Böhm W-D U, Holstiege J, Wenzel S, Fahlenkamp D, Berg W
Akademische Lehrpraxis für Urologie, Krankenhaus St. Joseph-Stift Dresden, TU Dresden, Comeniusstraße 50A, 01309, Dresden, Deutschland.
Zentralinstitut für die kassenärztliche Versorgung in der Bundesrepublik Deutschland Berlin, Berlin, Deutschland.
Urologe A. 2019 May;58(5):535-542. doi: 10.1007/s00120-019-0927-0.
The focus of this work is on aspects of the current management of recurrent nephrolithiasis in private practices and outpatient departments in Germany. We wanted to make a contribution to the epidemiological discourse as well as for an instrument for the self-reflection and complex classification of urolithiasis in everyday practice by a first-time determination of population-based, age- and gender-based data based on the full recording of urological diagnoses and treatments in the federal accounting setting. The analysis of the taken positions in this representative practice survey prove to some extent information and experience deficits in the handling of complicated nephrolithiasis. Therefor more than 90% of the interviewees demand a structured practical training initiative. In this context, nearly 65% of practices also support the establishment of regional consultation hours. A majority strongly welcomes the establishment of a National Register of Urolithiasis, but nearly 40% are skeptical about defining pending framework conditions.
这项工作的重点是德国私人诊所和门诊部复发性肾结石当前管理的各个方面。我们希望通过首次基于联邦统计环境中泌尿科诊断和治疗的完整记录确定基于人群、年龄和性别的数据，为流行病学讨论以及日常实践中肾结石自我反思和复杂分类的工具做出贡献。在这项具有代表性的实践调查中，对所采取立场的分析在一定程度上证明了在处理复杂肾结石方面存在信息和经验不足。因此，超过90%的受访者要求开展结构化的实践培训倡议。在此背景下，近65%的诊所也支持设立区域咨询时间。大多数人强烈欢迎建立全国肾结石登记册，但近40%的人对确定待定的框架条件持怀疑态度。
