Robotic cystectomy may cut blood loss, hospital stay
Patients with muscle-invasive bladder cancer who undergo robot-assisted radical cystectomy may experience less blood loss and shorter hospital stays than those undergoing open cystectomy, results of a new randomized study indicate. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Upholding LCA policy on PCa agents would save $33M
If least costly alternative (LCA) policies for certain prostate cancer drugs had not been rescinded in 2010, Medicare expenditures would have been reduced by more than $33 million over 1 year, a new government report suggests. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Web reviews of urologists generally positive
Online reviews of urologists tend to be positive, but this consensus is generally composed of only two or three patient scores per physician, researchers report. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Studies examine recent prostate Ca screening trends
Two new studies shed light on recent trends in prostate cancer screening. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Keep recess in school, says AAP
Cutting recess to increase time for academics makes children less productive in the classroom and diminishes their social and emotional development. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Empiric MRSA therapy can stop if nasal/throat cultures are negative
NEW YORK (Reuters Health) - Empiric vancomycin for suspected healthcare-associated MRSA pneumonia can be stopped in most cases if nasal and throat cultures are negative, researchers say. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Major laparoscopic hepatectomy safe in selected patients
NEW YORK (Reuters Health) - Three different types of laparoscopic major hepatectomy, and traditional open liver resection, all yielded similar results in a systematic literature review by Japanese surgeons. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

No best antipsychotic for preventing schizophrenia relapse: study
NEW YORK (Reuters Health) - In a recent meta-analysis comparing long-acting injectable vs oral antipsychotics, there was no clear winner for preventing schizophrenia relapse. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Healthcare worker job outlook perception, reality don't match
Healthcare workers perceive that fewer jobs are available than reality suggests, but they also feel increasingly secure in their current positions, according to a new quarterly poll from staffing and human resources services firm Randstad Healthcare. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

AAP endorses concept of school physicians, nurses
The AAP says that all school districts should have a school physician to oversee student health services and policies. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

France may curb use of newer oral contraceptives
PARIS (Reuters) - French health regulators are studying limiting the use of contraceptive pills that carry health risks and will stop reimbursing prescription costs of some types from March, after a woman sued drugmaker Bayer over alleged side-effects. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Medicaid payments rise for child health care
Beginning January 1, Medicaid payment rates for pediatricians and physicians who care for children increased to at least those of Medicare for immunizations and primary care. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Work-life balance among biggest challenges facing primary care doctors
Lower reimbursements and maintaining a healthy balance between their work and personal lives are the top challenge facing primary care physicians today, according to a recent survey. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Nexavar (sorafenib) meets goal in thyroid cancer trial
FRANKFURT (Reuters) - German drugmaker Bayer said its cancer treatment Nexavar (sorafenib) reached a goal of improving the survival of patients with radioactive iodine (RAI) refractory differentiated thyroid cancer in a late-stage clinical trial. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Everolimus more effective than sirolimus in coronary stents
NEW YORK (Reuters Health) - Mortality rates are similar, but pooled data show other advantages when coronary stents are coated with everolimus rather than sirolimus, researchers say. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

U.S. approves health exchanges in four Republican-governed states
WASHINGTON (Reuters) - U.S. officials on Thursday gave four states currently governed by Republicans the green light to set up their own health insurance exchanges under President Barack Obama's healthcare reform law, an initiative largely opposed by Republicans. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Findings support shift away from hospitalization for pediatric pneumonia
NEW YORK (Reuters Health) - Researchers who earlier showed that kids with severe pneumonia can usually be managed as outpatients are now reporting some ways to identify the ones more likely to need hospitalization. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Pediatric professionals support strict gun control
The AAP is calling for federal action on stricter gun control and pledging its support for changes that will ensure the safety of children in their schools and communities. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Breast cancer survivors at no extra risk of second malignancy
NEW YORK (Reuters Health) - Older breast cancer survivors are no more likely than their peers to develop another malignancy over the next 15 years, a new study shows. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Primaquine protects against P. vivax malaria relapse
NEW YORK (Reuters Health) - Primaquine combined with newer non-chloroquine antimalarials killed dormant Plasmodium vivax parasites and prevented malaria relapse in a recent study of Indonesian soldiers. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Annual Pap tests? For some in US, old habits die hard
CHICAGO (Reuters) - An increasing number of younger women in the United States are delaying their first Pap test for cervical cancer until after they reach 21, reflecting new U.S. guidelines, health officials said on Thursday. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Most countries offer the Pill over-the-counter
NEW YORK (Reuters Health) - Unlike women in the U.S., Canada and much of Europe, most women in the world can access the birth control pill without a prescription, according to a new study. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Sperm donor to resist petition for child support
KANSAS CITY, Kan. (Reuters) - A Kansas man who donated sperm to a lesbian couple so they could have a child and now faces a petition for child support will resist the demand in court next week, one of his lawyers said on Wednesday. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Gambian leader plans herbal AIDS-cure hospital
BANJUL (Reuters) - AIDS patients would be offered an herbal cure at a 1,111-bed hospital in Gambia that the president said on Tuesday he plans to build despite medical concerns the treatment is dangerous. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

OPINION: Cliff deal offers hope of long-term care solution
CHICAGO (Reuters) - There's a lot of complaining about the fiscal cliff deal, but there is one notable bright spot: Congress agreed to take a hard look at long-term care. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Generic pill color switch tied to noncompliance
NEW YORK (Reuters Health) - People seem less likely to take their medications if the pill color changes between prescriptions, says a new study. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Use of new Boston Scientific device should be limited, one expert says
CHICAGO (Reuters) - Boston Scientific Corp's new leadless implantable heart defibrillator, hailed by some as a breakthrough, should be used on a limited basis until more data are collected, a prominent cardiologist wrote in an editorial of a top medical journal. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Premarital sex taboo can lead to tragedy in Oman
MUSCAT (Reuters) - When unmarried 19-year-old Sama got pregnant, she ran away from home to have an abortion rather than face family wrath. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

Antidepressants don't raise stillbirth risk: study
NEW YORK (Reuters Health) - Use of selective serotonin reuptake inhibitors (SSRIs) in pregnancy doesn't increase the risk of stillbirth, according to a new study of over one million Nordic women. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

WTC workers show higher incidence of prostate Ca
Among rescue and recovery workers exposed to dust, debris, and fumes following the World Trade Center terrorist attack, there was an increased incidence of prostate and thyroid cancers and multiple myeloma, although it is not clear how big a factor medical screening and non-WTC risk factors contributed to these increases, according to a recent study. (Source: Modern Medicine)
Source: Modern Medicine - January 3, 2013 Category: Journals (General) Source Type: news

2013 EHR Web Seminar Series
(Source: Modern Medicine)
Source: Modern Medicine - January 2, 2013 Category: Journals (General) Source Type: news

Total face mask may allow extended noninvasive ventilation
NEW YORK (Reuters Health) - In do-not-intubate patients in acute respiratory failure, switching to a total face mask may allow prolonged, continuous noninvasive mechanical ventilation (NIV), researchers report. (Source: Modern Medicine)
Source: Modern Medicine - January 2, 2013 Category: Journals (General) Source Type: news

Transfusing with lower Hb threshold safer for GI bleeding
NEW YORK (Reuters Health) - In patients with acute gastrointestinal bleeding, the current practice of not transfusing red cells until the hemoglobin (Hb) level falls below 7 g/dL lowers the risk of death and further bleeding, a team of Spanish doctors reports online today in the New England Journal of Medicine. (Source: Modern Medicine)
Source: Modern Medicine - January 2, 2013 Category: Journals (General) Source Type: news

Link between healthcare spending, quality unclear
NEW YORK (Reuters Health) - Whether states, hospitals and smaller practices that spend more money on healthcare provide better treatment is still an open question, according to a new meta-analysis. (Source: Modern Medicine)
Source: Modern Medicine - January 2, 2013 Category: Journals (General) Source Type: news

Physician groups respond to SGR patch with relief, disappointment
Physician organizations expressed relief, but also renewed their calls for action, following last-minute negotiations by lawmakers to stave off 28.5% in Medicare reimbursement cuts. (Source: Modern Medicine)
Source: Modern Medicine - January 2, 2013 Category: Journals (General) Source Type: news

Drug for chronic idiopathic constipation meets study goals
(Source: Modern Medicine)
Source: Modern Medicine - January 2, 2013 Category: Journals (General) Source Type: news

2013 EHR Web Seminar Series
(Source: Modern Medicine)
Source: Modern Medicine - January 2, 2013 Category: Journals (General) Source Type: news

Mass spectrometry aids Gram-negative bacteremia management
NEW YORK (Reuters Health) - A mass spectrometry technique for analyzing fragile biomolecules is superior to Gram staining for guiding treatment of Gram-negative bacteremia, Swiss researchers say. (Source: Modern Medicine)
Source: Modern Medicine - January 2, 2013 Category: Journals (General) Source Type: news

Uncomplicated S. aureus bacteremia needs 14 days of treatment
NEW YORK (Reuters Health) - Uncomplicated Staphylococcus aureus bacteremia should be treated for at least 14 days to prevent relapse, Korean researchers say. (Source: Modern Medicine)
Source: Modern Medicine - January 2, 2013 Category: Journals (General) Source Type: news

CT for kidney stones delivers more radiation to obese patients
NEW YORK (Reuters Health) - Obese patients absorb extra radiation from computed tomography (CT) scans, a new study shows. (Source: Modern Medicine)
Source: Modern Medicine - January 2, 2013 Category: Journals (General) Source Type: news

After liver transplant for HCV, better antiviral results with cyclosporine
NEW YORK (Reuters Health) - In patients transplanted for hepatitis C cirrhosis, the virus inevitably recurs. Now a new meta-analysis suggests that cyclosporine-based immunosuppression may be associated with a better response to antiviral therapy after transplant than tacrolimus-based protocols. (Source: Modern Medicine)
Source: Modern Medicine - January 2, 2013 Category: Journals (General) Source Type: news

ICD therapy effective in the real-world
NEW YORK (Reuters Health) - Implantable cardioverter-defibrillators (ICDs) work as well in the real-world as in clinical trials, a new study suggests. (Source: Modern Medicine)
Source: Modern Medicine - January 2, 2013 Category: Journals (General) Source Type: news

Maintenance nifedipine tocolysis doesn't improve perinatal outcomes
NEW YORK (Reuters Health) - Maintenance tocolysis with nifedipine after an initial course of tocolytics and corticosteroids did not improve perinatal outcomes relative to placebo in the large Dutch APOSTEL-II trial of women with threatened preterm labor. (Source: Modern Medicine)
Source: Modern Medicine - January 2, 2013 Category: Journals (General) Source Type: news

Surgery not helpful in metastatic neuroblastoma
NEW YORK (Reuters Health) - Primary resection of stage 4 neuroblastoma does not appear to confer any benefit, German researchers say. (Source: Modern Medicine)
Source: Modern Medicine - January 2, 2013 Category: Journals (General) Source Type: news

UPDATE: After liver transplant for HCV, better antiviral results with cyclosporine
NEW YORK (Reuters Health) - In patients transplanted for hepatitis C cirrhosis, the virus inevitably recurs. Now a new meta-analysis suggests that cyclosporine-based immunosuppression may be associated with a better response to antiviral therapy after transplant than tacrolimus-based protocols. (Source: Modern Medicine)
Source: Modern Medicine - January 2, 2013 Category: Journals (General) Source Type: news

UK norovirus cases reach over 1.1 million
LONDON (Reuters) - More than 1.1 million people in Britain have succumbed to norovirus so far this season, and health officials expect cases to jump higher after a Christmas and New Year dip. (Source: Modern Medicine)
Source: Modern Medicine - January 2, 2013 Category: Journals (General) Source Type: news

Are recession babies prone to be delinquent teens?
NEW YORK (Reuters Health) - A new analysis of data on U.S. teens born during the early 1980s ties slightly higher rates of adolescent smoking, drinking, arrests and thefts to macroeconomic conditions during the first year of life. (Source: Modern Medicine)
Source: Modern Medicine - January 2, 2013 Category: Journals (General) Source Type: news

Analysis bolsters expulsive therapy's cost-effectiveness
Patients who receive medical expulsive therapy as initial management for renal colic incur significantly lower episode-related expenditures than those undergoing early endoscopic stone removal, but are significantly more likely to have return visits to the emergency department, report researchers from the University of Michigan, Ann Arbor. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Expulsive therapy less costly than surgery for renal colic
Medical expulsive therapy for the initial management of uncomplicated acute renal colic, with eventual uretereoscopy if needed, is associated with less resource utilization and lower 6-week costs than early surgery, say researchers from the University of Michigan, Ann Arbor. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news

Like it or not, urology is a business
Sifting through the data that came out of Urology Times' recently released "State of the Specialty" survey, it's clear that the issues most concerning to urologists relate to the business side of practicing medicine. (Source: Modern Medicine)
Source: Modern Medicine - January 1, 2013 Category: Journals (General) Source Type: news