在美国进行囊切除术的泌尿科医生认证的特点
Andrew S Flum1, Daniel T Oberlin1, Laurie Bachrach1
1Department of Urology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois.
Urology practice
|August 10, 2023
概括
对于膀癌,大多数激进的囊切除术都是由低体积的外科医生进行的. 这项研究分析了外科医生病例日志,以评估美国的激进囊切除术 (RC) 培训和体积.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 公共卫生 公共卫生
背景情况:
- 激进囊切除术 (RC) 是用于膀癌的复杂手术.
- 外科医生的经验和病例数量对于最佳的患者结果至关重要.
- 在美国,人们怀疑RC的外科医生培训和体积存在显著的变化.
研究的目的:
- 调查在美国进行激进囊切除的泌尿科医生之间手术培训和病例数量的变化.
- 为了确定与更高的激进囊切除手术体积相关的因素.
主要方法:
- 来自美国泌尿病学委员会 (2003-2013) 的6个月病例日志数据的分析.
- 包括患有膀癌的ICD-9代码和急性囊切除术的CPT代码的病例.
- 评估外科医生特定的变量,包括体积和最小侵入性技术.
主要成果:
- 2,102名泌尿科医生进行了5,335次彻底囊切除术;5.4%是微创手术.
- 根性囊切除术的中位数为每位泌尿科医生2例;50%在此期间只进行了1例.
- 瘤专业和非私人实践与更高的囊切除体积有关.
结论:
- 大多数激进囊切除手术是由低体积的外科医生进行的,通常是在他们的职业生涯的早期.
- 这种低体积可能会影响膀癌患者的护理质量.
- 对外科医生资格证和经验的进一步研究是有必要的.
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