女人去哪里进行修复手术? 在加利福尼亚州尿道吊带放置后的地理迁移模式
Kai B Dallas1, Lisa Rogo-Gupta1, Christopher S Elliott1,2
1Stanford University School of Medicine, Stanford, California.
Urology practice
|June 10, 2023
概括
大多数尿道吊带修改都发生在最初的安置设施. 像距离和时间这样的患者因素会影响到寻求其他地方的修订,而高体积的中心会进行更多的修订.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 尿道吊带放置是应激性尿失禁的常见程序.
- 虽然已知修订率,但修订程序的具体情况,包括患者迁移模式,不太清楚.
研究的目的:
- 调查尿道吊带修改程序的时间,位置和患者迁移.
- 确定与患者在不同的设施寻求修订相关的因素.
主要方法:
- 加利福尼亚州医疗保健数据 (2005-2011) 的回顾性分析.
- 确诊的患者正在接受指数尿道吊带手术 (CPT 57288) 和随后的修订或尿道溶解.
- 探索设施的变化,行驶距离和相关因素.
主要成果:
- 在44,605名患者中,1.9%的患者需要吊链修改;其中22.5%的修改发生在新设施.
- 大批量中心执行了超过50%的修订.
- 患者与设施的距离越来越近,手术间的时间间隔越来越长,增加了改变设施进行修改的可能性.
结论:
- 78%的尿道吊带修改是在初始安置设施中进行的.
- 这表明,大多数执行吊带安置的设施也具有修订能力.
- 患者迁移用于修订往往发生在更大的城市中心.
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