CLINICAL STUDIES ON TUR-P USING CLINICAL PATH: REPORT OF 50 CASES AND REVIEW OF LITERATURE
(Purpose) This study was undertaken to clarify the usefulness and problems involved in the clinical path of transurethral prostatectomy (TUR-P) in hospital. (Patients and Methods) The subjects consisted of 50 patients, for whom the Department of Urology, Jikei Medical University Hospital introduced...
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| Veröffentlicht in: | Nippon Hinyokika Gakkai zasshi 2003/03/20, Vol.94(3), pp.413-419 |
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| container_title | Nippon Hinyokika Gakkai zasshi |
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| creator | Asano, Koji Omono, Hiroshi Sasaki, Hiroshi Miki, Jun Naruoka, Takehito Yamada, Hiroki Maeda, Shigetaka Shimomura, Tatsuya Shiono, Yutaka Sugaya, Shingo Oishi, Yukihiko |
| description | (Purpose) This study was undertaken to clarify the usefulness and problems involved in the clinical path of transurethral prostatectomy (TUR-P) in hospital. (Patients and Methods) The subjects consisted of 50 patients, for whom the Department of Urology, Jikei Medical University Hospital introduced its own clinical path and performed TUR-P during a period of 9 months from July 1999 to March 2000. The mean length of hospital stay, rate of postoperative complications, and the medical insurance claims made by these patients were clarified and compared with those of 73 patients before introduction of the clinical path. (Results) With the introduction of the clinical path, the length of hospital stay decreased by an average of 3.4 days and the total medical insurance claims decreased by an average of 18.5%. The rate of postoperative complications before and after introduction was almost equal. (Conclusion) Our clinical path for TUR-P was well accepted by both patients and comedicals. However, the present medical treatment system in Japan is not as yet prepared to promote the introduction of this clinical path, and it will take some time before this clinical path is introduced on a full scale. |
| doi_str_mv | 10.5980/jpnjurol1989.94.413 |
| format | Article |
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(Patients and Methods) The subjects consisted of 50 patients, for whom the Department of Urology, Jikei Medical University Hospital introduced its own clinical path and performed TUR-P during a period of 9 months from July 1999 to March 2000. The mean length of hospital stay, rate of postoperative complications, and the medical insurance claims made by these patients were clarified and compared with those of 73 patients before introduction of the clinical path. (Results) With the introduction of the clinical path, the length of hospital stay decreased by an average of 3.4 days and the total medical insurance claims decreased by an average of 18.5%. The rate of postoperative complications before and after introduction was almost equal. (Conclusion) Our clinical path for TUR-P was well accepted by both patients and comedicals. However, the present medical treatment system in Japan is not as yet prepared to promote the introduction of this clinical path, and it will take some time before this clinical path is introduced on a full scale.</description><identifier>ISSN: 0021-5287</identifier><identifier>EISSN: 1884-7110</identifier><identifier>DOI: 10.5980/jpnjurol1989.94.413</identifier><identifier>PMID: 12710075</identifier><language>eng ; jpn</language><publisher>Japan: THE JAPANESE UROLOGICAL ASSOCIATION</publisher><subject>Aged ; Aged, 80 and over ; clinical path ; Critical Pathways - standards ; Humans ; Japan ; Length of Stay ; Male ; Middle Aged ; National Health Programs - statistics & numerical data ; Prostatic Hyperplasia - surgery ; Transurethral Resection of Prostate - economics ; Treatment Outcome ; TUR-P</subject><ispartof>The Japanese Journal of Urology, 2003/03/20, Vol.94(3), pp.413-419</ispartof><rights>Japanese Urological Association</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12710075$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Asano, Koji</creatorcontrib><creatorcontrib>Omono, Hiroshi</creatorcontrib><creatorcontrib>Sasaki, Hiroshi</creatorcontrib><creatorcontrib>Miki, Jun</creatorcontrib><creatorcontrib>Naruoka, Takehito</creatorcontrib><creatorcontrib>Yamada, Hiroki</creatorcontrib><creatorcontrib>Maeda, Shigetaka</creatorcontrib><creatorcontrib>Shimomura, Tatsuya</creatorcontrib><creatorcontrib>Shiono, Yutaka</creatorcontrib><creatorcontrib>Sugaya, Shingo</creatorcontrib><creatorcontrib>Oishi, Yukihiko</creatorcontrib><title>CLINICAL STUDIES ON TUR-P USING CLINICAL PATH: REPORT OF 50 CASES AND REVIEW OF LITERATURE</title><title>Nippon Hinyokika Gakkai zasshi</title><addtitle>Jpn. j. urol</addtitle><description>(Purpose) This study was undertaken to clarify the usefulness and problems involved in the clinical path of transurethral prostatectomy (TUR-P) in hospital. (Patients and Methods) The subjects consisted of 50 patients, for whom the Department of Urology, Jikei Medical University Hospital introduced its own clinical path and performed TUR-P during a period of 9 months from July 1999 to March 2000. The mean length of hospital stay, rate of postoperative complications, and the medical insurance claims made by these patients were clarified and compared with those of 73 patients before introduction of the clinical path. (Results) With the introduction of the clinical path, the length of hospital stay decreased by an average of 3.4 days and the total medical insurance claims decreased by an average of 18.5%. The rate of postoperative complications before and after introduction was almost equal. (Conclusion) Our clinical path for TUR-P was well accepted by both patients and comedicals. However, the present medical treatment system in Japan is not as yet prepared to promote the introduction of this clinical path, and it will take some time before this clinical path is introduced on a full scale.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>clinical path</subject><subject>Critical Pathways - standards</subject><subject>Humans</subject><subject>Japan</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>National Health Programs - statistics & numerical data</subject><subject>Prostatic Hyperplasia - surgery</subject><subject>Transurethral Resection of Prostate - economics</subject><subject>Treatment Outcome</subject><subject>TUR-P</subject><issn>0021-5287</issn><issn>1884-7110</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkNFqwjAUhsPYmOJ8gsHI1e7qcpLUpLsrrmpBVLRusJuQpnFTqnWNXuztF1HcYDfnwMn3f5AfoXsgnTCS5Gm9264PdVVCJKNOxDsc2BVqgpQ8EADkGjUJoRCEVIoGaju3ygkDIalk7BY1gAogRIRN9N4bpeO0F4_wPFu8pMkcT8Y4W8yCKV7M0_EAX96ncTZ8xrNkOplleNLHIcG9eO4D8fjFn1_T5O14HqVZMou9IblDN0tdOts-7xZa9JOsNwxGk8HRGBgquixg0VIKEJwXhnAZEbAFEC15rk0YWstCQvKCcmq41bmVFERXaFMwAJuz3H-rhR5P3l1dfR2s26vNyhlblnprq4NTglFOulJ6kJ1AU1fO1XapdvVqo-tvBUQdW1V_W1URV75Vn3o46w_5xha_mXOHHhiegLXb6w97AXS9X5nS_pOy0_DuC2I-da3slv0A7kOGdw</recordid><startdate>200303</startdate><enddate>200303</enddate><creator>Asano, Koji</creator><creator>Omono, Hiroshi</creator><creator>Sasaki, Hiroshi</creator><creator>Miki, Jun</creator><creator>Naruoka, Takehito</creator><creator>Yamada, Hiroki</creator><creator>Maeda, Shigetaka</creator><creator>Shimomura, Tatsuya</creator><creator>Shiono, Yutaka</creator><creator>Sugaya, Shingo</creator><creator>Oishi, Yukihiko</creator><general>THE JAPANESE UROLOGICAL ASSOCIATION</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200303</creationdate><title>CLINICAL STUDIES ON TUR-P USING CLINICAL PATH: REPORT OF 50 CASES AND REVIEW OF LITERATURE</title><author>Asano, Koji ; Omono, Hiroshi ; Sasaki, Hiroshi ; Miki, Jun ; Naruoka, Takehito ; Yamada, Hiroki ; Maeda, Shigetaka ; Shimomura, Tatsuya ; Shiono, Yutaka ; Sugaya, Shingo ; Oishi, Yukihiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2763-39f871744dc048901ed10a84bac55ee3500bd242c4eabe821767acd311eb3bb03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; jpn</language><creationdate>2003</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>clinical path</topic><topic>Critical Pathways - standards</topic><topic>Humans</topic><topic>Japan</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>National Health Programs - statistics & numerical data</topic><topic>Prostatic Hyperplasia - surgery</topic><topic>Transurethral Resection of Prostate - economics</topic><topic>Treatment Outcome</topic><topic>TUR-P</topic><toplevel>online_resources</toplevel><creatorcontrib>Asano, Koji</creatorcontrib><creatorcontrib>Omono, Hiroshi</creatorcontrib><creatorcontrib>Sasaki, Hiroshi</creatorcontrib><creatorcontrib>Miki, Jun</creatorcontrib><creatorcontrib>Naruoka, Takehito</creatorcontrib><creatorcontrib>Yamada, Hiroki</creatorcontrib><creatorcontrib>Maeda, Shigetaka</creatorcontrib><creatorcontrib>Shimomura, Tatsuya</creatorcontrib><creatorcontrib>Shiono, Yutaka</creatorcontrib><creatorcontrib>Sugaya, Shingo</creatorcontrib><creatorcontrib>Oishi, Yukihiko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Nippon Hinyokika Gakkai zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Asano, Koji</au><au>Omono, Hiroshi</au><au>Sasaki, Hiroshi</au><au>Miki, Jun</au><au>Naruoka, Takehito</au><au>Yamada, Hiroki</au><au>Maeda, Shigetaka</au><au>Shimomura, Tatsuya</au><au>Shiono, Yutaka</au><au>Sugaya, Shingo</au><au>Oishi, Yukihiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CLINICAL STUDIES ON TUR-P USING CLINICAL PATH: REPORT OF 50 CASES AND REVIEW OF LITERATURE</atitle><jtitle>Nippon Hinyokika Gakkai zasshi</jtitle><addtitle>Jpn. j. urol</addtitle><date>2003-03</date><risdate>2003</risdate><volume>94</volume><issue>3</issue><spage>413</spage><epage>419</epage><pages>413-419</pages><issn>0021-5287</issn><eissn>1884-7110</eissn><abstract>(Purpose) This study was undertaken to clarify the usefulness and problems involved in the clinical path of transurethral prostatectomy (TUR-P) in hospital. (Patients and Methods) The subjects consisted of 50 patients, for whom the Department of Urology, Jikei Medical University Hospital introduced its own clinical path and performed TUR-P during a period of 9 months from July 1999 to March 2000. The mean length of hospital stay, rate of postoperative complications, and the medical insurance claims made by these patients were clarified and compared with those of 73 patients before introduction of the clinical path. (Results) With the introduction of the clinical path, the length of hospital stay decreased by an average of 3.4 days and the total medical insurance claims decreased by an average of 18.5%. The rate of postoperative complications before and after introduction was almost equal. (Conclusion) Our clinical path for TUR-P was well accepted by both patients and comedicals. However, the present medical treatment system in Japan is not as yet prepared to promote the introduction of this clinical path, and it will take some time before this clinical path is introduced on a full scale.</abstract><cop>Japan</cop><pub>THE JAPANESE UROLOGICAL ASSOCIATION</pub><pmid>12710075</pmid><doi>10.5980/jpnjurol1989.94.413</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0021-5287 |
| ispartof | The Japanese Journal of Urology, 2003/03/20, Vol.94(3), pp.413-419 |
| issn | 0021-5287 1884-7110 |
| language | eng ; jpn |
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| source | MEDLINE; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged Aged, 80 and over clinical path Critical Pathways - standards Humans Japan Length of Stay Male Middle Aged National Health Programs - statistics & numerical data Prostatic Hyperplasia - surgery Transurethral Resection of Prostate - economics Treatment Outcome TUR-P |
| title | CLINICAL STUDIES ON TUR-P USING CLINICAL PATH: REPORT OF 50 CASES AND REVIEW OF LITERATURE |
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