There are many areas of research that the fellow may choose to work within, depending which projects are current, and the fellow’s interest. Some of the current projects underway or are the following:
- Reconstructive Urology
- Full availability of the Trauma and Urologic Reconstruction Network of Surgeons database. This data source pools data from > 10 tertiary reconstructive centers in North America and can be used to investigate many aspects of clinical outcomes in urethral stricture and incontinence treatment.
- Utah is the primary investigator for two prospective studies through the Multi-institutional Trials Committee of the American Association for the Surgery of Trauma (AAST), which evaluate current management of bladder and renal trauma, as well as the acute management of pelvic fracture urethral injury. We now have a database of > 1,100 high grade renal trauma cases from 21 level 1 trauma centers across the US with downloaded and de-identified radiology. This database has generated numerous impactful publications with the Multi-institutional GenitoUrinary Study (MiGUTS). Our trauma publications are listed in the following link, including studies from MiGUTS: University of Utah Trauma Studies.
- Utah has access to the National Trauma Databank (NTDB) and the Trauma Quality Improvement Project (TQIP). These large administrative datasets are maintained by the American College of Surgeons. They have allowed us to analyze the link between nephrectomy and death in two ongoing studies. These databases can be leveraged to understand many aspects of genitourinary trauma care.
- SCI and Neurogenic bladder
- PCORI grant – A grant entitled “Bladder Management in Patients with Spinal Cord Injury” started in August 2015. This was a multi-institutional study, for which Utah served as the primary investigative site. The grant’s goal was to assess current trends in SCI bladder management and patient reported outcomes with different bladder managements. The grant ended in 2018, however, there is large database has been assembled with many areas of potential investigation.
- DoD grant – A grant entitled “The Effectiveness of Early Sacral Nerve Stimulation in Preserving Bladder Health and Quality of Life After Acute Traumatic Spinal Cord Injury” began September 2016 and will randomize patients after acute spinal cord injury to SNM placement versus usual care. There are multiple opportunities to use data from this project to describe bladder dynamics after SCI.
- The Neurogenic Bladder Research Group is a group of 10 centers focused upon meaningful studies in neurogenic bladder. A database is under current development and the group is open to ideas for meaningful studies in the years to come. The current publication list from NBRG is available at the following link: NBRG Studies.
- Utah Population Database
- The UPDB houses full medical records and pedigree data on 85% of all Utahns. This database is unique and can be used to conduct powerful population-based studies. The discovery of BRCA-1was through the UPDB. Current areas of investigation in reconstructive urology are management of urethral strictures and familial inheritance, outcomes in pediatric congenital urologic disease, and incidence an impact of radiation injury. The possibilities for meaningful health services research are virtually endless. The Surgical Population Analysis Research Core (SPARC) is an important collaborator in these studies.