内镜袖口腔整形:一个实践模式调查
James D Haddad1, Jaime P Almandoz2, Victoria Gomez3
1Division of Digestive and Liver Diseases, University of Texas Southwestern, Dallas, TX, USA. James.Haddad@UTSouthwestern.edu.
Obesity surgery
|June 20, 2023
概括
针对肥胖症的内镜套胃形成术 (ESG) 由于缺乏指导方针,导致实践变化. 这影响了患者的获取和覆盖范围,突出显示了在内科医疗护理中需要标准化标准的必要性.
科学领域:
- 腹腔内镜检查 腹腔内镜检查 腹腔内镜检查
- 肥胖治疗方法 肥胖治疗方法
- 医疗保健实践模式的模式
背景情况:
- 肥胖是一种复杂的慢性疾病,带来了巨大的医疗保健成本.
- 内镜套胃形成术 (ESG) 是一种安全有效的肥胖治疗方法.
- 缺乏ESG实践指南可能会导致实践变化.
研究的目的:
- 描述执行ESG的内镜师当前的实践模式.
- 确定ESG领域未来研究和指导方针开发的领域.
主要方法:
- 对执行ESG的内镜医生进行匿名横截面调查.
- 调查涵盖了实践设置,培训,患者评估,术后护理和术后随访.
- 包括关于排除标准和保险覆盖范围的问题.
主要成果:
- 实践环境,排除标准 (例如BMI范围) 和程序前评估的显著变化.
- 大多数受访者 (65.6%) 在BMI<27时不会进行ESG;在BMI>50时,40.6%不会进行ESG.
- 在许多地区,ESG覆盖率有限 (74.2%),患者经常承担剩余成本 (67.7%).
结论:
- 由于ESG实践的变化,需要制定指南.
- 缺乏指导方针和标准,造成了保险覆盖的障碍,并限制了患者的获取.
- 未来的研究应该专注于建立患者选择标准和标准化的ESG护理协议.
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