Urological Procedures and Impact on Advanced Practice Provider Burnout, Job Satisfaction, and Salary: AUA Census Analysis.

Introduction: More than 25% of advanced practice providers (APPs) in urology suffer from burnout. We hypothesized that procedural independence would be associated with lower burnout, higher job satisfaction, and higher salary for urologic APPs.

Methods: The AUA Census data were used to conduct a retrospective cross-sectional study.

Integration of Advanced Practice Providers into Independent Surgical Groups.

Background: Nurse practitioners and physician assistants are increasingly employed to extend surgeon capacity and access. However, their roles and the extent to which their deployment aligns with unmet need is unknown.

Study Design: Medicare data was used to identify patients managed by surgical groups (urologists, and orthopedic, general, and cardiothoracic surgeons) from 2010-2020.

Practice-Level Clustering of Industry Payments to Clinicians.

Objective: To test whether industry payments to clinicians are clustered at the level of the medical practice.

Study Setting And Design: We performed a cross-sectional study of clinicians who billed Medicare Part B in 2021 to test whether the receipt of an industry payment, log total value of industry payments, or log total number of industry payments to clinicians were clustered at the level of the medical practice. We used mixed effects linear regression to analyze practice-level clustering, controlling for clinician sex, age, urbanicity, state, and specialty, as well as practice size and specialty.

Turnover Among Early Career Advanced Practice Providers in Urology.

Objective: To understand the patterns and predictors of practice movement among advanced practice providers (APPs). The role of APPs in urology has grown significantly, yet early career turnover is common and remains poorly understood.

Materials And Methods: We conducted a retrospective cohort study using Medicare Data on Provider Practice and Specialty files between 2010 and 2021.

Characterization of Newborn Circumcision Revision and Complication Rates Among Privately Insured Boys in the United States Between 2010 and 2022.

Objective: To investigate national trends in newborn circumcision complication and secondary procedure rates and whether clinician specialty affects these rates.

Methods: The Merative MarketScan Database was queried for claims from 2010 to 2022. CPT 54150 identified newborn circumcisions; CPT 54162, 54163, 54164, 54300, and 54450 identified secondary procedures; ICD-9 and ICD-10 codes identified complications.

Prospective Validation of an Automated Hybrid Multidimensional MRI Tool for Prostate Cancer Detection Using Targeted Biopsy: Comparison with PI-RADS-based Assessment.

Purpose To evaluate the use of an automated hybrid multidimensional MRI (HM-MRI)-based tool to prospectively identify prostate cancer targets before MRI/US fusion biopsy in comparison with Prostate Imaging and Reporting Data System (PI-RADS)-based multiparametric MRI (mpMRI) evaluation by expert radiologists. Materials and Methods In this prospective clinical trial (ClinicalTrials.gov registration no.

Organ-confined prostate cancer with negative surgical margins in an entirely-embedded radical prostatectomy is essentially non-lethal-a retrospective single-institutional study of 520 patients.

Purpose: There is no risk-based stratification in serum PSA monitoring in prostate cancer (PCa) patients following radical prostatectomy (RP). Those patients with minimal risk of recurrence may be subjected to unnecessarily rigorous monitoring as well as to increased anxiety disproportionate to their actual prognosis. This study aimed to investigate outcomes in PCa patients with favorable pathologic parameters to see whether they can be followed less rigorously than current practice recommendations dictate.

Trends in the use of immediate postoperative intravesical chemotherapy following transurethral resection of bladder tumors.

Purpose: The use of immediate postoperative intravesical chemotherapy (IVC) following transurethral resection of bladder tumor (TURBT) has been shown to reduce the rate of recurrence of nonmuscle invasive bladder cancer. Historically, utilization of IVC following TURBT has been low. We sought to determine the rate of immediate postoperative IVC following TURBT, as well as assess factors that may influence its use.

Utilization and Timing of Cystoscopy for Hematuria Evaluation by Advanced Practice Providers and Urologists.

Objective: To characterize differences between urologists and advanced practice providers (APPs) in the utilization of cystoscopy for hematuria.

Methods: We identified patients initially evaluated for hematuria by a urologist or urology APP between 2015 and 2020 in the MarketScan Research Databases. We determined whether they received a cystoscopy within 6 months of their urology visit and the number of days until cystoscopy.

Exploring the Demands of Urology: On-Call Compensation, Frequency, and Variability.

Introduction: We investigate and analyze the available information regarding on-call patterns among urologists in the US.

Methods: The AUA Workforce Workgroup collaborated with the AUA Data Team to analyze information from the 2022 AUA Census. Extracted data were analyzed to identify variability across gender, subspecialty, hours worked per week, AUA section, salary, and practice setting.

Growth in Newborn Circumcisions Performed by Pediatric Urologists and Advanced Practice Providers Between 2010 and 2021 in the United States.

Objective: To characterize changes in the proportion of newborn circumcisions performed by pediatric urologists and advanced practiced providers (APPs) in the United States over the last decade.

Methods: The Merative MarketScan Commercial Database was queried for newborn circumcision private health insurance claims (Common Procedural Terminology 54150) between 2010 and 2021. Setting (inpatient/outpatient), US Census Bureau region, clinician specialty, and patient age (days) were determined for the full study time period, and by study year.

Industry Payments to Urologists and Urologic Advanced Practice Providers in 2021.

Objective: To compare industry payments from drug and medical device companies to urologists and urologic advanced practice providers (APPs) in 2021.

Methods: We used the 2020 Medicare Data on Provider Practice and Specialty file to identify single-specialty urology practices, defined as those where the majority of physicians were urologists. We then used the Open Payments Program Year 2021 data to summarize the value and number of industry payments to urologists and APPs, including nurse practitioners and physician assistants, in these practices.