圣器神经调节重编程速率:理解基于办公室的需求
Urogynecology (Philadelphia, Pa.)
|January 9, 2025
概括
在31.5%的患者中发生神经神经调节 (SNM) 重编程,在便失禁患者中发生的比例更高. 这表明需要对这些患者进行更密切的监测和潜在的调整.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械 医疗器械
- 患者的治疗结果.
背景情况:
- 圣神经调节 (SNM) 提供了可调节的治疗,用于下部泌尿和便功能障碍.
- 重编程是管理患者症状和优化SNM治疗的关键特征.
- 了解重编程率对于患者管理和医疗保健资源分配至关重要.
研究的目的:
- 为了确定基于办公室的SNM重编程在一个大型的,多个站点的患者队列中的发生率.
- 根据SNM植入的主要适应症 (尿液与便失禁) 来分析重新编程速率的差异.
主要方法:
- 使用ICD-10和CPT代码对TrinetX数据库进行了回顾性分析.
- 包括被诊断患有尿,急性尿失禁或便失禁 (FI) 的女性成年患者.
- 主要结果:SNM从植入后6周到5年的CPT代码重编程率.
主要成果:
- 9,501名患者中的31.5%接受了办公室SNM重编程.
- 在5年内永远不需要重新编程的概率为52.5%.
- 与仅有尿路指示的患者相比,具有便失禁 (FI) 指示的患者需要重新编程的风险明显更高 (55%与50%相比,P < 0.001).
结论:
- 基于办公室的SNM重新编程是常见的,影响了近三分之一的患者.
- 利率可能被低估,突出潜在的报表不足.
- 便失禁的诊断与需要SNM重新编程的可能性增加有关.
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