引入一个结构化报告协议和Rezum水蒸气疗法 (VAPOR-SRP) 的外科检查清单
Jan Ebbing1,2, Viktor Alargkof1,2, Christian Engesser1,2
1Department of Urology, University Hospital Basel, 4031 Basel, Switzerland.
标准化Rezum水蒸气治疗文档对于比较良性前列腺阻塞治疗数据至关重要. 一个新的Rezum结构化报告协议 (SRP) 提高了文档质量和评审人员之间的可靠性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术技巧 手术技巧
- 医疗文件 医疗文件
背景情况:
- 对于良性前列腺阻塞的Rezum水蒸气疗法缺乏标准化的手术报告,这阻碍了数据比较.
- 不一致的文档使治疗结果的评估和手术技术的变化变得复杂.
研究的目的:
- 评估非标准化的Rezum操作报告的完整性.
- 验证一个新的Rezum结构化报告协议 (SRP),以提高文档质量和一致性.
主要方法:
- 开发并验证了带有图表和检查清单的Rezum结构化报告协议 (SRP).
- 该SRP被追溯应用于100个Rezum案例,分析了操作视频和报告.
- 通过对多个Rezum用户对20个病例的盲目审查来评估评审者之间的可靠性.
主要成果:
- 在Rezum注射技术中观察到显著的变化,包括密度,间隔和位置.
- 非标准化的报告显示不准确,只有30%的注射部位正确详细说明.
- 该SRP显示了高级别之间的可靠性 (例如,PUL=0.94的ICC,IPP=0.85的Fleiss Kappa).
结论:
- Rezum手术技术表现出可变性,影响数据的一致性和报告完整性.
- 经过验证的Rezum结构化报告协议 (SRP) 实现了内容有效性和高级别之间的可靠性.
- 该SRP促进标准化和完整的Rezum数据收集,提高临床分析的文档质量.
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