Publications by authors named "Katharine F Michel"
Article Synopsis
- CARE is a clinical trial that randomly assigns patients to receive either apixaban or enoxaparin for preventing blood clots after surgery.
- The study aims to evaluate how well patients stick to their medication, their satisfaction with the treatment, and the costs they have to pay out of pocket.
- It also looks at the rates of venous thromboembolism (VTE), which is a serious condition involving blood clots, in patients discharged after radical cystectomy.
Introduction: Both direct and indirect costs contribute to financial toxicity in prostate cancer. Indirect costs are difficult to assess and quantify and therefore remain understudied. We sought to describe the indirect costs of prostate cancer across risk groups as well as identify any associated sociodemographic factors.
View Article and Find Full Text PDFBackground And Objectives: Overactive bladder and its hallmark symptom, urgency, are thought to be multifactorial in pathogenesis. Smoking is a particularly important risk factor to understand because it is modifiable; studies evaluating an association between smoking and urgency have been inconclusive. We therefore sought to rigorously assess the relationship between smoking and urgency in terms of both a temporal and quantitative pack year history of smoking while controlling for other possible confounding factors.
View Article and Find Full Text PDFIntroduction: Financial toxicity has been described in stone formers; however, little is understood regarding its causes and how it may relate to stone surgery. We therefore aimed to longitudinally describe markers of financial strain in stone formers from the preoperative to postoperative time points.
Methods: A prospective cohort study was conducted from January 2022 to April 2023.
Article Synopsis
- Cigarette smoking is linked to higher risks of prostate cancer and mortality, with smokers being less likely to receive PSA screening compared to non-smokers, prompting the need for further investigation in this area.* -
- A survey of men aged 55 to 69 revealed that only 27% of current smokers underwent PSA screening, compared to 42% of never and former smokers, suggesting a significant disparity based on smoking status.* -
- The study concludes that current smokers are less compliant with recommended PSA screening guidelines, whereas former smokers are screened similarly to never smokers, indicating a potential target for interventions to improve early diagnosis and outcomes.*
Importance: Health insurance coverage is associated with improved outcomes in patients with cancer. However, it is unknown whether Medicaid expansion through the Patient Protection and Affordable Care Act (ACA) was associated with improvements in the diagnosis and treatment of patients with genitourinary cancer.
Objective: To assess the association of Medicaid expansion with health insurance status, stage at diagnosis, and receipt of treatment among nonelderly patients with newly diagnosed kidney, bladder, or prostate cancer.
Our objective was to identify the rate of revisit to either emergency department (ED) or inpatient (IP) following surgical stone removal in the ambulatory setting, and to identify factors predictive of such revisits. To this end, the AHRQ HCUP ambulatory, IP, and ED databases for NY and FL from 2010 to 2014 were linked. Cases were selected by primary CPT for shock-wave lithotripsy (SWL), ureteroscopy (URS), and percutaneous nephrolithotomy (PNL) with accompanying ICD-9 for nephrolithiasis.
View Article and Find Full Text PDFBackground: Robot-assisted radical prostatectomy (RARP) can generally be performed with 1-2 nights of postoperative monitoring before discharge from the hospital. Little is known about what causes individual patients to remain in hospital beyond the second postoperative day.
Methods: Data for RARPs performed between 2013 and 2015 were extracted from the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database.