一个新的膀癌监测计划,使用膀Cx对每年监测的患者进行监测
Arjun Guduguntla1,2, Thomas Whish-Wilson1, Lauren Chandler1
1Department of Urology Northern Health Victoria Australia.
BJUI compass
|January 29, 2025
概括
Cx膀监测器 (CxM) 为膀癌监测提供了一种安全,具有成本效益的替代方案,可以将等待列表减少59%. 这种尿液测试与囊泡镜交替进行,保持监测的有效性和患者满意度.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 诊断医学 诊断医学 诊断医学
背景情况:
- 膀癌的监测需要定期监测,以检测复发并防止疾病的进展.
- 传统的监测依赖于囊镜,这可能是侵入性的,并导致长时间的等待列表.
- Cx膀监测器 (CxM) 是一种具有高灵敏度和膀癌检测负预测值的尿液测试.
研究的目的:
- 评估一个新的膀癌监测计划的结果.
- 评估交替CxM与囊镜的疗效.
- 分析对等待名单,成本和患者满意度的影响.
主要方法:
- 这是一项追溯性研究,涉及98名每年接受囊镜检查的患者.
- 交替监测计划的实施:CxM之后,如果阳性,则进行囊镜检查,如果阴性,则延迟囊镜检查.
- 收集关于CxM结果,复发率,治疗模式,等候名单影响,成本效益和患者满意度的数据.
主要成果:
- 在98名患者中,90名患者的CxM测试呈阴性;8名患者的测试呈阳性 (3名真实阳性).
- 阴性CxM后的复发是非侵入性的,没有进展到肌肉侵入性疾病.
- 监视囊镜等候名单减少了59%,CxM比囊镜便宜了850澳元.
结论:
- 通过灵活的囊镜,CxM可以安全地集成到交替监测计划中.
- 这种方法有效地监测患者的膀癌复发情况.
- 该计划在减少等待列表时间和医疗保健成本方面显示出显著的好处.
相关概念视频
Urinary Bladder
4.7K
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
4.7K
Urinary Tract Calculi III: Medical Management
400
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
400
Imaging Studies II: Ultrasonography
909
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
909
Imaging Studies III: Computed Tomography
893
DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
893
Imaging Studies VI: Voiding Cystourethrography and Cystography
4.7K
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
4.7K
Urologic Endoscopic Procedure: Cystoscopic Examination
6.6K
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
6.6K


