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781 results on '"Kaufman, A."'

4. WATER: A Double-Blind, Randomized, Controlled Trial of Aquablation® vs Transurethral Resection of the Prostate in Benign Prostatic Hyperplasia

Author

Gilling, Peter, Barber, Neil, Bidair, Mohamed, Anderson, Paul, Sutton, Mark, Aho, Tev, Kramolowsky, Eugene, Thomas, Andrew, Cowan, Barrett, Kaufman, Ronald P., Jr., Trainer, Andrew, Arther, Andrew, Badlani, Gopal, Plante, Mark, Desai, Mihir, Doumanian, Leo, Te, Alexis E., DeGuenther, Mark, and Roehrborn, Claus

Published
2018
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18. Associations Between Unmet Social Needs and Overactive Bladder

Author

Elisabeth M. Sebesta, Stephanie Gleicher, Melissa R. Kaufman, Roger R. Dmochowski, and W. Stuart Reynolds

Subjects
Adult, Cross-Sectional Studies, Urinary Bladder, Overactive, Urology, Surveys and Questionnaires, Humans, Female, Anxiety, Middle Aged, United States, Aged
Abstract

There is growing interest in how social determinants of health may explain relationships between social conditions and health. Overactive bladder is common in the United States, posing a significant public health burden. It was the goal of the present study to assess whether overactive bladder was associated with unmet social needs in a large, cross-sectional sample of patients.A community-based sample of adults was recruited electronically to complete questionnaires on clinical and demographic information, urinary symptoms and unmet social needs. Multivariable logistic regression was used to assess for association between overactive bladder and multiple unmet social needs.The sample of 3,617 participants had a mean±SD age of 47.9±17.3 years. The majority of participants identified as White, non-Hispanic (83.5%), and female (77.6%). A total of 1,391 patients (38.5%) were found to have overactive bladder. The presence of overactive bladder was associated with numerous unmet social needs, including housing instability, food insecurity, worry about utilities, lack of transportation, skipping medical appointments, needing legal help, stress in personal relationships, worry about toilet access and plumbing at home, and lack of social supports. On multivariable analysis adjusting for multiple covariates, all associations between overactive bladder and social needs remained significant.Multiple unmet social needs were associated with overactive bladder, which may have implications for the overall management of overactive bladder patients. It is important for providers to consider these unmet social needs of patients, as highlighting and addressing these factors hopefully can help improve care of individuals with overactive bladder.

Published
2022

46. The AUA/SUFU Guideline on Adult Neurogenic Lower Urinary Tract Dysfunction: Treatment and Follow-up

Author

Erick Keays, Eric S. Rovner, Stephen R. Kraus, Angelo E. Gousse, Timothy B. Boone, Lesley Souter, Claire C. Yang, Gary E. Lemack, Melissa R. Kaufman, Anne P. Cameron, Michael J. Kennelly, and David A. Ginsberg

Subjects
Adult, medicine.medical_specialty, medicine.drug_class, medicine.medical_treatment, Urinary system, Urology, Aftercare, Risk Assessment, Lower Urinary Tract Symptoms, Indwelling catheter, medicine, Anticholinergic, Humans, Intermittent Urethral Catheterization, Urinary Bladder, Neurogenic, Adrenergic alpha-Antagonists, Societies, Medical, business.industry, Urinary diversion, Guideline, Botulinum toxin, Combined Modality Therapy, United States, Exercise Therapy, Urodynamics, Bladder augmentation, Urologic Surgical Procedures, Treatment decision making, business, Decision Making, Shared, medicine.drug
Abstract

The clinician treating patients with neurogenic lower urinary tract dysfunction (NLUTD) needs to balance a variety of factors when making treatment decisions. In addition to the patient's urologic symptoms and urodynamic findings, other issues that may influence management options of the lower urinary tract include cognition, hand function, type of neurologic disease, mobility, bowel function/management, and social and caregiver support. This Guideline allows the clinician to understand the options available to treat patients, understand the findings that can be seen in NLUTD, and appreciate which options are best for each individual patient. This allows for decisions to be made with the patient, in a shared decision-making manner, such that the patient's quality of life can be optimized with respect to their bladder management.A comprehensive search for studies assessing patients undergoing evaluation, surveillance, management, or follow-up for NLUTD was conducted from January 2001 through October 2017 and was rerun in February 2021 to capture newer literature. The primary search returned 20,496 unique citations. Following a title and abstract screen, full texts were obtained for 3,036 studies. During full-text review, studies were primarily excluded for not meeting the PICO criteria. One hundred eight-four primary literature studies met the inclusion criteria and were included in the evidence base.This guideline was developed to inform clinicians on the proper evaluation, diagnosis, and risk stratification of adult patients with NLUTD and the non-surgical and surgical treatment options available. Additional statements on urinary tract infection and autonomic dysreflexia were developed to guide the clinician.NLUTD patients may undergo non-surgical and surgical treatment options depending on their level of risk, symptoms, and urodynamic findings. Appropriate follow-up, primarily based on their risk stratification, must be maintained after treatment.

Published
2021

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