对于过度活跃的膀使用神经神经调节的趋势:来自AUA AQUA注册表的洞察力
Madeleine A Z Ball1, Micha Y Z Cheng1, Rachel Mbassa2
1Department of Urology, UCSF, San Francisco, California.
Urology practice
|November 3, 2025
概括
对过度活动膀 (OAB) 的最小侵入性疗法 (MIT) 仍未得到充分利用,尽管患者和提供者因素影响了治疗选择,但整体率仍然停滞不前. 圣神经调节 (SNM) 的使用相对于其他麻省理工学院 (MIT) 比如上巴托毒素注射 (BTX-A) 已经下降.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 盆腔健康 盆腔健康
背景情况:
- 最少侵入性疗法 (MITs) 为那些对医疗管理无反应或不耐受的患者提供有效的过活性膀 (OAB) 治疗.
- 尽管证明有效,但MIT对OAB的采用率仍然很低,并且随着时间的推移而没有增加.
研究的目的:
- 通过使用AQUA注册表,分析2014年至2023年MIT对OAB的利用趋势.
- 调查患者和提供者影响神经神经调节 (SNM) 对OAB替代MIT选择的因素.
主要方法:
- 在AQUA注册数据库中查询了被诊断为异常性OAB的成年患者,他们接受了MIT.
- 分析了包括年龄,种族,性别,保险和地理位置在内的患者数据.
- 多变量逻辑回归确定了与SNM选择相关的因素.
主要成果:
- 在2,006,684名患有异常性OAB的患者中,只有2.9%接受了MIT.
- 毒素注射 (BTX-A) 的利用率增加,而SNM和皮肤穿神经刺激 (PTNS) 的利用率下降.
- 接受SNM治疗的患者更有可能是年轻人 (<51岁),男性,来自农村地区,并且在大量的OAB实践中接受治疗.
结论:
- 总体而言,MIT对OAB的利用率在9年的研究期内仍然停滞不前,为2.9%.
- 虽然BTX-A的使用量有所增加,但SNM的使用量有所减少,这表明治疗偏好的转变.
- 患者和提供者特征显著影响SNM与其他MIT相比的选择,突出了改善理解和访问的领域.
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