确保以证据为基础的实践:研究与不使用美国泌尿病学协会指南相关的因素
Lael Reinstatler1, Florian R Schroeck2,3, Elias S Hyams1
1Section of Urology, Department of Surgery, Dartmouth Hitchcock Medical Center, Lebanon.
Urology practice
|August 18, 2023
概括
大约5%的泌尿科医生不使用美国泌尿学会 (AUA) 的指导方针. 不使用与在农村地区执业和更长的职业生涯持续时间有关,为未来的教育工作提供了信息.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 基于证据的医学基于证据的医学.
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 美国泌尿器官学会 (AUA) 的指导方针旨在规范泌尿器科护理.
- 2014年AUA人口普查评估了供应商使用这些指南的情况.
- 了解不使用因素可以改善指南的传播和教育.
研究的目的:
- 确定与未使用AUA指南相关的因素.
- 分析在泌尿病学中采用基于证据的实践的障碍.
- 为加强指导方针实施提供信息战略.
主要方法:
- 分析2014年AUA人口普查数据.
- 根据使用/不使用指南对提供者进行分层分类.
- 双变量和多变量后勤回归以确定非使用的预测因素.
主要成果:
- 95%的泌尿科医生报告使用AUA指南.
- 基于性别,种族,实践类型或奖学金的使用没有显著差异.
- 农村实践 (OR 1.06) 和更长的职业生涯时间 (10-20年 OR 1.15;>20年 OR 1.13) 与不使用相关.
结论:
- 大约5%的泌尿科医生不使用AUA指南.
- 农村实践和延长的职业生涯长度是指导方针不遵守的关键因素.
- 结果可以指导有针对性的干预措施,以改善基于证据的实践采用.
相关概念视频
Disorders of the Male Reproductive System
457
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
457
Nursing Assessment of the Genitourinary System I: Health History
30
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
30
Factors Affecting the Risk of Infection
11.9K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.9K
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 Infection III: Diagnostic Studies and Interprofessional Care
15
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...
15
Urodynamic Studies: Uroflowmetry
83
Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
83


