外科医生的实践模式寻求委员会认证在泌尿后科和康复性骨盆手术
Samuel W Plaska1, Patricia Maymi-Castrodad2, Alyssa Gracely3
1Department of Surgery, Loyola University Health System, Maywood, Illinois, USA.
Neurourology and urodynamics
|February 18, 2025
概括
泌尿后科和康复性骨盆手术 (URPS) 专家每次手术进行3.9次诊所访问. 医生的性别影响了实践模式,女性外科医生看到更多的诊所患者,患有过度活跃的膀和骨盆器官脱落等疾病.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 骨盆外科手术 骨盆外科手术
- 女性泌尿器科 女泌尿器科
背景情况:
- 医生短缺预计将增加,特别是在诸如泌尿外科和康复性骨盆外科 (URPS) 等子专业.
- 了解当前的实践模式对于解决未来的URPS需求至关重要.
研究的目的:
- 为了比较URPS内的诊所访问与手术/手术的比例.
- 确定影响URPS实践模式变化的因素.
主要方法:
- 分析了2013-2021年间非识别的URPS临床日志.
- 计算URPS诊断组的诊所访问与手术比率.
- 多层混合效应后勤回归用于评估外科医生之间的变化,考虑性别,年龄和认证状态.
主要成果:
- 诊所访问与外科手术的总比为3.9:1,根据诊断有很大的差异.
- 女性外科医生显示,临床评估的几率高于膀过活,压力尿失禁和骨盆器官脱落的手术.
- 医生实践模式占访问到程序比率变异的14%.
结论:
- 在每次手术中,URPS泌尿科医生平均每次进行3.9次诊所检查.
- 实践变化与医生特定的模式和医生性别有关.
- 临床接触和诊断程序是URPS实践的重要组成部分,突出了有效的患者管理的必要性.
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