在社区实践泌尿器科中探索米托米C使用模式
Matthew Mossanen1, Matthew D Ingham1, Jeffrey J Leow1,2
1Division of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Urology practice
|June 10, 2023
概括
膀瘤切除后的米托米C使用量增加,但仍然很低. 老年患者和那些患有更多并发症的人不太可能接受它,而高体积的外科医生更有可能进行这种治疗.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 证据支持使用mitomycin C在通过尿道切除膀瘤后,以减少复发.
- 限量采用mitomycin C强调需要探索护理模式和障碍.
- 索赔数据分析可以揭示社区泌尿外科实践中mitomycin C利用的趋势.
研究的目的:
- 分析社区泌尿病学中mitomycin C使用的当代趋势.
- 为了识别与米托米辛C的管理相关的患者,医院和外科特征.
- 评估年龄和并发症对米托米辛C使用的影响.
主要方法:
- 来自Premier医院数据库 (2003-2015) 的当代基于人口的队列的分析.
- 包括接受过尿道膀瘤切除的患者.
- 多变量后勤回归用于评估与患者,医院和手术因素的关联,包括年龄和并发症.
主要成果:
- 线粒素C的使用量从3.3% (2003年) 增加到5.5% (2013年),然后下降到4.5% (2015年).
- 老年患者 (≥65岁) 和具有较高查尔森并发症指数的患者表现出与线粒素C使用的不同关联.
- 较高的年度外科医生数量与增加的线粒素C使用显著相关 (OR 1.68).
结论:
- 在临床实践中,尽管发生了适度增加,但米托米辛C在临床实践中仍未得到充分利用.
- 患有较大的并发症的患者不太可能接受米托米辛C.
- 高体积的外科医生更有可能给出mitomycin C,这表明实践的变化.
更多相关视频
11:24Evaporation-reducing Culture Condition Increases the Reproducibility of Multicellular Spheroid Formation in Microtiter Plates
Published on: March 7, 2017
7.1K
07:25A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
13.1K
相关概念视频
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
97
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
97
01:25Urinary Tract Calculi VI: Surgical Management
11
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
11
01:30Urinary Tract Calculi III: Medical Management
9
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
9