在美国退伍军人中,尿路结石疾病的随访成像实践的设施变化
Kevin B Smith1, Matthew S Lee2, Autumn Valicevic3
1Department of Industrial and Operations Engineering, University of Michigan, Ann Arbor, Michigan, USA.
Journal of endourology
|February 9, 2026
概括
在手术或急诊后的尿路结石病患者中,监视成像的使用率较低,在医疗机构之间实践中存在显著差异. 这凸显了在治疗尿路结石方面需要标准化成像协议的需要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健服务研究 医疗服务研究
- 放射学 放射学是一门学科.
背景情况:
- 尿路结石疾病 (USD) 管理通常涉及监测成像,以监测治疗有效性和复发情况.
- 对于USD患者的治疗后监测成像的实践可能会有很大的差异.
- 了解这种变化对于优化患者护理和资源配置至关重要.
研究的目的:
- 评估美国退伍军人尿路结石病 (USD) 的监控成像实践的变化.
- 检查不同临床环境中的成像使用情况,包括术后和急诊室 (ED) 设置.
- 确定影响监控成像使用的因素,并量化设施级别的变化.
主要方法:
- 研究人员对成年美国退伍军人进行了一项回顾性队列研究,他们在2010年至2018年期间被诊断患有美元.
- 来自退伍军人健康管理公司数据仓库的数据识别了接受手术或以美元的价格访问ED的患者.
- 多级物流回归模型分析了与监控成像相关的因素,中位数赔率 (MORs) 量化了设施变化.
主要成果:
- 这项研究包括35,248名患者;10,095人接受了手术,25,153人进行了ED访问.
- 术后成像率因设施而异,范围从8.4%到58.5% (手术后30-180天).
- 观察到医院间的显著变化,特别是在早期的术后期 (MOR:1.81),使用了不同的成像方法.
结论:
- 尿路结石病患者的监测成像使用率很低,无论是在手术后还是紧急诊所.
- 在不同的医疗机构中,成像实践存在实质性的差异.
- 监控成像协议的标准化可能是有必要的,以确保对尿路结石病患者的一致的护理.
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