Shilling Mark, Faber Lauren S, Doan Hoi, Peckham Merry, Petersen Timothy R, Ehsanian Reza, Alba Frances
Department of Anesthesiology and Critical Care, School of Medicine, University of New Mexico, Albuquerque, NM 87131, USA.
Division of Urology, Department of Surgery, School of Medicine, University of New Mexico, Albuquerque, NM 87131, USA.
Can J Urol. 2025 Apr 30;32(2):81-88. doi: 10.32604/cju.2025.063415.
Existing literature has highlighted disparities in acute pain management across racial and sex groups in both emergency department and pre-hospital settings. This study aimed to evaluate prescribing patterns among physicians and advanced practice providers for patients with upper tract urolithiasis in an academic emergency department.
Retrospective chart review of patients diagnosed with upper tract urolithiasis was performed to evaluate age, sex, race, ethnicity, stone size and location, presence of hydronephrosis, admission status, history of prior nephrolithiasis, medications administered in the emergency department (ED), requests for urology consult or referral, and discharge medications.
In this single-center, propensity-matched analysis, we found no significant sex, race, or provider level of training-based differences in prescribing patterns for patients presenting with renal colic secondary to upper urinary tract stones in our academic emergency department.
现有文献强调了急诊科和院前环境中不同种族和性别人群在急性疼痛管理方面的差异。本研究旨在评估学术急诊科中医生和高级执业提供者对上尿路结石患者的处方模式。
对诊断为上尿路结石的患者进行回顾性病历审查，以评估年龄、性别、种族、民族、结石大小和位置、肾积水情况、入院状态、既往肾结石病史、急诊科使用的药物、泌尿外科会诊或转诊请求以及出院药物。
在这项单中心倾向匹配分析中，我们发现，在我们的学术急诊科中，因上尿路结石继发肾绞痛就诊的患者，其处方模式在性别、种族或提供者培训水平方面没有显著差异。
