A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery

26Jun
2017

A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery – Annals of Surgery (link to abstract – $ for full-text)

Source: EvidenceAlerts (free resource to find articles of interest)

“Antiplatelet therapy at the time of noncardiac surgery confers minimal bleeding risk with no difference in thrombotic complications. In many cases, it is safe to continue antiplatelet therapy in patients with important indications for their use”

 

AUA White Paper on Nonneurogenic Chronic Urinary Retention

21Jun
2017

Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery

20Jun
2017

PSA Test for Prostate Cancer

19Jun
2017

New Developments and Challenges in Rare Genitourinary Tumors: Non-Urothelial Bladder Cancers and Squamous Cell Cancers of the Penis

16Jun
2017

Kidney Cancer – NCCN Clinical Practice Guidelines

13Jun
2017

Drugs may help people pass larger kidney stones

13Jun
2017

Practice Guidelines for Preoperative Fasting

9Jun
2017

Short-term catheterisation: considerations for best practice

8Jun
2017

#ASCO2017 – Abiraterone for Prostate Cancer

5Jun
2017

American Urological Assn. Adds 5 More Unnecessary Practices to Choosing Wisely

23May
2017

Clinically Localized Prostate Cancer: AUA/ASTRO/SUO Guideline

11May
2017

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017

5May
2017

Trial of Transplantation of HCV-Infected Kidneys into Uninfected Recipients

5May
2017

Correspondence: Trial of Transplantation of HCV-Infected Kidneys into Uninfected Recipients – The New England Journal of Medicine (free)

Transplantation of HCV-infected-kidneys into uninfected recipients seems feasible in this era of direct-acting antiviral agents, maybe shortening waiting times for those willing to take the risk.

 

Urinary catheter care: what does the evidence say?

4May
2017

Urinary catheter care: what does the evidence say? – Cochrane Library (free)

“How frequently should indwelling urinary catheters be changed? Are catheter washouts effective? Which type of catheter reduces rates of urinary tract infection?”. This post look at the evidence regarding urinary catheter care.

 

ASCO Guideline on Castrate-Resistant Prostate Cancer

3May
2017

Mortality Trends After Surgical Safety Checklist

20Apr
2017

Approaches for Evaluation of Asymptomatic Microscopic Hematuria

20Apr
2017

Cost-effectiveness of Common Diagnostic Approaches for Evaluation of Asymptomatic Microscopic Hematuria – JAMA Internal Medicine (free)

Invited commentary: Asymptomatic Microscopic Hematuria – Rethinking the Diagnostic Algorithm (free)

Routine urinalysis for screening is not presently recommended by any major health organization, but asymptomatic microscopic hematuria is a common incidental finding. This study suggests that the combination of renal ultrasound and cystoscopy is the most cost-effective approach for the evaluation of these patients.

 

European Association of Urology releases its 1st thromboprophylaxis guideline

14Apr
2017

European Association of Urology releases its 1st thromboprophylaxis guideline (free)

 

Procedure-specific Risks of Thrombosis and Bleeding in Urological Cancer Surgery: Systematic Review and Meta-analysis – European Urology (free)

“Extended thromboprophylaxis is warranted in some procedures (eg, open and robotic cystectomy) but not others (eg, robotic prostatectomy without pelvic lymph node dissection in low-risk patients)

 

Procedure-specific Risks of Thrombosis and Bleeding in Urological Non-cancer Surgery: Systematic Review and Meta-analysis – European Urology (free)

“Extended prophylaxis is warranted for some procedures (eg, kidney transplantation procedures in high-risk patients) but not others (transurethral resection of the prostate and reconstructive female pelvic surgery in low-risk patients)”

 

Prostate Cancer Screening – Conflicting views on the new USPSTF draft recommendations

13Apr
2017

Prostate Cancer Screening Draft Recommendations – USPSTF

12Apr
2017

Prostate Cancer Screening Draft Recommendations – U.S. Preventive Services Task Force (free)

Viewpoint: The US Preventive Services Task Force 2017 Draft Recommendation Statement on Screening for Prostate Cancer: An Invitation to Review and Comment – JAMA (free)

See also: Should you get screened for prostate cancer? We break down the latest advice – STAT News (free)

For those aged 55 to 69 it recommends “informed, individualized decision making based on a man’s values and preferences”. According to a useful infographic from the draft recommendations, the benefits are likely small. For every 1000 men offered PSA based screening over a period of 10-15 years, the test would avoid cancer spreading in 3 men and death from prostate cancer in 1-2 men, with the undesired consequences of false positives and subsequent procedures in many patients.

 

Management of cystic renal lesions

5Apr
2017

American College of Radiology (ACR) Appropriateness Criteria Adds Topics

4Apr
2017

ACR Appropriateness Criteria Adds Topics, Covers More Clinical Variants Than Ever Before (free)

Browse Appropriateness Criteria Topics (free)

Source: Newswise

This comprehensive guide from American College of Radiology (ACR) covers 230 topics with more than 1,100 clinical indications and has just been updated. It is a very useful resource for doctors in all specialties to guide which exam is most appropriate in each clinical situation.

 

Erectile dysfunction in men exposed to the 5α-reductase inhibitors

30Mar
2017

Surgeries are being performed with the patient awake

27Mar
2017

Going Under the Knife, With Eyes and Ears Wide Open – New York Times (free access to 10 articles per month)

“More and more surgeries are being performed with the patient awake and looking on, for financial and medical reasons”.

 

Adverse Effects of Prostate Cancer Treatments

27Mar
2017
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