A5065370223- Kidney Stones and Urolithiasis Treatments
- Pediatric Urology and Nephrology Studies
- Ureteral procedures and complications
- Medical Malpractice and Liability Issues
- Innovations in Medical Education
- Patient Safety and Medication Errors
- Healthcare cost, quality, practices
- Pelvic floor disorders treatments
- Diversity and Career in Medicine
- Renal and Vascular Pathologies
- Radiation Dose and Imaging
- Dialysis and Renal Disease Management
- Urological Disorders and Treatments
- Therapeutic Uses of Natural Elements
- Opioid Use Disorder Treatment
- Urinary Tract Infections Management
- Clinical Reasoning and Diagnostic Skills
- Cardiac, Anesthesia and Surgical Outcomes
- Paleopathology and ancient diseases
- Pelvic and Acetabular Injuries
- Patient Satisfaction in Healthcare
- Global Health Workforce Issues
- Clinical Laboratory Practices and Quality Control
- Healthcare Policy and Management
- Bladder and Urothelial Cancer Treatments
University of Pennsylvania
2016-2025
Hospital of the University of Pennsylvania
2014-2025
University of Pennsylvania Health System
2018-2024
Media Working Group
2021
GTx (United States)
2020
Philadelphia University
2011-2019
American Urological Association
2019
Johns Hopkins University
2016-2018
Johns Hopkins Medicine
2016-2017
University of Baltimore
2016-2017
<h3>Importance</h3> Many health systems are considering increasing price transparency at the time of order entry. However, evidence its impact on clinician ordering behavior is inconsistent and limited to single-site evaluations shorter duration. <h3>Objective</h3> To test effect displaying Medicare allowable fees for inpatient laboratory tests over 1 year. <h3>Design, Setting, Participants</h3> The Pragmatic Randomized Introduction Cost data through electronic record (PRICE) trial was a...
Several professional organizations have developed evidence-based guidelines for the initial evaluation, diagnostic imaging selection, symptomatic management, surgical treatment, medical therapy, and prevention of recurrence both ureteric renal stones. The purpose this article is to summarize these with reference strength evidence. All endorse an evaluation exclude concomitant infection, a non-contrast computed tomography scan, consideration expulsive therapy or intervention depending on...
No AccessJournal of UrologyAdult Urology1 Nov 2019National Variation in Opioid Prescription Fills and Long-Term Use Naïve Patients after Urological SurgeryThis article is commented on by the following:Editorial CommentEditorial Comment Ian Berger, Marshall Strother, Ruchika Talwar, Justin Ziemba, Christopher Wirtalla, Leilei Xia, Thomas Guzzo, M. Kit Delgado, Rachel Kelz BergerIan Berger *Correspondence: Jordan Medical Education Center, 6th Floor, 3400 Civic Center Blvd., Building 421,...
We developed prediction models for severe pain and urinary symptoms after ureteroscopy with ureteral stent placement. The development cohort included 424 adults adolescents enrolled in the multicenter STENTS prospective study who underwent placement stones. validation was an independent of 115 adults. outcomes were intensity interference, measured by Patient-Reported Outcomes Measurement Information System, symptoms, Ureteral Stent Symptom Questionnaire. top quartile on postoperative days 1...
The STudy to Enhance uNderstanding of sTent-associated Symptoms sought identify risk factors for pain and urinary symptoms, as well how these symptoms interfere with daily activities after ureteroscopy stone treatment.
The forgotten ureteral stent (FUS) can lead to patient morbidity. To date, tracking stents is a cumbersome task, given their high frequency of insertion and variable indwelling times. simplify this process, an application was developed track patients with stents. We report our initial user experience clinical outcomes application.Ureteral Stent Tracker™ (UST) secure, Health Insurance Portability Accountability Act (HIPPA)-compliant, cloud-based point-of-care application. It designed for...
To date, the ergonomics of flexible ureteroscopy (URS) have not been well described. We performed a study to assess biomechanical stresses on urologists performing URS and investigate effect ureteroscope type these parameters.Electromyography (EMG) was used quantify activation level muscle groups involved in URS. Surface EMG electrodes (Delsys, Boston, MA) were placed right left thenar, flexor carpi ulnaris (FCU), extensor (ECU), biceps, triceps, deltoid. Three endoscopes studied: single-use...
The public reporting of physician quality is mandated by the US federal government and made accessible through website Physician Compare. 1 However, Compare only several online resources that provide ratings to consumers. 2Despite widespread availability this information, little known about how consumers use it make decisions regarding health care, particularly when selecting a surgeon.
Purpose: To reduce the amount of opioids prescribed at discharge after robotic surgery, we hypothesized that majority patients do not require for pain control urologic onc...
Abstract Background Our objective was to describe day-to-day evolution and variations in patient-reported stent-associated symptoms (SAS) the STudy Enhance uNderstanding of sTent-associated Symptoms (STENTS), a prospective multicenter observational cohort study, using multiple instruments with conceptual overlap various domains. Methods In nested STENTS initial 40 participants having unilateral ureteroscopy (URS) stent placement underwent daily assessment self-reported measures Brief Pain...
Professional associations recommend ultrasound as the initial imaging study in children with suspected nephrolithiasis but computerized tomography remains frequently used. We identified patient and institutional characteristics associated first diagnosed emergency department.We performed a cross-sectional of 2 to 18 years old who were referred freestanding pediatric hospital from 2003 2012. modality used evaluate child. Medical directors at department where evaluated sent questionnaire...
Urolithiasis is a globally-distributed disease; however, its prevalence varies across countries and regions. Countries in the Middle East have been reported to particularly high nephrolithiasis rates. To date, we an incomplete understanding of composition stones seen this region. Therefore, performed study characterize stone over 14-year period Eastern Province Kingdom Saudi Arabia (KSA).A retrospective review all adult patients who had their upper urinary tract calculi analyzed at Johns...
CT is the gold standard for visualizing renal and ureteral calculi. three-dimensional reformatting allows automatic, accurate, reliable measurement of stone size, volume, density, location. In this study, we aimed to develop test a software platform capable calculating battery clinically important urinary parameters at point-of-care (POC).The syngo Calcium Scoring (Siemens Corporation) algorithm was modified identify calcium-based stones using an attenuation threshold (250 HU) within region...
Abstract Aims Patient satisfaction is paramount to health‐related quality of life (HR‐QoL) outcomes. High quality, quantitative data from the US describing patients’ actual experiences, difficulties, and HR‐QoL while on an intermittent self‐catheterization (ISC) regimen very scarce. Our objective was better understand patient practices with attitudes towards ISC. Methods This a cross‐sectional, multi‐centered, clinical study adult men women performing ISC in United States. Data collected...