Department of Urology, North-Western State Medical University, Saint Petersburg, Russia.
Department of Urology, North-Western State Medical University, Saint Petersburg, Russia; Urology Center, Mariinsky Hospital, Saint Petersburg, Russia.
Urology. 2020 Sep;143:75-79. doi: 10.1016/j.urology.2020.04.114. Epub 2020 May 28.
To investigate the impact of a mobile application (app) displaying a visualization of the internal anatomy of the pelvicalyceal systemPCS and of kidney stones on patient understanding of their affected kidney anatomy and their upcoming percutaneous nephrolithotripsy (PCNL).
One-hundred patients who required PCNL were included in this study, and all patients were nonrandomly distributed into 2 groups: counseled using only 3D-reconstructed computed tomography (CT) images (group 1) or using only the "InsKid" app (group 2). Patient data were obtained from CT scans as Digital Imaging and Communications in Medicine format and converted into stereolithography (STL) format. All patients completed the questionnaire after counseling, and the results were compared between groups.
Patients from group 2 better understood the anatomy of their affected kidney by 53%; awareness regarding their stone location was better by 32%; the steps of planned surgery, as well as possible complications, were more transparent for patients using the app by 24% and 56%, respectively. The number of patients who were dissatisfied with the mobile counseling dropped by 70%. The average duration of consultation with the 3D reconstruction of CT images was 10.9 ± 0.6 min, while counseling using our program reliably led to a reduction in this duration (7.3 ± 0.5 min).
The InsKid app is a freely available, easy-to-use educational software that improves patient counseling without considerable financial expense or long waiting periods for use.
研究一款展示肾盂肾盏系统（PCS）内部解剖结构和肾结石的可视化移动应用程序（app）对患者理解其受影响肾脏解剖结构和即将进行的经皮肾镜碎石术（PCNL）的影响。
本研究纳入了 100 名需要接受 PCNL 的患者，所有患者均被非随机分为 2 组：仅使用三维重建计算机断层扫描（CT）图像（组 1）或仅使用“InsKid”应用程序（组 2）进行咨询。患者数据从 CT 扫描中以数字成像和通信医学格式获取，并转换为立体光刻（STL）格式。所有患者在咨询后完成了问卷，然后对组间结果进行了比较。
组 2 的患者对其受影响肾脏的解剖结构的理解提高了 53%；对结石位置的认识提高了 32%；计划手术的步骤以及可能出现的并发症，使用应用程序的患者分别提高了 24%和 56%。对移动咨询不满意的患者数量减少了 70%。使用 CT 图像三维重建进行咨询的平均时间为 10.9 ± 0.6 分钟，而使用我们的程序可可靠地将咨询时间缩短（7.3 ± 0.5 分钟）。
InsKid 应用程序是一种免费、易于使用的教育软件，可改善患者咨询效果，而不会带来巨大的经济负担或长时间的等待使用。
