石病 在加拿大的泌尿科医生中实践模式
Anis Assad1, Mahmoud Moustafa2, Brendan L Raizenne1
1Division of Urology, Centre hospitalier de l'Université de Montréal, Université de Montréal, Montreal, QC, Canada.
概括
加拿大泌尿科医生表现出多样化的结石疾病管理实践,并面临诸如有限的跨学科诊所接入等障碍. 解决这些差距对于改善患者护理和为未来的指导方针提供信息至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗实践管理 医疗实践管理
背景情况:
- 尽管有现有的指导方针,但加拿大对结石疾病 (KSD) 管理的高质量证据有限.
- 加拿大泌尿科医生的当前做法,偏好和对KSD管理的感知障碍并未得到充分记录.
研究的目的:
- 评估加拿大泌尿科医生在治疗结石疾病方面的现有实践模式.
- 确定泌尿科医生对KSD的手术设备和治疗方法的偏好.
- 探索加拿大泌尿科医生在提供全面的KSD护理时遇到的障碍.
主要方法:
- 一项横截面调查通过专业协会和直接向部门分发给加拿大各地的泌尿科医生.
- 用描述性统计数据来分析调查数据.
- 该调查收集了有关程序量,技术可用性和感知到的挑战的信息.
主要成果:
- 大多数泌尿科医生每年都会进行超过75次尿路透镜检查和不到25次皮肤瘤切除术 (PCNL).
- 硫纤维激光器 (TFL) 是首选的手术设备,荷:YAG (Ho:YAG) 激光器也广泛使用.
- 经过内分泌学奖学金培训的泌尿科医生表现出更高的PCNL访问率,代谢检查和处方医疗治疗.
- 代谢修复的障碍包括缺乏时间和专业知识,38%的人将这项工作委托给其他专家.
- 大多数人 (71%) 无法进入多学科的KSD诊所,尽管76%的人认为这些诊所会有好处.
结论:
- 加拿大泌尿科医生在治疗结石疾病的方法上表现出相当大的变化.
- 确定的主要障碍包括对先进技术的有限访问,在执行全面的代谢评估方面的挑战,以及缺乏综合的多学科护理.
- 解决这些实践差异和障碍对于加强KSD护理和在加拿大制定基于证据的指导方针至关重要.
相关概念视频
01:20Disorders of the Urinary System
232
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
232
01:45Kidney Structure
68.8K
The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
68.8K
01:20Disorders of the Male Reproductive System
325
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
325