尾炎的临床决策规则不被训练中的外科医生使用:一项调查
Nadir Noureldin Abdella Bahta1, Anders Gram-Hanssen1,2, Isabella Jonsson3
1Center for Perioperative Optimization, Department of Surgery, Herlev and Gentofte Hospital, University of Copenhagen, Herlev, Denmark.
World journal of surgery
|February 27, 2024
概括
接受培训的外科医生对诊断尾炎的临床决策规则 (CDR) 的认识和使用有限. 虽然CDR与他们的方法保持一致,但它们需要验证和易于应用才能实现.
科学领域:
- 进行外科培训和教育.
- 诊断准确性在紧急医疗中的诊断准确性
- 临床决策的过程
背景情况:
- 对于正在接受培训的外科医生来说,尾炎的诊断仍然是一个挑战.
- 目前的诊断方法主要依赖于临床症状和体检.
- 需要探索标准化诊断工具的整合.
研究的目的:
- 评估在培训中的外科医生对尾炎临床决策规则 (CDR) 的知识.
- 了解他们对在临床实践中实施CDR的态度.
- 确定CDR采用障碍和促进者的障碍.
主要方法:
- 在丹麦东部,对正在接受训练的外科医生进行了一项调查.
- 该调查收集了关于外科医生人口统计,诊断策略和CDR意识/态度的数据.
- 数据是在2023年1月收集的,响应率为90%.
主要成果:
- 52%的外科医生在培训中发现尾炎难以诊断.
- 只有48%的人知道有CDR,而72%的人从未使用过CDR.
- 关于CDR的必要性意见分歧;实施取决于验证和易用性.
结论:
- 外科医生在培训知识和使用尾炎CDR方面存在很大的差距.
- 现有的诊断实践在很大程度上与CDR组件保持一致,这表明集成的潜力.
- 在接受培训的外科医生表示,在采用之前,需要验证和用户友好的CDR.
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80
Appendicitis-I: Introduction
145
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
145
Inflammatory Bowel Disease V: Surgical Management
145
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
145
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
84
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
84


