Iyer Deepak, Konstantinidis Menelaos, Li Hanzhou, Bercu Zachary, Moon John
Department of Radiology and Imaging Sciences, Division of Interventional Radiology and Image-Guided Medicine, Emory University, Atlanta, Georgia, USA.
Division of Biostatistics, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
F1000Res. 2023 Oct 30;12:1417. doi: 10.12688/f1000research.135431.1. eCollection 2023.
Percutaneous nephrostomy (PCN) is a commonly performed procedure by interventional radiology and urology to treat urinary obstruction. In this procedure, a catheter is percutaneously placed into the renal pelvis for urinary diversion or hemorrhagic cystitis. Material type, catheter size, and catheter shape (anti-dislodgement feature) ultimately contribute to the inherent traits of longevity in drainage catheter device. Reviewing the relative strengths or weaknesses of products in the existing clinical market may help clinicians critically appraise the devices they use with evidence-based findings from this review. Furthermore, a deeper understanding of the relative strengths and weaknesses of existing devices may help inform the next generation of drainage catheter devices to prolong the interval between exchanges without detriment to patient safety. The following electronic databases will be queried: PubMed, Web of Science, Cochrane from their inception to January 2023 to identify randomized controlled trials (RCTs) and cohort studies to investigate the differences that our interventions of catheter material, size, and dislodgement mechanism will have on the exchange interval (standard of care 90 days 60 days 45 days 30 days). The primary outcomes will be the drainage catheter exchange frequency. We aim to share our findings through high-impact peer reviewed journals. As drainage catheters and minimally invasive interventional radiology procedures become more popular, it is important for healthcare providers taking case of these populations to understand which variables might optimize patient care and minimize emergent exchanges. Data will be made available to readers. PROSPERO ( CRD42023432788, 16 June 2023).
经皮肾造瘘术（PCN）是介入放射学和泌尿外科常用的一种治疗尿路梗阻的手术。在该手术中，通过经皮穿刺将导管置入肾盂，用于尿液引流或治疗出血性膀胱炎。材料类型、导管尺寸和导管形状（防移位特征）最终决定了引流导管装置的固有耐用特性。回顾现有临床市场上产品的相对优势或劣势，可能有助于临床医生根据本综述的循证结果，审慎评估他们所使用的器械。此外，更深入了解现有器械的相对优势和劣势，可能有助于为下一代引流导管装置提供参考，以延长更换间隔时间，同时不损害患者安全。将检索以下电子数据库：自创建至2023年1月的PubMed、科学网、Cochrane图书馆，以识别随机对照试验（RCT）和队列研究，调查导管材料、尺寸和移位机制等干预措施对更换间隔时间（护理标准为90天、60天、45天、30天）的影响。主要结局将是引流导管的更换频率。我们旨在通过高影响力的同行评审期刊分享我们的研究结果。随着引流导管和微创介入放射学手术越来越普及，对于负责这些患者群体的医疗服务提供者来说，了解哪些变量可能优化患者护理并尽量减少紧急更换情况非常重要。数据将提供给读者。国际前瞻性系统评价注册库（CRD42023432788，2023年6月16日）
