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圣器神经调节重编程速率:理解基于办公室的需求

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    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.