实践中的变化：当前泌尿外科实践对有关输精管结扎术和前列腺癌报告的回应
A change in practice: current urologic practice in response to reports concerning vasectomy and prostate cancer.
作者信息
Sandlow J I, Kreder K J
机构信息
Department of Urology, University of Iowa, Iowa City, USA.
出版信息
Fertil Steril. 1996 Aug;66(2):281-4. doi: 10.1016/s0015-0282(16)58454-4.
OBJECTIVE
To examine the practice patterns of urologists performing vasectomy in response to studies reporting an increased risk of prostate cancer in vasectomized men.
DESIGN
A mailed survey.
SETTING
A university medical institution.
PARTICIPANTS
One thousand five hundred randomly selected United States urologists under the age of 65 years.
MAIN OUTCOME MEASURE
Urologists reported practice patterns of vasectomy in response to studies showing possible link between vasectomy and prostate cancer.
RESULTS
A response rate of 51% (759/1,500) was obtained. Although > 90% state that these studies have had little or no effect upon their practice of vasectomy, 27% screen vasectomized men earlier for prostate cancer, and 20% would be reluctant to recommend a vasectomy to a man with a strong family history of prostate cancer.
CONCLUSIONS
Over one fourth of urologists who screen for prostate cancer have altered their screening patterns even though they responded that the studies have not affected their practice patterns.
目的
鉴于有研究报告称接受输精管切除术的男性患前列腺癌的风险增加，探讨实施输精管切除术的泌尿科医生的临床实践模式。
设计
邮寄调查问卷。
地点
一所大学医疗机构。
参与者
1500名年龄在65岁以下、随机选取的美国泌尿科医生。
主要观察指标
泌尿科医生报告了在有研究表明输精管切除术与前列腺癌之间可能存在联系的情况下输精管切除术的临床实践模式。
结果
获得了51%（759/1500）的回复率。尽管超过90%的人表示这些研究对他们实施输精管切除术的临床实践几乎没有影响，但27%的人会更早地对接受输精管切除术的男性进行前列腺癌筛查，20%的人不愿向有前列腺癌家族病史的男性推荐输精管切除术。
结论
超过四分之一进行前列腺癌筛查的泌尿科医生改变了他们的筛查模式，尽管他们表示这些研究并未影响他们的临床实践模式。
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