Abstract:
OBJECTIVE:The primary objective of this product evaluation involved obtaining assessments from patients following the use of the Onli™ intermittent catheter(IC) 17cm and 40cm; and opinions from clinicians on its use for catheterization based on its design features.The inability to access the right catheter is often why patients discontinue intermittent self-catheterization(1). Design factors play an important role in the like lihood of using and remaining compliant to an IC device.The secondary objective of this product evaluation was to assess if the ease-of-learning and ease-of-use of Onli intermittent catheter, would support patient adherence to a catheterization treatment plan. METHODS: A multi-center, unblinded evaluation was executed in 10 different SCI Units across Spain. Rehabilitation physicians and nurses recruited patients with neurogenic bladder disorder and used IC's. The patient sused 30 catheters in according to their standard of care.A total of 100 subjects were enrolled into the study (78 male and 22 female). RESULTS: 90% of clinicians agreed that the "ease-oflearning"and "ease-of-use" of the Onli intermittent catheter has the potential to support patient adherence to a catheterization plan. 80% of patients found learning curve for catheter usage easy, and 69% found it easier than their current catheter. A total of 89% of patients reported insertion of the catheter as easy or very easy;with 91% reporting removal easy or very easy. CONCLUSION: Results of the current evaluation support increased adherence to a self-cath treatment plan.The IC was described as easy to teach and learn; with77% of patients indicating that if the IC was available they would be likely or very likely to use it. Other designat tributes of the IC were found to lend to the preference for the selection of the product. OBJETIVO:El objetivo principal de la evaluaciónde este producto consistió en la obtención de evaluaciones de los pacientes tras el uso del catéter intermitente (CI) Onli™, de 17 cm y 40 cm, y de las opiniones de los profesionales sanitarios sobre su uso para el cateterismo en función de sus características de diseño. La imposibilidad de acceder al catéter correcto suele ser el motivo por el cual los pacientes suspenden el autocateterismo intermitente (1). Los factores de diseño juegan un rol importante en la probabilidad de usar un CI y seguir el tratamiento. El objetivo secundario de la evaluación de este producto consistió en evaluar si la facilidad de aprendizaje y de uso de este catéter intermitente Onli facilitaría la adherencia del paciente a un plan de tratamiento con sondaje vesical intermitente. MÉTODOS: Se realizó un estudio multicéntrico abierto en 10 Unidades de Lesión Medular (ULMs) de distintos lugares de España. Los médicos y la enfermería de Rehabilitación reclutaron pacientes de las ULMs con vejiga neurógena y que usaban CI o se les pautó CI. Los pacientes utilizaron 30 catéteres de acuerdo con su estándar de atención. En total, se incluyeron 100 sujetos en el estudio (78 hombres y 22 mujeres). RESULTADOS: Los resultados mostraron que el 90% de los profesionales sanitarios estuvieron de acuerdo con que la “facilidad de aprendizaje” y la “facilidad de uso” de la sonda Onli pueden potencialmente favorecer la adherencia del usuario a un plan de tratamiento con cateterismo intermitente, que un 80% de los pacientes consideró que aprender a usar el catéter era fácil y que a un 69% le resultó más fácil aprender a utilizar Onlique su sonda habitual. En total, el 89% de los pacientes consideró que la inserción del catéter fue fácil o muy fácil, y para un 91% resultó fácil o muy fácil la retirada. CONCLUSIÓN: Los resultados de esta evaluación respaldan las probabilidades de adherencia del pacientea un plan de tratamiento con cateterismos. Se determinó que el CI es fácil de enseñar y aprender, y un 77% de los pacientes indicaron que si el CI estuviera disponible probablemente o muy probablemente lo usarían. Se puede concluir que los factores de diseño juegan un papel importante en la selección del dispositivo, así como en su adherencia. Se descubrió que otros atributos del diseño del CI aportan a la preferencia en la selección del producto.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Kearns B,Montoto-Marqués A,Saavedra-Illobre B,Almuiña-Díaz Csubject
Has Abstractpub_date
2020-03-01 00:00:00pages
107-112issue
2eissn
0004-0614issn
1576-8260pii
2020-73-2-1ebf6de9b73481153ef8f7027c0e994be39e948ejournal_volume
73pub_type
杂志文章abstract:OBJECTIVE:The increase of isolation of beta-lactamase resistant Escherichia coli (BREC) strains makes treatment difficult. The objective of this study is to evaluate the situation in our environment. METHODS:Retrospective study including patients who presented positive urine cultures for E. coli in the Department of H...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVES:Studying the psychosocial sphere of patients who undergo any treatment allows to have more information about its repercussion and can help the choice of an appropriate and personalized treatment. Due to the absence of specific instruments at present, the objective is to design and validate a health questionn...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:To report a case of renal artery embolism. To review the clinical, diagnostic and therapeutic features of this disease interesting for the urologist. METHODS/RESULTS:Case of a 47 year old male with history of cardiovascular disease who presents in the emergency room with left flank pain. Radiological studie...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVES:To assess the clinical usefulness of bone-specific alkaline phosphatase (B-AKP) to detect or rule out bone metastases in patients with prostate cancer. METHODS:Between November 2001 and July 2003 111 patients with the diagnosis of prostate adenocarcinoma were evaluated to rule out bone metastases. Bone meta...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2004-09-01 00:00:00
abstract::Herein we describe two additional cases of non-acquired arteriovenous renal fistula, one was congenital or cirsoid and the other was idiopathic or aneurysmal. Patient clinical work up prompted us to suspect this condition which was confirmed by renal arteriography. The usefulness of the diagnostic tests are highlighte...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract:OBJECTIVE:The inability to remove a bladder catheter due to impossible balloon removal is a situation with controversial management; there are no action guidelines and it is limited to individual experience in most cases. In this article, we review the techniques described for removing a urethral catheter and we share...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2012-05-01 00:00:00
abstract::The accelerated expansion of the knowledge of genetic and molecular basics of cancer, together with the recent development of molecular biology techniques, have had a significant impact in the field of oncology, among other medical disciplines. So, over the last few years, we are crossing from an empiricism-based mode...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE OF THE REVIEW:Robot assisted Radical prostatectomy (RARP) has generated a new trend in the binomial teaching/learning, grouping these techniques in training modules such as theoretical learning, practice, personalized counseling, and modern tools like simulation and practice in virtual models. This review sum...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:To present a case of crossed fused renal ectopia that was incidentally discovered in a patient consulting for abdominal pain in the emergency department. METHODS:A 46-year-old patient consulted at the emergency department for abdominal pain. Assessment by diagnostic imaging techniques demonstrated a crossed ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVES:An additional case of leiomyosarcoma of the renal vein is presented and the literature reviewed. METHODS/RESULTS:The patient had a history of hypertension. He and his brother were the first case of twins with bilateral retinoblastoma reported in the literature. The pathological findings were diagnostic of l...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract:OBJECTIVE:To analyze the management of prenatal urinoma and ureteropelvic junction obstruction (UPJO) postnatally by a case report and literature review. METHODS:We report a case of an UPJO and urinoma in a newborn. After birth, renal function was absent, and nephrectomy was performed. The literature from 1985 to date...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2013-11-01 00:00:00
abstract::We report on a pediatric patient who was evaluated for recurrent episodes of urinary tract infection. Evaluation by IVP, cystography and retrograde ureteropyelography revealed a complete ureteral duplicity, grade II vesicoureteral reflux in the lower half of the left kidney and a blind bifid ureter arising at the dist...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVE:To analyze the therapeutic approach in epidermoid or squamous cell carcinoma of the scrotum, a rare tumor that is of interest for clinical and historical reasons. METHODS/RESULTS:A case of epidermoid carcinoma of the scrotum is described. The patient had undergone urethroplasty in 1972, using preputial free ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2000-12-01 00:00:00
abstract::The authors report on two male neonates who underwent transurethral resection of urethral valves in one case and a polyp in the posterior urethra in the other case, via antegrade percutaneous cystostomy. The percutaneous antegrade approach to the urethra is described in detail. The advantages afforded by this procedur...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-03-01 00:00:00
abstract:OBJECTIVE:We reviewed the records of patients submitted to renal transplantation at our institution to determine the incidence and risk factors for calculus formation in these patients. METHODS:Of 794 functioning renal grafts that had been transplanted from January, 1981 to May, 1996, 16 patients (2%), 9 males and 7 f...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1997-03-01 00:00:00
abstract:OBJECTIVES:The objective of quality management is the identification of improvement areas to achieve total client and other involved agents satisfaction. In this paper we describe the start up of a Quality Improvement Plan (QIP) in a Urology Department. METHODS:We assessed the current maturity and performance of the U...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:This analyzes the usefulness of transvaginal endosonography before and after surgery in patients with stress urinary incontinence. METHODS:We evaluated the bladder contour in 50 patients by transvaginal endosonography and the distance from the bladder neck to the pubis was measured with and without stress. ...
journal_title:Archivos espanoles de urologia
pub_type: 临床试验,杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract:OBJECTIVE:To determine the efficacy of urinary BTA-TRAK as a marker in monitoring superficial transitional cell carcinoma of the bladder and to compare urine cytology with urinary sediment testing. METHODS:700 consecutive determinations using BTA-TRAK to monitor unselected patients that had undergone surgery for trans...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract::Adrenal incidental tumors are masses incidentally discovered on ultrasonography or CT for other abdominal disorders. Management depends on tumor size, nature, content, and hormonal behaviour. We report on a large, nonfunctioning adrenocortical adenoma that was incidentally discovered in a 59-year-old male patient with...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1989-05-01 00:00:00
abstract:OBJECTIVES:To study the clinical, diagnostic, and therapeutic features of upper urinary tract tumors. METHODS:We perform a retrospective study of upper urinary tract tumors treated in our Department at Clinica La Luz Madrid between 1995 and 2008. RESULTS:We treated 42 tumors in 40 patients. Mean age was 64 years; the...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142009000500004
更新日期:2009-06-01 00:00:00
abstract::We report a case of carcinosarcoma whose most striking feature was its markedly chondroid elements that initially prompted us to suspect a chondrosarcoma. The clinical features and treatment of this rare tumor type are briefly discussed. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
abstract:OBJECTIVES:To assess the adherence to the antibiotic prophylaxis protocol in patients undergoing prostate surgery and evaluate the effect of antibiotic prophylaxis on surgical site infections (SSI). MATERIAL AND METHODS:A prospective cohort study was carried out between January 2009 and September 2016. The global comp...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2019-12-01 00:00:00
abstract::Leukoplakia is a morphological term that attempts to define keratinizing desquamative squamous metaplasia of the transitional epithelium. It is uncommon in the upper urinary tract (less than 100 cases have been reported) and has been attributed to infection or mechanical injury to the epithelium and/or genetic factors...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVES:To report the principles of penile resculpturing of different deformities caused by M. Peyronie: restoration of penile length, girth and shape with or without penile prosthesis implantation. METHODS:In the period between February 2007 and March 2009, we performed grafting surgery for M. Peyronie in 98 patie...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2010-11-01 00:00:00
abstract::The authors reviewed treatments performed worldwide using extracorporeal shock wave lithotripsy since its introduction in West Germany in 1980 to determine the efficacy of this treatment modality and its potential risks. The prevention of complications related to patients or shock wave energy are discussed, as well as...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVE:Inverted papilloma of the urothelium accounts for 2.2% of urothelial neoplasms. Its oncologic significance is unclear; its potential for recurrence and/or progression is not well-known. Our experience from 1976 to 1999 is reviewed. METHODS:From 1976 to 1999, 31 patients with urothelial inverted papilloma of ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract::The presence of microorganisms in certain renal calculi having been demonstrated; currently, there is a debate about the possibility of certain germs of extremely small size, Nanobacteria, which can have an important role in the general theory of lithogenesis. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2003-03-01 00:00:00
abstract::Patient reported outcome measures (PROMs) are essential to fully understand the impact of diseases and the effectiveness of treatment from a patient's perspective. Generic and disease-specific tools have been used to assess the impact of nephrolithiasis on patients' quality of life (QoL), as well as the impact of vari...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVES:The advances of minimally invasive surgery in urology over the last years have enabled a progressive and constant implementation of endourology and laparoscopy in pediatric patients. We perform a review of our experience, as a general hospital, with minimally invasive surgery performed in pediatric patients ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVES:To present the data obtained from surgical specimens and biopsies of residual prostate and prostatic capsule, which in addition to the information provided by imaging tests give us the baseline situation of the prostatic surgical bed and residual prostate after transcervical hemostatic adenomectomy with caps...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142007000900003
更新日期:2007-11-01 00:00:00