scholarly journals Do Urology Male Patients Prefer Same-Gender Urologist?

2016 ◽  
Vol 12 (5) ◽  
pp. 1379-1383 ◽  
Author(s):  
Hadar Amir ◽  
Avi Beri ◽  
Ravit Yechiely ◽  
Yifat Amir Levy ◽  
Mordechai Shimonov ◽  
...  
Keyword(s):  
Medical Center ◽  
Medical Knowledge ◽  
Patient Characteristics ◽  
Gender Preference ◽  
Professional Skills ◽  
Anonymous Questionnaire ◽  
Male Patients ◽  
Same Gender ◽  
Actual Selection ◽  
Urology Clinic

There are several studies on patients’ preference for same-gender physicians, especially female preference for same-gender gynecologists. Data regarding the preferences of urology patients, of whom the majority are males, are scarce. The objective of this study is to assess provider gender preference among urology patients. One hundred and nineteen consecutive men (mean age 57.6 years) who attended a urology clinic in one university-affiliated medical center were prospectively enrolled. A self-accomplished 26-item anonymous questionnaire was used to assess patients’ preferences in selecting their urologist. Of the 119 patients, 51 (42.8%) preferred a male urologist. Patients exhibited more same-gender preference for physical examination (38.3%), or urological surgery (35.3%), than for consultation (24.4%). Most patients (97%) preferred a same-gender urologist because they felt less embarrassed. Four patient characteristics were identified to be significantly associated with preference for a male urologist: religious status, country of origin, marital status, and a prior management by a male urologist. Of these, religious status was the most predictive parameter for choosing a male urologist. The three most important factors that affected actual selection, however, were professional skills (84.6%), clinical experience (72.4%), and medical knowledge (61%), rather than physician gender per se. Many male patients express gender bias regarding their preference for urologist. However, professional skills of the clinician are considered to be more important factors when it comes to actually making a choice.

scholarly journals Objective Data Reveals Gender Preferences for Patients’ Primary Care Physician

2020 ◽  
Vol 11 ◽  
pp. 215013272096722
Author(s):  
Madelinn Fink ◽  
Kendall Klein ◽  
Kia Sayers ◽  
John Valentino ◽  
Claudia Leonardi ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physician ◽  
Care Physician ◽  
Gender Preference ◽  
Objective Data ◽  
Gender Preferences ◽  
Male And Female ◽  
Female Patients ◽  
Male Patients ◽  
Same Gender

Background and Objectives: Most studies based on self-reported data indicate that female patients more often than males have a same-gender preference for their primary care physician (PCP). Because self-reported preferences may not reflect true preferences, we analyzed objective data to investigate patients’ preferences for PCP gender. Methods: Analyses were performed on 2192 new patients seen within a university-based healthcare system by 13 PCPs (2 male, 11 female) during 2017. New patients were asked about their PCP gender preference when assigned a PCP. We compared the expected prevalence (proportion of males/females in overall patient population) and observed prevalence (gender distribution of patients for each PCP) by PCP gender. A mixed model with PCP as a random effect examined the odds of male and female patients being assigned a same-gender physician. Results: The expected prevalence of new patients was 65% female and 35% male. The observed prevalence (95% confidence interval [CI]) of male patients among male and female PCPs was, respectively, 59.7% (49.0%-69.5%) and 28.0% (24.0%-32.4%), with neither CI containing the expected prevalence of male patients (35%). Similarly, the observed prevalence of female patients among male and female PCPs was, respectively, 40.3% (95% CI 30.5%-51.0%) and 72.0% (95% CI 67.6%-76.0%), with neither CI containing the expected prevalence of female patients (65%). Conclusions: Both male and female patients often preferred to see a same-gender PCP with this preference more pronounced in males. Future research should seek to clarify the relationships between patients’ gender preferences, patient-physician gender concordance/discordance, patient satisfaction, and health outcomes.

Multi-Disciplinary Skull Base Conference and its Effects on Patient Management

2021 ◽  
pp. 000348942110212
Author(s):  
Nathan Kemper ◽  
Scott B. Shapiro ◽  
Allie Mains ◽  
Noga Lipschitz ◽  
Joseph Breen ◽  
...  
Keyword(s):  
Skull Base ◽  
Medical Center ◽  
Academic Medical Center ◽  
Significant Proportion ◽  
Internal Auditory Canal ◽  
Patient Characteristics ◽  
Management Plan ◽  
Case Review ◽  
Retrospective Case ◽  
Lateral Skull Base

Objective: Examine the effects of a multi-disciplinary skull base conference (MDSBC) on the management of patients seen for skull base pathology in a neurotology clinic. Methods: Retrospective case review of patients who were seen in a neurotology clinic at a tertiary academic medical center for pathology of the lateral skull base and were discussed at an MDSBC between July 2019 and February 2020. Patient characteristics, nature of the skull base pathology, and pre- and post-MDSBC plan of care was categorized. Results: A total of 82 patients with pathology of the lateral skull base were discussed at a MDSBC during an 8-month study period. About 54 (65.9%) had a mass in the internal auditory canal and/or cerebellopontine angle while 28 (34.1%) had other pathology of the lateral skull base. Forty-nine (59.8%) were new patients and 33 (40.2%) were established. The management plan changed in 11 (13.4%, 7.4-22.6 95% CI) patients as a result of the skull base conference discussion. The planned management changed from some form of treatment to observation in 4 patients, and changed from observation to some form of treatment in 4 patients. For 3 patients who underwent surgery, the planned approach was altered. Conclusions: For a significant proportion of patients with pathology of the lateral skull base, the management plan changed as a result of discussion at an MDSBC. Although participants of a MDSBC would agree of its importance, it is unclear how an MDSBC affects patient outcomes.

scholarly journals Unification of the Preparation of Schoolchildren of Medical Classes for Competitions of Pre-Professional Skills

2021 ◽  
Vol 1 (3) ◽  
pp. 173-174
Author(s):  
I. P. Levchuk ◽  
M. V. Kostyuchenko
Keyword(s):  
Natural Science ◽  
Medical Knowledge ◽  
First Aid ◽  
Vocational Guidance ◽  
Professional Skills ◽  
Work Program ◽  
Theoretical Part ◽  
Single Strategy

Currently, within the framework of vocational guidance for schoolchildren, quite active work is underway; since 2018, a pre-professional exam has been introduced, including in the theoretical part of the program in biology, chemistry, the basics of medical knowledge and other natural science subjects, in the practical part, first aid skills are assessed. However, until now there is no single strategy for preparing students for the first aid program. In order to unify the training of students in medical classes, a work program and a textbook for medical classes have been developed.

scholarly journals Efficacy of Use of Triamcinolone Ointment for Clean Intermittent Self Catheterization following Internal Urethrotomy.

2018 ◽  
Vol 56 (212) ◽  
pp. 745-748
Author(s):  
Sunil Regmi ◽  
Sunil Chandra Adhikari ◽  
Saroj Yadav ◽  
Rabin Raj Singh ◽  
Ravi Bastakoti
Keyword(s):  
Recurrence Rate ◽  
Patient Characteristics ◽  
Control Group ◽  
Internal Urethrotomy ◽  
Recurrence Rates ◽  
Urethral Strictures ◽  
Time To Recurrence ◽  
Water Based ◽  
Male Patients ◽  
Stricture Recurrence

Introduction: Internal urethrotomy is recommended for the treatment of urethral strictures shorter than 1.5 cm but has been associated with high recurrence rates. The aim of this study was to evaluate the efficacy of use of triamcinolone ointment for clean intermittent self catheterization in the prevention of urethral stricture recurrence after internal urethrotomy. Methods: Total of 60 male patients undergoing internal urethrotomy were assigned into two groups and clean intermittent self catheterization was performed using either triamcinolone ointment or a water-based gel for lubrication of the catheter in this randomized clinical trial. Clean intermittent self catheterization regimen was continued for 6 months and patients were followed for 12 months. Urethrocystoscopic evaluation was done 6 and 12 months postoperatively. Results: The recurrence rates were compared between the two groups. There were no significant differences in patient characteristics and etiology of the stricture between the two groups. There was a 6 (22.22%) recurrence rate in the patients of the triamcinolone group against 13 (46.42%) in those of the control group after the first internal urethrotomy (P=0.04). After second internal urethrotomy, the urethra was stabilized in 5 (83.3%) of the patients in the triamcinolone group and 8 (61.5%) those in the control group (P=0.05). We also found a significant correlation between recurrence and stricture length (P=0.02) but the time to recurrence was not statistically significant (P=0.16). Conclusions: The use of triamcinolone ointment in patients on CISC regimen after internal urethrotomy significantly decreased the stricture recurrence rate.

Impact of rapid infliximab infusions on access at a large academic tertiary medical center

2021 ◽  
Author(s):  
Antoinette Pusateri ◽  
Ashley Hatcher ◽  
Nisha Patel ◽  
Joy Lehman ◽  
Alice Hinton ◽  
...  
Keyword(s):  
Medical Center ◽  
Private Insurance ◽  
Clinical Information ◽  
Patient Characteristics ◽  
Infusion Time ◽  
Rheumatologic Disease ◽  
Future Directions ◽  
Patient Surveys ◽  
Inflammatory Bowel ◽  
To Receive

Abstract Purpose Infliximab promotes remission in patients with inflammatory bowel disease (IBD) and rheumatologic disease (RD). Rapid infliximab infusions (RI) reduce infusion time from 2 hours to 1 hour and can enhance access to care, as defined by capacity, safety, and patient characteristics. Our hypothesis for the study described here was that use of RI can enhance access for patients. Methods Data on all patients receiving infliximab for IBD or RD at our outpatient infusion center from February 2016 to August 2017 were retrospectively analyzed. Demographic and clinical information were collected. Results Of 348 patients who received infliximab, 205 had IBD and 143 had RD. In terms of capacity, 40% of patients received RI, resulting in a 16.1% decrease in average daily infusion time and a 9.8% increase in average daily available scheduled infusion chair time (P = 0.720). In terms of safety, 4 patients switched back to standard infusions after RI, after 3 specifically had reactions to RI. In terms of patient characteristics, more patients with RD versus IBD received RI (P = 0.020). Among the patients with RD, a lower proportion receiving RI were female (P = 0.043). For the patients with IBD, a higher proportion receiving RI were white (P = 0.048). Among both patients with RD and patients with IBD, a higher proportion receiving RI had private insurance (P = 0.016 and P = 0.018, respectively). Conclusion RI were safe and increased available chair time. Females with RD, patients of non-White race with IBD, and patients with public insurance were less likely to receive RI. Future directions include patient surveys and evaluation of implicit bias against patient factors that may impact access to RI.

scholarly journals Male patients’ gender preferences for hospital nurses

2019 ◽  
Vol 9 (9) ◽  
pp. 115
Author(s):  
Mitchell LeBlanc ◽  
Janet Bryanton ◽  
Kim Wood
Keyword(s):  
Nursing Students ◽  
Cognitive Theory ◽  
Hospital Setting ◽  
Gender Preference ◽  
Gender Preferences ◽  
Design Data ◽  
Cross Sectional ◽  
Male Patients ◽  
Suitable Framework ◽  
Beliefs And Attitudes

There has been limited research exploring the beliefs and attitudes of male patients regarding the gender of their nurses. These attitudes, as well as the factors affecting the gender-preference of male patients, must be explored in a flexible, holistic manner. The objective of our study was to explore key aspects of male patients’ beliefs and attitudes about the gender of their nurses in the hospital setting, as well as the factors that influenced those perceptions. We employed a descriptive, qualitative, cross-sectional design. Data were collected through one-on-one interviews, which were transcribed verbatim. A deductive and inductive approach using content analysis of each question was used to analyse the data. Ten male patients were interviewed. Initially, participants reported no gender preference for their nurses. The majority agreed that the nature of the task did not matter in their preference for a male or female nurse. Most suggested that females were inherently better suited to nursing than males due to their ability to be caring, nurturing, and detail-oriented. Bussey and Bandura’s Social Cognitive Theory of Gender Development and Differentiation was supported and provided a suitable framework for the study. There is a need for educational institutions to determine new ways to teach male nursing students to be caring, nurturing, and detail-oriented. Whether nurses are male or female, having a caring approach is important to patients, as well as possessing other ‘ideal’ characteristics.

scholarly journals Missed Diagnoses and Health Problems in Adults With Prader-Willi Syndrome: Recommendations for Screening and Treatment

2020 ◽  
Vol 105 (12) ◽  
pp. e4671-e4687
Author(s):  
Karlijn Pellikaan ◽  
Anna G W Rosenberg ◽  
Anja A Kattentidt-Mouravieva ◽  
Rogier Kersseboom ◽  
Anja G Bos-Roubos ◽  
...  
Keyword(s):  
Medical Center ◽  
Patient Characteristics ◽  
Health Problems ◽  
Pituitary Hormone ◽  
Prader Willi Syndrome ◽  
Living Situation ◽  
Systematic Screening ◽  
Vulnerable Patient ◽  
Physical Examinations ◽  
Vulnerable Patient Group

Abstract Context Prader-Willi syndrome (PWS) is a complex hypothalamic disorder, combining hyperphagia, hypotonia, intellectual disability, and pituitary hormone deficiencies. Annual mortality of patients with PWS is high (3%). In half of the patients, the cause of death is obesity related and/or of cardiopulmonary origin. Health problems leading to this increased mortality often remain undetected due to the complexity and rareness of the syndrome. Objective To assess the prevalence of health problems in adults with PWS retrospectively. Patients, Design, and Setting We systematically screened 115 PWS adults for undiagnosed health problems. All patients visited the multidisciplinary outpatient clinic for rare endocrine syndromes at the Erasmus University Medical Center, Rotterdam, Netherlands. We collected the results of medical questionnaires, interviews, physical examinations, biochemical measurements, polygraphy, polysomnography, and radiology. Main outcome measures Presence or absence of endocrine and nonendocrine comorbidities in relation to living situation, body mass index, genotype, and demographic factors. Results Seventy patients (61%) had undiagnosed health problems, while 1 in every 4 patients had multiple undiagnosed health problems simultaneously. All males and 93% of females had hypogonadism, 74% had scoliosis, 18% had hypertension, 19% had hypercholesterolemia, 17% had type 2 diabetes mellitus, and 17% had hypothyroidism. Unfavorable lifestyles were common: 22% exercised too little (according to PWS criteria) and 37% did not see a dietitian. Conclusions Systematic screening revealed many undiagnosed health problems in PWS adults. Based on patient characteristics, we provide an algorithm for diagnostics and treatment, with the aim to prevent early complications and reduce mortality in this vulnerable patient group.

scholarly journals Demographic Factors Associated with Anterior Tibial Tendon Pathology

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0027
Author(s):  
Matt Levitsky ◽  
Justin Greisberg ◽  
J. Turner Vosseller
Keyword(s):  
Tibialis Anterior ◽  
Specific Activity ◽  
Medical Center ◽  
Academic Medical Center ◽  
Patient Characteristics ◽  
Tensile Failure ◽  
Traumatic Rupture ◽  
Single Institution ◽  
Ankle Motion ◽  
Tendon Ruptures

Category: Sports, tendon Introduction/Purpose: The tibialis anterior serves an important role in ankle motion as it provides the majority of strength with dorsiflexion. Despite the importance of this muscle, there is a relative dearth of information regarding risk factors and demographic information that might predispose people to tendinopathy or rupture. The goal of this study is to further investigate the features of patients in a single institution who presented with either tibialis anterior tendinopathy or rupture. We also examined the ways in which these patient characteristics might differ in traumatic (patient remembers feeling a pop after a specific activity) versus atraumatic tendon ruptures (happened spontaneously without patient realizing). Methods: We used ICD-9 and ICD-10 codes to find patients who presented with tibialis anterior pathology to two foot and ankle surgeons at one academic medical center from 2007-2018. We made note of patient characteristics such as age, gender, BMI, and medical comorbidities. Physical examination findings, such as gastrocnemius equinus, were noted as well. Characteristics of patients with traumatic and atraumatic tibialis anterior ruptures were compared using Student’s T-tests and chi-squared tests. Results: The characteristics of 93 consecutive patients between 2007 and 2018 were analyzed. There were 80 cases of tendinopathy, and 13 cases of tibialis anterior rupture. The average age of our patient group was 56 years, and the ratio of female to male was 73:20 (3.67:1). The average BMI was 27.2 kg/m2. 15 patients had a gastrocnemius equinus (16%). 75 patients had a neutral arch (81%), 16 patients had pes planus (17%), and two patients had pes cavus (2%). With regards to those who ruptured, there were two traumatic ruptures and 11 atraumatic ruptures. Average age for traumatic rupture was 39 years compared to 73 for atraumatic rupture (p<.05). Average BMI for traumatic rupture was 21 compared to 27 kg/m2 (p>.05). Conclusion: Our study investigates the features of patients in a single institution who presented with tibialis anterior pathology. This pathology was much more common in women and generally occurred in an older cohort. With regards to tendon ruptures, though, younger patients tend to suffer traumatic ruptures, while older patients are more likely to suffer more degenerative ruptures that required less energy for tensile failure of the tendon.

Peripherally Inserted Central Venous Catheters: First Results after the Introduction in a Dutch University Medical Center

2008 ◽  
Vol 13 (3) ◽  
pp. 128-133 ◽  
Author(s):  
Anton J.H. van Boxtel ◽  
Monica C. Fliedner ◽  
Dirk M. Borst ◽  
Saskia C.C.M. Teunissen
Keyword(s):  
Dwell Time ◽  
Medical Center ◽  
Controlled Trial ◽  
Bloodstream Infections ◽  
Patient Characteristics ◽  
Positive Outcome ◽  
Seldinger Technique ◽  
First Results ◽  
Subclavian Catheter ◽  
Meta Analyses

Abstract Purpose: To analyze patient outcomes and processes of insertion after the introduction of the peripherally inserted central catheter (PICC) in the University Medical Center Utrecht (UMC Utrecht) in the Netherlands. Patients and method: A prospective analysis of PICC inserted in the UMC Utrecht looking at patient characteristics, dwell time and infections. Results: A total number of 510 PICCs in 439 patients with 17655 catheter days were analyzed using ultrasound (US) and modified Seldinger technique (MST). Overall there were 2.35 catheter-related bloodstream infections (CRBSI) per 100 devices and 0.68 infections per 1000 catheter days. When used specifically for home infusion, the CRBSI rates were 1.09 per 100 devices and 0.23 per 1000 catheter days. One advanced nurse practitioner (ANP) inserted all PICCs. Although a full sterile barrier (no hat and gown) was not used during insertion, the infection rate in our study was lower compared to the 1.1 infection per 1000 catheter days reported in a meta-analyses on CRBSI (Maki, Kluger, & Crnich, 2006). Conclusion: Through the use of modern techniques like US and MST and upper arm insertion of PICCs, the complication rate is lower compared to older techniques as shown in most prospective studies. Extended dwell time, as a positive outcome of using PICCs made more doctors decide to choose a PICC. Age of the patient did not influence dwell time or complications. Further research, preferably a randomized controlled trial, is needed to compare the subclavian catheter with the PICC as well as exploration of the effects of anticipatory choice for PICCs, specifically in immune compromised patients.

Chemotherapy-free interval following initial chemotherapy in patients with stage IV colorectal cancer

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e15096-e15096
Author(s):  
G. Melmed ◽  
C. Becerra ◽  
G. Saracino ◽  
E. Bowman ◽  
A. D. McCollum
Keyword(s):  
Colorectal Cancer ◽  
Medical Center ◽  
Financial Burden ◽  
Stage Iv ◽  
Progression Free Survival ◽  
Response Duration ◽  
Initial Response ◽  
Patient Characteristics ◽  
Health Care Economics ◽  
Free Interval

e15096 Background: Patients with metastatic colorectal cancer (mCRC) have improved survival due to recent advances in systemic therapy. It remains unclear whether patients responding to initial chemotherapy can be offered a chemotherapy free interval (CFI) without compromising survival. An initial CFI is potentially beneficial from a quality of life and health care economics standpoint. Methods: We studied patients with mCRC treated at Baylor University Medical Center (Dallas, TX) who had a CFI after first-line chemotherapy. Eligible patients had unresectable mCRC and had stable or responding disease after initial chemotherapy. Records were analyzed to record patient characteristics, chemotherapy details, initial response, duration of CFI, progression free survival (PFS), and overall survival (OS). Results: We identified 29 eligible patients treated between 11/02 and 11/08. Analyses are based on data from 8/08. Patient characteristics included: median age 63 (range 34–81), M/F 16/13, ECOG PS 0 (9) or 1 (20), and median number of sites of disease 2 (range 1–7). Initial chemotherapy regimens included mFOLFOX6 with or without bevacizumab (10), FOLFIRI/bevacizumab (12), XELOX/bevacizumab (2), 5-fluorouracil/leucovorin/bevacizumab (3), and capecitabine with or without bevacizumab (2). With a median follow-up of 31.1 months, the median duration of CFI was 8.0 months (95% CI: 4.3–9.6). In addition, the median OS was 33.7 months (95% CI: 27.8 -56.3) and PFS was 15.0 months (95% CI: 9.4–21.4). Conclusions: In this selected group of patients with mCRC, we found a CFI of 8 months. The OS nearing 34 months and PFS of 15 months compares favorably with other studies of patients treated for mCRC. An initial CFI may reduce the medical and financial burden of therapy for patients with mCRC without compromising outcomes and warrants further study. [Table: see text]

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