- Bladder and Urothelial Cancer Treatments
- Economic and Financial Impacts of Cancer
- Health Systems, Economic Evaluations, Quality of Life
- Urological Disorders and Treatments
- Healthcare Policy and Management
- Prostate Cancer Diagnosis and Treatment
- Urinary and Genital Oncology Studies
- Renal cell carcinoma treatment
- Prostate Cancer Treatment and Research
- Urinary Bladder and Prostate Research
- Pharmaceutical Economics and Policy
- Urinary Tract Infections Management
- Renal and related cancers
- Enhanced Recovery After Surgery
- Renal and Vascular Pathologies
- Pelvic floor disorders treatments
- Ureteral procedures and complications
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare cost, quality, practices
- Medication Adherence and Compliance
- Global Cancer Incidence and Screening
- Multiple and Secondary Primary Cancers
- Pediatric Urology and Nephrology Studies
- Advances in Oncology and Radiotherapy
- COVID-19 and healthcare impacts
University of Michigan
2023-2025
Massachusetts General Hospital
2024
Nuffield Orthopaedic Centre
2023
Mayo Clinic in Florida
2019-2022
WinnMed
2020-2022
Mayo Clinic in Arizona
2022
GTx (United States)
2022
Mayo Clinic Hospital
2018-2022
Phoenix (United States)
2018-2020
Oakland University
2016-2018
Importance Active surveillance in men with less aggressive prostate cancer is inconsistently used despite clinical guidelines. Renumeration generally favors treatment over conservative management and may contribute to the variable adoption of active surveillance, which suggests that value-based payment incentives promote guideline-concordant care. Objective To describe low-risk cancer, following initiation a novel incentive sponsored by commercial payer support its use. Design, Setting,...
Medicare Advantage (MA) managed care plans, now chosen by 51% of beneficiaries, are incentivized to constrain healthcare spending and utilization, a shift in financial incentives compared Traditional Medicare's fee-for-service payment model. Beyond its primary MA's mechanisms utilization may impact beneficiaries with prostate cancer through "spillover" effects on physician behavior. From 20% sample claims, we identified patients diagnosed from 2016 2019. We calculated MA penetration [MA...
Objectives To compare the enucleation efficiency of Moses 2.0 with non‐Moses technology in patients undergoing holmium laser prostate (HoLEP). Patients and Methods A double‐blinded, randomised study HoLEP at Mayo Clinic Arizona, using Lumenis Pulse™ 120H system. were to either right lobe left non‐Moses, or opposite. The primary outcome was individual efficiency. Secondary outcomes included time, energy, haemostasis energies, fibre burn back. Two independent reviewers watched videos...
Abstract Introduction Expensive oral specialty drugs for advanced prostate cancer can be associated with treatment disparities. The 340B program allows hospitals to purchase medications at discounts, generating savings that improve care of the socioeconomically disadvantaged. This study assessed effect hospital participation on cancer. Methods authors performed a retrospective cohort Medicare beneficiaries from 2012 2019. primary outcome was use an drug. Secondary outcomes included monthly...
Abstract Cancer treatment has become increasingly expensive, partially due to the use of specialty drugs. The costs these drugs are often passed down patients, who may face consequences paying for more than they can afford, leading financial toxicity. 340B drug pricing program is a health care policy that provide an opportunity mitigate cancer care. requires manufacturers sell outpatient at discount hospitals caring significant number socioeconomically disadvantaged individuals. intended...
Objectives To compare ureteroenteric stricture rates after radical cystectomy in patients who undergo an intracorporeal urinary diversion versus other surgical approaches. Methods We retrospectively reviewed health records of all underwent with at Mayo Clinic Hospital (Phoenix, AZ, USA) from 1 January 2007 through 2018. Ureteroenteric was identified by surveillance imaging. Patients were stratified approach: open cystectomy, robot‐assisted extracorporeal and cystectomy‐intracorporeal...
Introduction: This study aims to describe robot assisted surgery of the inferior vena cava (IVC) by assessing techniques utilized, perioperative outcomes, complications, and long-term patency IVC. Methods: A retrospective review was performed on all robotic surgeries involving dissection repair IVC at our institution. Patient characteristics, operative reports, follow-up visits were analyzed. Preoperative postoperative imaging independently reviewed a single radiologist determine changes in...
ABSTRACT Introduction and Objectives Prior work has demonstrated racial disparities in surgical outcomes for solid organ cancers. We sought to assess the relationship between hospital quality achievement of textbook among patients undergoing surgery prostate, kidney, bladder cancer. Methods used 100% national Medicare Provider Analysis Review files from 2017 2020 Patients (i.e., radical cystectomy), kidney or partial nephrectomy), prostate prostatectomy) genitourinary malignancies. Our...
Indwelling catheter placement is a modifiable risk factor for urethral trauma. We implemented multidisciplinary Foley Project protocol in June 2015, which consisted of system-wide education program, difficult urinary catheterization (DUC) algorithm, and skilled nursing team to improve patient outcomes. A retrospective review male DUC consults between 2014 September 2015 was performed. The preprotocol group includes received from May 2015. postprotocol There were 74 patients the 18 group....
No AccessUrology Practicethe Specialty1 Jan 2024Association Between Urologist Merit-Based Incentive Payment System Performance and Quality of Prostate Cancer CareThis article is commented on by the following:Editorial CommentEditorial Comment Avinash Maganty, Samuel R. Kaufman, Mary K. Oerline, Kassem Faraj, Megan E. V. Caram, Vahakn B. Shahinian, Brent Hollenbeck MagantyAvinash Maganty *Corresponding Author: MD, MS, Division for Health Services Research, Department Urology, University...