Abstract:
OBJECTIVES:The script concordance (SC) test is designed to measure the organisation of knowledge that allows interpretation of data in clinical reasoning. This study explores the use of this new written examination tool in urology. MATERIALS AND METHODS:An 80 items SC test was administered to participants from a French and a Canadian university. Three levels of experience were tested: urologists (n = 22), residents in urology (n = 25) and students (n = 23). Scores between groups were compared by analysis of variance. Reliability analysis was studied with Cronbach alpha coefficient. RESULTS:Mean global scores were 51.45 +/- 5.29 for students, 58.19 +/- 3.81 for residents and 62.27 +/- 5.46 for urologists. The difference between the three groups was statistically significant (P < 0.00001). Interaction between levels of expertise and sites was apparently not significant (P = 0.326). Cronbach alpha was 0.79 for the test. CONCLUSIONS:This study shows that the SC test is able to discriminate among participants according to their levels of clinical experience in urology. The results are similar in two different learning environments. The SC test appears as a simple and direct approach to testing organisation and use of knowledge in urology.
journal_name
Eur Uroljournal_title
European urologyauthors
Sibert L,Charlin B,Corcos J,Gagnon R,Lechevallier J,Grise Pdoi
10.1016/s0302-2838(02)00053-2keywords:
subject
Has Abstractpub_date
2002-03-01 00:00:00pages
227-33issue
3eissn
0302-2838issn
1873-7560pii
S0302-2838(02)00053-2journal_volume
41pub_type
杂志文章,多中心研究相关文献
EUROPEAN UROLOGY文献大全abstract:BACKGROUND:In prostate cancer (PCa) patients treated with radical prostatectomy (RP), the rate of urinary continence (UC) and erectile function (EF) recovery may change significantly depending on the time interval between surgery and patient assessment. This effect, known as conditional survival, has not yet been asses...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2012.02.057
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVES:To assess the usefulness of the phosphodiesterase type 5 inhibitors (PDE5-Is) in the treatment of premature ejaculation (PE) and to describe possible mechanisms to explain their effect. METHODS:A MedLine search was performed for peer-reviewed articles on the role of PDE5-Is in managing PE. No meta-analysis ...
journal_title:European urology
pub_type: 杂志文章,评审
doi:10.1016/j.eururo.2007.08.005
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVE(S):The aim of our retrospective study was to determine if systematic placement of a posterior mesh, in addition to an anterior vesico-vaginal mesh, is necessary for laparoscopic treatment of pelvic organ prolapse. METHODS:A laparoscopic promontory sacral colpopexy was performed in 108 patients, including 55 ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2004.01.004
更新日期:2004-05-01 00:00:00
abstract::We report a case of an unusual mesenchymal tumor of the prostate. Rectal-digital palpation and transrectal ultrasound showed a circumscribed and inhomogeneous tumor within the right prostatic lobe. Surgical treatment consisted of transurethral resection of the right prostatic lobe. On the basis of morphology and immun...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000474157
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVE:Bropirimine is an oral immunostimulant found to have efficacy in human transitional cell carcinoma in situ following the initial discovery of its antitumor activity against the murine bladder cancer MBT-2. To determine if bropirimine might have activity in prostate cancer, it was tested against two rodent pro...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000474525
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:Use of an augmented reality (AR)-based soft tissue navigation system in urologic laparoscopic surgery is an evolving technique. OBJECTIVE:To evaluate a novel soft tissue navigation system developed to enhance the surgeon's perception and to provide decision-making guidance directly before initiation of kidn...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2009.05.017
更新日期:2009-08-01 00:00:00
abstract::A case of transitional cell carcinoma arising from a bladder which was left behind for more than 24 years without pyocystis syndrome is described. A search in the literature revealed 10 cases of defunctionalized bladder that developed tumors over a rather short latent period ranging from 3 months to 7 years, and mostl...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000473114
更新日期:1979-01-01 00:00:00
abstract::10 patients with normocalcemic secondary hyperparathyroidism due to renal hypercalciuria and 1 patient with normocalcemic primary hyperparathyroidism are presented. The diagnostic criteria of both manifestations of disturbed calcium metabolism are outlined. Successful therapeutic approach depends on the exact discrimi...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000473257
更新日期:1981-01-01 00:00:00
abstract::Lower urinary tract symptoms (LUTS) suggestive of benign prostatic obstruction (BPO) are likely to become an increasing burden for health care budgets in the future due to the high prevalence of this condition in the elderly and the ageing of the population. Data on the cost-effectiveness of the available treatment op...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000052565
更新日期:2001-01-01 00:00:00
abstract::A case of urinary obstruction caused by vulvar fusion in an adult is reported. Anterograde micturition-urethrocystography revealed reflux of urine in the vagina and cavum uteri. Treatment consisted of sharp separation of the labia. Ointment dressing was applied to prevent reagglutination. After 1 year the patient has ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000473956
更新日期:1978-01-01 00:00:00
abstract::Antitumor effect of recombinant human tumor necrosis factor alpha (TNF) alone or in combination with various anticancer chemotherapeutic agents was tested using an in vitro antiproliferative assay on four human renal carcinoma cell lines (VMRC-RCW, VMRC-RCZ, Caki-1 and A-498). When the dose-dependent effect of TNF was...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000473628
更新日期:1991-01-01 00:00:00
abstract::Blind-ending bifid ureters, as one type of duplications, are a rare congenital anomaly of the urinary tract. Occasionally they present with unspecific symptoms and require surgical intervention. This case of a blind-ending bifid ureter was associated with an intravesical ectopic orifice. Recurrent urinary tract infect...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000463849
更新日期:1984-01-01 00:00:00
abstract:BACKGROUND:Perioperative cisplatin combination chemotherapy is associated with a survival benefit in patients with invasive bladder cancer (BCa). However, in a recent report from the National Cancer Database (NCDB), only 11.6% of stage III BCa patients received perioperative chemotherapy, the majority in the adjuvant s...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2008.07.018
更新日期:2009-01-01 00:00:00
abstract::Na+- and K+-activated and Mg2+-dependent adenosine triphosphatase, Mg2+-activated adenosine triphosphatase and Ca2+- and Mg2+-activated adenosine triphosphatase activities were determined in washed spermatozoa and in two fractions (pellet and supernatant) of seminal plasma of oligoasthenospermic patients and men with ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000463845
更新日期:1984-01-01 00:00:00
abstract::Adenocarcinoma of the prostate is the most prevalent neoplastic disease in men and continues to be a major cause of morbidity and mortality. Death from prostate cancer is associated with objective and biochemical progression following hormonal manipulations often described as hormone refractory prostate cancer (HRPCA)...
journal_title:European urology
pub_type: 杂志文章,评审
doi:10.1159/000052426
更新日期:2001-02-01 00:00:00
abstract:OBJECTIVE:Investigating whether extracellular factors are possible actors in tumoral progression in bladder carcinoma. METHODS:RT112/G2 bladder tumour cells were grown in presence of TGFbeta and analysed by immunological and cDNA microarray techniques. RESULTS:TGFbeta inhibited cell proliferation, reduced TNFalpha- a...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2005.06.005
更新日期:2005-11-01 00:00:00
abstract:BACKGROUND:Recent phase III studies in hormone refractory prostate cancer (HRPC) showed an improvement in terms of overall survival (OS), objective response (OR) and biochemical response (BR); however, chemotherapy is usually accompanied by negative side effects that determines poor quality of life (QoL) and only margi...
journal_title:European urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.eururo.2004.12.001
更新日期:2005-04-01 00:00:00
abstract:OBJECTIVE:evaluation of a self-injection program with a mixture of papaverine, phentolamine and prostaglandin E1 (PGE1). METHOD:a self-injection program for erectile dysfunction was started by 48 patients, using a 1-ml mixture of 4.5 mg papaverine, 0.2 mg phentolamine and 1.5 micrograms PGE1. Patients completed a ques...
journal_title:European urology
pub_type: 临床试验,杂志文章
doi:10.1159/000475407
更新日期:1994-01-01 00:00:00
abstract::Preliminary investigation of cell-mediated immunity (CMI) in 49 patients harboring renal cell carcinoma (RCC) by the migration inhibition factor (MIF) tests as compared to 47 patients with simple renal cysts or normal kidneys established the specificity (85%) and reproducibility of this test. A retrospective analysis ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000472989
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:Previous studies have shown a modest impact of tyrosine kinase inhibitors on primary renal tumors. Those studies were mostly retrospective or heterogeneous in their eligibility criteria with regard to histology, disease stage, duration of therapy, and time off therapy prior to surgery. OBJECTIVE:To prospect...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2014.01.035
更新日期:2014-11-01 00:00:00
abstract::With the Siemens Lithostar all kinds of urinary stones can be successfully treated at significantly lower pressure levels than with other commercially available lithotripters. Experimental and clinical experience indicates that for urinary stones there exists a pressure region between 200 and 400 bar (20-40 MPa) where...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000464000
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVE:This study was undertaken to investigate whether hypermethylation in p16(INK4a) gene promoter could serve as plasma biomarker of bladder cancer. METHODS AND PATIENTS:We examined the p16(INK4a) status using methylation-specific PCR in 86 cancer patients and 49 controls (31 healthy people and 18 patients with ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/s0302-2838(02)00468-2
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVES:Multifocality and frequent recurrence of urothelial carcinoma of the urinary bladder indicate a disease of the entire "urothelial field", but little is known about chromosomal alterations in histologically normal urothelium. Histopathologically normal urothelium from patients with and without concurrent urot...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2004.07.012
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:To investigate the incidence of loss of heterozygosity (LOH) and microsatellite instability (MI) in human renal cell carcinoma (RCC), and to determine a possible activation of H-ras oncogene in these tumours via implication of its polymorphic regions within the first intron and 3' ends. METHODS:In the presen...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000019541
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVES:Transurethral electrovaporization of the prostate (TUVP) has become a popular, minimally invasive procedure to treat BPH with promising initial results. This study was conducted to compare the efficacy, safety and durability of TUVP with standard TURP. We report the 2-year follow-up. METHODS:104 consecutive...
journal_title:European urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1159/000019710
更新日期:1998-09-01 00:00:00
abstract:BACKGROUND:Although the initial robot-assisted radical prostatectomy (RARP) series showed 12-mo potency rates ranging from 70% to 80%, the few available comparative studies did not permit any definitive conclusion about the superiority of this technique when compared with retropubic radical prostatectomy (RRP) and lapa...
journal_title:European urology
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.eururo.2012.05.046
更新日期:2012-09-01 00:00:00
abstract::A case of sarcomatoid carcinoma of the renal pelvis is reported. The neoplasm showed polypoid configuration and was composed exclusively of plump, spindle and pleomorphic cells. Light microscopy did not reveal any epithelial differentiation of the neoplastic cells. Immunoperoxidase staining for keratins and for epithe...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000463827
更新日期:1984-01-01 00:00:00
abstract:BACKGROUND:International official guidelines recommend urodynamic (UDS) evaluation in patients with pelvic organ prolapse (POP). However, the real benefit of this examination is still the subject of heated and controversial debate. Therefore, we aimed to assess the correlation between urinary symptoms and UDS findings ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2011.03.010
更新日期:2011-08-01 00:00:00
abstract::The first 400 patients treated on an inpatient basis at our center underwent bacteriological follow-up after extracorporeal lithotripsy (ECL) for ureteric or renal stones. 278 patients did not have any urinary tract infection on the urine culture before ECL. They did not receive any antibiotic prophylaxis and 4.8% of ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000464021
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVES:To assess the factors effecting PSA bounce and to identify any possible relationship with biochemical control after 3-D conformal radiotherapy (3D-CRT) and total androgen deprivation (TAD) for prostate cancer by evaluating four previously described PSA bounce definitions. METHODS:Between January 1998 and Ja...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2005.04.007
更新日期:2005-07-01 00:00:00