{"id":"https://openalex.org/W4394803036","doi":"https://doi.org/10.1097/01.ju.0001008860.46052.c4.13","title":"MP24-13 OUTCOMES OF CYSTOSCOPY UTILIZATION IN HEMATURIA EVALUATION BY ADVANCED PRACTICE PROVIDERS AND UROLOGISTS","display_name":"MP24-13 OUTCOMES OF CYSTOSCOPY UTILIZATION IN HEMATURIA EVALUATION BY ADVANCED PRACTICE PROVIDERS AND UROLOGISTS","publication_year":2024,"publication_date":"2024-04-15","ids":{"openalex":"https://openalex.org/W4394803036","doi":"https://doi.org/10.1097/01.ju.0001008860.46052.c4.13"},"language":"en","primary_location":{"id":"doi:10.1097/01.ju.0001008860.46052.c4.13","doi":"https://doi.org/10.1097/01.ju.0001008860.46052.c4.13","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.ju.0001008860.46052.c4.13","pdf_url":null,"source":{"id":"https://openalex.org/S30525748","display_name":"The Journal of Urology","issn_l":"0022-5347","issn":["0022-5347","1527-3792"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Urology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5014828508","display_name":"Joshua D. Cabral","orcid":"https://orcid.org/0000-0002-1244-1415","observed_orcids":["https://orcid.org/0000-0002-1244-1415"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Joshua D. Cabral","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015580526","display_name":"Max J. Hyman","orcid":"https://orcid.org/0000-0002-9829-5868","observed_orcids":["https://orcid.org/0000-0002-9829-5868"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Max J. Hyman","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5066461876","display_name":"Parth K. Modi","orcid":"https://orcid.org/0000-0001-5754-4445","observed_orcids":["https://orcid.org/0000-0001-5754-4445"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Parth K. Modi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3000,"currency":"USD","value_usd":3000},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.10955031,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"211","issue":"5S","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10279","display_name":"Urinary Bladder and Prostate Research","score":0.21369999647140503,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10279","display_name":"Urinary Bladder and Prostate Research","score":0.21369999647140503,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11816","display_name":"Nursing Roles and Practices","score":0.14880000054836273,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10458","display_name":"Bladder and Urothelial Cancer Treatments","score":0.09560000151395798,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hematuria","display_name":"hematuria","score":0.9039999842643738},{"id":"https://openalex.org/keywords/advanced-practice-providers","display_name":"advanced practice providers","score":0.9490000009536743},{"id":"https://openalex.org/keywords/urologists","display_name":"urologists","score":0.9610000252723694},{"id":"https://openalex.org/keywords/physician-assistants","display_name":"physician assistants","score":0.8989999890327454},{"id":"https://openalex.org/keywords/nurse-practitioners","display_name":"nurse practitioners","score":0.9990000128746033},{"id":"https://openalex.org/keywords/gross-hematuria","display_name":"gross hematuria","score":0.8600000143051147},{"id":"https://openalex.org/keywords/microscopic-hematuria","display_name":"microscopic hematuria","score":0.9980000257492065},{"id":"https://openalex.org/keywords/healthcare-spending","display_name":"health care spending","score":0.6069999933242798},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.32899999618530273},{"id":"https://openalex.org/keywords/rural-patients","display_name":"rural patients","score":0.38100001215934753},{"id":"https://openalex.org/keywords/urologic-imaging","display_name":"urological imaging","score":0.42100000381469727},{"id":"https://openalex.org/keywords/shared-decision-making","display_name":"shared decision-making","score":0.460999995470047}],"concepts":[{"id":"https://openalex.org/C2778769751","wikidata":"https://www.wikidata.org/wiki/Q246090","display_name":"Cystoscopy","level":3,"score":0.8271365165710449},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5212262868881226},{"id":"https://openalex.org/C126894567","wikidata":"https://www.wikidata.org/wiki/Q105650","display_name":"Urology","level":1,"score":0.3596208691596985},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.346265971660614},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.143220454454422},{"id":"https://openalex.org/C77411442","wikidata":"https://www.wikidata.org/wiki/Q181100","display_name":"Urinary system","level":2,"score":0.13872045278549194}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1097/01.ju.0001008860.46052.c4.13","doi":"https://doi.org/10.1097/01.ju.0001008860.46052.c4.13","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.ju.0001008860.46052.c4.13","pdf_url":null,"source":{"id":"https://openalex.org/S30525748","display_name":"The Journal of Urology","issn_l":"0022-5347","issn":["0022-5347","1527-3792"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Urology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"score":0.5,"id":"https://metadata.un.org/sdg/16","display_name":"Peace, justice, and strong institutions"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4395032946","https://openalex.org/W4360607420","https://openalex.org/W4376646457","https://openalex.org/W2519007301","https://openalex.org/W2092514966","https://openalex.org/W2163126055","https://openalex.org/W2014779200","https://openalex.org/W2605067063","https://openalex.org/W2229439486","https://openalex.org/W2605182846"],"abstract_inverted_index":{"You":[0],"have":[1,116,256],"accessJournal":[2],"of":[3,10,83,104,136,197,202,207,332,355,367,417,427,436,468],"UrologyHealth":[4],"Services":[5],"Research:":[6],"Practice":[7],"Patterns,":[8],"Quality":[9],"Life":[11],"and":[12,39,55,123,150,166,191,216,223,236,259,285,310,345,380,402,443,451,478,496],"Shared":[13],"Decision":[14],"Making":[15],"II":[16],"(MP24)1":[17],"May":[18],"2024MP24-13":[19],"OUTCOMES":[20],"OF":[21],"CYSTOSCOPY":[22],"UTILIZATION":[23],"IN":[24],"HEMATURIA":[25],"EVALUATION":[26],"BY":[27],"ADVANCED":[28],"PRACTICE":[29],"PROVIDERS":[30],"AND":[31,74],"UROLOGISTS":[32],"Joshua":[33,43,501],"D.":[34,44,46,502],"Cabral,":[35],"Max":[36,49,509],"J.":[37,50,52,510],"Hyman,":[38],"Parth":[40,56,517],"K.":[41,57,59,518],"Modi":[42,60,519],"CabralJoshua":[45],"Cabral":[47,503],",":[48,54],"HymanMax":[51],"Hyman":[53,511],"ModiParth":[58],"View":[61],"All":[62,526],"Author":[63,499],"Informationhttps://doi.org/10.1097/01.JU.0001008860.46052.c4.13AboutPDF":[64],"ToolsAdd":[65],"to":[66,111,132,214,226,253,270,294,321,388,395,438,459],"favoritesDownload":[67],"CitationsTrack":[68],"CitationsPermissionsReprints":[69],"ShareFacebookLinked":[70],"InTwitterEmail":[71],"Abstract":[72],"INTRODUCTION":[73],"OBJECTIVE:":[75],"Hematuria":[76],"is":[77],"a":[78,98,329,362],"common":[79],"condition,":[80],"exceeding":[81],"40%":[82],"visit":[84,213],"diagnoses":[85],"in":[86,101,262,440,447],"some":[87],"urology":[88,400,444],"practices.":[89],"While":[90,412],"urologic":[91,172,243],"advanced":[92],"practice":[93],"providers":[94],"(APPs)":[95],"are":[96,108],"playing":[97],"growing":[99],"role":[100],"the":[102,147,170,200,209,217,410],"evaluation":[103],"hematuria,":[105,318,422],"their":[106,274],"patients":[107,156,275,334,396],"less":[109],"likely":[110,252,269,387],"undergo":[112,389],"cystoscopy":[113,137,203,272,295,337,357,368,390,428],"or":[114,161,178,464],"imaging,":[115],"longer":[117],"wait":[118],"times":[119],"for":[120,159,273,278,299,301,338,378,409,415,421],"these":[121],"tests,":[122],"had":[124],"higher":[125,330],"health":[126,193],"care":[127,437],"spending.":[128],"Here,":[129],"we":[130,153],"aimed":[131],"better":[133],"characterize":[134],"patterns":[135],"use":[138],"by":[139,242,248,328,361,371,383,399,473,491,506,514,522],"treating":[140],"provider.":[141,219],"METHODS:":[142],"Using":[143],"national":[144],"data":[145],"from":[146,211],"MarketScan":[148],"Commercial":[149],"Medicare":[151],"databases,":[152],"identified":[154,169],"51,798":[155,231],"initially":[157,240,246,376,397],"evaluated":[158,261,377,398],"gross":[160,280,303,340,379],"microscopic":[162,286,311,346,381],"hematuria":[163,382,450],"between":[164],"2015":[165],"2020.":[167],"We":[168,182,220],"initial":[171,418],"provider":[173],"(urologist,":[174],"physician":[175],"assistant":[176],"[PA],":[177],"nurse":[179],"practitioner":[180],"[NP]).":[181],"also":[183],"included":[184],"patient":[185],"age,":[186],"sex,":[187],"geography,":[188],"comorbidity,":[189],"year,":[190],"baseline":[192],"expenditures.":[194],"Our":[195],"outcomes":[196],"interest":[198],"were":[199,239,250,267,359,385],"receipt":[201],"within":[204,391],"3":[205],"months":[206,393],"diagnosis,":[208],"time":[210,293],"office":[212,419],"cystoscopy,":[215,453],"performing":[218,452],"used":[221],"t-tests":[222],"Mann-Whitney":[224],"U-tests":[225],"compare":[227,433],"groups.":[228],"RESULTS:":[229],"Of":[230],"total":[232],"patients,":[233],"2.5%":[234],"(gross)":[235],"2.8%":[237],"(microscopic)":[238],"managed":[241],"APPs.":[244,322],"Those":[245],"seen":[247],"APPs":[249,413,445],"more":[251,263,268,386,461],"be":[254,260],"female,":[255],"rural":[257],"residence,":[258],"recent":[264],"years.":[265],"Urologists":[266],"obtain":[271],"than":[276],"APPs,":[277,401],"both":[279,302,339,448],"(55.3%":[281],"vs":[282,288,306,314],"49%,":[283],"p=0.01)":[284],"(38.8%":[287],"27%,":[289],"p<0.001)":[290,309,344,350],"hematuria.":[291,351],"Median":[292],"was":[296,325],"significantly":[297],"shorter":[298],"urologists":[300,384,442,458],"(16":[304],"days":[305,313,406],"25":[307],"days,":[308,316],"(21":[312],"23":[315],"p=0006)":[317],"as":[319,454],"compared":[320,394],"This":[323],"difference":[324],"largely":[326],"driven":[327],"proportion":[331],"urologist":[333],"receiving":[335],"same-day":[336],"(16.8%":[341],"v":[342,348],"3.8%,":[343],"(13%":[347],"5.8%,":[349],"The":[352],"vast":[353],"majority":[354],"all":[356],"procedures":[358,369],"performed":[360,370,424],"urologist,":[363],"with":[364],"only":[365,425],"0.2%":[366,426],"an":[372],"APP.":[373],"CONCLUSIONS:":[374],"Patients":[375],"three":[392],"they":[403,423],"waited":[404],"fewer":[405],"on":[407,462],"average":[408],"procedure.":[411],"accounted":[414],"2.5-2.8%":[416],"visits":[420],"procedures.":[429],"Future":[430],"research":[431],"should":[432],"this":[434,507,515,523],"model":[435],"one":[439],"which":[441],"share":[446],"diagnosing":[449],"that":[455],"may":[456],"allow":[457],"focus":[460],"complex":[463],"surgical":[465],"care.":[466],"Source":[467],"Funding:":[469],"None":[470],"\u00a9":[471],"2024":[472,490],"American":[474,492],"Urological":[475,493],"Association":[476,494],"Education":[477,495],"Research,":[479,497],"Inc.FiguresReferencesRelatedDetails":[480],"Volume":[481],"211Issue":[482],"5SMay":[483],"2024Page:":[484],"e397":[485],"Advertisement":[486,527],"Copyright":[487],"&":[488],"Permissions\u00a9":[489],"Inc.Metrics":[498],"Information":[500],"More":[504,512,520],"articles":[505,513,521],"author":[508,516,524],"Expand":[525],"PDF":[528],"downloadLoading":[529],"...":[530]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2024-04-16T00:00:00"}