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  1. Article ; Online: EDITORIAL COMMENT.

    Scales, Charles D

    Urology

    2023  Volume 177, Page(s) 40

    Language English
    Publishing date 2023-05-27
    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.2023.01.060
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Editorial Commentary.

    Scales, Charles D

    Urology practice

    2019  Volume 6, Issue 5, Page(s) 307

    Language English
    Publishing date 2019-07-11
    Publishing country United States
    Document type Journal Article
    ISSN 2352-0787
    ISSN (online) 2352-0787
    DOI 10.1097/01.UPJ.0000576996.92032.17
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Editorial Comment.

    Scales, Charles D

    The Journal of urology

    2018  Volume 200, Issue 6, Page(s) 1277

    MeSH term(s) Humans ; Kidney Calculi ; Prevalence ; United States
    Language English
    Publishing date 2018-09-20
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 3176-8
    ISSN 1527-3792 ; 0022-5347
    ISSN (online) 1527-3792
    ISSN 0022-5347
    DOI 10.1016/j.juro.2018.07.101
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Editorial Comment.

    Scales, Charles D

    Urology

    2017  Volume 106, Page(s) 37

    Language English
    Publishing date 2017-06-01
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 192062-5
    ISSN 1527-9995 ; 0090-4295
    ISSN (online) 1527-9995
    ISSN 0090-4295
    DOI 10.1016/j.urology.2017.03.055
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Leveraging behavioral modification technology for the prevention of kidney stones.

    Aksenov, Leonid I / Streeper, Necole M / Scales, Charles D

    Current opinion in urology

    2023  Volume 34, Issue 1, Page(s) 14–19

    Abstract: Purpose of review: The purpose of this review is to examine the use of technology to help promote and maintain behaviors that decrease stone recurrence.: Recent findings: Behavior change is a complex process with various interacting components. ... ...

    Abstract Purpose of review: The purpose of this review is to examine the use of technology to help promote and maintain behaviors that decrease stone recurrence.
    Recent findings: Behavior change is a complex process with various interacting components. Recent developments have sought to utilize technology in combination with behavioral change techniques to promote behavior that lowers stone recurrence risk. Smart water bottles are becoming a popular way to accurately measure fluid intake with variable impact on adherence to the recommended daily fluid intake. Mobile apps have also been explored as a method to improve fluid intake. Interventions that combine smart water bottles, mobile apps, and behavioral change techniques have shown the most promise in promoting increased daily fluid intake. Other technologies, such as smart pill dispensers and hydration monitors, have potential applications in promoting behavioral change for stone disease but have yet to be evaluated for this purpose.
    Summary: There is a limited number of studies exploring technology as a means to promote and maintain behaviors that decrease urinary stone recurrence. Future research is needed to elucidate how to maximize the potential of these technologies and better understand which behavioral change techniques best promote habit formation for the prevention of stones.
    MeSH term(s) Humans ; Kidney Calculi/prevention & control ; Urinary Calculi/prevention & control ; Drinking ; Technology
    Language English
    Publishing date 2023-11-14
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 1091792-5
    ISSN 1473-6586 ; 0963-0643
    ISSN (online) 1473-6586
    ISSN 0963-0643
    DOI 10.1097/MOU.0000000000001142
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Editorial Comment.

    Scales, Charles D

    The Journal of urology

    2016  Volume 195, Issue 5, Page(s) 1491

    Language English
    Publishing date 2016-01-29
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 3176-8
    ISSN 1527-3792 ; 0022-5347
    ISSN (online) 1527-3792
    ISSN 0022-5347
    DOI 10.1016/j.juro.2015.11.085
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Examining the role of frailty on treatment patterns and complications among older women undergoing procedure-based treatment for urinary incontinence.

    Parker-Autry, Candace Y / Bauer, Scott / Ford, Cassie / Gregory, W Thomas / Badlani, Gopal / Scales, Charles D

    The journals of gerontology. Series A, Biological sciences and medical sciences

    2024  

    Abstract: Background: Aging beyond 65 years is associated with increased prevalence of urinary incontinence (UI), frailty, and increased complication rate with UI treatments. To investigate this relationship, we examined frailty as a predictor of procedure-based ... ...

    Abstract Background: Aging beyond 65 years is associated with increased prevalence of urinary incontinence (UI), frailty, and increased complication rate with UI treatments. To investigate this relationship, we examined frailty as a predictor of procedure-based UI treatment patterns and urologic complications in Medicare-eligible women.
    Methods: We identified women undergoing procedures for UI between 2011-2018 in the 5% limited Medicare data set. A Claims-based Frailty Index (CFI) using data from the 12-months prior to the index procedure defined frailty (CFI≥0.25). Urologic complications were assessed during the 12-months following the index procedure. We used unadjusted logistic regression models to calculate odds of having a specific type of UI procedure based on frailty status. Odds of post-procedure urologic complications were examined with logistic regression adjusted for age and race.
    Results: We identified 21,783 women who underwent a procedure-based intervention for UI, of whom 3,826 (17.5%) were frail. Frail women with stress UI were 2.6 times more likely to receive periurethral bulking (95%CI 2.26-2.95), compared to non-frail. Conversely, frailty was associated with lower odds of receiving a Sling or Burch colposuspension. Among women with urgency UI or overactive bladder (OAB), compared to non-frail, frailty was associated with higher odds of both sacral neuromodulation (OR=1.21, 95%CI 1.11-1.33) and intravesical Botox (OR=1.16, 95%CI 1.06-1.28), but lower odds of receiving posterior tibial nerve stimulation. Frailty was associated with higher odds of post-procedure urologic complications (OR=1.64, 95%CI 1.47-1.81).
    Conclusions: Frailty status may influence treatment choice for treatment of stress or urgency UI symptoms and increase the odds of post-procedural complications in older women.
    Language English
    Publishing date 2024-01-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1223643-3
    ISSN 1758-535X ; 1079-5006
    ISSN (online) 1758-535X
    ISSN 1079-5006
    DOI 10.1093/gerona/glae027
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Incidence and cost of potentially avoidable emergency department visits for urolithiasis.

    Chadwick, Sara Jordan / Dave, Om / Frisbie, James / Scales, Charles D / Nielsen, Matthew E / Friedlander, David F

    The American journal of managed care

    2023  Volume 29, Issue 11, Page(s) e322–e329

    Abstract: Objectives: Urolithiasis represents a leading cause of emergency department (ED) presentation nationally, affecting approximately 10% of Americans. However, most patients require neither hospital admission nor surgical intervention. This study ... ...

    Abstract Objectives: Urolithiasis represents a leading cause of emergency department (ED) presentation nationally, affecting approximately 10% of Americans. However, most patients require neither hospital admission nor surgical intervention. This study investigates patient and facility factors associated with potentially avoidable ED visits and their economic consequences.
    Study design: Retrospective analysis.
    Methods: Patients presenting to the ED for index urolithiasis events were selected using Florida and New York all-payer data from the 2016 Healthcare Cost and Utilization Project state databases. Avoidable visits were defined as subsequent ED encounters following initial ED presentation that did not result in intervention, admission, or referral to an acute care facility. Utilizing multivariable logistic and linear regression, researchers discerned patient and facility factors predictive of avoidable ED presentations and associated costs.
    Results: Of the 167,102 ED encounters for urolithiasis, 7.9% were potentially avoidable, totaling $94,702,972 in potential yearly cost savings. Mean encounter-level costs were higher for unavoidable vs avoidable visits ($5885 vs $2098). In contrast, mean episode-based costs were similar for avoidable and unavoidable episodes ($7200 vs $7284). Receiving care in small metropolitan (vs large metropolitan) communities was associated with potentially avoidable visits, whereas increased comorbidities and Hispanic ethnicity were protective against avoidable visits.
    Conclusions: The incidence of ED use for subsequent urolithiasis care reveals opportunity for enhanced outpatient availability to reduce hospital-based costs. Several nonclinical factors are associated with potentially avoidable ED visits for urolithiasis, which, if appropriately targeted, may represent an opportunity to reduce health care spending without compromising the quality of care delivery.
    MeSH term(s) Humans ; United States ; Incidence ; Retrospective Studies ; Hospitalization ; Emergency Service, Hospital ; Urolithiasis/epidemiology ; Urolithiasis/therapy
    Language English
    Publishing date 2023-11-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2035781-3
    ISSN 1936-2692 ; 1088-0224 ; 1096-1860
    ISSN (online) 1936-2692
    ISSN 1088-0224 ; 1096-1860
    DOI 10.37765/ajmc.2023.89458
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Disparities in Prostate Cancer Screening for Transgender Women: An Analysis of the MarketScan Database.

    Premo, Hayley / Gordee, Alexander / Lee, Hui-Jie / Scales, Charles D / Moul, Judd W / Peterson, Andrew

    Urology

    2023  Volume 176, Page(s) 237–242

    Abstract: Objective: To describe the prevalence of PSA screening amongst transgender women. A transgender individual is someone whose gender identity differs from their birth sex or the societal norms of that assigned sex. There are no formal guidelines regarding ...

    Abstract Objective: To describe the prevalence of PSA screening amongst transgender women. A transgender individual is someone whose gender identity differs from their birth sex or the societal norms of that assigned sex. There are no formal guidelines regarding PSA screening in transgender women, even though they retain prostatic tissue throughout the gender-affirming process, and there is a lack of existing data to adequately inform clinical practice.
    Methods: We identified a cohort of transgender women in the IBM MarketScan dataset using ICD codes. The patient...s eligibility for inclusion was determined on an annual basis for the years 2013-2019. For each year, we required continuous enrollment, 3 months of post-transgender diagnosis follow-up, and aged 40-80 without a prior diagnosis of prostate malignancy. This cohort was compared to cisgender men with similar eligibility criteria. The proportions of individuals undergoing PSA screening were compared using log-binomial regression.
    Results: A group of 2957 transgender women met the inclusion criteria. We saw significantly lower PSA screening rates among transgender individuals for ages 40-54 and 55-69, but higher rates within the age group 70-80 (P.ß<.ß.001 for all).
    Conclusion: This is the first study evaluating PSA screening rates for insured transgender women. While the rates for screening in transgender women over the age of 70 are higher, the overall rate of screening for all other age groups lags below the general population in this dataset. Further investigation is necessary to provide equitable care for the transgender community.
    MeSH term(s) Humans ; Male ; Transgender Persons ; Gender Identity ; Early Detection of Cancer ; Prostate-Specific Antigen ; Prostatic Neoplasms/diagnosis ; Prostatic Neoplasms/epidemiology
    Chemical Substances Prostate-Specific Antigen (EC 3.4.21.77)
    Language English
    Publishing date 2023-03-25
    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.2023.03.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Tear film dynamics of a new soft contact lens.

    Buch, John / Riederer, Donald / Scales, Charles / Xu, Jie

    Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)

    2023  Volume 43, Issue 5, Page(s) 1070–1078

    Abstract: Purpose: To present the objective metrics from a study that evaluated the clinical performance of a senofilcon A contact lens, both with and without a new manufacturing technique.: Methods: This was a single-site, five-visit, controlled, randomised, ... ...

    Abstract Purpose: To present the objective metrics from a study that evaluated the clinical performance of a senofilcon A contact lens, both with and without a new manufacturing technique.
    Methods: This was a single-site, five-visit, controlled, randomised, subject-masked, 2 × 2 crossover study (May-August 2021) with a 2-week lens dispensing period (bilateral wear) and weekly follow-up visits. Healthy adult (18-39 years), habitual spherical silicone hydrogel contact lens wearers were included. The High-definition (HD) Analyzer™ was used to objectively measure the lens-on-eye optical system resulting from the study lenses at 1-week follow-up. Measurements assessed were vision break-up time (VBUT), modulation transfer function (MTF) cutoff, Strehl ratio (SR), potential visual acuity (PVA) for 100% contrast and objective scatter index (OSI).
    Results: Of the 50 enrolled participants, 47 (94.0%) were randomly assigned to one of the two possible lens wear sequences (test/control or control/test) and dispensed at least one study lens. The estimated odds ratio of VBUT > 10 s was 1.582 (95% confidence interval [CI]: 1.009 to 2.482) in test versus control lens. The least squares mean difference estimates of MTF cutoff, SR and PVA for 100% contrast between test versus control lens were 2.243 (95% CI: 0.012 to 4.475), 0.011 (95% CI: -0.002 to 0.023) and 0.073 (95% CI: -0.001 to 0.147), respectively. The estimated ratio of median OSI between test versus control lens was 0.887 (95% CI: 0.727 to 1.081). The test lens demonstrated superiority over the control lens with respect to VBUT and MTF cutoff. No serious adverse events were reported; eight adverse events (three ocular, five non-ocular) were indicated by six participants during the study.
    Conclusion: The test lens demonstrated an increased probability of having a longer VBUT (>10 s). Future studies may be designed to assess the efficacy and long-term use of the test lens in a larger population.
    MeSH term(s) Adult ; Humans ; Cross-Over Studies ; Contact Lenses, Hydrophilic/adverse effects ; Visual Acuity ; Vision, Ocular ; Silicones ; Tears
    Chemical Substances Silicones
    Language English
    Publishing date 2023-06-13
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 604564-9
    ISSN 1475-1313 ; 0275-5408
    ISSN (online) 1475-1313
    ISSN 0275-5408
    DOI 10.1111/opo.13169
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