相关实验视频
Updated: Jul 26, 2025

08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
11.5K
积极监测与即时治疗 - - 哪一个对泌尿科医生有更大的经济激励?
Zheng Zhang1, Parth K Modi2, Vahakn Shahinian3
1Department of Industrial and Operations Engineering, University of Michigan, Ann Arbor, Michigan.
Urology practice
|June 15, 2023
概括
与立即治疗相比,前列腺癌的积极监测为泌尿科医生提供了较低的补偿. 财政激励措施可能需要调整,以与低风险患者推的护理保持一致.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
背景情况:
- 建议积极监测低风险前列腺癌患者.
- 尽管建议进行监测,但经常会立即进行治疗.
- 泌尿科医生补偿可能会影响治疗建议.
研究的目的:
- 为了比较活跃监测和前列腺癌立即治疗的累积泌尿科医生补偿金.
- 调查财政补偿是否会成为推积极监督的障碍.
主要方法:
- 使用的医疗保险索赔和前列腺癌自然史模型.
- 模拟的年度补偿活动监测,手术和放射治疗.
- 占活检低样本,等级进展和监测中止.
主要成果:
- 与立即治疗相比,积极监测在10年内净当前价值退款减少了907美元2041美元.
- 敏感性分析确定了MRI/超声波融合活检和监测频率作为关键变量.
- 在5年和10年期间,观察到对监视的补偿较低.
结论:
- 泌尿科医生面临着很少的经济激励来采取前列腺癌的积极监测.
- 当前的支付模式可能无法将金融激励与基于证据的建议保持一致.
- 新的支付结构可以鼓励泌尿科医生实施积极监测.
相关概念视频
Urinary 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
Urinary 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
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
78
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
78
Urologic 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
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
16
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
16
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
16
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
16

