探索先入为腹腔透析资格障碍的偏见:对脏护理医生的全球场景调查
Nikhil Shah1, Paul N Bennett2, Yeoungjee Cho3
1Division of Nephrology, Department of Medicine, University of Alberta, Edmonton, Canada.
Kidney international reports
|May 20, 2024
概括
临床医师的神话阻碍了腹膜透析 (PD) 的使用. 这项全球调查发现,PD建议大多数患者使用,但实践因经验和地区而异,强调需要基于证据的教育来增加PD采用率.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 透析是通过透析进行的.
- 公共卫生 公共卫生
背景情况:
- 腹腔透析 (PD) 在全球范围内未得到充分利用,尽管对脏替代疗法 (KRT) 的需求日益增加.
- 临床医生的误解可能导致PD的不足利用.
- 了解PD启动的感知对于改善患者获得这种治疗的机会至关重要.
研究的目的:
- 探索科医生和学员对PD启动的看法.
- 根据患者的特征,确定影响决定推PD的因素.
- 解决PD利用的潜在障碍.
主要方法:
- 全球在线调查以英语和泰语进行.
- 参与者包括来自54个国家的科专家和科实习生.
- 调查评估了在各种患者身体,社会和临床场景中对PD的建议.
主要成果:
- 对于大多数情况下,建议使用PD,包括游泳和肝硬化或认知障碍患者.
- 根据特定的腹部手术和口腔口腔的类型,接受率有很大差异.
- 来自高收入国家 (HIC) 的临床医生,较大的单位和有更多经验的临床医生中,推的频率更高.
结论:
- 在不同临床场景中推PD存在差异,受临床医生的经验,单位特征和实践区域的影响.
- 基于证据的教育是必要的,以纠正有关PD的误解.
- 解决这些差异可能会导致全球更大的PD吸收.
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