Department of Urology, Faculty of Medicine, University of Freiburg Medical Centre, Freiburg, Germany,
Department of Urology, Faculty of Medicine, University of Freiburg Medical Centre, Freiburg, Germany.
Urol Int. 2020;104(5-6):410-416. doi: 10.1159/000506653. Epub 2020 Mar 25.
To assess the current diagnostic, treatment, and documentation strategies for bladder cancer (BC) in German-speaking countries.
A 14-item web-based survey was distributed among members of the German, Austrian, and Swiss Associations of Urology, addressing physicians who perform cystoscopies and transurethral resection of bladder tumors (TURB).
The survey was responded to by 308 of 5,564 urologists with a mean age of 49.5 years (response rate: 5.5%). The majority of participants (57.3%) practice in an outpatient setting. White light cystoscopy only is used by 60.2%, with additional photodynamic diagnosis and narrow band imaging by 36.8 and 12.5%, respectively. Endoscopic findings are documented in written form by 93.5%, followed by image capture (33.7%) and a central data archive (20.8%). Inpatient hospital urologists document cystoscopic findings by freehand drawing (21.4 vs. 11.4%, p = 0.017), and with a fixed bladder scheme (31.3 vs. 7.4%, <0.05) significantly more frequently. Cystoscopic findings are mainly conveyed to other health professionals in written form (77.4%), and significantly more often by inpatient urologists (p < 0.05).
Significant differences exist in the approach to documenting and communicating cystoscopic BC findings. Accurate graphic documentation of lesions, visualization of the mucosa's totality, and meticulous consultation of previous surgical reports require improvements to reduce recurrence and progression rates.
评估德语国家膀胱癌（BC）的当前诊断、治疗和记录策略。
一项包含 14 个问题的网络调查分发给德国、奥地利和瑞士泌尿科协会的成员，针对的是进行膀胱镜检查和经尿道膀胱肿瘤切除术（TURB）的医生。
共有 5564 名泌尿科医生中的 308 名医生回复了该调查，平均年龄为 49.5 岁（回复率：5.5%）。大多数参与者（57.3%）在门诊执业。60.2%的人仅使用白光膀胱镜检查，分别有 36.8%和 12.5%的人使用光动力诊断和窄带成像。93.5%的人以书面形式记录内镜检查结果，其次是图像采集（33.7%）和中央数据档案（20.8%）。住院泌尿科医生通过徒手绘图（21.4%比 11.4%，p=0.017）和固定膀胱方案（31.3%比 7.4%，<0.05）更频繁地记录膀胱镜检查结果。膀胱镜检查结果主要以书面形式传达给其他卫生专业人员（77.4%），住院泌尿科医生的传达比例明显更高（p<0.05）。
在记录和交流膀胱镜 BC 检查结果方面存在显著差异。准确记录病变的图形、全面观察黏膜以及仔细查阅以前的手术报告需要改进，以降低复发和进展率。
