Monthly Archives: November 2012

December #urojc Discussion

Dear all
The next paper for discussion for the Twitter International Urology Journal Club is the final report from the EORTC study on dose and duration of maintenance BCG treatment for NMIBC . It is hot off the press and published on line ahead of print. Be at the cutting edge of high level evidence outcomes for BCG treatment.
The first and corresponding author Dr Jorg Oddens will be making himself available during the paper discussion so it is a great opportunity to question or challenge the lead author.
European Urology have been kind enough to unlock the article for free download for a limited time using the link below.
This month’s prize for best tweet has been donated by Nature Reviews in Urology. This is now the second highest impact factor journal in Urology and not generally all that easy to access – they are offering a one year free on line access which is worth a good few hundred dollars.
Discussion starts on Monday 3 December at 0700 AEDT as an asynchronous discussion held over 48 hours. Not to be missed.
Last month’s club discussion had approximately 40 urologists participating (excluding observers) with about 240 tweets and from amplification over 50,000 impressions. Asst Professor Ben Davies from UPMC won the prize for best tweet. This #urojc will be bigger now that the word is getting out there.
Please join us!
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Transcript of November Journal Club Discussion

#urojc transcript

Healthcare Social Media Transcript

From: Sun Nov 04 0:00:00 PDT 2012
To: Wed Nov 07 0:00:00 PST 2012
 

New ! Explore analytics for this time period: #urojc analytics

Explore the world of healthcare social mediaHealthcare Conferences  –  Healthcare Analytics

Learn more about #urojc at The Healthcare Hashtag Project

iurojc
Reminder to use hashtag #urojc with tweets. Some questions soon but feel free to make comments in meantime -eg. will urologists take notice?
iurojc
Monday morn 5 November 2012 AEDT. The 1st #urojc journal club discussion may now begin. Pls DM or message/follow if need full txt article
daviesbj
#urojc question: who decides on the best tweet??
iurojc
An introduction & welcome to @jdsammon & @qdtrinh as first & senior authors of our inaugural #urojcpaper. http://t.co/4hHufEwT
iurojc
@daviesbj At the moment it is @iurojc but will consult with @UrologyMatch Will teak this as we move forward. #urojc
_TheUrologist_
I’m trying to use the truly hopeless @JUrology iPad app to get the PDF for #urojc #tearsofrage#atleasttheadsload
StorkBrian
#urojc Rather academic & community urologists work together to improve overall surgical quality rather than promote regionalizing care
IsaacThangasamy
@iurojc @_TheUrologist_ May I get a copy too please? #urojc
daviesbj
#urojc regionalization of procedures is the death knell of modern day urology. We need to change training if the trends prevail (they will)
daviesbj
#urojc are we creating a medico legal issue with these articles #wondering
StorkBrian
@daviesbj #urojc Wondering about that myself… Suspect differences among surgeons even at high volume centers.
DrMarniqueB
#urojc Should we be aiming for national standardised accredited robotic training centres? Who would give accreditation? (?college surgeons)
_TheUrologist_
#urojc taken to logical (farcical?) extreme: why waste 10 years of life and med training to spit out RARPists? 3yr apprenticeship out of HS?
DrMarniqueB
#urojc I’d feel it unjust if it were my dad, the recipient of a ‘Low-volume centre’ or ‘learning curve’ complication #notjustanumber
StorkBrian
@DrMarniqueB #urojc Understand your concern… Have heard it stated by prominent robotic surgeons that learning curve never ends.
DrHenryWoo
@daviesbj Don’t think so. These days, journals email manuscripts out to the press. Urologist interpretation better than journalists? #urojc
_TheUrologist_
.@DrMarniqueB complications are tricky from pt perspective: I imagine same comp accepted more readily if from high-vol center 1/2 #urojc
DrHenryWoo
@_TheUrologist_ Interesting point. We already have growing numbers of urologists doing just RARP and nothing else. #justatechnician #urojc
DrMarniqueB
@StorkBrian #urojc Ageed and not an issue limited to robotics of course
_TheUrologist_
.@DrMarniqueB if incont/ED & high-vol surg: “went with the best, these things happen”, if low-vol surg: “hack screwed me up” 2/2 #urojc
DrHenryWoo
#urojc Regionalisation already occurred in the UK – I understand that was govt directive rather than urologist driven. UK urologists?
iurojc
‘Nonetheless, low volume institutions experienced inferior outcomes relative to the highest volume centers irrespective of approach’ #urojc
MattBultitude
@DrHenryWoo Yes. In UK, Min 50 pelvic cancer surgical cases per year per centre. At the time caused upset but doesn’t seem many now? #urojc
DrMarniqueB
@DrHenryWoo @_theurologist_ Ultimate for the patient…. Robotic assisted radical prostatectomists. A few around already I’d think #urojc
MattBultitude
Of course volume matters in most areas – better surgeons/ support/ nursing/ ITU etc. Hence super specialisation in many countries #urojc
outbacktourer
RT @DrHenryWoo#urojc Regionalisation already occurred in the UK – I understand that was govt directive rather than urologist driven. UK urologists?
MattBultitude
Not acceptable that some low volume units do only 26 RARP / 5 ORP per year. Should be centralising. Now more evidence to support this #urojc
DrHenryWoo
@MattBultitude Am I correct that the regionalization of pelvic surgery was govt mandated rather than via BAUS? #urojc
MattBultitude
@DrHenryWoo Correct – 2002 NICE guidelines on ‘Improving Outcomes In Urological Cancers’http://t.co/TnSzpjGp #urojc
iurojc
A reminder that #urojc is not live tweet discussion so jump in when your time zone allows. Current discussion on paper by @jdsammon et al
Tdave
Not saying anything we didn’t know about volume. Regionalization based on who could afford robot first.#urojc
Tdave
RT @iurojc: An introduction & welcome to @jdsammon & @qdtrinh as first & senior authors of our inaugural #urojc paper. http://t.co/4hHufEwT
Tdave
In US, quality will eventually determine payment. Low volume centers may be out of luck. #urojc
DrDavidMalouf
@mattbultitude #urojc hard to argue against central/n re outcomes. Australia’s size is a challenge as many in rural locations want local Rx
DrDavidMalouf
@mattbultitude #urojc Not an excuse, but patient education and support for temp relocation to major centre for Rx needs to be factored.
StorkBrian
@hjluks Tonight we are using #hcsm for our first International Urology Journal Club via Twitter #urojc@iurojc
jdsammon
@iurojc #urojc 1/4 of ORP patients getting operated on at centers averaging 5.2 per year. That can’t be good for pts or urology @daviesbj
urodocbg
RT @iurojc: An introduction & welcome to @jdsammon & @qdtrinh as first & senior authors of our inaugural #urojc paper. http://t.co/4hHufEwT
DrHenryWoo
@jdsammon @daviesbj This data when linked to outcomes is going to bc increasingly diff for urologists, hospitals & funders to ignore #urojc
daviesbj
Shit. My amazing tweets were going to #iurojc not #urojc #wtf
daviesbj
@DrDavidMalouf @tdave @drhenrywoo @jdsammon #urojc look peeps. Last I checked defending scope of practice was as American as apple pie.
DrDavidMalouf
@daviesbj @drhenrywoo @jdsammon Shorter hospital stay fewer readmissions fewer secondary procedures to Rx complications #nobrainer #urojc
DrHenryWoo
@daviesbj Easily fixed. Can be retweeted into the chat. That will ensure that you don’t miss out in the running for best tweet! #urojc
iurojc
RT “@daviesbj@DrHenryWoo @jdsammon #urojc also don’t underestimate the AUA disdain against limiting a doctors scope of practice @Tdave
DrDavidMalouf
@Tdave @daviesbj @drhenrywoo @jdsammon I believe parts of Europe have for some time reimbursed according to volume #urojc #whywouldntthey?
daviesbj
#urojc the best idea is creating “medical” urologist and a “surgical” urologist. That means a fundamental change in urologic education
3NT
RT @Tdave: In US, quality will eventually determine payment. Low volume centers may be out of luck.#urojc
3NT
RT @DrMarniqueB#urojc I’d feel it unjust if it were my dad, the recipient of a ‘Low-volume centre’ or ‘learning curve’ complication #notjustanumber
daviesbj
#urojc of course that model has issues. GU docs already underserve poor populations and by restricting practice you will deepen the problem
3NT
RT @jdsammon@iurojc #urojc 1/4 of ORP patients getting operated on at centers averaging 5.2 per year. That can’t be good for pts or urology @daviesbj
StorkBrian
@drhenrywoo @jdsammon #urojc How was complication data gathered on patients who had surgery at high volume centers but F/U w community docs?
jdsammon
@3NT @DrMarniqueB one interesting caveat is that low-vol cntrs aren’t necessarily on any learning curve. Just operating wen they can #urojc
3NT
Follow #urojc for leading urologists from all over the world discussing clinical practice in an online journal club
_TheUrologist_
Scope of practice limitations in effect in Canada – thoracic & HPB so far. Uro is coming http://t.co/Iqqlwhdchttp://t.co/eqs8z8nS #urojc
3NT
RT @daviesbj#urojc the best idea is creating “medical” urologist and a “surgical” urologist. That means a fundamental change in urologic education
_TheUrologist_
@StorkBrian @DrHenryWoo @jdsammon excellent point, how does NIS handle data like this? #urojc
DrHenryWoo
RT @3NT: Follow #urojc for leading urologists from all over the world discussing clinical practice in an online journal club
StorkBrian
@jdsammon #urojc Does HFH discharge patients directly home or to a step down facility p surgery? If latter does this effect D/C data?
matthayn
@_TheUrologist_ @StorkBrian @DrHenryWoo @jdsammon Pretty sure that NIS only covers the initial admit, no data on readmit/late comps #urojc
_TheUrologist_
Different angle on quality: @CancerCare_ON has some good resources on defining quality in#prostatecancer tx #urojc https://t.co/SY3rQCYJ
daviesbj
#urojc I’m more interested in getting urologists to operate on the right patients than demonizing low volume practitioners #besttweet
_TheUrologist_
.@daviesbj been thinking that w appropriate care = our results will _seem_ to get worse (skew to high risk -> more PSM, ED, incont) #urojc
DrDavidMalouf
@daviesbj @USANZUrology #urojc Men will accept #activesurveillance as a Rx if urologists take the time to explain it http://t.co/4hYqxFrI
marcoalvarez
RT @daviesbj#urojc I’m more interested in getting urologists to operate on the right patients than demonizing low volume practitioners #besttweet
IsaacThangasamy
RT @3NT: Follow #urojc for leading urologists from all over the world discussing clinical practice in an online journal club
sivanrij
#urojc trainees perspective, with centralisation if not going to be uro-onc when do they stop learning RP,cost of training vs all round Surg
jodelancey
RT @daviesbj#urojc I’m more interested in getting urologists to operate on the right patients than demonizing low volume practitioners #besttweet
DrDavidMalouf
@_TheUrologist_ @daviesbj We can only hope the days of quoting 0% positive surgical margin rates are behind us #activesurveillance #urojc
IsaacThangasamy
RT @jdsammon@iurojc #urojc 1/4 of ORP patients getting operated on at centers averaging 5.2 per year. That can’t be good for pts or urology @daviesbj
IVLINE
RT @3NT: Follow #urojc for leading urologists from all over the world discussing clinical practice in an online journal club
IsaacThangasamy
Market will change dramatically when centre’s numbers are made public. No one wants low-vol surgeon op on them “only the best for me” #urojc
USANZUrology
RT @DrDavidMalouf@daviesbj @USANZUrology #urojc Men will accept #activesurveillance as a Rx if urologists take the time to explain it http://t.co/4hYqxFrI
UrologyMatch
RT @iurojc: An introduction & welcome to @jdsammon & @qdtrinh as first & senior authors of our inaugural #urojc paper. http://t.co/4hHufEwT
IsaacThangasamy
RT @3NT: Follow #urojc for leading urologists from all over the world discussing clinical practice in an online journal club #urojc
IsaacThangasamy
RT @DrDavidMalouf@daviesbj @USANZUrology #urojc Men will accept #activesurveillance as a Rx if urologists take the time to explain it http://t.co/4hYqxFrI
IsaacThangasamy
Staying up to date with world-first, international journal club, #urojc via TweetChat. Follow for a unique insight into current Uro issues
chrisfilson
RT @DrDavidMalouf@daviesbj @USANZUrology #urojc Men will accept #activesurveillance as a Rx if urologists take the time to explain it http://t.co/4hYqxFrI
iurojc
RT @IsaacThangasamy: Staying up to date with world-first, international journal club, #urojc via TweetChat. Follow for a unique insight into current Uro issues
iurojc
RT @daviesbj#urojc the best idea is creating “medical” urologist and a “surgical” urologist. That means a fundamental change in urologic education
iurojc
@daviesbj Interesting to have UK perspective on medical/surgical urologists since they’ve looked at this option. Also German input? #urojc
iurojc
RT @jdsammon@iurojc #urojc 1/4 of ORP patients getting operated on at centers averaging 5.2 per year. That can’t be good for pts or urology @daviesbj
uretericbud
@iurojc @jdsammon @qdtrinh #urojc volumes higher bc of good results or results better bc of high volumes? #chickenortheegg
UrologyMatch
@3NT: Follow #urojc for leading urologists from all over the world discussing clinical practice in an online journal club”
IsaacThangasamy
RT @uretericbud@iurojc @jdsammon @qdtrinh #urojc volumes higher bc of good results or results better bc of high volumes? #chickenortheegg
iurojc
RT @uretericbud@iurojc @jdsammon @qdtrinh #urojc volumes higher bc of good results or results better bc of high volumes? #chickenortheegg
DrHenryWoo
RT @uretericbud@iurojc @jdsammon @qdtrinh #urojc volumes higher bc of good results or results better bc of high volumes? #chickenortheegg
DrMarniqueB
RT @UrologyMatch: “@3NT: Follow #urojc for leading urologists from all over the world discussing clinical practice in an online journal club”
DrMarniqueB
So excited to be training in such a forward thinking, dynamic specialty #Urology – Loving @iurojc 1st internatn’l JC, follow #urojc
drjonrees
Pressure for high numbers at least subliminal incentive for Urologist to operate on low risk ptnts. How to avoid? #urojc
iurojc
Thanks to all so for the wonderful start to #urojc – let’s continue the discussion – hoping to hear from@cooperberg_ucsf @declangmurphy
iurojc
#urojc Also hoping to hear views from @JimCatto @marclanido @benchallacombe @LoebStacy@UroOncMD @urorao @prokarurol @dbh44 @JamesDuthie1
JamesDuthie1
#urojc Subspecialisation seems inevitable, less variety for surgeon but better for pt? Rural Pts may just have to travel more.
iurojc
@drjonrees Incentive may not always be financial – bid to achieve minimal annual numbers cases? Hasten overcoming learning curve? #urojc
iurojc
@roboturoloog if you are able, we would love to have some European input to our current discussion on#urojc
DrHelenF
Stoked to be now following #urojc @iurojc. Was elbow deep in bowel, now rescued and can follow this brilliant initiative. #gourology
qdtrinh
@uretericbud @iurojc @jdsammon surely a little bit of both. #singersongorboth @cooperberg_ucsf #urojc
qdtrinh
@DrMarniqueB maybe this could work in smaller countries, but for places such as Australia or USA: traveling distances factor in. #urojc
qdtrinh
@_TheUrologist_ #urojc you could argue that you can apply this reasoning for all technical aspects of surgery
qdtrinh
@DrHenryWoo @_TheUrologist_ #urojc plus won’t make much sense if #prostatecancer becomes a non-surgically managed condition #welfare
qdtrinh
@MattBultitude @DrHenryWoo #urojc i’m all for enforcing ‘minimal’ ‘non-restrictive’ thresholds.
qdtrinh
@MattBultitude #urojc a lot of places in the U.S. acquire robot to put ‘in display’ but almost don’t use it. a means to attract patients.
qdtrinh
background reading for #urojc robot-induced regionalization by @dannymak76 http://t.co/3ImdwzoO
StorkBrian
@DrRunz_Urology International Urology Journal Club up and going. #urojc @iurojc
qdtrinh
@DrHenryWoo @daviesbj i think such papers won’t create a legal issue as of yet, but insurers are following with great interest (hint) #urojc
StorkBrian
@qdtrinh @drmarniqueb #urojc Most patients want to be taken care of in their own communities. So, if a gap exists, how do we narrow it?
qdtrinh
so true, any comment from @AmerUrological ? “@daviesbj#urojc don’t underestimate AUA disdain against limiting doctor’s scope of practice”
qdtrinh
@daviesbj #urojc how about 3 years of medical urology, with an option for surgical urology afterwards?
qdtrinh
didn’t know that, cool stuff “@_TheUrologist_: Scope of practice limitations in effect in Canada. Uro is coming #urojc
qdtrinh
@daviesbj #urojc not a lot to be honest, as a Canadian. are there precedents out there specifically on RARP?
DrMarniqueB
@qdtrinh National governing body accredits multiple hospitals per state if meet min volume output & training capacity requirements? #urojc
qdtrinh
@matthayn @_TheUrologist_ a readmission would be categorized as a completely different ‘discharge’, so there’s no clear way to link. #urojc
iurojc
#urojc lays claim as the first truly international journal club in any area of healthcare. Urologists can be proud to be leading the way.
StorkBrian
RT @iurojc#urojc lays claim as the first truly international journal club in any area of healthcare. Urologists can be proud to be leading the way.
qdtrinh
RT “@iurojc: Introduction & welcome to @jdsammon & @qdtrinh as first & senior authors of our inaugural#urojc paper. http://t.co/YTCyjqtR”
qdtrinh
@iurojc @daviesbj @MattBultitude @marclaniado @benchallacombe #urojc hope they’re awake, it’s 10AM over there
daviesbj
@qdtrinh #urojc I’ve heard arguments in court about why ORP was chosen. Was there informed consent about getting a RARP instead.
DrMarniqueB
@StorkBrian @qdtrinh I suspect only time for baby RARPists to filter through & more peripheral robots when $$ decr. with an oligopoly #urojc
qdtrinh
RT @daviesbj@qdtrinh #urojc I’ve heard arguments in court about why ORP was chosen. Was there informed consent about getting a RARP instead.
qdtrinh
RT @iurojc#urojc lays claim as the first truly international journal club in any area of healthcare. Urologists can be proud to be leading the way.
HavishSrinath
RT @IsaacThangasamy: Staying up to date with world-first, international journal club, #urojc via TweetChat. Follow for a unique insight into current Uro issues
StorkBrian
@audvin Is #urojc registered with @symplur? If not, can we get it registered? @DrHenryWoo @iurojc@AmerUrological
daviesbj
#urojc Deep thought #1 regionalization is everywhere. Walmart. Lowes. Macy’s. Still – do we shun the local tailor, grocer, hardware store?
qdtrinh
@daviesbj #urojc don’t forget the cheesecake factory http://t.co/VrB4fYjJ @Atul_Gawande
DrMarniqueB
RT @iurojc#urojc lays claim as the first truly international journal club in any area of healthcare. Urologists can be proud to be leading the way.
StorkBrian
@daviesbj #urojc Absolutely not! Not sure colleagues in academics recognize care we provide w/o res., fellows & dedicated surgery teams
qdtrinh
RT @StorkBrian@daviesbj #urojc Absolutely not! Not sure colleagues in academics recognize care we provide w/o res., fellows & dedicated surgery teams
daviesbj
#urojc deep thought #2. Mandating the regionalization of RARP will not happen in the US. Maybe for rplnd, ivc thrombus, neobladder
qdtrinh
Less than 24h into the first Twitter Journal Club, and more than 100 tweets already #urojc @iurojc@BJUIjournal @EUplatinum @AmerUrological
qdtrinh
@daviesbj #urojc right now too common of a procedure… but with decreasing screening and more AS, … who knows.
qdtrinh
@iurojc @BJUIjournal @EUplatinum @AmerUrological hope the journals take notice of the initiative #urojc
StorkBrian
#urojc Community and Academic urologists have partnered in Michigan Uro Surg Imp. Coll. (MUSIC) to gather data & optimize surgical outcomes
ornellaspvkyj8
RT @IsaacThangasamy: Staying up to date with world-first, international journal club, #urojc via TweetChat. Follow for a unique insight into current Uro issues
EUplatinum
RT @qdtrinh: Less than 24h into the first Twitter Journal Club, and more than 100 tweets already #urojc@iurojc @BJUIjournal @EUplatinum @AmerUrological
iurojc
#urojc Reminder that best tweet author for the Nov paper will receive a bottle of #makers46 which has kindly been donated by @UrologyMatch
iurojc
RT @qdtrinh@iurojc @BJUIjournal @EUplatinum @AmerUrological hope the journals take notice of the initiative #urojc
iurojc
RT @qdtrinh: Less than 24h into the first Twitter Journal Club, and more than 100 tweets already #urojc@iurojc @BJUIjournal @EUplatinum @AmerUrological
iurojc
@qdtrinh @bjuijournal @euplatinum @amerurological We’ll be publishing tweet analytics on our website following formal disc closure. #urojc
iurojc
@StorkBrian @audvin @symplur @amerurological Happy to investigate. Let me get back to you on this Brian & thanks for suggestion. #urojc
iurojc
Welcome @mahirBozgen – please join in the discussion. We are discussing http://t.co/4hHufEwTRemember to use the hashtag #urojc
iurojc
Welcome @MorganRoupret We’re eager for EU view on regionalization of surgery – we’re discussinghttp://t.co/4hHufEwT Please use #urojc
UrologyMatch
@iurojc#urojc lays claim as the first truly international journal club in any area of healthcare. Uro can be proud leading the way.”
UrologyMatch
RT @iurojc#urojc Reminder that best tweet author for the Nov paper will receive a bottle of #makers46which has kindly been donated by @UrologyMatch
iurojc
Welcome @cjab69 Pls join in the discussion on regionalization of surgery – we’re discussinghttp://t.co/4hHufEwT Please use #urojc hashtag
StorkBrian
#urojc Surgical collaboratives between high & low volume centers, such as MUSIC, promote understanding, trust, & improved Pt care/outcomes
MorganRoupret
#urojc it is obvious that there is a need to concentrate several robots in few hospitals rather than the opposite
drawmdapp
RT @iurojc#urojc lays claim as the first truly international journal club in any area of healthcare. Urologists can be proud to be leading the way.
3NT
RT @StorkBrian#urojc Community and Academic urologists have partnered in Michigan Uro Surg Imp. Coll. (MUSIC) to gather data & optimize surgical outcomes
qdtrinh
RT @UrologyMatch: “@iurojc#urojc lays claim as the first truly international journal club in any area of healthcare. Uro can be proud leading the way.”
qdtrinh
RT @StorkBrian#urojc Surgical collaboratives between high & low volume centers, such as MUSIC, promote understanding, trust, & improved Pt care/outcomes
daviesbj
#urojc Deep thought #3 Complication rates for RARP are very low. Do we care? Maybe losing some blood means your nerve dissection was better?
daviesbj
#urojc Deep thought #4 I will gladly take a pint of blood for a working stiffy #besttweet #bourbonismine
IsaacThangasamy
RT @daviesbj#urojc Deep thought #4 I will gladly take a pint of blood for a working stiffy #besttweet#bourbonismine
DrMarniqueB
#urojc Not so sure deep thought #4 cuts the Colman’s for best tweet! @daviesbj
daviesbj
@drmarniqueb #urojc Please. I’m on fire. I will donate the bourbon to the victims of #sandy they could use a break
MattBultitude
@qdtrinh – Of course we are awake – some of us have work to do!! UK already centralised with cancer centres – better for patients! #urojc
MattBultitude
@qdtrinh @daviesbj – all sounds like a debate going round the UK since 2004. Attempted to introduce reduced training which failed. #urojc
qdtrinh
Haha of course. Starting my OR now. “@MattBultitude@qdtrinh – Of course we are awake – some of us have work to do!! #urojc
DrSWeinstein
#urojc@DrSWeinstein are there more experienced surgeons at higher volume centers? R the cancer outcomes also different in lv vs hv centers
_TheUrologist_
Locked into OR all day today. Do the operation you’re best at. If growing your learning curve, let the pt know (most will stay) #urojc
marclaniado
#urojc problem is if u actively monitor pts & do template bxs, the surgical numbers drop, so even fewer centres and surgeons will be left
iurojc
#urojc RT“@DrSWeinstein: are there more exp/senior surgeons at higher vol centers? R the cancer outcomes also different in lv vs hv centers”
iurojc
RT @marclaniado#urojc problem is if u actively monitor pts & do template bxs, the surgical numbers drop, so even fewer centres and surgeons will be left
iurojc
@prostatediaries From a urologist & consumer perspective, what are your thoughts on discussion ofhttp://t.co/4hHufEwT Please use #urojc
iurojc
Thanks @KidneyHospital for your DM. Can’t respond by DM bc you’re not following us. We would love input from India on #urojc – pls join us
iurojc
For those who have just begun following #urojc – we are discussing http://t.co/4hHufEwT – pls join the discussion. Don’t forget hashtag
daviesbj
#urojc new study? effect of twitter on my continence rates? marriage?
dmsomford
@iurojc #urojc Not surprising volume does matter for RP, limitation: different criteria for high volume for ORP (>32) and RARP (>144).
dmsomford
@iurojc #urojc next step would be to survey oncological results for low- and high-volume radical prostatectomy centers http://t.co/hTd5RDbs
dmsomford
@iurojc #urojc In The Netherlands critical volume has been set at >20 radical prostatectomies per center, good enough?
jdsammon
RT @iurojc#urojc lays claim as the first truly international journal club in any area of healthcare. Urologists can be proud to be leading the way.
jdsammon
RT @StorkBrian#urojc Community and Academic urologists have partnered in Michigan Uro Surg Imp. Coll. (MUSIC) to gather data & optimize surgical outcomes
jdsammon
@dmsomford @iurojc #urojc caveat/limitation. There simply aren’t ORP centers doing >300-400/yr captured in NIS. Several RARP centers are.
jdsammon
RT @qdtrinh@iurojc @BJUIjournal @EUplatinum @AmerUrological hope the journals take notice of the initiative #urojc
qdtrinh
RT @daviesbj#urojc new study? effect of twitter on my continence rates? marriage?
jdsammon
@dmsomford #urojc Central Question: is robot the driver of improved outcomes just because it’s incidentally driving centralization @qdtrinh
Tdave
RT @iurojc#urojc lays claim as the first truly international journal club in any area of healthcare. Urologists can be proud to be lea …
healthhashtags
New Health Hashtag: #urojc http://t.co/cx6UghYi Thank you @IsaacThangasamy #hcsm
audvin
@iurojc @StorkBrian @symplur @amerurological We just published the hashtag #urojchttp://t.co/AwdPmrXZ
Ben_L_Jackson
@SURG_UK Members, go to #urojc for interesting discussion about ORP vs RARP and impact of centralisation/volume on outcomes.
StorkBrian
@audvin Thanks Audun Thanks @healthhashtags @symplur #urojc @iurojc @amerurological
DrHenryWoo
@jdsammon @dmsomford @qdtrinh Yes, I think robot is playing role on centralization – access to technology. #urojc
DrHenryWoo
@jdsammon @dmsomford @qdtrinh Yes, I think robot is playing role on centralization & improved outcomes- technology. #urojc
DrHenryWoo
@jdsammon @dmsomford @qdtrinh Yes, I think robot is playing role on centralization & therefore improved outcomes. Yr data suggests #urojc
_TheUrologist_
.@Tdave @qdtrinh @daviesbj I sensed a disturbance in the Force when you wrote that. The Kraken of the Case Series stirs in the deep #urojc
daviesbj
#urojc the robot has been marketed to community urologist as a leveling of the playing field. Yet – we are seeing regionalization. #wtf
DrHenryWoo
@jdsammon @qdtrinh R U able to determine prop of hospitals with residency programs for each quartile? Could teaching drive quality? #urojc
DrHenryWoo
RT @daviesbj#urojc the robot has been marketed to community urologist as a leveling of the playing field. Yet – we are seeing regional …
daviesbj
#urojc Davies Deep Thought #5 actual # of RRP going up. So maybe there is both regionalization and a leveling of the playing field
iurojc
#urojc RT “@Tdave@qdtrinh @daviesbj But if we are honest with our results then should we not be self police #DevilsAdvocate #iurojc
iurojc
@daviesbj Interesting to see that the # of DDT and RRP are both going up #urojc
iurojc
Welcome @captfun99 @SLa_Touche @Ben_L_Jackson Thanks for following. Please join our disc onhttp://t.co/4hHufEwT Don’t forget #urojc
StorkBrian
@DrHenryWoo @iurojc #urojc Twitter Medical Journal Clubs via @healthhashtags http://t.co/fmHURjWr@Berci
iurojc
General house keeping msg to remind all to use #urojc in all tweets. Best way is via http://t.co/bebykVjRwhich auto loads hashtag selected
DrHenryWoo
#urojc MT“@dmsomford@jdsammon RARP facilitated/speeded centralization of RP. Patients will benefit from both robotics & centralization!”
StorkBrian
@DrHenryWoo @dmsomford @jdsammon #urojc We could consider ways low & high volume centers could improve outcomes by working together
_TheUrologist_
@Tdave @qdtrinh @daviesbj I agree (was being sarcastic re: the outcomes bar set by Big Name case series). Have to be honest with self #urojc
outbacktourer
RT @DrHenryWoo#urojc MT“@dmsomford@jdsammon RARP facilitated/speeded centralization of RP. Patients will benefit from both robotics …
iurojc
Welcome @FerPerazaGodoy from Spain. Pls join our discussion on #urojc – we are eager to have EU input. Current disc on http://t.co/4hHufEwT
Tdave
@DrMarniqueB @daviesbj Ohhh, now I get it! #ImALittleDense #urojc
Tdave
Corollary: high volume tweeting = best tweets? #NoEvidence #urojc
IsaacThangasamy
@iurojc I went ahead and got #urojc registered. Will be helpful for analytics in the long run.
DrRunz_Urology
#urojc when I was in learning curve, every patient knew what # they were. Transparency, communication and team building with Pts
DrRunz_Urology
#urojc no matter your volume, every case is a learning experience. I still watch my case videos and pick up tips.
DrMarniqueB
@DrRunz_Urology #urojc Thats brilliant to be able to have such a frank conversation. Did any patients object once they knew their #?
StorkBrian
@DrMarniqueB GR8 Moustache on Twitter Profile! Appreciate UR #Movember support & participation in#urojc @iurojc http://t.co/R6mpLmNp
UrologyMatch
@iurojc who is in the running for the bourbon? #postjournalclubeyeopener #urojc
DrMarniqueB
Top Influencers of #urojc@iurojc @daviesbj @jdsammon @qdtrinh @drhenrywoo @storkbrian@drmarniqueb http://t.co/5Vh7mTGD via @symplur
qdtrinh
RT @DrMarniqueB: Top Influencers of #urojc@iurojc @daviesbj @jdsammon @qdtrinh @drhenrywoo@storkbrian @drmarniqueb http://t.co/5Vh7mT …
Tdave
@DrMarniqueB @iurojc @daviesbj @jdsammon @qdtrinh @DrHenryWoo @StorkBrian @symplur So again, numbers matter! #urojc
daviesbj
Bow bitches MT @DrMarniqueB: Top Influencers of #urojc : @iurojc @daviesbj @jdsammon @qdtrinh@drhenrywoo @storkbrian
3NT
RT @iurojc#urojc lays claim as the first truly international journal club in any area of healthcare. Urologists can be proud to be lea …
_TheUrologist_
@DrMarniqueB @iurojc @daviesbj @jdsammon @qdtrinh @DrHenryWoo @StorkBrian @symplur I demand a recount! My ballot had a hanging RT 😉 #urojc
StorkBrian
@UrologyMatch @DrHenryWoo Suggest the bourbon go 2 #urojc @iurojc organizers in recognition of efforts & job well done
iurojc
The winner of the inaugural best Tweet prize will be announced soon. Thanks you all for what was a spectacular start to this project #urojc
iurojc
RT @DrMarniqueB: Top Influencers of #urojc@iurojc @daviesbj @jdsammon @qdtrinh @drhenrywoo@storkbrian @drmarniqueb http://t.co/5Vh7mT …
DrHenryWoo
RT @daviesbj: Bow bitches MT @DrMarniqueB: Top Influencers of #urojc : @iurojc @daviesbj@jdsammon @qdtrinh @drhenrywoo @storkbrian
iurojc
#urojc RT“@captfun99@jdsammon @iurojc @daviesbj remember the zero mortality paradox . . . .http://t.co/HztB7Eeq”
IsaacThangasamy
RT @iurojc#urojc RT“@captfun99@jdsammon @iurojc @daviesbj remember the zero mortality paradox . . . . http://t.co/HztB7Eeq”
DrMarniqueB
@iurojc @DrHenryWoo @IsaacThangasamy @StorkBrian @_TheUrologist_ Goes to show 48hr discussion window necessary #urojc http://t.co/GUVuNdCV
jdsammon
@captfun99 @iurojc @daviesbj #urojc valid and interesting point about the zero mortality paradox in surgery http://t.co/1q3gLRBa
daviesbj
Do not forget #urojc MT @jdsammon@captfun99 @daviesbj no peri operative mortality from ORP or RARP at very-hi vol centers in 2009 NIS