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 urologist visit, serum creatinine evaluation, and upper urinary tract imaging study within the 2-year period. Patients were classified to their most severe complication in a multivariate linear regression model. RESULTS:Among the 7162 patients with SCI, the majority were functionally paraplegic (82.4%) and Caucasian (80.9%). Among them, 4.9% received no screening studies over the 2-year period; 70.5% received some, but not all screening; and 24.6% received all three screening tests. Patients traveled a mean of 21.3 ± 27.5 miles to receive care. A total of 35.7% of patients saw a urologist during the 2-year period; 48.6% had some form of upper tract evaluation, with the majority being computed tomography scans; and 90.7% had serum creatinine evaluation. Of all patients, 35.8% had a minor complication during their 2-year follow up, 17.1% had a moderate complication, and 8.0% had a severe complication. In our prediction model, patient factors that correlated with increased complications included male gender, African American race, paraplegia, and receiving some or all of the neurogenic bladder recommended screening. Patients' distance of travel to their treating physician (urologist or physiatrist) did not affect the rate of complications. CONCLUSION:Urological complications are common in patients with SCI who receive Medicare. Most of these patients with SCI are not receiving even the minimum recommended surveillance for these urological complications.
journal_name
Urologyjournal_title
Urologyauthors
Cameron AP,Lai J,Saigal CS,Clemens JQ,NIDDK Urological Diseases in America Project.doi
10.1016/j.urology.2015.06.005subject
Has Abstractpub_date
2015-09-01 00:00:00pages
506-10issue
3eissn
0090-4295issn
1527-9995pii
S0090-4295(15)00588-9journal_volume
86pub_type
杂志文章相关文献
UROLOGY文献大全abstract::A case report of a plasma cell granuloma presenting as a solitary avascular intrarenal mass lesion is presented with angiographic and ultrasonic findings. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(76)90066-2
更新日期:1976-07-01 00:00:00
abstract:OBJECTIVES:Despite the introduction of the new World Health Organization 2004 grading classification, the grading of urothelial carcinoma remains difficult and subjective. The aim of this study was to evaluate the role of computer-assisted image morphometric analysis as a tool to improve the objectivity of histologic g...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.09.003
更新日期:2007-11-01 00:00:00
abstract::Recurrent transitional cell carcinoma of the bladder is often a locally progressive disease. Regional lymph node metastasis is a frequent finding and may be the first sign of recurrence. Involvement of the gastrointestinal tract is rare, but metastasis to the colon, small intestine, and stomach have been reported. Her...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/S0090-4295(99)80471-3
更新日期:1996-03-01 00:00:00
abstract:OBJECTIVES:Access to complex urinary tract pathology may require supracostal access placing patients at risk for intrathoracic complications. Our objective was to retrospectively review our experience with percutaneous renal surgery with a particular emphasis on identifying the incidence of nephropleural fistula and ma...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/j.urology.2004.03.031
更新日期:2004-08-01 00:00:00
abstract::Ochronosis is the clinical manifestation of alkaptonuria, a rare inborn error of metabolism. It is characterized by widespread pigmentation of the fibroconnective tissues, arthritis, and passage of dark urine. Prostatic involvement is usually limited to the incidental finding of calculi within the gland. Herein, we re...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(83)90502-2
更新日期:1983-08-01 00:00:00
abstract::Eosinophilic cystitis is a rare and poorly understood disorder. We report the first case of an acute flare of eosinophilic cystitis in a 51-year-old woman after bladder instillation with dimethyl sulfoxide (DMSO) for presumed interstitial cystitis. The patient presented with severe bladder pain, fever, and eosinophili...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.01.020
更新日期:2004-06-01 00:00:00
abstract:OBJECTIVES:This report focuses on the long-term follow-up of patients with endoscopically treated upper tract transitional cell carcinoma (TCC) to determine the effectiveness of endoscopic therapy. METHODS:From May 1983 to April 1994, 44 patients with TCC of the upper urinary tract underwent conservative endourologic ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/S0090-4295(96)00043-X
更新日期:1996-06-01 00:00:00
abstract:OBJECTIVES:Uncertainty exists regarding optimal prostate cancer screening parameters for high-risk populations. The purpose of this study is to report the use of percent free prostate-specific antigen (PSA) as an indication for biopsy in men at increased risk for developing prostate cancer who have a normal digital rec...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(02)02524-4
更新日期:2003-04-01 00:00:00
abstract::A 45-year-old woman had an asymptomatic abnormality on a screening abdominal radiograph. The radiopaque mass in her right upper abdomen was surrounded by numerous "pearls" and resembled an abalone on the supine abdominal radiograph. We advised an additional upright abdominal radiograph, which showed a calcium fluid le...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.03.056
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVES:Epididymectomy is an option for the relief of epididymal pain related to postoperative obstruction, epididymal cysts, or epididymitis. We performed 66 epididymectomies on 52 patients from 1996 to 2006 at our institution for localized epididymal pain. We evaluated the long-term symptomatic relief after epidid...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.03.080
更新日期:2007-08-01 00:00:00
abstract:OBJECTIVES:To test the delivery of prostaglandin E1 (PGE1) in novel transdermal liposomal formulations through foreskin and to determine whether there is a correlation between in vitro transdermal absorption and in vivo efficacy in patients with erectile dysfunction. METHODS:The in vitro transdermal absorption of PGE1...
journal_title:Urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0090-4295(98)00299-4
更新日期:1998-11-01 00:00:00
abstract::We report removal of a multicystic dysplastic kidney with a laparoscopic technique that uses only three trocar sites. Additionally, we have found placement of a ureteral catheter and full mechanical and antibacterial bowel cleansing unnecessary. The role of this surgery in the management of multicystic dysplastic kidn...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(94)80107-x
更新日期:1994-09-01 00:00:00
abstract:OBJECTIVES:To perform a biologic characterization of the urothelial neoplasms of patients in the intermediate-risk group using multicolor-fluorescence in situ hybridization (FISH). A general consensus has not been reached with regard to the optimal therapy and follow-up of patients with urothelial neoplasms at intermed...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2003.10.020
更新日期:2004-03-01 00:00:00
abstract::Diethylstilbestrol diphosphate (DES-P) has shown effective symptomatic relief in patients with metastatic carcinoma of the prostate. Although there is little known about its role in soft tissue metastasis, our experience in 3 patients with advanced carcinoma of the prostate infiltrating the trigone and ureterovesical ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(76)90084-4
更新日期:1976-06-01 00:00:00
abstract:OBJECTIVE:To determine if prostatic inflammation at the time of radical prostatectomy (RP) was associated with the International Prostate Symptom Score (IPSS). METHODS:We performed a proof of principle analytic case control study of patients who underwent RP between January 2005 and August 2008 for lower urinary tract...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2013.07.080
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:To describe the establishment and characterization of a human cell line, SEM-1, from a patient diagnosed with a mediastinal seminoma. METHODS:A small percentage of germ cell tumors develop as primary lesions in extragonadal sites, and the etiology of these tumors is poorly understood. Currently, only 2 cell ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.09.029
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVES:To determine the response to sildenafil citrate (Viagra) in patients with erectile dysfunction after radiation therapy for localized prostate cancer. METHODS:Baseline and follow-up data from 21 patients presenting with erectile dysfunction after radiation treatment for clinical T1-2 prostate cancer were obt...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(99)00146-6
更新日期:1999-08-01 00:00:00
abstract::Benign mesodermal tumors of the ureter are rare. A case of leiomyoma of the ureter is presented. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(86)90182-2
更新日期:1986-07-01 00:00:00
abstract:OBJECTIVES:To investigate protein expression and genetic aberrations of p53 and HER-2 in renal cell carcinoma (RCC) as well as possible association of p53 and HER-2 abnormalities with the tumor behavior of RCC. METHODS:Formalin-fixed and paraffin-embedded tissue blocks from 70 patients with RCC were studied. Protein e...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/S0090-4295(97)00258-6
更新日期:1997-10-01 00:00:00
abstract:OBJECTIVE:To conduct a prospective study to examine whether there are pretreatment and post-treatment disparities in urinary, sexual, and bowel quality of life (QOL) by race or ethnicity, education, or income in men with clinically localized prostate cancer (PCa.) METHODS: Participants (N = 1508; 81% white; 12% black; ...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2017.08.014
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of extracorporeal magnetic stimulation (EMS) on symptoms of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) in men who did not respond to pharmacotherapy. METHODS:Patients with chronic pelvic pain and/or voiding symptoms in the absence of urinary tract infection for at le...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/j.urology.2013.06.032
更新日期:2013-10-01 00:00:00
abstract::The clinical utility of positron emission tomography (PET) in renal cell carcinoma (RCC) has not been determined. We describe a case in which metastatic RCC undetected by traditional staging methods was accurately staged by PET. A 77-year-old man presented with a 20-lb weight loss and bilateral renal masses. Plain rad...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(99)00409-4
更新日期:2000-02-01 00:00:00
abstract::Systemic sclerosis (SSc, scleroderma), a connective tissue disorder involving multiple organ systems, can be a causal factor in erectile dysfunction. We present a case report and a review of the literature. Awareness of this association can hasten the detection of this disorder and influence management choices. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(99)80100-9
更新日期:1995-05-01 00:00:00
abstract:OBJECTIVES:Recent studies have shown that growth factors may play a role in the etiology of benign prostatic hyperplasia (BPH) and prostatic carcinoma. Several growth factors have been reported to be expressed by prostatic tissues, but these growth factors have never been examined in human fetal prostate and compared w...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(96)00376-7
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVES:To determine the effect of drainage on rabbit bladder blood flow after 4 weeks of partial outlet obstruction. Previous studies have shown that catheterization and drainage of the urinary bladder in control rabbits resulted in a significant nitric oxide-induced increase of blood flow to the bladder. It was al...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(01)01142-6
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVES:To correlate the clinical and urodynamic parameters with two measures of incontinence-specific quality of life (QOL), to describe the changes in those measures after treatment, and to explore the factors determining these changes. METHODS:A total of 82 incontinent women (mean age 52 years, range 28 to 80) u...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2003.07.022
更新日期:2004-01-01 00:00:00
abstract::Large-burden bladder stones often require percutaneous cystolithotomy or an open procedure. These approaches may not be feasible in certain patients who are at increased risk of operative complications. We present a novel technique for transurethral cystolitholapaxy using Amplatz sheath in the male urethra. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.07.022
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVES:A critical issue in the management of prostate cancer is the ability to distinguish patients at risk of disease recurrence. The aim of this study was to determine whether specific physical alterations of chromosome 8 may be associated with disease recurrence and poor outcome using postoperative prostate-spec...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(00)00468-4
更新日期:2000-05-01 00:00:00
abstract:OBJECTIVE:To assess the association between coenzyme Q10 (CoQ10) intake from food sources and semen quality. We assessed this association in a prospective cohort of men attending a fertility clinic. CoQ10 supplementation has been associated with improvements in semen parameters. However, the impact of CoQ10 intake from...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.11.022
更新日期:2017-04-01 00:00:00
abstract::Neonatal adrenal hemorrhage presenting as scrotal swelling has been reported in 17 cases, with unnecessary surgical exploration in 7. We report 2 new cases, emphasizing the knowledge of this clinical association and the role of ultrasonography in the differential diagnosis for this specific condition and in all cases ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(01)01610-7
更新日期:2002-04-01 00:00:00