开发用于内镜手术的膀损伤分类系统:一种涉及专家共识和验证的混合方法研究
Burak Akgül1, Atınc Tozsin1, Theodoros Tokas2
1Department of Urology, Trakya University School of Medicine Hospital, Edirne, Turkey.
European urology focus
|September 26, 2024
概括
一个新的膀损伤分类系统用于内镜手术 (BICEP) 在泌尿外科手术期间标准化了膀损伤的评估. 这种经过专家验证的系统为分类和管理手术内并发症提供了明确的指导方针.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内視鏡外科手術 內視鏡外科手術
- 医疗器械分类 医疗器械分类
背景情况:
- 内镜和激光膀干预的快速进步需要对阳性膀损伤进行标准化分类.
- 现有的方法在分级伤害严重程度和指导程序期间管理方面缺乏统一性.
研究的目的:
- 开发和验证内镜手术膀损伤分类系统 (BICEP).
- 建立一个标准化系统来分类膀损伤和内镜手术期间的干预需求.
主要方法:
- 一种混合方法的方法,涉及欧洲泌尿病学协会的专家.
- 通过重点小组,专家调查和修订进行代改进.
- 面部和内容的有效性通过两轮专家调查评估,使用5分利克特级别.
主要成果:
- BICEP系统根据严重程度和管理需求将伤害分为十个子类别 (分数0-4) .
- 在面部有效性 (清晰度,相关性,全面性) 上达到了95%的共识.
- 展示了强大的内容有效性和高专家接受度 (平均分数为4.53和4.58).
结论:
- BICEP系统是一个强大的,全面的分类,具有强大的专家验证的面部和内容有效性.
- 它为内镜泌尿病学中膀损伤的分类和治疗提供了标准化的基础.
- 为了广泛采用和有效性,建议进行进一步的外部验证.
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