Background: Although renal trauma is commonly managed nonoperatively, surgical intervention may be necessary in some patients. Within operative management, the rationale for choosing between total nephrectomy and kidney-preserving approaches remains unclear. In this study, we aimed to define the role of kidney-preserving surgery within renal trauma management.
View Article and Find Full Text PDFPurpose: We evaluated the effect of transitioning from a prostate cancer specific treatment program to comprehensive insurance under the ACA (Patient Protection and Affordable Care Act) on the physical, mental and prostate cancer related health of poor, previously uninsured men.
Materials And Methods: We assessed general and prostate cancer specific health related quality of life using the RAND SF-12v2™ (12-Item Short Form Survey, version 2) and the UCLA PCI (Prostate Cancer Index) at 3 time points in 24 men who transitioned to comprehensive insurance as the insured group relative to 39 who remained in the prostate cancer program as the control group. We used mixed effects models controlling for treatment and patient factors to measure health differences between the groups during the transition period.