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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

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IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
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A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
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Urinary Tract Calculi III: Medical Management01:30

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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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Urinary Tract Infection IV: Nursing Management01:17

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In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
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Trends in Inpatient Urological Surgery Practice Patterns.

Scott R Hawken1, Lindsey A Herrel1, Chandy Ellimoottil1

  • 1Dow Division of Health Services Research, Department of Urology, University of Michigan, Ann Arbor, MI.

Urology Practice
|November 8, 2016
PubMed
Summary

Urologists are performing fewer types of surgeries and focusing more on specific areas. This trend toward specialization is more significant in urban areas compared to rural ones.

Keywords:
Physician Practice PatternsUrological Surgical ProceduresUrologyWorkforce

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Area of Science:

  • Urology
  • Surgical Practice Patterns
  • Healthcare Workforce Analysis

Background:

  • Aging population and declining urologist numbers necessitate understanding practice patterns.
  • Characterizing urological surgery trends is crucial for workforce planning.
  • Examining adult inpatient urological surgery trends over a five-year period.

Purpose of the Study:

  • To analyze trends in adult inpatient urological surgery practice patterns.
  • To assess changes in case-diversity and subspecialty-focus among urologists.
  • To compare practice pattern trends between urban and rural urologists.

Main Methods:

  • Utilized Nationwide Inpatient Sample (NIS) data from 2005-2009.
  • Classified surgeries into 7 clinical domains.
  • Assessed surgeon case-diversity, subspecialty, and subspecialty-focus annually.

Main Results:

  • Analyzed 144,138 inpatient surgeries from 2,237 urologists.
  • Observed a significant decrease in case-diversity (p<0.001).
  • Noted a significant increase in subspecialty-focus (p<0.001).

Conclusions:

  • Urologists' inpatient surgical practices are narrowing nationally.
  • There is a clear trend towards increased subspecialty-focus.
  • These trends are more pronounced in urban than rural practice settings.