透皮瘤切换间隔的分析:从2009-2021年间的回顾性Merative MarketScan分析中的见解
John T Moon1, Jenny Nguyen2, Julian Ricci2
1Department of Radiology and Imaging Sciences, Division of Interventional Radiology and Image-Guided Medicine, Emory University School of Medicine, 1364 Clifton Rd NE, Atlanta, GA, 30322, USA. jtmoon@emory.edu.
管切换往往偏离了推的时间表,许多常规切换发生在60-89天窗口之前. 这突显了临床实践和基于证据的瘤切除护理指南之间的差距.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 目前的瘤切换实践依赖于专家的共识,而不是基于证据的指导方针.
- 常规交换的推时间表通常为60-89天.
研究的目的:
- 分析穿皮瘤切换 (PCN) 的时间.
- 将观察到的交换时间与已确定的指南进行比较.
主要方法:
- 使用的MerativeTM MarketScan商业索赔数据 (2009-2021年).使用的MerativeTM MarketScan商业索赔数据 (2009-2021年).
- 分类门诊交换为例行和住院作为非例行.
- 采用了千-平方适合性测试来比较观察到的与预期的交换分布.
主要成果:
- 81%的交易发生在89天内,67%发生在59天内.
- 常规交易显示出显著的偏差,其中大多数发生在59天前.
- 非常规交换也经常发生在60或89天前 (77%在89天内).
结论:
- 观察到的瘤切换模式与当前的指导方针有很大不同.
- 需要基于证据的指导方针来优化患者的治疗结果并降低医疗保健成本.
相关概念视频
Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy
Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
Renal Drug Clearance: Comparison Between Renal Excretion Methods
Renal clearance is often associated with the renal glomerular filtration rate (GFR), which represents the rate at which plasma is filtered through the glomeruli in the kidney. When drug reabsorption is minimal and there is no active secretion, renal clearance is closely related to the...
Determination of Renal Drug Clearance: Graphical and Midpoint Methods
The graphical method involves plotting the rate of drug excretion in urine against the plasma drug concentration. By analyzing the graph, the clearance can be calculated and obtained. Drugs rapidly excreted by the kidneys exhibit a...


