Current practice patterns and knowledge among gynecologic surgeons of InterStim® programming after implantation
| Autor: | LaTisha Frazier, Jeremy T. Gaskins, Sean L. Francis, Kate V. Meriwether, Deslyn T. G. Hobson, Casey L. Kinman |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Health Knowledge Attitudes Practice medicine.medical_specialty Reconstructive surgery Urology Programming knowledge 030232 urology & nephrology Electric Stimulation Therapy Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine Primary outcome Symptom relief Surveys and Questionnaires medicine Humans Practice Patterns Physicians' Patient comfort Surgeons 030219 obstetrics & reproductive medicine business.industry General surgery Obstetrics and Gynecology Plastic Surgery Procedures Correct response Electrodes Implanted Surgery Sacral nerve stimulation Current practice Female business |
| Zdroj: | International Urogynecology Journal. 29:1135-1140 |
| ISSN: | 1433-3023 0937-3462 |
| DOI: | 10.1007/s00192-017-3496-z |
| Popis: | The objective of this study was to describe surgeons’ current practices in InterStim® programming after initial implantation and their knowledge of programming parameters. We hypothesized that surgeons performing their own reprogramming would have increased knowledge. We administered a written survey to attendees at the Society of Gynecologic Surgeons Scientific Meeting and analyzed those on which surgeons indicated they offer InterStim® care. The survey queried surgeon characteristics, experience with InterStim® implantation and programming, and clinical opinions regarding reprogramming and tested six knowledge-based questions about programming parameters. Correct response to all six questions was the primary outcome. One hundred and thirty-five of 407 (33%) attendees returned the survey, of which 99 met inclusion criteria. Most respondents (88 of 99; 89%) were between 36 and 60 years, 27 (73%) were women, 76 (77%) practiced in a university setting, and 76 (77%) were trained in Female Pelvic Medicine and Reconstructive Surgery (FPMRS). Surgeons who had InterStim® programming training were more likely to perform their own programming [15/46 (32%) vs 6/47 (13%), p = 0.03]. Most answered all knowledge-based questions correctly (62/90, 69%); no surgeon characteristics were significantly associated with this outcome. Most surgeons cited patient comfort (71/80, 89%) and symptom relief (64/80, 80%) as important factors when reprogramming, but no prevalent themes emerged on how and why surgeons change certain programming parameters. Surgeons who had formal InterStim® programming training are more likely to perform programming themselves. No surgeon characteristic was associated with improved programming knowledge. We found that surgeons prioritize patient comfort and symptoms when deciding to reprogram. |
| Databáze: | OpenAIRE |
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