Publications by authors named "Devon M Langston"

Article Synopsis
  • The study investigates how male factor infertility relates to living in rural vs. urban areas using data from Utah, linking health, demographic, and fertility information from 1998 to 2017.
  • Results show that men in rural areas are less likely to be racial/ethnic minorities and to utilize assisted reproductive technologies, with complete rurality linked to poorer fertility outcomes and longer times to achieve success.
  • The conclusion emphasizes that living in urban areas is associated with better diversity, higher use of fertility treatments, and better outcomes, highlighting the need for tailored infertility care for rural populations.
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Objective: To assess the association between ethnicity and fertility outcomes for men in a statewide cohort.

Methods: We linked data from the Utah Population Database and Subfertility Health Assisted Reproduction and Environment database, to comprise a cohort of sub-fertile men who underwent semen analysis between 1998 and 2017 in Utah. A multivariable Cox proportional hazard model was constructed to understand the impact of ethnicity on fertility outcomes in our cohort.

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Introduction: Fournier's gangrene (FG), is a progressive, necrotizing soft tissue infection of the external genitalia, perineum, and/or anorectal region. How treatment and recovery from FG impacts quality of life related to sexual and general health is poorly characterized. Our purpose is to evaluate the long term impact of FG on overall and sexual quality of life using standardized questionnaires through a multi-institutional observational study.

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Objective: To develop and evaluate a mobile phone-based skills assessment tool that measures procedural competency of urology residents learning to perform a common, non-robotic urology procedure as a means of tracking current skillset and improvement over time.

Methods: The assessment tool was a Qualtrics survey accessed via a smartphone link that breaks down a vasectomy into 6 critical steps. Level of competency was measured on a scale of '1-novice' to '5-expert.

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Background: Emergency general surgery (EGS) patients are more socioeconomically vulnerable than elective counterparts. We hypothesized that a hospital's neighborhood disadvantage is associated with vulnerability of its EGS patients.

Materials And Methods: Area deprivation index (ADI), a neighborhood-level measure of disadvantage, and key characteristics of 724 hospitals in 14 states were linked to patient-level data in State Inpatient Databases.

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