A5050331319- Prostate Cancer Diagnosis and Treatment
- Urinary Bladder and Prostate Research
- Patient-Provider Communication in Healthcare
- Prostate Cancer Treatment and Research
- Health Systems, Economic Evaluations, Quality of Life
- Pelvic floor disorders treatments
- Patient Satisfaction in Healthcare
- Global Cancer Incidence and Screening
- Healthcare cost, quality, practices
- Colorectal Cancer Screening and Detection
- Palliative Care and End-of-Life Issues
- Medical Malpractice and Liability Issues
- Hormonal and reproductive studies
- Healthcare Policy and Management
- Bladder and Urothelial Cancer Treatments
- Urological Disorders and Treatments
- Primary Care and Health Outcomes
- Health Promotion and Cardiovascular Prevention
- Urinary Tract Infections Management
- Cardiac, Anesthesia and Surgical Outcomes
- Genital Health and Disease
- Pharmacology and Obesity Treatment
- Marriage and Sexual Relationships
- Obesity, Physical Activity, Diet
- Lipoproteins and Cardiovascular Health
Massachusetts General Hospital
2016-2025
Harvard University
2016-2025
University of Kansas Medical Center
1992-2025
Health Decisions (United States)
2013-2024
Illinois Institute of Technology
2024
Institut de Recherche Agronomique de Guinée
2024
Mayo Clinic in Arizona
2022-2023
Decision Sciences (United States)
2022-2023
University of Kansas
2023
Northwell Health
2019-2022
A symptom index for benign prostatic hyperplasia (BPH) was developed and validated by a multidisciplinary measurement committee of the American Urological Association (AUA). Validation studies were conducted involving total 210 BPH patients 108 control subjects. The final AUA includes 7 questions covering frequency, nocturia, weak urinary stream, hesitancy, intermittence, incomplete emptying urgency. On revalidation, internally consistent (Cronbach's alpha = 0.86) score generated had...
Interview with Michael Barry on patient-centered care and shared decision making. (22:22)Download The most important attribute of is the active engagement patients when fateful health decisions must be made — they arrive at a crossroads medical options, where diverging paths have different consequences.
A symptom index for benign prostatic hyperplasia (BPH) was developed and validated by a multidisciplinary measurement committee of the American Urological Association (AUA). Validation studies were conducted involving total 210 BPH patients 108 control subjects. The final AUA includes 7 questions covering frequency, nocturia, weak urinary stream, hesitancy, intermittence, incomplete emptying urgency. On revalidation, internally consistent (Cronbach's α = 0.86) score generated had excellent...
The effectiveness of surgery versus observation for men with localized prostate cancer detected by means prostate-specific antigen (PSA) testing is not known.
To revise the 2003 version of American Urological Association's (AUA) Guideline on management benign prostatic hyperplasia (BPH).From MEDLINE® searches English language publications (January 1999 through February 2008) using relevant MeSH terms, articles concerning index patient, a male ≥45 years age who is consulting healthcare provider for lower urinary tract symptoms (LUTS) were identified. Qualitative analysis evidence was performed. Selected studies stratified by design, comparator,...
<h3>Importance</h3> Colorectal cancer is the third leading cause of death for both men and women, with an estimated 52 980 persons in US projected to die colorectal 2021. most frequently diagnosed among aged 65 74 years. It that 10.5% new cases occur younger than 50 Incidence (specifically adenocarcinoma) adults 40 49 years has increased by almost 15% from 2000-2002 2014-2016. In 2016, 26% eligible had never been screened 2018, 31% were not up date screening. <h3>Objective</h3> To update its...
The guideline purpose is to provide the urologist with a framework for early detection of prostate cancer in asymptomatic average risk men.A systematic review was conducted and summarized evidence derived from over 300 studies that addressed predefined outcomes interest (prostate incidence/mortality, quality life, diagnostic accuracy harms testing). In addition evidence, panel considered values preferences expressed clinical setting (patient-physician dyad) rather than having public health...
<h3>Importance</h3> Lung cancer is the second most common and leading cause of death in US. In 2020, an estimated 228 820 persons were diagnosed with lung cancer, 135 720 died disease. The important risk factor for smoking. Increasing age also a cancer. has generally poor prognosis, overall 5-year survival rate 20.5%. However, early-stage better prognosis more amenable to treatment. <h3>Objective</h3> To update its 2013 recommendation, US Preventive Services Task Force (USPSTF) commissioned...
<h3>Importance</h3> The number of deaths from cervical cancer in the United States has decreased substantially since implementation widespread screening and declined 2.8 to 2.3 per 100 000 women 2000 2015. <h3>Objective</h3> To update US Preventive Services Task Force (USPSTF) 2012 recommendation on for cancer. <h3>Evidence Review</h3> USPSTF reviewed evidence cancer, with a focus clinical trials cohort studies that evaluated high-risk human papillomavirus (hrHPV) testing alone or hrHPV...
Men with benign prostatic hyperplasia can be treated α1-adrenergic–antagonist drugs that relax smooth muscle or inhibit 5α-reductase and therefore reduce tissue androgen concentrations. However, the effects of two types have not been compared.
Advance directives for medical care and the designation of proxy decision makers to guide after a patient has become incompetent have been widely advocated but little studied. We investigated attitudes patients toward planning, perceived barriers such treatment preferences in four hypothetical scenarios, feasibility using particular document (the Medical Directive) outpatient setting specify advance directives.
The appropriate therapy for men with localized prostate cancer is uncertain. Until results of clinical trials are available, and their physicians need guidance.To estimate survival based on a competing risk analysis stratified by age at diagnosis histologic findings diagnosed as having clinically who were managed conservatively.Retrospective cohort study.Connecticut Tumor Registry.A total 767 between 1971 1984, aged 55 to 74 years diagnosis, either not treated or immediate delayed hormonal...
<h3>Importance</h3> Based on year 2000 Centers for Disease Control and Prevention growth charts, approximately 17% of children adolescents aged 2 to 19 years in the United States have obesity, almost 32% are overweight or obesity. Obesity is associated with morbidity such as mental health psychological issues, asthma, obstructive sleep apnea, orthopedic problems, adverse cardiovascular metabolic outcomes (eg, high blood pressure, abnormal lipid levels, insulin resistance). Children may also...
To estimate the probabilities of complications and follow-up treatment, a sample Medicare patients who underwent radical prostatectomy (1988 through 1990) was surveyed by mail, telephone, personal interview. Respondents reported their current status with respect to continence sexual function as well post-surgical treatments they had treat residual or recurrent cancer surgical complications. Over 30 percent currently wearing pads clamps deal wetness; over 40 said drip urine when cough...
We used a national data base to explore the epidemiology of physician visits for genitourinary symptoms or diagnosis prostatitis.We analyzed 58,955 by men 18 years old older office based physicians all specialties, as included in National Ambulatory Medical Care Surveys from 1990 1994. Physicians selected random sampling completed visit forms that information on patient reasons and diagnoses.From 1994, 5% ambulatory reason visit. In almost 2 million annually prostatitis was listed diagnosis,...
We previously found no significant differences in mortality between men who underwent surgery for localized prostate cancer and those were treated with observation only. Uncertainty persists regarding nonfatal health outcomes long-term mortality.
<h3>Importance</h3> By 2020, approximately 12.3 million individuals in the United States older than 50 years are expected to have osteoporosis. Osteoporotic fractures, particularly hip associated with limitations ambulation, chronic pain and disability, loss of independence, decreased quality life, 21% 30% patients who experience a fracture die within 1 year. The prevalence primary osteoporosis (ie, without underlying disease) increases age differs by race/ethnicity. With aging US...
We assessed the relationship between changes in scores for American Urological Association (AUA) symptom index and benign prostatic hyperplasia (BPH) impact with patient global ratings of improvement a large Veterans Affairs trial comparing different pharmacological therapies BPH.The primary analyses compared absolute score from baseline at 13 weeks 1,218 men.Subjects who rated themselves as being slightly improved had mean decrease AUA BPH 3.1 0.4 points, respectively. However, strongly...