尿路透镜与冲击波石:影响患者治疗偏好的因素
Robert Steven Gerhard1, Adam Shrewsberry1, Tania Solomon1
1Department of Urology, Emory University School of Medicine, Atlanta, Georgia.
Urology practice
|August 18, 2023
概括
患有尿病的患者更喜欢尿路透镜,而不是冲击波石,优先考虑没有石头的成功和更少的并发症. 这凸显了以患者为中心的护理在结石治疗选择中的重要性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 手术创新 在外科创新.
背景情况:
- 尿病的管理通常涉及冲击波石 (SWL) 和尿路透镜 (Uretero).
- 在SWL和Uretero之间,无石头成功率,并发症概况和重新手术需求存在显著的变化.
- 患者的偏好和影响尿病治疗选择的因素仍然至关重要.
研究的目的:
- 为了调查患者对SWL和Uretero之间的偏好,以治疗尿病.
- 确定影响患者选择尿病治疗选择的关键因素.
- 了解基于证据的结果在结石手术患者决策中的作用.
主要方法:
- 一项基于问卷的研究对有尿病史的患者进行了管理.
- 患者将临床情景与来自考克伦评论的结局数据进行了审查,该评论比较了SWL和Uretero.
- 受访者选择了他们喜欢的治疗方法,并对无石头成功,并发症,重新手术和支架使用的重要性进行了排名.
主要成果:
- 大多数患者 (63%) 在所述情景中更喜欢尿路透镜检查,而不是冲击波石 (37%) (p=0.001).
- 没有石头的成功 (94%) 是影响患者偏好的最关键因素.
- 并发症和需要第二次手术也是选择治疗的重要因素.
结论:
- 患者表现出更喜欢尿路透镜,当呈现基于证据的结局,尿病治疗.
- 以患者为中心的护理和共享决策是必不可少的,特别是当治疗优越性尚未确定时.
- 了解患者的优先事项,如高无石头率和低并发症风险,对于有效的尿病管理至关重要.
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