更新日期：1999-02-01 00:00:00
abstract：:Closed suprapubic cystostomy is an expeditious procedure for a variety of clinical conditions requiring urinary drainage. Its benignity is reflected by a low complication rate of 1.6 per cent and no deaths in this series of 244 consecutive patients. Nevertheless, major complications can occur if proper technique is no...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(78)90197-8
更新日期：1978-01-01 00:00:00
abstract：OBJECTIVES:The metallothioneins (MTs) are a family of small molecular weight trace metal and free radical scavenging proteins well established to play a role in the resistance to chemotherapy and radiotherapy in human cancers. MT gene expression is upregulated in response to the presence of metal ions such as zinc. Bec...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.12.032
更新日期：2006-06-01 00:00:00
abstract：:Kidney disease due to Aspergillus fumigatus is a rare finding in hyper-IgE syndrome. We report a patient with autosomal dominant hyper-IgE syndrome, recurrent pneumonia, and acute necrosuppurative pyelonephritis caused by Aspergillus fumigatus with a fatal outcome. We emphasize the severity and the difficulties in the...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2012.10.035
更新日期：2013-02-01 00:00:00
