Differences in the percutaneous nephrolithotomy practice patterns among Latin American urologists with and without endourology training
Int. braz. j. urol
; 44(3): 512-523, May-June 2018. tab
Article
in English
| LILACS
| ID: biblio-954054
Responsible library:
BR1.1
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 andMethods:
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.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3C: Increase health financing and the recruitment, development, training and retention of the health workforce
Health problem:
Authority and Accountability for Healthcare Workers
Database:
LILACS
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
Document 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