在盆地底外科手术后膀导管的成本分析
Anouk Benseler1, Zi Ying Zhao2, Muhammad Harris Sheikh2
1From the Department of Obstetrics and Gynecology.
Urogynecology (Philadelphia, Pa.)
|May 10, 2024
概括
经尿道内置导管 (TIC) 和间歇性自导管 (ISC) 比上管 (SPT) 更具成本效益,用于管理骨盆手术后的术后尿. 这些发现为医疗保健提供者提供了有价值的经济见解.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 卫生经济学 卫生经济学
- 外科手术的结果
背景情况:
- 术后暂时性尿 (POUR) 影响15-45%的接受骨盆重建手术的女性.
- 目前的膀排水方案包括通过尿道内置导管 (TIC),间歇性自导管 (ISC) 和上管 (SPT),没有确立的临床优势或经济分析.
研究的目的:
- 在经阴道骨盆手术后对不同膀导管策略进行全面的比较经济分析.
- 评估与ICT,ISC和SPT相关的成本,以管理暂时的POUR.
主要方法:
- 一个决策树模型是从加拿大通用单一支付医疗系统的角度开发出来的.
- 在6周的时间内计算成本,使用来自机构记录和系统审查的数据.
- 成本数据与流程利益相关者和公布来源进行了验证.
主要成果:
- 对于门诊手术,平均成本为:TIC (150.69加元),ISC (162.28加元) 和SPT (255.67加元).
- 对于住院手术,平均成本为:TIC (134.22加元) 和SPT (224.61加元).
- 过尿道内置导管 (TIC) 和间歇性自导管 (ISC) 的成本明显低于上阴管 (SPT).
结论:
- 经尿道内置导管 (TIC) 和间歇性自导管 (ISC) 与上阴道管 (SPT) 相比,在经阴道骨盆重建手术后暂时的术后尿保留时,代表了更具成本效益的管理选择.
- 这种经济评估提供了关键数据,以优化资源配置在管理POUR.
相关概念视频
Cardiac Catheterization IV: Nursing Management
1.2K
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
1.2K
Urinary Tract Calculi V: Nursing Management
498
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
498
Urinary Tract Calculi VI: Surgical Management
1.0K
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
1.0K
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
3.5K
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
3.5K
Imaging Studies VI: Voiding Cystourethrography and Cystography
4.8K
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
4.8K
Urologic Endoscopic Procedure: Cystoscopic Examination
6.7K
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
6.7K


