Health Policy COE

Testicular Cancer in Hispanic Men: Survival Outcomes and Molecular Drivers - Nirmish Singla

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Ruchika Talwar host Nirmish Singla to discuss a study on testicular cancer outcomes in Hispanic men. Dr. Singla presents findings from a SEER registry analysis spanning 20 years, revealing that Hispanic patients are more likely to be diagnosed at a younger age but with more aggressive disease characteristics. The study shows lower cancer-specific survival for Hispanics with non-seminoma across all...

Impact of ACA on Gender-Affirming Care: Urology Study Insights - Akanksha Mehta & Eric Walton

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Ruchika Talwar interviews Eric Walton and Akanksha Metha about their study on the impact of legislation on access to gender-affirming care, published in the Gold Journal. The research examines the effects of the Affordable Care Act on insurance coverage for transgender and gender-diverse adults using the MarketScan Commercial Claims database from 2009 to 2022. The study reveals a significant incre...

Urologic Oncology Clinical Trials: Size, Scope, and Impact - Kristian Stensland

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Ruchika Talwar interviews Kristian Stensland about his publication in Urology Practice on the size and scope of urologic oncology clinical trials. Dr. Stensland discusses their analysis of trials registered on clinicaltrials.gov since 2007, revealing that over 100 patients enroll daily in urologic oncology trials, totaling about 28,000 participants annually. Despite this significant number, enroll...

Reducing Prescription Drug Costs: 4 Online Tools for Urology Patients - Benjamin Pockros

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Ruchika Talwar interviews Benjamin Pockros about his published work in Urology Practice, which explores online tools to reduce financial toxicity for urology patients. Dr. Pockros presents a framework of four key tools: Medicare Part D Plan Finder, GoodRx, Mark Cuban Cost Plus Drugs Company, and Amazon Pharmacy. They discuss how each tool can be applied to different patient scenarios, emphasizing...

Urologist Productivity Factors: RVU Analysis in Medicare Data - Logan Briggs

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Ruchika Talwar interviews Logan Briggs about his study on urologic practice productivity using work relative value units (RVUs). The research, published in Urology Practice, analyzes data from over 6,700 urologists using the CMS database from 2017-2018. Dr. Briggs discusses findings, including that years in practice is the strongest predictor of productivity, peaking 34 years after medical school...

Post-Prostatectomy Care: Variability in Treatment for Lymph Node Positive Prostate Cancer - Daniel Triner

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Ruchika Talwar hosts Daniel Triner to discuss a study on the management of lymph node-positive prostate cancer after radical prostatectomy. Using data from the Michigan Urological Surgery Improvement Collaborative (MUSIC), Dr. Triner's team analyzes treatment patterns for 666 patients. They find that approximately two-thirds of patients receive secondary treatment within 12 months, with variations...

Race-Conscious Medicine in Urology: Shifting from Race-Based Algorithms - Logan Galansky

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Ruchika Talwar hosts Logan Galansky to discuss the transition from race-based to race-conscious medicine in clinical algorithms. Dr. Galansky discusses the importance of integrating race as a contextual factor rather than a biological proxy to improve health equity. She highlights the AHRQ report, which identifies algorithms that reduce healthcare disparities, including two related to prostate can...

Addressing Burnout in Urology: Strategies for a Sustainable Career and Personal Well-being - Phillip Pierorazio

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Ruchika Talwar and Phil Pierorazio discuss the challenges of burnout and retention within the urology workforce. Dr. Pierorazio underscores the persistence of high burnout rates despite growing awareness and targeted efforts to mitigate them. He discusses the complex demands on urologists, highlighting the broad scope of care that extends beyond surgery to long-term patient management, which often...

Study Highlights Improved GU Cancer Care at NCI-Affiliated Safety Net Hospitals - Raj Bhanvadia

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Ruchika Talwar interviews Raj Bhanvadia about his research on the impact of partnerships between cancer centers and safety net hospitals on the care of genitourinary (GU) cancer patients. Dr. Bhanvadia highlights that safety net hospitals, which serve vulnerable populations, often have worse health outcomes. His study using the Texas Cancer Registry shows that safety net hospitals affiliated with...

Increasing Diversity in Urology Residency: SWIU Recommendations - Alexandra Tabakin

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Ruchika Talwar interviews Alexandra Tabakin about her publication on enhancing diversity, equity, and inclusion (DEI) in urology residency recruitment. Dr. Tabakin, representing the Society of Women in Urology (SWIU), shares insights from their task force, which was formed to promote DEI in residency recruitment. She emphasizes the importance of defining a program’s mission and values, conducting...