美国对BPH泌尿动力学评估的护理模式
Christina Sze1, Tenny R Zhang1, Leo Dreyfuss1
1Department of Urology, New York-Presbyterian/Weill Cornell Medical Center, New York, New York, USA.
Neurourology and urodynamics
|July 3, 2023
概括
泌尿动力学评估 (UDS) 在良性前列腺增生 (BPH) 手术中的使用在泌尿科医生之间有很大的差异. 尽管BPH手术数量增加,但UDS的使用量正在下降,这表明它可能不会影响手术决策.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术实践模式的模式
- 诊断评估 诊断评估 诊断评估
背景情况:
- 在良性前列腺增生 (BPH) 手术中泌尿动力学评估 (UDS) 的实践模式尚未明确.
- 了解影响UDS使用的因素对于优化患者护理至关重要.
研究的目的:
- 调查与BPH手术中UDS利用相关的患者和外科医生相关因素.
- 为了识别随着时间的推移对BPH的UDS使用趋势.
主要方法:
- 分析美国泌尿病学委员会从2008年到2020年的病例日志数据.
- 使用后勤回归模型来确定与BPH的UDS使用相关的因素.
主要成果:
- 从2008年到2020年,UDS用于BPH的使用量下降了 (OR:0.95).
- 与更高的UDS使用相关的因素包括男性性别,年龄较大,女性盆腔医学和重建性手术子专业以及更高的BPH外科病例数量.
- 执行UDS的泌尿科医生更有可能在中大西洋地区和人口较多的地区执业.
结论:
- 在使用UDS治疗BPH方面存在显著的实践差异.
- 尽管BPH手术增加,但泌尿科医生对BPH进行UDS的频率越来越低.
- 在UDS使用者中,较高的BPH手术量表明UDS可能不是手术决策中的主要因素.
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