在接受激进囊切除术的男性中,脆弱性,阴性腺体缺陷和术后结果之间的关联
Daniel R Greenberg1, Stephen Rhodes2, Hriday P Bhambhvani3
1Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL.
Urologic oncology
|January 23, 2024
概括
阴性腺缺陷症影响6.1%的男性进行了激进囊切除术 (RC). 虽然没有直接影响术后的结果,但脆弱性是RC后不良事件的重要危险因素.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 安德罗学与人类学
- 老年病的医生 老年病的医生
背景情况:
- 双胞胎缺血症与脆弱性,生活质量下降和死亡率有关.
- 这些因素可能会对手术结果产生负面影响.
- 在进行激进囊切除术 (RC) 之前,评估阴道腺缺陷和脆弱性至关重要.
研究的目的:
- 确定在接受RC的男性中患有阴性双胞胎症的流行率.
- 评估阴性腺缺陷,虚弱和术后结果之间的关联.
主要方法:
- 使用了IBM MarketScan数据库 (2012-2021) 来为RC患者提供服务.
- 使用医院脆弱风险评分评估脆弱性.
- 根据在RC之前5年内诊断的定义性阴性双胞胎症.
- 住院时间的比较,并发症,急救诊所的访问和再接收.
主要成果:
- 在3727名男性中,6.1%的男性患有阴道腺乱症;他们明显更脆弱.
- 没有显著的差异在LOS,并发症,或ED访问/重新接收之间的阴道腺症队伍.
- 高风险的脆弱性独立地与90天ED访问和再入院的增加有关.
- 替代疗法 (TRT) 没有显著影响下男性的结果.
结论:
- 在接受RC的男性中,手术前的阴性腺和虚弱需要评估.
- 脆弱性,特别是高风险脆弱性,是术后不良事件的关键预测因素.
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