Publications by authors named "Jeffrey Budzyn"
Background: Measuring quality of care indicators is important for clinicians and decision making in health care to improve patient outcomes. Objective: The primary objective was to identify quality of care indicators for patients with upper tract urothelial carcinoma (UTUC) and to validate these in an international cohort treated with radical nephroureterectomy (RNU). The secondary objective was to assess the factors associated with failure to validate the pentafecta.
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- Daily aspirin (pASA) use after cardiovascular interventions is common but raises concerns about bleeding risks during surgery, leading many to stop taking it before major procedures.
- A multicenter study analyzed 1,565 patients undergoing robotic partial nephrectomy (RPN), comparing outcomes of those on pASA (81 mg) to those not using it.
- The study found that while pASA use was associated with an increased risk of blood transfusions (11% vs 4%) and major complications (10% vs 3%), it may still be safe when performed by experienced surgeons, suggesting a need for further research on its role in such surgeries.
Background: Renal mass biopsy (RMB) has had limited and varied utilization to guide management of renal masses (RM).
Objective: To evaluate utilization of RMB for newly diagnosed cT1 RMs across diverse practice types and assess associations of outcomes with RMB.
Design Setting And Participants: MUSIC-KIDNEY commenced data collection in September 2017 for all newly presenting patients with a cT1 RM at 14 diverse practices.
We report a 31 year old female with urologic history significant for right ureteropelvic junction obstruction managed with open right pyeloplasty in 1996 with recurrent stricture managed with right ureterocalycostomy in 1997 along with right distal ureteroneocystostomy for iatrogenic distal ureteral stricture. She developed symptomatic stone episodes and recurrent urinary tract infections and elected to proceed with shockwave lithotripsy. Postoperatively she developed a large liver hemorrhage requiring supportive care and endovascular embolization.
View Article and Find Full Text PDFObjective: To describe and evaluate a risk-stratified triage pathway for inpatient urology consultations during the SARS-CoV-2 (COVID-19) pandemic. This pathway seeks to outline a urology patient care strategy that reduces the transmission risk to both healthcare providers and patients, reduces the healthcare burden, and maintains appropriate patient care.
Materials And Methods: Consultations to the urology service during a 3-week period (March 16 to April 2, 2020) were triaged and managed via one of 3 pathways: Standard, Telemedicine, or High-Risk.
Purpose Of Review: The goal of this paper was to evaluate the current use of enterocystoplasty, a historical operation for bladder dysfunction but with continued and increasing modern relevance.
Recent Findings: Since the advent of third line neuromodulation techniques for neurogenic and idiopathic overactive bladder (OAB), the usage of enterocystoplasty has decreased. However, this procedure continues to be utilized in pediatric urology patients and the most refractory OAB patients.