13 results on '"Watts, Kara"'
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2. Predictors of Timely and Delayed Urological Evaluation Following Referral for Elevated Prostate-specific Antigen in a Diverse, Urban, High-risk Population.
- Author
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Patel RD, Zhu M, Dave P, Agalliu I, Trinh QD, and Watts KL
- Subjects
- Male, Humans, Prostate-Specific Antigen, Retrospective Studies, Referral and Consultation, Prostatic Neoplasms diagnosis, Urology
- Abstract
Introduction: This study aimed to evaluate predictors of timely urological evaluation among men referred for initial elevated PSA in a diverse, high-risk, urban community., Methods: We conducted a retrospective cohort study of all men aged 50+ referred to urology within our healthcare network between January 2018 and December 2021 for initial elevated PSA. Time to initial urological evaluation was categorized as timely (within 4 months of referral), late (after 4 months), or absent (no urology evaluation). Demographic and clinical variables were abstracted. A multivariable multinomial logistic regression model was conducted to identify predictors of timely vs late vs absent urological evaluation controlling for age, referral year, household income, distance to care, and PSA at referral., Results: A total of 1,335 men met inclusion criteria; 589 (44.1%), 210 (15.7%), and 536 (40.1%) had timely, late, and absent urological evaluation, respectively. The majority were non-Hispanic Black (46.7%), English-speaking (84.0%), and married (54.6%). Median time to initial urological evaluation differed significantly between timely and late groups (16 vs 210 days, P < .001). Multivariable logistic regression revealed the following to be significant predictors of timely urological evaluation: non-Hispanic Black (OR=1.59, P = .03), Hispanic (OR=2.07, P = .001), Spanish-speaking (OR=1.44, P = .03), or former-smokers (OR=1.31, P = .04)., Conclusions: In our diverse community, men who are non-Hispanic White or English-speaking have a decreased odds of timely urological evaluation after a referral for elevated PSA in our diverse patient population. Our study underscores cohorts that may benefit from implementation of institutional safeguards such as patient navigation systems to facilitate and ensure appropriate follow-up upon referral for elevated PSA.
- Published
- 2023
- Full Text
- View/download PDF
3. Gender Bias in YouTube Videos Describing Common Urology Conditions.
- Author
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Patel RD, Dave P, Loloi J, Freeman S, Feiertag N, Babar M, and Watts KL
- Subjects
- Female, Male, Humans, Sexism, Video Recording, Prostatic Hyperplasia, Social Media, Urology, Pelvic Organ Prolapse, Urinary Bladder, Overactive
- Abstract
Objective: To study implicit and explicit gender biases in YouTube videos describing common urologic conditions based on language patterns, speaker gender, and speaker profession., Methods: Using a Boolean search, the top 30 videos for benign prostatic hyperplasia (BPH), kidney stones, urinary tract infections (UTIs), overactive bladder (OAB), erectile dysfunction (ED), and pelvic organ prolapse (POP) were retrieved. Using the Linguistic Inquiry and Word Count program (LIWC) software, video transcripts were analyzed for 16 word categories and compared by speaker gender and urology topic to assess for bias., Results: OAB and POP had the least view counts and subscribers; kidney stone and ED videos had the most. Student education channels were more likely to feature male than female speakers (19 male vs. 6 female, P=0.01). A significant difference was noted between speaker gender in BPH (25 male vs. 4 female, P<0.001), OAB (4 male vs. 22 female, P<0.001), and POP (6 male vs. 23 female, P<0.001) videos. When examining linguistic patterns with the LIWC program, female speakers were more likely to mention personal concerns and use tentative words when speaking alone compared to males., Conclusions: Gender bias exists in YouTube videos concerning common urologic conditions. We must be mindful of how information is distributed in order to minimize the perpetuation of gender stereotypes that are common in medicine. Awareness of these patterns and biases should encourage Urologists to proactively consider how they present themselves and how they reference the conditions they present in social media outlets., (Copyright © 2022 Elsevier Inc. All rights reserved.)
- Published
- 2022
- Full Text
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4. Analysis of Twitter Engagement in a Progressively More Competitive Urology Match: A Mixed Methods Study.
- Author
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Macdonald EJ, Gaines JM, Taubenfeld E, Labagnara K, Huang A, Winer A, Teper E, Abraham N, and Watts K
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- Humans, Pandemics, COVID-19 epidemiology, Internship and Residency, Social Media, Urology
- Abstract
Objective: To analyze Twitter engagement in response to the urology match during the COVID-19 pandemic., Methods: Tweets containing the hashtags "#uromatch" or "#AUAmatch" during the 2021 and 2022 Match Week were reviewed. Date, author type and number of followers, general content, and engagement with each Tweet was collected. Differences in engagement between author type and content were analyzed using the Kruskal-Wallis H test. Tweet characteristics were compared between the 2021 and 2022 Match Cycles using the Chi-Square test., Results: There were 656 Tweets in total, with 272 (43.5%) from 2021 and 353 (56.5%) from 2022. Medical students' and residency programs' posts received significantly more Tweet engagement than those by residents/fellows, attendings, or the AUA (P <.05). Tweets focusing on announcing a new residency class and personal announcements of match results received significantly more engagements than other content categories (P <.05). In 2022, there was a significantly higher percentage of Tweets about advice for unmatched applicants (2.2 vs 12.5; P <.001), match statistics (0.4 vs 2.9; P = .028) and focus on underrepresented groups in urology (0.7 vs 3.4; P = .029)., Conclusion: The Twitter response to the urology match between 2021 and 2022 mirrored the increase in competitiveness, with greater participation and an increasing focus on the difficulty of matching. During Match Week, Twitter is a readily available source of information for programs, matched students, and unmatched students alike. As we continue to embrace virtual platforms, we believe that Twitter will remain a major source of match-related information and can be an instrumental tool for broader networking in our field., (Copyright © 2022 Elsevier Inc. All rights reserved.)
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- 2022
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5. Patient Satisfaction with Telephone Versus Video-Televisits: A Cross-Sectional Survey of an Urban, Multiethnic Population.
- Author
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Allen AZ, Zhu D, Shin C, Glassman DT, Abraham N, and Watts KL
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- Adolescent, Adult, Black or African American statistics & numerical data, Aged, Asian statistics & numerical data, Clinical Laboratory Techniques, Communication Barriers, Cross-Sectional Studies, Female, Hispanic or Latino statistics & numerical data, Humans, Institutional Practice statistics & numerical data, Language, Male, Middle Aged, Patient Satisfaction ethnology, Retrospective Studies, SARS-CoV-2, Sex Factors, Smoking, Surveys and Questionnaires, Transportation, Urban Population statistics & numerical data, White People statistics & numerical data, Young Adult, COVID-19 prevention & control, Patient Satisfaction statistics & numerical data, Telemedicine methods, Telephone, Urology statistics & numerical data, Videoconferencing
- Abstract
Objective: To examine differences between telephone and video-televisits and identify whether visit modality is associated with satisfaction in an urban, academic general urology practice., Methods: A cross sectional analysis of patients who completed a televisit at our urology practice (summer 2020) was performed. A Likert-based satisfaction telephone survey was offered to patients within 7 days of their televisit. Patient demographics, televisit modality (telephone vs video), and outcomes of the visit (eg follow-up visit scheduled, orders placed) were retrospectively abstracted from each chart and compared between the telephone and video cohorts. Multivariate regression analysis was used to evaluate variables associated with satisfaction while controlling for potential confounders., Results: A total of 269 patients were analyzed. 73% (196/269) completed a telephone televisit. Compared to the video cohort, the telephone cohort was slightly older (mean 58.8 years vs. 54.2 years, P = .03). There were no significant differences in the frequency of orders placed for medication changes, labs, imaging, or for in-person follow-up visits within 30 days between cohorts. Survey results showed overall 84.7% patients were satisfied, and there was no significant difference between the telephone and video cohorts. Visit type was not associated with satisfaction on multivariable analyses, while use of an interpreter [OR:8.13 (1.00-65.94); P = .05], labs ordered [OR:2.74 (1.12-6.70); P = .03] and female patient gender [OR:2.28 (1.03-5.03); P = .04] were significantly associated with satisfaction., Conclusion: Overall, most patients were satisfied with their televisit. Additionally, telephone- and video-televisits were similar regarding patient opinions, patient characteristics, and visit outcome. Efforts to increase access and coverage of telehealth, particularly telephone-televisits, should continue past the COVID-19 pandemic., (Copyright © 2021 Elsevier Inc. All rights reserved.)
- Published
- 2021
- Full Text
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6. Gender Bias in Medicine: Does It Exist at AUA Plenary Sessions?
- Author
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Davuluri M, Barry E, Loeb S, and Watts K
- Subjects
- Female, Humans, Retrospective Studies, Societies, Medical organization & administration, United States, Urology organization & administration, Congresses as Topic statistics & numerical data, Sexism statistics & numerical data, Societies, Medical statistics & numerical data, Urology statistics & numerical data
- Abstract
Objective: To determine if gender bias exists at the plenary sessions of the American Urological Association (AUA) annual conference by evaluating variations in the use of a professional title (PT) during speaker introductions at these sessions., Methods: We retrospectively reviewed video archives of all plenary sessions from the AUA annual conferences from 2017 to 2019. Videos that included both plenary introducer and speaker were included for analysis. The following data were collected: conference year, gender, and academic rank of "introducer" and of "speaker," and use of PT (ie, doctor) during speaker introduction. Variations in use of PT for introductions of speakers based on gender of introducer and of speaker were analyzed by chi-square tests., Results: Four hundred and fourteen videos were reviewed; 195 (47%) with a composite 622 introducer/speaker pairs were reviewed and analyzed. Only 8.7% of introducers and 14.6% of speakers were female (Table 1). Overall, there was no difference in the use of PT for introductions of female vs male speakers (61.5% vs 60.8%, P = 0.90). However, male speakers were more likely to be introduced as doctor when introduced by a female vs a male (75.60% vs 59.60%, P = 0.04). Female speakers were equally likely to be introduced as doctor regardless of introducer gender., Conclusion: Men represented the majority of presenters and speakers in the plenary session at AUA meetings. However, there is not a significant difference in the use of PT for AUA plenary speaker introductions based on gender., (Copyright © 2020 Elsevier Inc. All rights reserved.)
- Published
- 2021
- Full Text
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7. Implementing Telemedicine in Response to the COVID-19 Pandemic.
- Author
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Gadzinski AJ, Gore JL, Ellimoottil C, Odisho AY, and Watts KL
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- Betacoronavirus isolation & purification, COVID-19, Coronavirus Infections virology, Humans, Infection Control organization & administration, Infection Control standards, Infection Control trends, Pneumonia, Viral virology, SARS-CoV-2, Telemedicine standards, Telemedicine trends, United States epidemiology, Urologic Diseases diagnosis, Urology standards, Urology trends, Betacoronavirus pathogenicity, Coronavirus Infections prevention & control, Pandemics prevention & control, Pneumonia, Viral prevention & control, Telemedicine organization & administration, Urologic Diseases therapy, Urology organization & administration
- Published
- 2020
- Full Text
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8. Methodology for triage of urologic surgical cases in the setting of a pandemic
- Author
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Aboumohamed, Ahmed, Gottlieb, Josh, DeMasi, Matthew, Barry, Emily, Sankin, Alexander, and Watts, Kara
- Published
- 2021
- Full Text
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9. Patient satisfaction and savings, and clinical outcomes of televisits in female pelvic medicine and reconstructive surgery at an urban academic center.
- Author
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Shin, Christina, Allen, Ariel Z., Zhu, Denzel, Tellechea, Laura, Watts, Kara L., and Abraham, Nitya E.
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PATIENT satisfaction ,INNER cities ,PLASTIC surgery ,TREATMENT effectiveness ,TELEMEDICINE ,TELEPSYCHIATRY - Abstract
Aim: To evaluate patient satisfaction and savings, and compare visit outcomes based on chief complaint (CC) of women presenting for a televisit to a female pelvic medicine and reconstructive surgery (FPMRS) clinic at an urban academic center. Methods: A cross‐sectional study of women completing a televisit with an FPMRS specialist at our institution from June 19, 2020 to July 17, 2020 was conducted. A telephone questionnaire was administered to patients to assess satisfaction and savings (travel costs/time avoided). Electronic medical records were reviewed to collect patient demographics and comorbidities, CC, and televisit outcomes (e.g., face‐to‐face (F2F) exam scheduled, orders placed). Logistic regression was used to analyze predictors of satisfaction and need for F2F follow‐up. Results: One hundred eighty‐seven of 290 (64.5%) women called completed the survey, of whom 168 (89.8%) were satisfied with their televisit. Eighty‐eight (48.1%) saved at least an hour and 54 (28.9%) saved more than $25 on transportation. There were no significant associations between patient characteristics, CC, or televisit outcomes and satisfaction. Ninety‐nine (52.9%) televisits resulted in F2F follow‐up, with CC of prolapse (odds ratio [OR] = 4.2 (1.7–10.3); p = 0.002), new patient (OR = 2.2 (1.2–4.2); p = 0.01), and Hispanic ethnicity (OR = 3.9 (1.2–13.6); p=.03) as significant predictors. Conclusion: Most patients were satisfied with FPMRS televisits at our urban academic center. Televisits resulted in patient travel time and cost savings. Women presenting with prolapse and for new patient visits would likely benefit from initial F2F visits instead of televisits. Televisits are an important mode of health care and in some cases can replace F2F visits. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
10. How active surveillance has changed the management of prostate cancer.
- Author
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WATTS, KARA L.
- Subjects
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PROSTATE tumors treatment , *PUBLIC health surveillance , *MEN'S health , *SERIAL publications , *MEN , *HUMAN services programs , *SPECIAL days , *MEDICAL practice , *DISEASE management , *CANCER patient medical care , *DIFFUSION of innovations , *UROLOGY - Abstract
An interview with Kara L. Watts, associate professor in the Department of Urology at Montefiore Medical Center in Bronx, New York, is presented. She discusses overview of the development and uptake of active surveillance as a management strategy in prostate cancer, what makes active surveillance an innovation in cancer care, and how her own clinical practice evolved regarding application of active surveillance protocols.
- Published
- 2022
11. mplementation of a shared research database to increase medical student awareness and involvement in urology research A pilot study.
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Babar, Mustufa, Loloi, Justin, Labagnara, Kevin, Watts, Kara L., and Laudano, Melissa
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DATABASES , *NATIONAL competency-based educational tests , *PILOT projects , *STUDENT assignments , *MEDICAL students , *SELF-evaluation , *INVENTORIES , *SATISFACTION , *MANN Whitney U Test , *MENTORING , *HUMAN services programs , *HEALTH , *STUDENTS , *DESCRIPTIVE statistics , *COGNITIVE testing , *UROLOGY , *MEDICAL research , *EVALUATION - Abstract
INTRODUCTION: We aimed to assess the effect of a shared institutional research database on medical students’ scholarly work, perceived research competency, and self-reported satisfaction. METHODS: An institutional inventory database was created on Google Sheets with a listing of available mentors and a description of their ongoing research projects. The inventory database was shared with interested students and faculty. Students who agreed to participate were surveyed pre- and post-inventory. Survey questions assessed student demographics, prior research experience, and their perception of research competency and satisfaction. The number of presentations, publications, and articles pre- and post-inventory were also abstracted. Survey responses were compared using the Mann-Whitney U test. RESULTS: A total of 20 students were surveyed pre-inventory and at a median followup of six months (5–7) post-inventory. There was a significant increase in scholarly presentations and publications post-inventory (p<0.05 for all). Furthermore, post-inventory, students reported feeling more confident in establishing an academic career, finding good mentors, managing their relationship with their mentor, managing professional challenges, and effectively showcasing themselves professionally and describing their research (p<0.05 for all). More than 65% of students agreed or strongly agreed that the database was easy to use, accessible, transparent, and would like a similar database created for other specialty departments. CONCLUSIONS: After performing mentorship-guided research through an institutional research database, medical students felt more confident in their ability to perform research and produced more scholarly work. Therefore, we recommend a research database be created across all institutional departments to foster interest in conducting research. [ABSTRACT FROM AUTHOR]
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- 2024
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12. PD25-07 SIGNIFICANTLY INCREASED LONG-TERM RISK OF BLADDER CANCER AFTER SOLID ORGAN TRANSPLANTATION.
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Watts, Kara L., Fram, Ethan B., Schoenberg, Mark, and Rabbani, Farhang
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BLADDER cancer risk factors ,TRANSPLANTATION of organs, tissues, etc. ,MEDICAL research ,PUBLIC health ,UROLOGY - Published
- 2015
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13. Comparison of Patient Satisfaction and Safety Outcomes for Postoperative Telemedicine vs Face-to-Face Visits in Urology: Results of the Randomized Evaluation and Metrics Observing Telemedicine Efficacy (REMOTE) Trial.
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Babar, Mustufa, Zhu, Denzel, Loloi, Justin, Laudano, Melissa, Ohmann, Erin, Abraham, Nitya, Small, Alexander C., and Watts, Kara L.
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- *
PATIENT satisfaction , *TREATMENT effectiveness , *PATIENT safety , *TELEMEDICINE , *UROLOGY , *AMBULATORY surgery - Published
- 2022
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