Application of Internet+-based Tsinghua PINS Remote Tech to improve sacral neuromodulation programming procedure

Objective To explore the feasibility and safety of the Tsinghua PINS Remote Tech to facilitate sacral neuromodulation programming procedure. Method For 22 patients who had previously participated in the phase III clinical trial for treating overactive bladder with the Tsinghua PINS sacral neuromodul...

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Veröffentlicht in:International urology and nephrology 2019-04, Vol.51 (4), p.627-632
Hauptverfasser: Zhang, Peng, Zhang, Yao-guang, Liao, Li Min, Shen, Jian-wu, Yang, Yun-bo, Zhang, Jian-zhong, Wu, Li-yang, Zhang, Xiao-dong
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container_end_page 632
container_issue 4
container_start_page 627
container_title International urology and nephrology
container_volume 51
creator Zhang, Peng
Zhang, Yao-guang
Liao, Li Min
Shen, Jian-wu
Yang, Yun-bo
Zhang, Jian-zhong
Wu, Li-yang
Zhang, Xiao-dong
description Objective To explore the feasibility and safety of the Tsinghua PINS Remote Tech to facilitate sacral neuromodulation programming procedure. Method For 22 patients who had previously participated in the phase III clinical trial for treating overactive bladder with the Tsinghua PINS sacral neuromodulation system during several Hospital, PINS Remote Tech was applied to perform postoperative parameter adjustment in order to evaluate the safety and reliability of this new technique. Telephone surveys on Remote Tech-related questionnaires were also conducted. Results 17/22 patients underwent 26 parameter adjustments, average adjustment frequency was 1.53 times per person; the average adjustment time was 23.4 ± 5.1 min (15–32 min). The total effective rate of the Remote control was 14/17 (82.3%). 7/17 (41.1%) patients’ symptoms recurrence due to not knowing how to handle patient controller, these patients were instructed on how to use it correctly through Remote Tech even without reprogramming it. Other 10 patients received reprogramming. There was no discomfort during and after parameter adjustment. The questionnaire survey showed that the remote technology saved patients’ time and lowered financial costs, significantly improved patient satisfaction. All patients expressed their willingness to recommend it to other patients. Conclusion The PINS Remote Tech can significantly reduce the financial cost and provide a remote reprogram control service that is as safe and reliable as outpatient program control.
doi_str_mv 10.1007/s11255-019-02115-3
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Method For 22 patients who had previously participated in the phase III clinical trial for treating overactive bladder with the Tsinghua PINS sacral neuromodulation system during several Hospital, PINS Remote Tech was applied to perform postoperative parameter adjustment in order to evaluate the safety and reliability of this new technique. Telephone surveys on Remote Tech-related questionnaires were also conducted. Results 17/22 patients underwent 26 parameter adjustments, average adjustment frequency was 1.53 times per person; the average adjustment time was 23.4 ± 5.1 min (15–32 min). The total effective rate of the Remote control was 14/17 (82.3%). 7/17 (41.1%) patients’ symptoms recurrence due to not knowing how to handle patient controller, these patients were instructed on how to use it correctly through Remote Tech even without reprogramming it. Other 10 patients received reprogramming. There was no discomfort during and after parameter adjustment. The questionnaire survey showed that the remote technology saved patients’ time and lowered financial costs, significantly improved patient satisfaction. All patients expressed their willingness to recommend it to other patients. Conclusion The PINS Remote Tech can significantly reduce the financial cost and provide a remote reprogram control service that is as safe and reliable as outpatient program control.</description><identifier>ISSN: 0301-1623</identifier><identifier>EISSN: 1573-2584</identifier><identifier>DOI: 10.1007/s11255-019-02115-3</identifier><identifier>PMID: 30810883</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Adult ; Electric stimulation therapy ; Electric Stimulation Therapy - economics ; Electric Stimulation Therapy - methods ; Electrodes, Implanted ; Feasibility Studies ; Female ; Humans ; Internet ; Lumbosacral Plexus ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Nephrology ; Neuromodulation ; Patient Education as Topic ; Patient Satisfaction ; Patients ; Remote control ; Sacrum ; Surveys and Questionnaires ; Telemedicine ; Urinary Bladder, Overactive - therapy ; Urology ; Urology - Original Paper</subject><ispartof>International urology and nephrology, 2019-04, Vol.51 (4), p.627-632</ispartof><rights>Springer Nature B.V. 2019</rights><rights>International Urology and Nephrology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2903-ffa333b41f5b7f4712ef23b4defd8096be1be2bd96d17d3faf4a685383b4058c3</citedby><cites>FETCH-LOGICAL-c2903-ffa333b41f5b7f4712ef23b4defd8096be1be2bd96d17d3faf4a685383b4058c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11255-019-02115-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11255-019-02115-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30810883$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Peng</creatorcontrib><creatorcontrib>Zhang, Yao-guang</creatorcontrib><creatorcontrib>Liao, Li Min</creatorcontrib><creatorcontrib>Shen, Jian-wu</creatorcontrib><creatorcontrib>Yang, Yun-bo</creatorcontrib><creatorcontrib>Zhang, Jian-zhong</creatorcontrib><creatorcontrib>Wu, Li-yang</creatorcontrib><creatorcontrib>Zhang, Xiao-dong</creatorcontrib><title>Application of Internet+-based Tsinghua PINS Remote Tech to improve sacral neuromodulation programming procedure</title><title>International urology and nephrology</title><addtitle>Int Urol Nephrol</addtitle><addtitle>Int Urol Nephrol</addtitle><description>Objective To explore the feasibility and safety of the Tsinghua PINS Remote Tech to facilitate sacral neuromodulation programming procedure. Method For 22 patients who had previously participated in the phase III clinical trial for treating overactive bladder with the Tsinghua PINS sacral neuromodulation system during several Hospital, PINS Remote Tech was applied to perform postoperative parameter adjustment in order to evaluate the safety and reliability of this new technique. Telephone surveys on Remote Tech-related questionnaires were also conducted. Results 17/22 patients underwent 26 parameter adjustments, average adjustment frequency was 1.53 times per person; the average adjustment time was 23.4 ± 5.1 min (15–32 min). The total effective rate of the Remote control was 14/17 (82.3%). 7/17 (41.1%) patients’ symptoms recurrence due to not knowing how to handle patient controller, these patients were instructed on how to use it correctly through Remote Tech even without reprogramming it. Other 10 patients received reprogramming. There was no discomfort during and after parameter adjustment. The questionnaire survey showed that the remote technology saved patients’ time and lowered financial costs, significantly improved patient satisfaction. All patients expressed their willingness to recommend it to other patients. 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Method For 22 patients who had previously participated in the phase III clinical trial for treating overactive bladder with the Tsinghua PINS sacral neuromodulation system during several Hospital, PINS Remote Tech was applied to perform postoperative parameter adjustment in order to evaluate the safety and reliability of this new technique. Telephone surveys on Remote Tech-related questionnaires were also conducted. Results 17/22 patients underwent 26 parameter adjustments, average adjustment frequency was 1.53 times per person; the average adjustment time was 23.4 ± 5.1 min (15–32 min). The total effective rate of the Remote control was 14/17 (82.3%). 7/17 (41.1%) patients’ symptoms recurrence due to not knowing how to handle patient controller, these patients were instructed on how to use it correctly through Remote Tech even without reprogramming it. Other 10 patients received reprogramming. There was no discomfort during and after parameter adjustment. The questionnaire survey showed that the remote technology saved patients’ time and lowered financial costs, significantly improved patient satisfaction. All patients expressed their willingness to recommend it to other patients. Conclusion The PINS Remote Tech can significantly reduce the financial cost and provide a remote reprogram control service that is as safe and reliable as outpatient program control.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>30810883</pmid><doi>10.1007/s11255-019-02115-3</doi><tpages>6</tpages></addata></record>
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source MEDLINE; SpringerNature Journals
subjects Adult
Electric stimulation therapy
Electric Stimulation Therapy - economics
Electric Stimulation Therapy - methods
Electrodes, Implanted
Feasibility Studies
Female
Humans
Internet
Lumbosacral Plexus
Male
Medicine
Medicine & Public Health
Middle Aged
Nephrology
Neuromodulation
Patient Education as Topic
Patient Satisfaction
Patients
Remote control
Sacrum
Surveys and Questionnaires
Telemedicine
Urinary Bladder, Overactive - therapy
Urology
Urology - Original Paper
title Application of Internet+-based Tsinghua PINS Remote Tech to improve sacral neuromodulation programming procedure
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