Pub Date : 2024-09-01Epub Date: 2024-08-29DOI: 10.1055/a-2288-2547
Klaus Becher, Ruth Kirschner-Hermanns, Barbara Bojack, Claudia Drews, Andreas Wiedemann
{"title":"S2k-Leitlinie „Harninkontinenz bei geriatrischen Patienten“ – Teil 2: Patientenfragebögen und Assessmentinstrumente.","authors":"Klaus Becher, Ruth Kirschner-Hermanns, Barbara Bojack, Claudia Drews, Andreas Wiedemann","doi":"10.1055/a-2288-2547","DOIUrl":"10.1055/a-2288-2547","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"55 5","pages":"458-464"},"PeriodicalIF":0.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01Epub Date: 2024-08-29DOI: 10.1055/a-2359-7990
Mehmet Yoldas, Yusuf Arikan, Tuba Kuvvet Yoldas
Background: We aimed to investigate the effect of the haemoglobin, albumin, lymphocyte and platelet (HALP) score on pathologic results and bladder cancer recurrence (BCR) in patients operated for upper urinary tract tumours (UTUCs).
Material and methods: HALP scores of all patients were calculated. Demographic data, preoperative blood parameters, pathologic data and the BCR development status of patients with low and high HALP scores were compared.
Results: Haemoglobin (11.2±2.3 g/dL vs. 12.9±2.4 g/dL), albumin (4.0±0.8 g/dL vs. 4.4±0.9 g/dL) and HALP score (38.2±2.9 vs. 43.4±3.1) were statistically lower in the BCR (+) group compared with the BCR (-) group (p<0.001). The ROC curve showed that the optimal cut-off point for the HALP score was 40.8. Multivariate analyses showed that the HALP score was effective on Tumour Grade, Tumour Stage, BCR.
Conclusion: We have shown that patients with lower HALP scores have a more advanced stage and higher-grade pathologic outcomes and have a higher risk of developing BCR.
背景：我们旨在研究血红蛋白、白蛋白、淋巴细胞和血小板（HALP）评分对上尿路肿瘤（UTUC）手术患者病理结果和膀胱癌复发（BCR）的影响。比较了 HALP 评分低和高的患者的人口统计学数据、术前血液参数、病理学数据和 BCR 发展状况：结果：BCR（+）组的血红蛋白（11.2±2.3 g/dL vs. 12.9±2.4 g/dL）、白蛋白（4.0±0.8 g/dL vs. 4.4±0.9 g/dL）和 HALP 评分（38.2±2.9 vs. 43.4±3.1）均低于 BCR（-）组，差异有统计学意义（p）：我们的研究表明，HALP评分较低的患者分期更晚，病理结果等级更高，发生BCR的风险也更高。
{"title":"The Effect of the HALP Score on the Development of Bladder Cancer Recurrence in Patients Undergoing Radical Nephroureterectomy for Upper Urinary Tract Tumours.","authors":"Mehmet Yoldas, Yusuf Arikan, Tuba Kuvvet Yoldas","doi":"10.1055/a-2359-7990","DOIUrl":"https://doi.org/10.1055/a-2359-7990","url":null,"abstract":"<p><strong>Background: </strong>We aimed to investigate the effect of the haemoglobin, albumin, lymphocyte and platelet (HALP) score on pathologic results and bladder cancer recurrence (BCR) in patients operated for upper urinary tract tumours (UTUCs).</p><p><strong>Material and methods: </strong>HALP scores of all patients were calculated. Demographic data, preoperative blood parameters, pathologic data and the BCR development status of patients with low and high HALP scores were compared.</p><p><strong>Results: </strong>Haemoglobin (11.2±2.3 g/dL vs. 12.9±2.4 g/dL), albumin (4.0±0.8 g/dL vs. 4.4±0.9 g/dL) and HALP score (38.2±2.9 vs. 43.4±3.1) were statistically lower in the BCR (+) group compared with the BCR (-) group (p<0.001). The ROC curve showed that the optimal cut-off point for the HALP score was 40.8. Multivariate analyses showed that the HALP score was effective on Tumour Grade, Tumour Stage, BCR.</p><p><strong>Conclusion: </strong>We have shown that patients with lower HALP scores have a more advanced stage and higher-grade pathologic outcomes and have a higher risk of developing BCR.</p>","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"55 5","pages":"452-457"},"PeriodicalIF":0.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01Epub Date: 2021-06-17DOI: 10.1055/a-1398-2197
Matthias May, Mohammad Shaar, Antje Gumz, Atef Shaar, Ulrike Hendrika Necknig, Kay-Patrick Braun, Sebastian Deutsch, Steffen Lebentrau
Background: There are no study results on the private and professional satisfaction and the burnout risk of urologists with a migrant background at German hospitals to date. Non-medical reading has been described to have an influence on lower burnout rates among physicians of different specialties.
Material and methods: A SurveyMonkey questionnaire with 101 items on criteria characterising the study participant, questions on private and professional satisfaction and the complete Maslach Burnout Inventory was opened to urologists with a migrant background at German clinics between August and October 2020. The impact of non-medical reading on professional satisfaction and burnout was comparatively assessed (group A: ≤1 book/12 months versus group B: ≥2 books/12 months).
Results: Eighty-one study participants were included. They were almost equally distributed into groups A (49.4%) and B (50.6%). In several items on personal and professional satisfaction, there was a significantly higher satisfaction in group B. In the burnout dimensions of emotional exhaustion (EE), depersonalisation (DP) and personal accomplishment (PA), a high risk of burnout was present in 27.9%, 35.3% and 73.5% of the study participants. A group comparison revealed significant advantages for Group B in the PA dimension in both the sum score (p=0.001) and the categorical comparison (p=0.002). Study participants in Group B also had a significantly lower DP dimension sum score compared with Group A (p=0.047). The group variable was independently associated with a combined score of EE and DP on the one hand (OR 0.316; p=0.031) and the PA dimension on the other (OR 0.170; p=0.024).
Conclusions: Reading non-medical books was associated with higher professional satisfaction and a lower burnout risk among urologists with a migrant background at German hospitals.
背景：迄今为止，还没有关于德国医院中具有移民背景的泌尿科医生的私人和职业满意度以及职业倦怠风险的研究结果。据介绍，非医学阅读对降低不同专业医生的职业倦怠率有一定影响：2020 年 8 月至 10 月期间，向德国诊所中具有移民背景的泌尿科医生发放了 SurveyMonkey 问卷，其中包含 101 个关于研究对象特征标准的项目、关于个人和职业满意度的问题以及完整的马斯拉赫职业倦怠量表。比较评估了非医学阅读对专业满意度和职业倦怠的影响（A组：≤1本书/12个月与B组：≥2本书/12个月）：结果：共纳入 81 名研究参与者。结果：共纳入 81 名研究参与者，他们几乎平均分为 A 组（49.4%）和 B 组（50.6%）。在情感衰竭（EE）、人格解体（DP）和个人成就感（PA）等职业倦怠维度上，27.9%、35.3%和 73.5%的研究参与者存在职业倦怠的高风险。分组比较显示，B 组在 PA 维度的总分（P=0.001）和分类比较（P=0.002）中都有明显优势。与 A 组相比，B 组研究人员的 DP 维度总分也明显较低（p=0.047）。小组变量一方面与 EE 和 DP 的总分独立相关（OR 0.316；P=0.031），另一方面与 PA 维度独立相关（OR 0.170；P=0.024）：结论：在德国医院工作的具有移民背景的泌尿科医生中，阅读非医学书籍与较高的职业满意度和较低的职业倦怠风险有关。
{"title":"[Relationship between non-medical reading and burnout as well as professional satisfaction among urologists with migrant background: results of the EUTAKD survey study conducted at German hospitals].","authors":"Matthias May, Mohammad Shaar, Antje Gumz, Atef Shaar, Ulrike Hendrika Necknig, Kay-Patrick Braun, Sebastian Deutsch, Steffen Lebentrau","doi":"10.1055/a-1398-2197","DOIUrl":"10.1055/a-1398-2197","url":null,"abstract":"<p><strong>Background: </strong>There are no study results on the private and professional satisfaction and the burnout risk of urologists with a migrant background at German hospitals to date. Non-medical reading has been described to have an influence on lower burnout rates among physicians of different specialties.</p><p><strong>Material and methods: </strong>A SurveyMonkey questionnaire with 101 items on criteria characterising the study participant, questions on private and professional satisfaction and the complete Maslach Burnout Inventory was opened to urologists with a migrant background at German clinics between August and October 2020. The impact of non-medical reading on professional satisfaction and burnout was comparatively assessed (group A: ≤1 book/12 months versus group B: ≥2 books/12 months).</p><p><strong>Results: </strong>Eighty-one study participants were included. They were almost equally distributed into groups A (49.4%) and B (50.6%). In several items on personal and professional satisfaction, there was a significantly higher satisfaction in group B. In the burnout dimensions of emotional exhaustion (EE), depersonalisation (DP) and personal accomplishment (PA), a high risk of burnout was present in 27.9%, 35.3% and 73.5% of the study participants. A group comparison revealed significant advantages for Group B in the PA dimension in both the sum score (<i>p</i>=0.001) and the categorical comparison (<i>p</i>=0.002). Study participants in Group B also had a significantly lower DP dimension sum score compared with Group A (<i>p</i>=0.047). The group variable was independently associated with a combined score of EE and DP on the one hand (OR 0.316; <i>p</i>=0.031) and the PA dimension on the other (OR 0.170; <i>p</i>=0.024).</p><p><strong>Conclusions: </strong>Reading non-medical books was associated with higher professional satisfaction and a lower burnout risk among urologists with a migrant background at German hospitals.</p>","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":" ","pages":"439-447"},"PeriodicalIF":0.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39241784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01Epub Date: 2024-08-29DOI: 10.1055/a-2321-2256
{"title":"Operative Therapie der Stressinkontinenz des Mannes: Daten des SATURN-Registers.","authors":"","doi":"10.1055/a-2321-2256","DOIUrl":"https://doi.org/10.1055/a-2321-2256","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"55 5","pages":"396-398"},"PeriodicalIF":0.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01Epub Date: 2024-08-29DOI: 10.1055/a-2365-9589
{"title":"Kombinationstherapie beim Hochrisiko- nicht-muskelinvasiven Blasenkarzinom (HR-NMIBC) mit und ohne BCG-Vorbehandlung.","authors":"","doi":"10.1055/a-2365-9589","DOIUrl":"https://doi.org/10.1055/a-2365-9589","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"55 5","pages":"412-413"},"PeriodicalIF":0.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01Epub Date: 2024-08-29DOI: 10.1055/a-2257-1528
{"title":"First-Line-Therapie beim unbehandelten lokal fortgeschrittenen, inoperablen oder metastasierten Nierenzellkarzinom.","authors":"","doi":"10.1055/a-2257-1528","DOIUrl":"10.1055/a-2257-1528","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"55 5","pages":"408-410"},"PeriodicalIF":0.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01Epub Date: 2024-07-24DOI: 10.1055/a-2257-1297
{"title":"Erstlinien-Erhaltungstherapie bei erwachsenen Patienten mit lokal fortgeschrittenem oder metastasiertem Urothelkarzinom, die nach einer platinbasierten Chemotherapie progressionsfrei sind.","authors":"","doi":"10.1055/a-2257-1297","DOIUrl":"https://doi.org/10.1055/a-2257-1297","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"55 4","pages":"297-298"},"PeriodicalIF":0.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01Epub Date: 2024-07-24DOI: 10.1055/a-2261-1721
{"title":"Aktive Überwachung beim nicht muskelinvasiven Blasenkarzinom.","authors":"","doi":"10.1055/a-2261-1721","DOIUrl":"https://doi.org/10.1055/a-2261-1721","url":null,"abstract":"","PeriodicalId":7513,"journal":{"name":"Aktuelle Urologie","volume":"55 4","pages":"294-296"},"PeriodicalIF":0.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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