THE INCIDENCE OF ACUTE URINARY RETENTION AS AN INDICATOR OF THE QUALITY OF CARE FOR PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA


Дәйексөз келтіру

Толық мәтін

Ашық рұқсат Ашық рұқсат
Рұқсат жабық Рұқсат берілді
Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

Aim. To evaluate the incidence of acute urinary retention as an indicator of the quality of care for patients with benign prostatic hyperplasia by the example of "Urology" Program implemented in the Voronezh region. Materials and methods. As part of the program "Urology", the incidence of AUR was used as an indicator of quality of care for patients with BPH. Urological health care for patients with BPH was provided within a three-stage model. For each of the stages standardized packages of detailed methodological materials, including regional standards were developed. Results. Over the 3 years of the program (2011-2013) questionnaire survey was conducted among 762 937 men 50-75 years old with 85.3-88.1% annual coverage of respondents. Over the past three years (2009-2012) there was consistent and statistically significant (p<0.05) decrease (from 11.27 to 1.5%) in the proportion of hospitalizations for AUR reaching a “plateau” (p>0.05) in 2012-2013. There was a significant correlation of AU R with the main indicators of effectiveness of BPH treatment: the structure of morbidity (prevalence of early BPH forms - groups 1 and 2), the number of surgical interventions, the frequency of complications (including surgical), general and specific costs for diagnosis and treatment of BPH. Conclusions. Acute urinary retention may be regarded as an integral indicator of the quality of care for patients with BPH.

Толық мәтін

Рұқсат жабық

Авторлар туралы

O. Apolikhin

Email: apolikhin.oleg@gmail.com
N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology - branch of NMRRC of Minzdrav of Russia

A. Sivkov

Email: uroinfo@ya.ru
N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology - branch of NMRRC of Minzdrav of Russia

E. Yanenko

N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology - branch of NMRRC of Minzdrav of Russia

M. Katibov

Email: mikatibov@mail.ru
N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology - branch of NMRRC of Minzdrav of Russia

O. Zolotukhin

Email: zolotuhin-o@yandex.ru
Voronezh regional clinical hospital №1 Department of Urology and Andrology, NN Burdenko VGMA Voronezh

I. Shaderkin

Email: info@uroweb.ru
N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology - branch of NMRRC of Minzdrav of Russia

M. Prosyannikov

Email: prosyannikov@gmail.com
N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology - branch of NMRRC of Minzdrav of Russia PhD, Research Fellow

D. Voitko

Email: 1987vda@mail.ru
N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology - branch of NMRRC of Minzdrav of Russia

A. Tsoi

Email: Kisayo@gmail.com
N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology - branch of NMRRC of Minzdrav of Russia

N. Galiev

Email: galiev.nikolaj@gmail.com
N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology - branch of NMRRC of Minzdrav of Russia

Yu. Kastrikin

Email: yurii_kn@mail.ru
N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology - branch of NMRRC of Minzdrav of Russia

Әдебиет тізімі

  1. Alyaev Yu.G., Borisov V.V., Mel'nikov A.V. Pathogenic mechanisms in acute ischuria in men. III kongress urologov Kazakhstana: Materialy. Almaty, 2000. p. 222. Russian (Аляев Ю.Г., Борисов В.В., Мельников А.В. Патогенетические механизмы при острой ишурии у мужчин. III конгресс урологов Казахстана: Материалы. Алматы, 2000. С. 222).
  2. Derevyanchenko V.I., Doronin I.V. Benign prostatic hyperplasia complicated by acute urinary retention and acute pyelonephritis. Materialy 10 Rossiiskogo s"ezda urologov. M., 2002. S. 103. Russian (Деревянченко В.И., Доронин И.В. Доброкачественная гиперплазия простаты, осложненная острой задержкой мочи и острым пиелонефритом. Материалы 10 Российского съезда урологов. М., 2002. С. 103).
  3. Djavan В., Seitz C., Shariat S. et al. Treatment of acute urinary retention by high-energy transurethral microwave thermotherapy (TUMT). Abstracts from the XlVth Congress of the EAU. April, 7-11, 1999. Stockholm, Sweden. P. 308.
  4. Hastie K., Dickinson A., Ahmad R. Acute retention of urine: is trial without catheter justified? J. R. Coll. Surg. Edinb. 1990; 35(4):225 -227.
  5. Hoffmann J., Jersky J. A comparison of suprapubic and transurethral drainage for postoperative urinary retention in general surgical patients. Acta. Chir. Scand. 1982;148(4):323-327.
  6. Kefi A., Koseoglu H., Celebi I. et al. Relation of high PSA accompanying acute urinary retention with prostatitis. Abstracts from the XlXth Congress of the EAU. March, 24-27, 2004. Vienna, Austria. P. 144.
  7. Derevyanchenko V.I., Doronin I.V. Benign prostatic hyperplasia complicated by acute urinary retention and acute pyelonephritis. Materialy 10 Rossiiskogo s"ezda urologov. M., 2002. S. 103. Russian (Деревянченко В.И., Доронин И.В. Доброкачественная гиперплазия простаты, осложненная острой задержкой мочи и острым пиелонефритом. Материалы X Российского съезда урологов. М., 2002. С. 103.
  8. Pozdnyakov K.V. Acute urinary retention in benign prostatic hyperplasia: PhD thesis. M., 2006. 24 p. Russian (Поздняков К.В. Острая задержка мочи при доброкачественной гиперплазии предстательной железы :автореф. дисс. канд. мед. наук. М., 2006. 24 с.).
  9. Shikov S.M. Medical and social characteristics of patients with BPH and the organization of their specialized medical care in modern conditions: PhD thesis. SPb., 2005. S. 22. Russian (Шиков С.М. Медико-социальная характеристика больных ДГПЖ и организация им специализированной медицинской помощи в современных условиях: Автореф. дисс. канд. мед. наук. СПб., 2005. С. 22).
  10. Sharafutdinov M.A. Social-hygienic aspects of diseases of the genitourinary system, medical and organizational foundations of patient health care: Dr.Med.Sci. thesis. M., 2012. Russian (Шарафутдинов M.A. Социально-гигиенические аспекты болезней мочеполовой системы и медико-организационные основы медицинской помощи больным автореф. дисс. док. мед. наук. М., 2012).
  11. Apolikhin O.I., Sivkov A.V., Katibov M.I., Shchukin A.V., Zolotukhin O.V., Shaderkin I.A., Madykin Yu.Yu., Kocherov A.A., Kocherova E.V., Shaderkina V.A., Prosyannikov M.Yu., Voitko D.A. Program «Urology» - a complex approach to healthcare modernization, based on the example of Voronezh region. Eksperimental'naya i klinicheskaya urologiya. 2013;2:5. Russian (Аполихин О.И., Сивков А.В., Катибов М.И., Щукин А.В., Золотухин О.В., Шадеркин И.А., Мадыкин Ю.Ю., Кочеров А.А., Кочерова Е.В., Шадеркина В.А., Просянников М.Ю., Войтко Д.А. Программа «Урология» - комплексный подход к модернизации здравоохранения на примере Воронежской области. Экспериментальная и клиническая урология. 2013;2:5).
  12. Apolikhin O.I., Sivkov A.V., Katibov M.I., Zolotukhin O.V., Shaderkin I.A., Prosyannikov M.Yu., Voitko D.A., Grigoreva M.E., Tsoi A.A., Galiev N.A. First results of comprehensive integrated standardized programme for BPH diagnosis and treatment. Eksperimental'naya i klinicheskaya urologiya. 2014;1:4. Russian (Аполихин О.И., Сивков А.В., Катибов М.И., Золотухин О.В., Шадеркин И.А., Просянников М.Ю., Войтко Д.А., Григорьева М.Э., Цой А.А., Галиев Н.А. Предварительные результаты комплексной этапной стандартизированной программы диагностики и лечения ДГПЖ. Экспериментальная и клиническая урология. 2014;1:4).
  13. Kaisarov D.E. Clinical and economic evaluation of surgical and conservative treatment of benign prostatic hyperplasia in elderly persons in the city of Moscow: PhD thesis. M., 2001. 24 p. Russian (Кайсаров Д.Е. Клинико-экономическая оценка оперативного и консервативного лечения доброкачественной гиперплазии предстательной железы у лиц пожилого и старческого возраста в условиях Москвы. Автореф. дисс. канд. мед. наук. М., 2001. 24 с.).
  14. Prosyannikov M.Yu. Medical and economic effectiveness of a standardized program of diagnosis and treatment of benign prostatic hyperplasia: PhD thesis. M., 2015. 167 p. Russian (Просянников М.Ю. Медико-экономическая эффективность стандартизированной программы диагностики и лечения доброкачественной гиперплазии предстательной железы: дисс. канд. мед. наук. М., 2015. 167 с.).

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