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  1. Article ; Online: India Ink Tattooing of Ureteroenteric Anastomoses.

    Tuong, Mei N E / Prillaman, Grace E / Culp, Stephen H / Nelson, Marc / Krupski, Tracey L / Isharwal, Sumit

    Tomography (Ann Arbor, Mich.)

    2023  Volume 9, Issue 2, Page(s) 449–458

    Abstract: While upper tract access through the insensate conduit following urinary diversion takes less time and incurs fewer costs than percutaneous kidney access does for the treatment of ureter and kidney pathology, endoscopic ureteroenteric anastomoses (UEA) ... ...

    Abstract While upper tract access through the insensate conduit following urinary diversion takes less time and incurs fewer costs than percutaneous kidney access does for the treatment of ureter and kidney pathology, endoscopic ureteroenteric anastomoses (UEA) identification can be difficult. We injected India Ink into the bowel mucosa near the UEA during ileal conduit diversion (IC) to determine the safety and feasibility of ink tattooing. Patients undergoing IC were prospectively randomized to receive ink or normal saline (NS) injections. The injections were placed 1 cm from UEA in a triangular configuration, and loopogram exams and looposcopy were performed to identify reflux (UR), UEA, the tattooing site and strictures in 10 and 11 patients randomized with respect to ink and NS injections, respectively. Ink patients were older (72 vs. 61 years old,
    MeSH term(s) Humans ; Middle Aged ; Ureter/diagnostic imaging ; Ureter/surgery ; Ureter/pathology ; Cystectomy ; Pilot Projects ; Tattooing ; Urinary Bladder Neoplasms ; Anastomosis, Surgical/methods ; Retrospective Studies
    Chemical Substances chinese ink
    Language English
    Publishing date 2023-02-21
    Publishing country Switzerland
    Document type Randomized Controlled Trial ; Journal Article
    ISSN 2379-139X
    ISSN (online) 2379-139X
    DOI 10.3390/tomography9020037
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Urinary Incontinence Research: Compliance With Research Standards for Clinical Studies.

    Tuong, Mei N E / Patel, Nickhil A / Zillioux, Jacqueline M / Rapp, David E

    Urology

    2019  Volume 137, Page(s) 55–59

    Abstract: Objective: To perform an updated literature review to assess compliance with outcomes use and reporting guidelines. In 1997, the Urodynamics Society recommended standards of efficacy to be used for evaluation of treatment outcomes in urinary ... ...

    Abstract Objective: To perform an updated literature review to assess compliance with outcomes use and reporting guidelines. In 1997, the Urodynamics Society recommended standards of efficacy to be used for evaluation of treatment outcomes in urinary incontinence (UI). Studies published shortly after the release of these standards reported generally low rates of adherence.
    Methods: We reviewed all 2017 articles related to UI in 3 urologic journals (Journal of Urology [JU], Neurourology and Urodynamics [NU], and Urology [UR]). Articles were assessed for compliance with 19 standards across 3 categories (methodology, pretreatment, and post-treatment). Analysis focused on overall and category specific compliance, as well as comparison of compliance between journals.
    Results: A total of 78 articles met inclusion criteria for analysis. The mean overall compliance was 52% for all standards. JU demonstrated a higher compliance (63%) as compared to NU (50%) and UR (46%) (P <.01). No articles reviewed demonstrated 100% compliance with all standards. Only 23%, 6%, and 12% of JU, NU, and UR articles, respectively, demonstrated at least 75% compliance with all standards. In comparison of subcategory compliance, JU demonstrated a statistically higher methodology compliance (P <.01). In contrast, compliance with both pre- and post-treatment standards across all 3 journals demonstrated no statistically significant differences.
    Conclusion: Overall, we found that a significant percentage of recent study on UI fails to meet suggested standards for use and reporting of outcomes. These data suggest that continued efforts are needed to improve the quality and reporting of UI research.
    MeSH term(s) Biomedical Research/standards ; Clinical Studies as Topic ; Guideline Adherence/statistics & numerical data ; Humans ; Urinary Incontinence
    Language English
    Publishing date 2019-11-30
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 192062-5
    ISSN 1527-9995 ; 0090-4295
    ISSN (online) 1527-9995
    ISSN 0090-4295
    DOI 10.1016/j.urology.2019.11.032
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Evaluation of the Educational Impact of the Urology Collaborative Online Video Didactics Lecture Series.

    Tuong, Mei N E / Winkelman, Andrew J / Yang, Jennifer H / Sorensen, Mathew D / Kielb, Stephanie J / Hampson, Lindsay A / Hagedorn, Judith C / Conti, Simon L / Borofsky, Michael S / Ambani, Sapan N / Kern, Nora G

    Urology

    2022  Volume 167, Page(s) 36–42

    Abstract: Objective: To assess the impact of the Urology Collaborative Online Video Didactic (COViD) lecture series series on resident knowledge as a supplement to resident education during the coronavirus disease 2019 pandemic.: Methods: One hundred thirty- ... ...

    Abstract Objective: To assess the impact of the Urology Collaborative Online Video Didactic (COViD) lecture series series on resident knowledge as a supplement to resident education during the coronavirus disease 2019 pandemic.
    Methods: One hundred thirty-nine urology residents were voluntarily recruited from 8 institutions. A 20-question test, based on 5 COViD lectures, was administered before and after watching the lectures. Pre- and posttest scores (percent correct) and score changes (posttest minus pretest score) were assessed considering demographic data and number of lectures watched. Multiple linear regression determined predictors of improved scores.
    Results: Of residents recruited, 95 and 71 took the pre- and posttests. Median number of lectures watched was 3. There was an overall increase in correct scores from pretest to posttest (45% vs 57%, P < .01). Watching any lectures vs none led to higher posttest scores (60% vs 44%, P < .01) and score changes (+16% vs +1%, P < .01). There was an increase in baseline pretest scores by post-graduate year (PGY) (P < .01); however there were no significant differences in posttest or score changes by PGY. When accounting for lectures watched, PGY, and time between lecture and posttest, being a PGY6 (P = .01) and watching 3-5 lectures (P < .01) had higher overall correct posttest scores. Watching 3-5 lectures led to greater score changes (P < .001-.04). Over 65% of residents stated the COViD lectures had a large or very large impact on their education.
    Conclusions: COViD lectures improved overall correct posttest scores and increased knowledge base for all resident levels. Furthermore, lectures largely impacted resident education during the coronavirus disease 2019 pandemic.
    MeSH term(s) COVID-19/epidemiology ; Curriculum ; Educational Measurement ; Humans ; Internship and Residency ; Urology
    Language English
    Publishing date 2022-04-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 192062-5
    ISSN 1527-9995 ; 0090-4295
    ISSN (online) 1527-9995
    ISSN 0090-4295
    DOI 10.1016/j.urology.2022.02.032
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Publication of Positive Studies in the Urologic Literature.

    Rapp, David E / Tuong, Mei / Zillioux, Jacqueline / Patel, Nickhil / Shah, Jay / Ballantyne, Christopher

    Urology

    2020  Volume 146, Page(s) 90–95

    Abstract: Objective: To assessed rates of positive publications within the urologic literature, comparing the years 2012 and 2017.: Materials and methods: All studies published in Journal of Urology, Neurourology and Urodynamics, Urologic Oncology, Journal of ... ...

    Abstract Objective: To assessed rates of positive publications within the urologic literature, comparing the years 2012 and 2017.
    Materials and methods: All studies published in Journal of Urology, Neurourology and Urodynamics, Urologic Oncology, Journal of Endourology, and Urology in 2012 and 2017 were reviewed. The primary study outcome was proportion of positive studies. Additional article characteristics, including associated citations and subspecialty focus, were recorded and statistical analyses used to assess for differences in negative publication rates based on these variables.
    Results: A total of 1,796 articles meeting inclusion criteria were analyzed (2012, 959; 2017, 837). The overall proportion of positive studies decreased in comparison of 2012 and 2017. (90%-86%, P =.01). A statistically significant decrease was seen in 2 of 5 journals: Neurourology and Urodynamics (97%-87%, P = .01) and Journal of Endourology (93%-83%, P <.01). There were no significant differences in associated citations for positive vs negative studies in either year. Logistic regression focused on year and journal revealed that studies published in 2017 and Urology were more likely to be negative.
    Conclusion: The vast majority of studies within the urologic literature are positive, with only a small increase in negative study publication comparing 2012 vs 2017. Continued efforts are needed to identify publication bias and promote dissemination of negative research findings.
    MeSH term(s) Bibliometrics ; Publication Bias/statistics & numerical data ; Publication Bias/trends ; Urology/methods ; Urology/statistics & numerical data ; Urology/trends
    Language English
    Publishing date 2020-09-01
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Review
    ZDB-ID 192062-5
    ISSN 1527-9995 ; 0090-4295
    ISSN (online) 1527-9995
    ISSN 0090-4295
    DOI 10.1016/j.urology.2020.06.098
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Trends in Female Authorship Within Urologic Literature: A Comparison of 2012 and 2017.

    Zillioux, Jacqueline / Tuong, Mei / Patel, Nickhil / Shah, Jay / Rapp, David E

    Urology

    2020  Volume 150, Page(s) 35–40

    Abstract: Objective: To evaluate trends in female authorship in the recent urologic literature.: Methods: We examined articles published in 2012 and 2017 from 5 urologic journals: Journal of Urology, Journal of Endourology, Neurourology and Urodynamics, ... ...

    Abstract Objective: To evaluate trends in female authorship in the recent urologic literature.
    Methods: We examined articles published in 2012 and 2017 from 5 urologic journals: Journal of Urology, Journal of Endourology, Neurourology and Urodynamics, Urologic Oncology, and Urology. Gender was recorded for first, supplemental, and last authors. Articles were further categorized by subspecialty focus of the published article. Chi-square tests and multiple logistic regression modeling were used to assess for differences in female authorship by year, journal, and article subspecialty.
    Results: One thousand four hundred and thirty-three and 1374 articles were published in 2012 and 2017, respectively. There was a significant increase in all female authorship categories between years: first (19%-25%), last (12-16%), and any (67%-74%) (P<.01, all). By journal, the highest proportion of articles with any female authors for both years was in Neurourology and Urodynamics (80%, 2012; 85%, 2017) while lowest was in Journal of Endourology (49%, 2012; 54%, 2017). Likewise, female authorship was generally higher in female/voiding dysfunction /incontinence and lower in endourology subspecialty articles. Controlling for journal and subspecialty, multiple logistic regression analysis showed no change in last authorship between years.
    Conclusion: Overall female authorship in the urologic literature has increased in recent years. However, after controlling for journal and subspecialty we found no increase in female last authorship between years, suggesting that disparities in senior authorships exist based on journal and subspecialty topic. Our findings further suggest an authorship plateau, highlighting the importance of efforts to optimize advancement and promotion of women in academic urology.
    MeSH term(s) Authorship ; Female ; Humans ; Periodicals as Topic/statistics & numerical data ; Physicians, Women/statistics & numerical data ; Publishing/statistics & numerical data ; Publishing/trends ; Time Factors ; United States ; Urology
    Language English
    Publishing date 2020-09-02
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 192062-5
    ISSN 1527-9995 ; 0090-4295
    ISSN (online) 1527-9995
    ISSN 0090-4295
    DOI 10.1016/j.urology.2020.08.039
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Thermal ablation of the small renal mass: a critical analysis of current literature.

    Mershon, J Patrick / Tuong, Mei N / Schenkman, Noah S

    Minerva urologica e nefrologica = The Italian journal of urology and nephrology

    2019  Volume 72, Issue 2, Page(s) 123–134

    Abstract: Introduction: Thermal ablation is increasingly utilized as a management strategy for small renal masses (<4 cm). Partial nephrectomy is recognized as the gold standard; thermal ablation has been reserved for older patients with comorbidities due to ... ...

    Abstract Introduction: Thermal ablation is increasingly utilized as a management strategy for small renal masses (<4 cm). Partial nephrectomy is recognized as the gold standard; thermal ablation has been reserved for older patients with comorbidities due to concern for local tumor recurrence. As long-term data regarding the safety and efficacy of ablative techniques accumulate with encouraging results, clinicians are widening the utility in select patient populations. This review summarizes the currently available technologies in terms of procedural differences, oncologic outcomes, renal function, and complication rates.
    Evidence acquisition: A structured literature review was conducted using PubMed and Web of Science, using the keywords: "renal cell carcinoma," "ablation techniques," "cryosurgery," "radiofrequency ablation," "microwave ablation," "outcomes assessment," "post-operative complication," and "hospital costs." Articles were reviewed to summarize oncologic outcomes, complications, and impact on renal function of cryoablation, radiofrequency ablation, and microwave ablation.
    Evidence synthesis: Thermal ablation is a safe and effective management option for small renal masses in select patients, particularly in those with multiple tumors and/or those unable or unwilling to undergo more invasive surgery. Slightly higher rates of local recurrence rates (~1-10%) with thermal ablation are offset by lower complication rates and reduced morbidity, and equivalent or better renal function outcomes compared to surgery.
    Conclusions: The established modalities of cryo-, radiofrequency, and microwave ablation offer equivalent outcomes with similar complication rates; technique choice is primarily based on tumor characteristics and operator preference. Better quality evidence comparing thermal ablation with surgical nephron-sparing intervention is needed to make informed conclusions on efficacy.
    MeSH term(s) Ablation Techniques/methods ; Carcinoma, Renal Cell/surgery ; Humans ; Kidney Neoplasms/surgery ; Nephrectomy/methods
    Language English
    Publishing date 2019-12-12
    Publishing country Italy
    Document type Journal Article ; Review
    ZDB-ID 632505-1
    ISSN 1827-1758 ; 0393-2249 ; 0026-4989
    ISSN (online) 1827-1758
    ISSN 0393-2249 ; 0026-4989
    DOI 10.23736/S0393-2249.19.03572-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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