囊切除术后医生评估和患者报告的并发症之间的差异 - - 一个前性分析
Benedikt Ebner1, Judith Hirsch2, Annkathrin Holz2
1Department of Urology, University Hospital, Ludwig-Maximilians-University Munich, Munich, Germany. Benedikt.Ebner@med.uni-muenchen.de.
World journal of urology
|February 10, 2025
概括
患者对囊切除术并发症的看法与医生的评估有中等的相关性. 只有50%的患者准确地感知到他们的并发症严重程度,这突出了需要更好的手术前信息的需要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
- 患者报告的结果
背景情况:
- 囊切除术后的外科手术并发症很常见.
- 患者对这些并发症的看法在很大程度上未被研究.
- 临床分级和患者体验之间的差异是未知的.
研究的目的:
- 为了评估囊切除术后的术后并发症.
- 为了比较医生评估的并发症等级与患者报告的等级.
- 探索这两种观点之间的差异.
主要方法:
- 使用Clavien-Dindo分类 (CDC) 和综合复杂性指数 (CCI) 对并发症的前性评估.
- 斯皮尔曼相关性分析用于比较医生评估和患者报告的成绩.
- 对差异和患者子组 (现实主义者,乐观主义者,悲观主义者) 的分析.
主要成果:
- 在医生评估和患者报告的并发症等级之间发现了中等相关性 (CDC: r=0.34,CCI: r=0.39).
- 50%的患者是"现实主义者",38%是"乐观主义者",12%是"悲观主义者".
- 乐观主义者比悲观主义者报告了更好的手术前信息.
结论:
- 医生和患者对囊切除术并发症的评估显示只有中度的同意.
- 大约一半的患者准确地感知到他们的并发症严重程度.
- 彻底的手术前医疗信息对于将患者的期望与实际结果保持一致至关重要.
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