在磁共振消毒学研究之前使用直肠检查
Colby J Schrum1, Micaela M Dickinson2, Eric D Shah3
1From the Department of Obstetrics and Gynecology, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
在磁共振消化学 (MRD) 之前的数字直肠检查 (DRE) 率因医疗专业而异. 胃肠科医生比其他专家更少执行DRE,这表明需要标准化的患者评估协议.
科学领域:
- 胃肠病学 胃肠病学
- 泌尿和妇科 泌尿和妇科
- 结肠直肠手术 结肠直肠手术
背景情况:
- 磁共振消化学 (MRD) 是评估复杂肠道和骨盆底疾病的关键成像方法.
- 最佳的手术前患者评估,包括数字直肠检查 (DRE),还没有得到很好的定义.
- 针对MRD的次专家推模式需要了解当前的评估实践.
研究的目的:
- 为了确定在磁共振缺口学 (MRD) 之前由转诊医疗保健提供者进行的数字直肠检查 (DRE) 的频率.
- 评估不同医疗子专业之间DRE性能的变化,要求MRD.
- 在MRD之前为适当的患者工作提供指导方针.
主要方法:
- 从2016年至2020年接受MRD的女性患者的回顾性队列审查.
- 转诊提供者或其他临床医生在MRD之前的特定时间内对已记录的DRE进行分析.
- 基于参考子专业的DRE率的比较.
主要成果:
- 审查了304个MRD测试;68.8%的患者被胃肠病学转诊.
- 胃肠科医生在32.8%的病例中进行了DRE,而其他专业的情况为84.4% (P < 0.001).
- 在胃肠病学和结直肠外科/泌尿外科转诊之间观察到DRE率的显著差异.
结论:
- 在MRD之前的DRE的比率因参考子专业而异.
- 这些发现强调了需要更好地理解和标准化DRE在评估骨盆底功能障碍中的作用.
- 标准化方案可以通过确保适当的程序前评估来提高MRD的诊断产量.
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