女性尿失禁患者的转诊和处方模式
Marie C Luebke1, Emily R W Davidson, Bradley H Crotty
1From the Medical College of Wisconsin, Milwaukee, WI.
Urogynecology (Philadelphia, Pa.)
|October 26, 2023
概括
许多患有尿失禁 (UI) 的女性没有接受基于指南的护理. 一项研究发现,在初级保健中只有37.2%的新UI诊断的妇女得到了及时的药物或转诊.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇女健康 妇女健康
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 尿失禁 (UI) 影响了许多女性,但最佳治疗方法往往未得到充分利用.
- 有效的行为修改,药物和疗法存在,但患者不经常使用.
研究的目的:
- 在初级保健中分析UI的治疗模式.
- 调查药物处方和转诊到骨盆底物理治疗 (PFPT) 和专家的比例.
主要方法:
- 从2016年到2020年,对电子健康记录 (EHR) 的回顾性分析.
- 在初级保健中确定了新的UI诊断的成年女性.
- 检查了处方和转诊,使用后勤回归来识别相关因素.
主要成果:
- 在4382名妇女中,只有37.2%的妇女在诊断后的一年内接受了符合指南的护理.
- 转诊率为20.6% (17.7%为专家,3.2%为PFPT);17.1%接受紧急药物/混合UI.
- 患有压力或混合UI的女性更有可能被转诊;流行病诊断与较低的转诊率相关.
结论:
- 对于在初级保健中诊断出UI的妇女,基于指导方针的护理存在重大差距.
- 对于UI的及时和适当管理的机会经常被错过.
- 需要进一步的研究来改善获得UI治疗的机会.
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