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Differences in the percutaneous nephrolithotomy practice patterns among Latin American urologists with and without endourology training
Manzo, Braulio O; Lozada, Edgar; Vicentini, Fabio C; Sanchez, Francisco Javier; Manzo, Gildardo.
  • Manzo, Braulio O; Hospital Regional de Alta Especialidade do Bajío. MX
  • Lozada, Edgar; Hospital Regional de Alta Especialidade do Bajío. MX
  • Vicentini, Fabio C; universidade de São Paulo. Hospital das Clínicas. São Paulo. BR
  • Sanchez, Francisco Javier; Centro de Urologia do México. MX
  • Manzo, Gildardo; Hospital Regional de Alta Especialidade do Bajío. MX
Int. braz. j. urol ; 44(3): 512-523, May-June 2018. tab
Article in English | LILACS | ID: biblio-954054
ABSTRACT
ABSTRACT

Purpose:

Although the worldwide percutaneous nephrolithotomy (PCNL) practice pat- terns determined via a survey sent to members of the Endourological Society have been published, differences in PCNL practice patterns among Latin American urologists based on endourological or lithiasis training have not been published. To determine the PCNL practice patterns among Latin American urologists with and without training in endourology. Materials and

Methods:

The SurveyMonkey® web platform was used to develop a 27-item survey on PCNL for the treatment of renal stones, and the survey was sent via e- -mail and other electronic media to 2000 urologists from 15 Latin American countries. Endourology-trained (group 1) and nontrained urologists (group 2) were analyzed. The group results were compared using the chi-squared and Fisher's exact tests. SPSS version 20 for Windows was used for all analyses.

Results:

A total of 331 urologists responded to the survey (rate of 16.55%) 221 (66.7%) in group 1 and 110 (33.2%) in group 2). In groups 1 and 2, 91.9% and 63.2% performed PCNL, respectively 85.1% and 58.5% used preoperative tomography, respectively; 12.7% and 4.7% used preoperative nephrolitometry nomograms, respectively 45.2% and 32.1% used endoscopic combined intrarenal surgery, respectively 68.3% and 38.7% used mul- tiple percutaneous tract realization, respectively and 19.9% and 5.7% used minimally invasive PCNL, respectively (all p=0.0005).

Conclusions:

Statistically significant differences were observed in PCNL practice patterns of Latin American urologists with and without training in endourology. Specific training in endourology significantly influence the practice patterns of Latin American urologists.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Practice Patterns, Physicians' / Kidney Calculi / Urologists / Nephrolithotomy, Percutaneous Type of study: Prognostic study Limits: Humans Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2018 Type: Article Affiliation country: Brazil / Mexico Institution/Affiliation country: Centro de Urologia do México/MX / Hospital Regional de Alta Especialidade do Bajío/MX / universidade de São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Practice Patterns, Physicians' / Kidney Calculi / Urologists / Nephrolithotomy, Percutaneous Type of study: Prognostic study Limits: Humans Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2018 Type: Article Affiliation country: Brazil / Mexico Institution/Affiliation country: Centro de Urologia do México/MX / Hospital Regional de Alta Especialidade do Bajío/MX / universidade de São Paulo/BR